Nursing credentials and certifications are the various credentials and certifications that a person must have to practice nursing legally. Nurses' postnominal letters (abbreviations listed after the name) reflect their credentials—that is, their achievements in nursing education, licensure, certification, and fellowship. The letters usually appear in the following order:
Highest earned academic degree in or related to nursing (e.g. "[[Doctor of Nursing Practice |DNP] or Ph.D.]")Nursing licensure (e.g. "RN")Nursing certification (e.g. "CCRN")Nursing fellowship (e.g. "FAAN")Generally credentials are listed from most to least permanent. A degree, once earned, cannot, in normal circumstances, be taken away. State licensure is only revoked for serious professional misconduct. Certifications generally must be periodically renewed by examination or the completion of a prescribed number of continuing education units (CEUs). This is often called maintenance of certification (MOC).
Nurses may also hold non-nursing credentials including academic degrees. These are usually omitted unless they are related to the nurse's job. For instance, those with master's degrees usually do not list their bachelor's degrees (only the highest earned degree), and a staff nurse would likely not list an MBA, but a nurse manager might choose to do so.
Some nurses who achieve a master's degree (MSN) leave the patient care aspect of nursing, and practice in a more managerial role. An example would be earning an MSN in health care risk management. Such a nurse, while still fully an accredited nurse, will likely become the risk manager for a hospital, working in health administration rather than direct care and perhaps even becoming the director or manager of the risk management department. In this role, he or she may never see another patient except while doing hospital inspections, or perhaps talking to a patient or the patient's family about a quality of care concern. In this role, the nurse becomes something similar to an auditor and a teacher of patient care quality and risk for the entire hospital staff. This nurse likely will also get the certification listed below: CPHQ: Certified Professional in Healthcare Quality.
Nursing credentials are separated from the person's name (and from each other) with commas. There are usually no periods within the credentials (e.g. "BSN" not "B.S.N.").
In the United States and Canada, many nurses who choose a specialty become certified in that area, signifying that they possess expert knowledge. There are over 200 nursing specialties and subspecialties. Studies from the Institute of Medicine have demonstrated that specialty-certified nurses have higher rates of patient satisfaction, as well as lower rates of work-related errors in patient care.
Registered nurses (RNs) are not required to be certified in a certain specialty by law. For example, it is not necessary to be a certified medical-surgical registered nurse (CMSRN) (a medical surgical nursing certification) to work on a medical-surgical (med-surg) floor, and most med-surg nurses are not CMSRNs. Certifications do, however, instill professionalism and make the nurse more attractive to prospective and current employers. Certified nurses may earn a salary differential over their non-certified colleagues but this is rare.
Some hospitals and other health care facilities are willing to pay a certified nurse extra when he or she works within their specialty. Also, some hospitals may require certain nurses, such as nursing supervisors or lead nurses, be certified. Certification instills confidence in the nurses. Magnet hospitals advocate certifications.
Throughout the list, the following credentialing organizations are mentioned:
ANCC: American Nurses Credentialing Center (nursecredentialing.org)AANP: American Association of Nurse Practitioners (aanp.org)ONCC: Oncology Nursing Certification Corporation (oncc.org)AAS: Associate of Applied ScienceAAN: Associate of Arts in NursingABLS: Advanced Burn Life Support (not intended for postnominal use)ABQAURP: CHCQM - Board Certification in Health Care Quality and ManagementACHPN: Advanced Certified Hospice and Palliative Nurse ACHRN: Advanced Certified Hyperbaric Registered NurseACLS: Advanced Cardiac Life Support (not intended for postnominal use)ACNP-BC: Acute Care Nurse Practitioner-Board CertifiedACNPC: Acute Care Nurse Practitioner CertificationACNS-BC: Adult Clinical Nurse Specialist - Board CertifiedACRN: AIDS Certified Registered NurseADLS: Advanced Disaster Life SupportADN: Associate Degree in NursingAFN-BC: Advanced Forensic Nursing–Board Certified (http://nursecredentialing.org/ForensicNursing-Advanced)AGPCNP-BC: Adult-Gerontology Primary Care Nurse Practitioner-Board CertifiedALNC: Advanced Legal Nurse ConsultantANEF: Academy of Nursing Education FellowANLC: Advanced Nurse Lactation ConsultantANP-BC: Adult Nurse Practitioner-Board Certified (certified by ANCC)ANP-C: Adult Nurse Practitioner-Certified (certified by AANP)ANVP: Advanced Neurovascular PractitionerAOCN: Advanced Oncology Certified NurseAOCNP: Advanced Oncology Certified Nurse PractitionerAOCNS: Advanced Oncology Certified Clinical Nurse SpecialistAPHN-BC: Advanced Public Health Nurse-Board CertifiedAPN: Advanced Practice NurseAPRN: Advanced Practice Registered NurseARNP: Advanced Registered Nurse PractitionerASN: Associate of Science in NursingBLS: Basic Life Support (not intended for postnominal use)BDLS: Basic Disaster Life SupportBCEN: Board Certified Emergency NurseBM: Bachelor of MidwiferyBMTCN: Blood and Marrow Transplant Certified NurseBN: Bachelor of NursingBPS: Bachelor of Professional Studies with a concentration in NursingBS: Bachelor of Science with Nursing MajorBScN: Bachelor of Science in Nursing (Canada)BHSc Nsg: Bachelor of Health Science—Nursing Nursing Qualification for RNs in AustraliaBSN: Bachelor of Science in NursingCANP: Certified Adult Nurse PractitionerCAPA: Certified Ambulatory Perianesthesia nurseCARN: Certified Addictions Registered NurseCATN-I: Course in Advanced Trauma Nursing -Instructor (not intended for postnominal use)CATN-P: Course in Advanced Trauma Nursing -Provider (not intended for postnominal use)CBCN: Certified Breast Care NurseCBN: Certified Bariatric NurseCCCN: Certified Continence Care NurseCCDS: Certified Clinical Documentation SpecialistCCM: Certified Case ManagerCCNS: Acute Care Clinical Nurse SpecialistCCRN: Certification in Acute/Critical Care Nursing [1]CCTC: Certified Clinical Transplant CoordinatorCCTN: Certified Clinical Transplant NurseCDDN: Certified Developmental Disabilities NurseCDE: Certified Diabetes EducatorCDMS: Certified Disability Management SpecialistCDN: Certified Dialysis NurseCDONA/LTC: Certified Director of Nursing Administration/Long Term CareC-EFM: Certified in Electronic Fetal MonitoringCEN: Certified Emergency NurseCENP: Certified Executive in Nursing PracticeCETN: Certified Enterostomal Therapy NurseCFCN: Certified Foot Care NurseCFN: Certified Forensic NurseCFNP: Certified Family Nurse PractitionerCFRN: Certified Flight Registered NurseCGN: Certified Gastroenterology NurseCGRN: Certified Gastroenterology Registered NurseCHES: Certified Health Education SpecialistCHN: Certified Hemodialysis NurseCHPLN: Certified Hospice and Palliative Licensed Nurse CHPN: Certified Hospice and Palliative Nurse CHPNA: Certified Hospice and Palliative Nursing Assistant CHPPN: Certified Hospice and Palliative Pediatric Nurse CHRN: Certified Hyperbaric Registered NurseCHSE: Certified Healthcare Simulation EducatorCHSE-A: Certified Healthcare Simulation Educator-AdvancedCHSOS: Certified Healthcare Simulation Operations SpecialistCIC: Certified in Infection ControlCLC: Certified Lactation CounselorCLNC: Certified Legal Nurse ConsultantCM: Certified MidwifeCMA: Certified Medical AssistantCMAS: Certified Medical Audit SpecialistCMC: Cardiac Medicine CertificationCMCN: Certified Managed Care NurseCMDSC: Certified MDS CoordinatorCMSRN: Certified Medical—Surgical Registered NurseCNA: Certified Nursing AssistantCNCC(C): Certified Nurse in Critical Care (Canada)CNE: Certified Nursing EducatorCNE: Chief Nurse ExecutiveCNL: Clinical Nurse LeaderCNLCP: Certified Nurse Life Care PlannerCNM: Certified Nurse MidwifeCNML: Certified Nurse Manager and LeaderCNN: Certified in Nephrology NursingCNO: Chief Nursing OfficerCNOR: Certified Perioperative NurseCNP: Certified Nurse PractitionerC-NPT: Certified in Neonatal Pediatric TransportCNRN: Certified Neuroscience Registered NurseCNS: Clinical Nurse SpecialistCNSN: Certified Nutrition Support NurseCOCN: Certified Ostomy Care NurseCOHC: Certified Occupational Hearing ConservationistCOHN: Certified Occupational Health NurseCOHN/CM: Certified Occupational Health Nurse/Case ManagerCOHN-S: Certified Occupational Health Nurse—SpecialistCOHN-S/CM: Certified Occupational Health Nurse—Specialist/Case ManagerCORLN: Certified Otorhinolaryngology NurseCPAN: Certified Post Anesthesia NurseCPDN: Certified Peritoneal Dialysis NurseCPEN: Certified Pediatric Emergency NurseCPHON: Certified Pediatric Hematology Oncology NurseCPHQ: Certified Professional in Healthcare QualityCPLC: Certified in Perinatal Loss Care CPN: Certified Pediatric Nurse or Community Psychiatric Nurse (United Kingdom)CPNA: Certified Pediatric Nurse AssociateCPNL: Certified Practical Nurse, Long-term careCPNP: Certified Pediatric Nurse PractitionerCPON: Certified Pediatric Oncology NurseCPSN: Certified Plastic Surgical NurseCRN: Certified Radiologic NurseCRNA: Certified Registered Nurse AnesthetistCRNFA: Certified Registered Nurse First AssistantCRNI: Certified Registered Nurse IntravenousCRNL: Certified Registered Nurse, Long-term careCRNO: Certified Registered Nurse in OphthalmologyCRNP: Certified Registered Nurse PractitionerCRRN: Certified Rehabilitation Registered NurseCRRN-A: Certified Rehabilitation Registered Nurse—AdvancedCS: Clinical SpecialistCSC: Cardiac Surgery CertificationCSHA: Certified Specialist in Hospital AccreditationC-SPI: Certified Specialist in Poison InformationCT: Certified in Thanatology (dying, death and bereavement)CTN: Certified Transcultural NurseCTRN: Certified Transport Registered NurseCTRS: Certified Therapeutic Recreational SpecialistCUA: Certified Urologic AssociateCUCNS: Certified Urologic Clinical Nurse SpecialistCUNP: Certified Urologic Nurse PractitionerCURN: Certified Urologic Registered NurseCVN: Certified Vascular NurseCVRN-BC: Cardiovascular Nurse-Board Certified.CWCN: Certified Wound Care NurseCWOCN: Certified Wound, Ostomy, Continence NurseCWS: Certified Wound SpecialistDN: Doctor of NursingDNP: Doctor of Nursing PracticeDrNP: Doctor of Nursing PracticeDNS: Doctor of Nursing Science also seen as DNScDWC: Diabetic Wound CertifiedDVNE: Domestic violence nurse examinerECRN: Emergency Communications Registered Nurse (not intended for postnominal use)EdD: Doctor of EducationEN: Enrolled NurseENC(C): Emergency Nurse Certified (Canada)ENP-BC: Emergency Nurse Practitioner-Board Certified (certified by ANCC)ENP-C: Emergency Nurse Practitioner- Certified (certified by AANP)ENPC: Emergency Nursing Pediatric Course (not intended for postnominal use)ENPC-I: Emergency Nursing Pediatric Course Instructor (not intended for postnominal use)ENPC-P: Emergency Nursing Pediatric Course Provider (not intended for postnominal use)ET: Enterostomal TherapistFAAN: Fellow, American Academy of NursingFAAPM: Fellow, American Academy of Pain ManagementFACCWS: Fellow, American College of Certified Wound SpecialistsFAEN: Fellow, Academy of Emergency NursingFAHA: Fellow, American Heart AssociationFNC: Family Nurse ClinicianFNP-C: Family Nurse Practitioner (Certified by AANP)FNP-BC: Family Nurse Practitioner (Certified by ANCC)FPNP: Family Planning Nurse PractitionerFRCN: Fellow, Royal College of NursingFRCNA: Fellow, Royal College of Nursing, AustraliaGN: Graduate Nurse (awaiting RN licensure)GNP: Gerontological Nurse PractitionerGPN: General Pediatric NurseGPN: Graduate Practical NurseGRN: Graduate Registered NurseHACP: Hospital Accreditation Certified ProfessionalHNC: Holistic Nurse, CertifiedIBQH: International Board for Quality in HealthcareIBCLC: International Board-Certified Lactation ConsultantICC: Intensive Care CertificationINC: Intensive Neonatal Care certificationINS: Informatics Nurse SpecialistIPN: Immunisation Program Nurse: Queensland Australia specialist qualification / endorsementLCCE: Lamaze Certified Childbirth EducatorLNC: Legal Nurse ConsultantLNCC: Legal Nurse Consultant, CertifiedLNP: Licensed Nurse Practitioner—Used by the Commonwealth of Virginia, Board of Nursing, as a license statusLPN: Licensed Practical NurseLSN: Licensed School NurseLTC: Long Term Care (LPN Specific)LVN: Licensed Vocational NurseMA: Master of ArtsMAN: Master of Arts in NursingMICT: Master of Information and Communication TechnologyME: Menopause EducatorMEd: Master of EducationMEmerg Nsg: Master's degree in Emergency Nursing AustraliaMENP: Master of Entry to Nursing Practice (for any non-nursing bachelor's degree)MHN: Mental Health Nurse—Registered Nurse Endorsed to practice Advanced nursing in Mental HealthMICN: Mobile Intensive Care NurseMN: Master of NursingMPH: Master of Public HealthMRCN: Member, Royal College of Nursing (UK)MRCNA: Member, Royal College of Nursing, AustraliaMS: Master of ScienceMSA: Medicare Set-AsideMSN: Master of Science in NursingMSN/Ed: Master of Science in Nursing EducationNC-BC: Nurse Coach Board CertifiedNCMP: Certified Menopause PractitionerNCSN: National Certified School NurseNE-BC: Nurse Executive-Board CertifiedNEA-BC: Nurse Executive Advanced-Board CertifiedNNP-BC: Neonatal Nurse PractitionerNPC: Nurse Practitioner, CertifiedNPP: Nurse Practitioner, PsychiatricNRP: Neonatal Resuscitation Program (not intended for postnominal use)NVRN: Neurovascular Registered NurseNZCFN: New Zealand Certified Flight NurseNPS: Neonatal / Pediatric SpecialtyOCN: Oncology Certified NurseOMS: Ostomy Management SpecialistONC: Orthopaedic Nurse CertifiedPALS: Pediatric Advanced Life Support (not intended for postnominal use)PCCN: Progressive Care Certified NursePCNS: Pediatric Clinical Nurse SpecialistPhD: Doctor of PhilosophyPHN: Public Health NursePHRN: Pre-Hospital Registered NursePMHN-BC: Psychiatric Mental Health NursePMHNP-BC: Psychiatric Mental Health Nurse PractitionerPMHCNS-BC: Psychiatric Mental Health Clinical Nurse SpecialistPNP-BC: Pediatric Nurse Practitioner - Board CertifiedPNP-AC: Pediatric Nurse Practitioner - Acute CarePNP-PC: Pediatric Nurse Practitioner - Primary CareRCP: Respiratory Care PractitionerRIN: Rural and Isolated Practice Registered Nurses (RIPRN) (Queensland, Australia)RM: Registered MidwifeRMN: Registered Mental Nurse (United Kingdom)RN: Registered NurseRN-BC: Registered Nurse, ANCC Board CertifiedRNC: Registered Nurse, Certified: American Academy Certified NurseRNC-LRN: Registered Nurse Certified in Low Risk Neonatal NursingRNC-MNN: Registered Nurse Certified in Maternal Newborn NursingRNC-NIC: Registered Nurse Certified in Neonatal Intensive CareRNC-OB: Registered Nurse Certified in Inpatient ObstetricsRNCS: Registered Nurse Clinical SpecialistRNCS: Registered Nurse Certified SpecialistRNFA: Registered Nurse First AssistantRNM: Registered Nurse-MidwifeRNLD: Registered Nurse Learning DisabilitiesRPN: Registered practical nurseRPN: Registered Psychiatric Nurse (Western Canada)RRT: Registered Respiratory TherapistSANE: Sexual Assault Nurse ExaminerSANE-A: Certified Sexual Assault Nurse Examiner-Adult/AdolescentSANE-P: Certified Sexual Assault Nurse Examiner-PediatricSCRN: Stroke Certified Registered NurseSEN: State Enrolled NurseSHN: Sexual and Reproductive Health endorsed RN—Queensland AustraliaSN: Student Nurse (RN preparation)SNSC: School Nurse Services Credential (California CTC)SPN: Student Nurse (LPN preparation)SRNA: Student Registered Nurse Anesthetist(CRNA preparation)SVN: Student Nurse (LVN preparation)TCRN: Trauma Certified Registered NurseTNCC: Trauma Nursing Core Course (not intended for postnominal use)TNCC-I: Trauma Nursing Core Course Instructor (not intended for postnominal use)TNCC-P: Trauma Nursing Core Course Provider (not intended for postnominal use)TNP: Telephone Nursing PractitionerTNS: Trauma Nurse SpecialistWCC: Wound Care CertifiedWHNP-BC: Women's Health Care Nurse PractitionerCWOCN: Certified Wound, Ostomy, and Continence Nurse WTA-C: Certified Wound Treatment Associate