About the Trauma Certified Registered Nurse Exam
BCEN is dedicated to developing certification exams to the highest industry standards. We rely on a large group of nurse volunteers to help supply questions and critically review, ensuring your certification reflects current practices and contributes to your professional development.
About the TCRN Exam
The TCRN exam is for nurses practicing across the continuum of trauma care who want to demonstrate their expertise and knowledge in trauma nursing.
BCEN is the only source for trauma care nurses and their employers to gain recognized certification for greater knowledge and performance. Advance your trauma nursing care and career at every critical point in the continuum.
How A BCEN Exam Comes To Life
Let’s take a look at the journey a BCEN exam takes from beginning to end.
Exam Development
BCEN’s certification exams are developed by an exam committee of nurses who practice in the specific exam’s specialty area and represent diverse geography and experience levels.
BCEN partners with a test development company, PSI Exams, to ensure the exam is psychometrically sound and questions are written in best practice format.
Earning a BCEN certification is a national recognition and allows the holder to display the credential as part of their signature.
Role Delineation Studies
BCEN exams are based on specialty nursing role delineation studies (RDS).
These research studies, also known as a practice analysis or job analysis, are conducted by exam committees of subject matter experts. Learn about the latest TCRN role delineation study.
As part of the RDS, survey instruments are distributed to nurses practicing in each specialty area throughout the United States. The survey responses guide the exam committee in determining knowledge relevant to practice. The integrated concepts, cognitive level distribution, and the number of items (questions) specified within each content area are developed by an iterative process resulting in unanimous agreement from the exam committee.
Approval and Delivery
Next, item writers create exam questions and the items are reviewed, revised, and approved by the exam construction and review committee (ECRC). The items are also repeatedly reviewed throughout the exam development process.
Finally, examinations are delivered by computer at PSI testing centers and through Live Remote Proctoring (LRP).
Get the Candidate Handbook
We strongly encourage certification candidates to download and thoroughly review BCEN’s Candidate Handbook.
Here, you will find the guidelines and policies we use regarding registration, scheduling, cancellation, and administration of exams. All candidates are responsible for reading the Candidate Handbook, and will be held to the policies and regulations found therein.
A word about Certifications vs. Certificates
One of the common questions we get from our candidates is about the difference between a certification and a certificate.
Certificates
A certificate comes from an educational program where a certificate is awarded after the individual successfully completes the offering.
Examples of certificates are Advanced Cardiac Life Support (ACLS) or Trauma Nursing Core Course (TNCC).
Certifications
A certification, like the Trauma Certified Registered Nurse (TCRN) is an earned credential that demonstrates the individual’s specialized knowledge and skills.
Certification is awarded by a third-party organization, such as BCEN. Individuals receive their certification after meeting strict eligibility requirements and successfully completing the required examination. In addition, certifications have ongoing requirements that must be met to maintain the credential, ensuring the holder has sustained their level of expertise in the specialty area.
Certifications are nationally recognized and are often utilized as part of the earner’s signature.
Earning professional certifications such as the CEN, CFRN, CTRN, CPEN, TCRN, and CBRN, offered by BCEN, and completing certificate programs such as ACLS, PALS, ENCP and TNCC, are critical to the work emergency nurses do, but there are significant differences.
| Certification Programs | Certificate Programs | |
|---|---|---|
| Purpose | Validate knowledge, skills, and expertise across entire specialty practice area. | Learn, practice or demonstrate knowledge or proficiency in a focused topic, subject or skill set. |
| Outcome | Board certification/ Professional credential | Certificate or proof of completion card and/or CE hours. |
| Essential to Safe and Professional Practice | Yes | Yes |
| Awarding Organization | Independent credentialing bodies | Varies |
| Nationally Recognized | Yes | Most |
| Portable | Yes | Varies. Nurses may be required to take employer-sponsored or employer-approved offering. |
| Eligibility Requirements |
Strict and nationally standardized. Most require RN licensure.^ Many require relevant direct or indirect clinical experience.^ |
Varies. Clinical experience or RN licensure may or may not be required. |
| Preparation/Course of Study | Independently designed. Spans weeks or months. Prep materials and review courses developed by professional associations and dedicated certification prep providers. |
Class or course offered over several hours to several days, in person or online. Content can vary by instructor or provider. |
| Culminates in Exam or Practicum | Yes. Rigorous, comprehensive, standardized exam, offered in a secure testing facility. Based on national role delineation studies to ensure relevance to clinical practice specialty area. Psychometrically sound and legally defensible. |
Sometimes. Content can vary. Test or practicum hosted by sponsoring organization and/or offered online. |
| Renewal/Recertification Frequency & Requirements |
Every 4 years, on average.^ Retake certification exam or accrue required continuing education (CE) hours. |
Renewal frequency varies. May be used toward certification program CE requirements. |
| Eligible for Accreditation by ABSNC* or NCCA* | Yes. Accreditation by these independent, 3rd parties validates the certification program has met recognized national and international credentialing industry standards. |
No. Certificate program/CE providers may be accredited or sanctioned by industry organizations or certificate program sponsor organizations. |
Compiled by the Board of Certification for Emergency Nursing (BCEN®).
^American Board of Nursing Specialties (ABNS) Member Organization Profiles Summary Survey Data, 2016
*Accreditation Board for Speciality Nursing Certifications (ABSNC)
*National Commission for Certifying Agencies (NCCA)
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