Recertification Application
Recertification Application Booklet
Table of Contents
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Verification of Recertification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Current Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Emeritus Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Fee Schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Continuing Education Approvers and Providers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
Denial/Revocation of Certification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Appeal Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
CCHT Recertification
CCHT Eligibility Criteria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
CCHT Contact Hour Certificates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
CCHT Recertification Application Instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
CCHT Recertification Application . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-10
CCHT Form 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
CCHT Form 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
CCHT Recertification by Examination
CCHT Recertification by Exam Application . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-16
CCHT-A Emeritus Status
Emeritus Status Application . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19-20
Revised 9/19
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Recertification Application
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Recertification Application
Introduction
To qualify for recertification, a Certified Clinical Hemodialysis Technician (CCHT) must meet the eligibility requirements set forth by the Nephrology Nursing Certification Commission (NNCC). To avoid a late fee, the appropriate recertification application (contained in this booklet) must be postmarked by the last day of the month in which the certificant’s certification expires.
Certification is effective for three (3) years from the first day of the month in which the certificant passed the exam- ination. Certification must be renewed every three (3) years. The CCHT is a national credential that may be used in all professional activities and correspondence.
The following two options are available to meet the recertification requirements:
Continuing education and clinical experience:
This booklet contains the forms and instructions to recertify by continuing education and clinical experience. To determine eligibility requirements to recertify as a CCHT, please refer to the eligibility requirements on page 7 of this booklet.
Recertification by examination:
A recertification by examination application can be found on page 15 of this booklet. When submitting the examination application for recertification, all require- ments for recertification must be met except for #3, con- tinuing education. Testing must be completed before the certification expiration date to avoid a lapse in certifica- tion status.
Verification of Recertification
If approved for recertification, individuals will receive a wallet card with expiration date within sixty (60) days of the date the National Office receives a recertification application. Replacement wallet cards and/or wall certifi- cates are available for a fee.
Current Address
It is the certified technician’s responsibility to notify the NNCC National Office of any changes in name and/or address.
Emeritus Status
Techincians who have maintained an active credential, who are over 50 years of age, and who have retired from active practice may apply for emeritus status. To apply for the retired credential the certificant must complete the application for Emeritus Status (available on the NNCC website at www.nncc-exam.org or by calling 888.884.6622) and submit a one time fee. If approved, the certificant may use the emeritus credential at nephrology nursing functions to acknowledge a previous active credential and the accom-
plishments it signifies. If the certificant chooses to return to active practice and wishes to again hold the active creden- tial, he/she must meet current eligibility criteria and certify by examination.
Fee Schedule
Recertification application fees are non-refund- able. Periodically fees are reevaluated and adjustments may be made. Fees can only be adjusted by a vote of the NNCC Commission. To avoid a late fee, the recertification application must be postmarked by the certification expi- ration date. For an additional (late) fee a certificant may submit a recertification application after the certification expiration date, provided all eligibility criteria are met during the certification period. Applications are processed in order of receipt. It may take up to eight (8) weeks from date of receipt of an application to be reviewed. Expedited applications will be processed within 14 business days from date of receipt with an additional expedited fee included.
Continuing Education Approvers and Providers
It is recommended but not mandatory that contact hours be accredited by one of the following to be accepted toward the continuing education requirement for recertification:
•Organizations accredited by the American Nurses’ Credentialing Center — Commission on Accreditation (ANCC-COA), the credentialing body of the American Nurses’ Association
•For example, The American Nephrology Nurses’ Association (ANNA), which is both an accredited provider and approver of continuing education in nursing
•The American Association of Critical-Care Nurses (AACN)
•The Council of Continuing Education
•California, Florida, Kansas, Ohio, and Iowa State Boards of Nursing*
•For example, the National Association of Nephrology Technicians/Technologists (NANT) programs when approved by the California State Boards of Nursing
*Please be aware that although programs meet require- ments set forth by other state boards of nursing, they may not meet the Nephrology Nursing Certification Commission criteria.
*Ten (10) contact hours/continuing education credits must be relevant to nephrology.
Recertification Application
Acceptable Continuing Education
Nephrology programs
These programs should be relevant to the dialysis technician scope of practice. Credit will be given accord- ing to the number of contact hours awarded.
Academic credit
Includes all course work credits earned during the 3- year certification period while enrolled in the Baccalaureate in Nursing degree program. It is not necessary that the course contact be relevant to nephrology. Five (5) contact hours will be assigned for one (1) semester credit. Three (3) contact hours will be assigned for one (1) quarter credit.
*NNCC will assign a maximum of 15 contact hours for course credits earned through Anatomy & Physiology if course credits were earned during the 3-year certification period.
Denial, Suspension, or Revocation of
Certification/Recertification
The occurrence of any of the following actions will result in the denial, suspension, or revocation of the cer- tification:
•Falsification of the NNCC application
•Falsification of any materials or information requested by the NNCC
•Any restrictions such as revocation, suspension, probation, or other sanctions of professional RN license by a nursing authority
•Misrepresentation of certification status
•Cheating on the examination
•Applicable state and/or federal sanctions brought
against the certificant
The NNCC reserves the right to investigate all sus- pected/reported violations and, if appropriate, notify the applicant/certificant's employer/State Board of Nursing.
The applicant/certificant will be notified in writing of NNCC's decision(s)/action(s).
Appeal Process
An individual who has been denied certification or had a certification credential revoked has the right of appeal. This appeal must be submitted in writing to the President of NNCC within thirty (30) days of notification. The appeal shall state specific reasons why the individual feels entitled to certification. At the individuals request, the President shall appoint a committee of three (3) NNCC Commissioners who will meet with the individual and make recommendations to the NNCC. The commit- tee will meet in conjunction with a regularly schedule NNCC Board of Commissioners meeting. The individual will be responsible for their own expenses. The final deci- sion of the NNCC will be communicated in writing to the individual within thirty (30) days following the NNCC meeting. Failure of the individual to request an appeal or appear before the committee shall constitute a waiver of the individual’s right of appeal.
Letters of appeal should be sent to the President at the NNCC National Office:
NNCC PO Box 56
Pitman, NJ 08071-0056
Recertification Application
Recertification
By Continuing
Education
Application
Nephrology Nursing
Certification Commission
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Recertification Application
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Recertification Application
CCHT Recertification Eligibility Criteria
1.Certificant must be a Certified Clinical Hemodialysis Technician (CCHT).
2.Certificant must have a minimum of 3000 hours of work experience as a dialysis technician within the three (3) year certification period.
3.Continuing education must include thirty (30) hours of education credits earned within the three (3) year certification period. A minimum of ten (10) contact hours must be nephrology specific.
•Continuing education criteria is not required for recertification by examination.
•If academic course credits were earned through Anatomy and Physiology during the three (3) year certification period, contact hours can be applied.
•If enrolled in a baccalaureate in nursing degree pro- gram during the three (3) year certification period, all course work credits required for the degree can be applied toward the contact hour requirement.
CCHT Contact Hour Certificates
Contact hour certificates must include the following information to be acceptable for recertification:
•Name of attendee
•Date of program
•Name of program
•Number of contact hours awarded
•Accreditation statement if applicable (see page 3)
Only submit programs where contact hour certificates have been provided and contact hours have been awarded.
It is not necessary to include copies of contact hour certificates with the recertification application, unless you have been notified that you have been selected for a random audit. Keep all certificates for your records in case they are requested upon review of your appli- cation.
CCHT Recertification Application Instructions
1.Make sure you meet all CCHT recertification eligibil- ity requirements.
2.Complete the application in its entirety.
3.Record all contact hour information on the appropri- ate form(s).
4.Enclose a copy of your current, government issued photo ID (non-temporary) if recertifying by examina- tion.
5.Enclose appropriate fee made payable to NNCC.
6.Retain a copy of the recertification application and all contact hour certificates.
Recertification Application
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Recertification Application
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Exam Date: |
Postmark: |
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Check #: |
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Recertification by Continuing Education Application
Applications must be postmarked on or before certification expiration date to avoid a late fee. Applications can take up to 8 weeks from date of receipt for review, or up to 14 business days if “Expedited Review” is selected. Please clearly print or type all information requested.
Recertification application fees are non-refundable.
Application Fee (check ALL that apply): ❏ $100 ❏ $50 Late fee ❏ $50 Expedited Review
Payment Method (check one): ❏ Check or money order (payable to NNCC) |
❏ Charge my credit card ❏ Visa ❏ MC |
1. Name: _________________________________________________________________________________________
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Last |
Maiden |
First |
Middle |
2. |
Expiration date of current certification: ____________________________________________________________ |
3. |
Last 4 digits of social security number _____________ |
E-mail____________________________________________ |
4. Home/mailing address ____________________________________________________________________________
Street/P.O. Box |
City |
State |
Zip |
5. Personal phone ❏ _____________________________________ Work phone ❏ ______________________________
Please check preferred contact number
6.Has your address changed in the past three (3) years? ❏ Yes ❏ No
7.Have you been employed at least 3,000 hours as a Dialysis Technician in the last three (3) years? ❏ yes ❏ no
8.Total years of experience as a dialysis technician _______
9.Highest level of education completed:
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High School Diploma/GED |
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Associate degree |
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Bachelor’s Degree |
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Master’s degree |
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Doctorate |
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LPN/LVN |
Credit Card Authorization Form
The NNCC accepts only Visa and MasterCard credit cards. |
Home telephone: ______________________________________ |
Name: _______________________________________________ |
Work telephone: ______________________________________ |
Address: (as it appears on your credit card statement) |
Charge my: |
❏ Visa ❏ MasterCard the amount of $ ________ |
____________________________________________________ |
Card number: _________________________________________ |
City: ________________________________________________ |
CVV__________ Expiration date: _________________________ |
State: ______ Zip: __________ Country:____________________ |
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Authorized Signature |
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