Becoming an instructor is rewarding and includes learning how to teach TNCC or ENPC provider courses, different teaching strategies, understanding how people learn, and becoming familiar with various types of teaching media. Once you complete the ENPC or TNCC instructor program, you can teach in-person, remote, or hybrid at TNCC or ENPC provider courses under an ENA Course Director.

This course prepares you to become a TNCC or ENPC instructor. Here is an overview of what to expect.

Before the Instructor Course

• Complete the latest edition of the provider course: TNCC 9th Edition or ENPC 6th Edition.
• Be recommended as having instructor potential by the course director at your provider course.
• Complete ENA's instructor course modules on the ENA website. Topics include types of learners, how to teach, the flipped classroom method, and exams and tests. The modules are available after you register for the Instructor Course.
• Complete any required exams or testing.

At the Instructor Course (via Zoom)

Session times are not listed here.

• Competency validation: pretesting of the psychomotor skill station evaluation and validation of electronic exam scores for provider status
• Welcome, disclosures, and introductions
• *Large group discussion and review of interactive learning strategies
• *Teaching a psychomotor skill station
• *Evaluating a psychomotor skill station
• Next steps in the instructor path and review of the monitoring process
• Course evaluations

After the Instructor Course

This course is for Registered Nurses only. See below for "Criteria to Attend."

• An active and unencumbered RN license is required to become a TNCC or ENPC Instructor.
• You must have been recommended by an ENA course director at your provider course as "Instructor Potential"; this recommendation is made in ENA's course management system.

If you wish to attend a TNCC Instructor Course, you must have:

• A current TNCC 9th Edition provider card
• Scored 90% or higher on BOTH the written exam and the practical exam (TNP)
• The current TNCC 9th Edition textbook

If you wish to attend an ENPC Instructor Course, you must have:

• A current ENPC 6th Edition provider card
• Scored 90% or higher on BOTH the written exam and the practical exam (PNP)
• The current ENPC 6th Edition textbook

Options if you do not meet the above:

• If you have passed an ENPC 5th Edition course (the prior edition), you must either take or challenge a 6th Edition course, or audit the 6th Edition, before taking the ENPC Instructor course, AND retest the written and practical exams, scoring 90% or greater on both. (See "About Testing" below.)
• If you have passed a TNCC 8th Edition course (the prior edition), you must either take or challenge a 9th Edition TNCC course, or audit the 9th Edition, before taking the TNCC Instructor course, AND retest the written and practical exams, scoring 90% or greater on both. (See "About Testing" below.)
• If you did not score 90% or greater in your provider course but scored 80–89% AND you have taken the latest edition of the provider course, you may still enroll in the instructor program; however, you will have two attempts to score 90% on both tests. There are no refunds, transfers, or credits for failing any exams. (See "About Testing" below.)
• If you were not recommended as "Instructor Potential" by the course director at your provider course:
  • Contact the course director from your provider course and ask them to add the "Instructor Potential" flag from your provider course to your ENA University account. (Reminding them of the date you took your course helps them locate your records on the ENA course portal.)
  • We can add the "Instructor Potential" flag to your ENA account. Please email Lee@HCTAUSA.org and express your desire to become an instructor and why you wish to complete the TNCC or ENPC instructor course. After sending the email, please proceed with registering for the instructor course. (Once you have registered for our instructor course, we will add an "Instructor Potential" override to your ENA account.)

After completing the steps below, you will earn ENA (TNCC or ENPC) Instructor status.

Although the instructor course is remote, it will prepare you to teach ENPC or TNCC in an in-person, remote, or hybrid format under the supervision of an ENA Course Director.

The following steps are required to complete the TNCC or ENPC Instructor Course:

Step 1: Establish an ENA Course Director as a mentor.

• After you complete the instructor course, your course director/mentor will complete your monitoring paperwork and assign your courses to teach.
• If needed, our ENA course director, Lee Taylor-Vaughan, can serve as a mentor to perform your instructor course monitoring, subject to course availability.

Step 2: Register for the Instructor Course via our website (see "Criteria to Attend" above).

• Within 1–3 business days of registration, ENA will email you access to the online Instructor course modules via ENA University (see Step 3 below).

Step 3: Prepare for your upcoming Instructor Course all must be completed BEFORE your instructor course

• Complete the online Instructor course modules with ENA University.
• Complete any required testing (if needed) (see "About Testing" below).
• Prepare for your instructor course by selecting a teaching topic for discussion ("lecture") and a skills station scenario. You will present the first 10 minutes of each during the Instructor Course to your peers; each peer will evaluate your teaching style. You will find the ENA course materials in your account via our website.

Step 4: Attend and participate fully in the Instructor Course via Zoom

• The link to the Zoom session will be in your account on our website 1–2 days before the course. Before the course, ensure that your camera and microphone work and that you know how to screen share. You will be presenting via Zoom, and the day of the course is not a good time to encounter technical issues.

Step 5: Complete the monitoring requirement with the Course Director you established in Step 1 (above)

• Your TNCC (or ENPC) Course Director will monitor your teaching at a live course — observing you as you participate as an instructor candidate: leading a group discussion, leading a teaching station, and testing students.
• You must complete all instructor course requirements within one year of attending the live instructor course.

This course is taught by appointed ENA course faculty. Our faculty are knowledgeable, supportive, and helpful, and are known for guiding you through obtaining your ENPC or TNCC instructor credentials.

• ENPC Instructor: $385
• TNCC Instructor: $385

Tuition does not include the textbook.

Those attending the Instructor course must have the latest version of the provider textbook (currently ENPC 6th Edition; TNCC 9th Edition). You may purchase a textbook if needed. Textbooks are non-returnable/non-refundable; please ensure you have the correct version before ordering.

About Testing

Exempt from Testing Criteria: To be exempt from re-testing, you must have scored 90% or greater on both the written and practical exams at your provider course, AND the provider course must have been within 120 days of the instructor course, AND the provider course must also have been the latest version of the course (TNCC 9th Edition; ENPC 6th Edition). If you meet that criteria, you will not have to retest.

Those who are required to re-test:

• If you have a provider card from a prior course version and audited the latest edition of the course, you will need to re-test both the written and practical exams.
• If you did not score 90% or greater on the written exam, OR the provider exam was not the course's latest edition, you will need to retest the written exam.
• If you did not score 90% or greater on the practical exam, OR the practical exam was not the course's latest edition, you will need to retest the practical exam.
• If your provider course was longer than 120 days before the instructor course, you will need to retest.

Preparing for the test (written or practical):

The testing is almost identical to the provider course testing (the practical and written exams), except the written exam is now much more difficult. To attend the instructor course, you must achieve a higher score (90% or greater) on the written and practical tests. To prepare for the higher score requirements, we recommend the following:

• We highly recommend registering for and attending the latest edition of the provider course within 90 days of your instructor course; you will have two attempts to pass the provider course. If you score between 80–89%, you will be given two more attempts as part of your instructor course registration to score 90% or greater (on both the written and/or practical exams). Remember: to pass the provider course, you must score 80% or greater, but to be instructor potential, you must score 90% or greater on both tests.
• Review the free review course that will be in your account after registration. After much student feedback, we created a free Pediatric Review (ENPC) and Trauma Review (TNCC) for anyone taking one of our TNCC/ENPC provider or instructor programs. Although each review course is short (approx. 65–80 minutes), it has made the difference between passing and failing the written exam for many. Additionally, you'll be awarded two additional contact hours upon completion of the respective review course (provided for free with your registration). For more information about the review course, click here (do not register for the review course separately, as it will be provided to you for free when you sign up for the instructor course). Note: this review course is a content review, not an exam review.
• Obtain, open, and read the latest version of the provider textbook cover to cover. You may purchase a provider textbook while registering for the instructor course, or contact our office if you need to purchase one after registration.
• Review any course materials from your provider course.
• Review the pre-course modules from your provider course. You can log in to https://enau.ena.org to access them.
• Practice the TNCC or ENPC scenarios with a colleague or a friend. The scenarios are simple to follow, and non-medical persons can follow them, as they are simply a script. We provide access to the scenarios after registration (via our website).
• Ensure you follow the A–J mnemonic when answering most questions or during practical testing.

Taking the test this only applies to those needing to re-test

• Only test within 90 days of your instructor course (this only applies to those needing to re-test).
• Online (via ENA's website) as part of the Instructor Course Modules.
• Timed 2 hours; the exam will automatically grade at the 2-hour mark if you close your browser or lose/disconnect from the internet.
• You cannot save the exam and return at a later time; it must be completed in one sitting.
• 50 multiple-choice questions.
• Difficult open-book questions that require you to have internalized the content to answer.
• You can return to any flagged questions before submitting for grading, within the same sitting (you cannot save the exam and return to it later).
• Not a group test.
• You will not have sufficient time to look up every question on the exam; prioritize the easier questions and flag the more difficult ones.
• Take our free online Trauma or Pediatric Review course before you attempt the exam (added to your account, free, after registration).

Contact Hours are issued by ENA: 6 Contact Hours. The Emergency Nurses Association is accredited as a nursing continuing professional development provider by the American Nurses Credentialing Center's Commission on Accreditation, Provider Unit #P0232. The Emergency Nurses Association is approved by the California Board of Registered Nursing, Provider #2322.

• Instructor course modules via ENA's website: pre-course work, including testing (if applicable), takes approximately 3–4 hours. (Access link arrives via email within 2–3 business days of registration.)
• The Zoom portion of the course typically lasts 6–8 hours. (The link to attend will be in your account on our website 1–2 business days before the course.)
• The monitoring portion's duration will vary based on your course director. You must monitor three areas of the course; some programs allow all three to be completed in one course (usually two days), while others may require attending another course if your course director cannot fit all three areas into one session. You must complete monitoring of all three areas within one year of attending your instructor course.

Q: I have not taken the latest edition of the provider course, but I did pass with a 90% (or more). Will I need to re-test?

A: Firstly, you will need to either take the latest edition (or audit the newest edition), AND ENA requires you to re-test to the course's latest version. (See "About Testing" for more information.)

Q: It has been longer than 120 days since my provider course. Will I need to re-test?

A: ENA requires you to re-test both your practical and written exams. You must score 90% or greater on each exam. (See "About Testing" for more information.)

Q: What is the practical exam?

A: The practical exam is the nursing process (A–J mnemonic) you tested during your provider course. For ENPC, it is referred to as the PNP (Pediatric Nursing Process); for TNCC, it is referred to as the Trauma Nursing Process.

Q: How many attempts do I have to test?

A: You have two attempts to score 90% or greater on the written exam, and two attempts to achieve 90% or greater on the practical exam. (See "About Testing" for more information.)

Q: I have heard that the new version of the written exam is more challenging than it used to be. How difficult is the exam?

A: The new version of the written exam is significantly more challenging than prior versions of the course. You will need the latest version of the textbook to help with some areas of the exam. Most fail the exam without significant preparation. See "About Testing" for more details.

Q: How do I know if I have taken the latest version of the course?

A: Log in to your https://enau.ena.org account — in the transcript area, you can view your TNCC and ENPC cards, which state the edition. The latest edition of TNCC is the 9th Edition; the latest edition of ENPC is the 6th Edition. If you do not have the latest edition, we HIGHLY recommend you enroll in a provider course to meet this criteria, or audit the latest edition of the course.

Q: What happens if I do not attend the Zoom session for the instructor course?

A: You will be marked as a no-show; there are no refunds, transfers, or credits available as part of your tuition. However, for a separate fee, our office may be able to assist with transferring you to a different course date if space permits.

Q: I did not score 90% or greater on the provider test. Can I still attend the instructor course?

A: You can enroll in the instructor course; however, you must still score 90% or greater during your ENA Instructor Course Modules. See "About Testing" above. There are no refunds, transfers, or credits if you do not score 90% or greater on the written and practical exams.

Q: What if I do not score 90% on the written exam or practical exam?

A: You must wait 90 days before re-enrolling in another instructor course. ENA requires that you wait 90 days from your instructor course date to re-enroll and pay for a new instructor course.

Q: My employer wants to pay for my registration; how can my employer receive an invoice to pay for the course?

A: Contact our group and corporate sales team at groups@HCTAUSA.org. They can assist you in receiving an invoice for the course. Keep in mind that your employer can also pay via Visa/Mastercard/Discover on our website — credit card payments are the fastest method of registration, whereas when an employer offers to pay us directly, it can take several weeks for a check to be received by our office. Your access to the course will not be issued until full payment is received.

Q: I want to teach independently; how do I become an ENA Course Director?

A: The ENA Course Director rank is not easy to attain. You must be an established instructor who has taught many provider courses, is capable of teaching the entire course's content, and has undergone training on ENA's Course Management System. You must align with a course director to provide this training; in most cases, reaching the rank of course director takes longer than a year for those teaching multiple courses per year. You will need to contact ENA to begin this process and obtain a Course Director who can assist. Our organization is not able to assist in becoming a Course Director.

Q: I have additional questions about this course that are not on this list; whom can I contact?

A: Our ENA course faculty contact is Lee Taylor-Vaughan. After reviewing this page, please direct all questions to him at Lee@HCTAUSA.org (Lee works the night shift, so anticipate a slight delay in replying to emails). Please ask any questions BEFORE registration, as refunds are not available.

Q: You are holding ENPC and TNCC on the same day. Can I take both programs at the same time?

A: Yes, absolutely; however, check that you meet the requirements to attend each course. You will also want to ensure you are ready for the testing requirements (if needed), as the exams can be exceptionally challenging. Some feel that taking them separately is best, as the testing requirements can often be overwhelming.

Q: How do I log in to attend the Zoom portion of the course?

A: Although groups can attend, each participant will need to log in to Zoom separately. The link to the Zoom meeting is located in your account on our website. On the day of your course, log in to our website and click the Zoom link to access the course.

Q: I am attending with coworkers. Can we all log in from the same device?

A: No. Although groups are welcome to attend, each participant will need to be logged in to Zoom separately (this is how attendance and breakout rooms are managed).

• There are no refunds, transfers, or credits for this program for any reason. All sales are final. Please ensure that you meet all criteria to attend and that the course date/time (via Zoom) fits your schedule BEFORE submitting payment.
• There are no refunds, transfers, or credits for any exam/testing failure. All sales are final.
• You may need to undergo testing (written exam, practical exam, or both) as part of your instructor course.
• During the live portion of the course, you will be on Zoom. Ensure that you can use Zoom before attending the program (camera, audio, and screen share); we recommend practicing with a friend beforehand. You will be marked as a no-show if your camera is not on during the live portions of the course (this is an ENA requirement).
• If taking this course from your workplace, please ensure that Zoom is a suitable platform for your organization. There are no refunds for technical issues or organizational limitations around using Zoom.