TNCC / Trauma Nursing Core Course

Emergency Nurses Association (ENA):

Trauma Nursing Core Course (TNCC)

Initial & Renewal Course 9th Edition

Looking for Emergency Nursing Pediatric Course (ENPC)? Click here

Looking for the TNCC (or ENPC) Instructor Course? Click here

4-Year TNCC Certificate

100% Virtual / Zoom - Instructor-led course

You no longer have to attend a physical location to take this course.

See below for FAQs.

1.5 Day Program

Watch this video for a brief overview of how we run ENA's TNCC or ENPC programs.

IMPORTANT: Ensure to expand each section below and review all of the content of this page before registering.

FREE Trauma Review with this course; the Trauma Review will help you prepare for patient care and testing!

• TNCC is widely recognized as the premier course for all hospitals and trauma centers worldwide, empowering nurses with the knowledge, critical thinking skills, and practical training to provide expert care for trauma patients.
• The first few minutes of trauma care are critical to achieving better patient outcomes. TNCC brings in many concepts, especially the A-J mnemic. During this course we will reinforce the A-J; getting you ready for test time and your trauma patients.
• Before your course date, you will complete ENA's TNCC pre-course modules, which will set the tone for much of the course.
• Over our Zoom session together (approx 1.5 days) we will practice the A-J mnemic, reinforce essential concepts, and lectures, and have fun with the trauma ready (jeopardy), a great exam review.
• Our instructors are top-notch, friendly, educational, and are excited to see you at this course (albeit, via Zoom).

Learn:

• Rapid identification of life-threatening injuries

• Comprehensive patient assessment

• Enhanced intervention for better patient outcomes

Various learning methodologies are incorporated into TNCC including:

• Hands-on training at home, using both an individual and a team approach. Psychomotor skill stations — trauma nursing process, airway and ventilation, and trauma interventions — offer you the opportunity to practice the initial assessment's systematic approach in real-life situations. 

• Online learning: Online modules with links to additional information let you learn at your own pace, apply what you learn and receive immediate feedback, and refer back to information at any time. The modules are a complete case study process — taking you through an entire sequence of care.

• Flipped-classroom method, which engages students and faculty in the content. 

• Evidence-based content developed by trauma emergency experts.

Who should attend? This program is mainly for RNs. If you're an RN working in the ER (or ICU) or want to work in the ER (or ICU), this program is a MUST!

Note: Non-RNs may attend the course but cannot take the exam or skills testing stations. Those who pass the exam, testing stations, and class are issued a 4-year TNCC certification. In addition, continuing Education Credit will be issued to all attendees who complete the program from ENA.

To complete the course and receive your 4-year internationally recognized verification as a TNCC provider, you must: 

• Obtain and read the TNCC textbook [9th Edition] (available for purchase during registration). You will need this textbook to study for the course; however, you do not need to have the book to begin the ENA's TNCC pre-course modules. ENA requires that you have your own book; they do not permit a library/loaning of books.
• Complete the online pre-course modules (issued after registration) on ENA's website. These must be completed BEFORE attending the live session of the course.  You do not need the textbook to start ENA's pre-course modules; we recommend beginning them as soon as your access is granted. The pre-course module link will be sent to you directly from ENA when we are within 30 days of the course start date; if the course start date is 30 days or less before the start date, the precourse modules link can take 1-2 business days to email.
• During the course, complete the online lectures and activities via HealthCareTrainingAcademy.org [This website] (different from the ENA's modules above).  
• Complete and participate in the entire live session of the course, held via Zoom. (The link to the Zoom session will be located in your account via our website).
• Pass the Trauma Nursing Process Skills session with a 70% or greater (during your live session)
• Pass the online written exam (80% or greater) within seven days of the course (50 questions, open-book, 2-hour time limit, two attempts, random questions).

ENA recommends registering 30+ days before the course to prepare for the heavy TNCC content. However, if you register within 30 days of the course, you can only proceed by understanding that you risk "failing" the course without sufficient preparation time. Although the TNCC written exam is an open-book exam, many do not succeed with passing the written exam and course completion. Having the textbook with you is essential during the written exam and to study for the course. See below for textbook options. 

We have over 20 certified TNCC faculty/instructors who teach this course. Each of them are friendly, fun, and educational. Each course is supervised by a Course Director.

Our Course Directors:

• Lee Taylor-Vaughan JD, MSN, APN, CCRN-CSC-CMC, CFRN, CEN, NRP, LNC, PCCN. Lee is a dynamic faculty member and puts a lot of enthusiasm into his courses and students. Lee brings over 20 years of experience to this program. He began his healthcare career as a paramedic, RN, and NP, he then went to law school and came back to healthcare. Lee has an extensive ER/ICU background and is a co-author of the Emergency Nursing Examination Review and Critical Care Nursing Examination Review textbooks with Laura Gasparis Vonfrolio PhD RN. Lee is eager to help his students get through this course without any extra stress. 
• Lori Kelty, MSN, CEN, CCRN, RN. Lori is an exceptional educator and presents this course as if you were standing next to her in the ED; her approach feels "very hands-on". Lori brings over 40 years of nursing experience to this course and is amazing at presenting all topics in this program. (Director of Nursing, Supervisor, ER, and all areas of Critical Care). You'll definitely want to check out her Spinal Lecture and many other topics. 

Course Tuition:

• $365 for ENA Members
• $375 for Non-ENA Members

Textbook: 

The 24-chapter, comprehensive TNCC Trauma Nursing Core Course Provider Manual, 9th Edition, is a compilation of current trauma nursing standards and a valuable resource for future reference.

• eBook: $84.00
• Print: $86.00 (+ Shipping/Handling)

The TNCC textbook does take approx. 14-21 days for delivery (USA ONLY); if you elect to pick it up from our office, please check that we have the textbook in stock, as they sell out very quickly. ENA does offer an eBook for the TNCC program; if your textbook's delivery is not guaranteed to arrive before your course, you may want to consider an eBook instead of a print book.

We are only teaching the 9th Edition of the TNCC program. This new version was released in September 2023. Everyone must have a new textbook when registering for 9th Edition TNCC.

To attend this course, you must use Zoom. It is the attendee's responsibility to ensure that Zoom is fully working on your device (it works best on a laptop/desktop; a large tablet 'may' be sufficient; using Zoom on your phone, for this course, is rather tricky). You will want to ensure Zoom fully works (audio and camera). The day of a course is not the time to encounter technical issues, as your instructors cannot provide technical support. Ensure that you can install AND use Zoom BEFORE registering for this course. 

The prerequisites for this course are as follows: 

1. You must obtain the correct version of the textbook for this course. (The written exam is an open-book exam, and you may need to rely on the text to look up some questions. The textbook is only available while registering for this course; ENA does not sell the textbook via any other means). 
2. Completion of the pre-course modules via ENA's website (BEFORE the course begins). (The link/access to the pre-course modules is provided within 30 days of the course. If it is already within 30 days of the course, the link will be emailed to you in 1-3 business days after registration. Please remember to check junk/spam for the pre-course modules link.)
3. Hold an active RN License. You do not have to send a copy of your RN license; it is a prerequisite that you are an RN to be eligible for testing. ENA only permits RNs to test at their TNCC or ENPC courses. All other professions will receive continuing education credit but cannot test.
4. You have access to a stable WiFi connection.
5. You have the latest version of Zoom installed. (You must be on live audio and video during your course).
6. HIGHLY RECOMMENDED: You are using Google Chrome as your internet browser. (Although some other up-to-date browsers will work, Internet Explorer will not work with our website and online modules).
7. HIGHLY RECOMMENDED: A desktop or laptop computer is ideal. (Although it is possible to take this course on a phone, it is tough as you will need to screen share, read comments on the screen, and watch videos. The small screen of a phone is often too small for many users).

Contact Hours: Upon program completion, CNE is Issued directly by ENA; a copy of your contact hours certificate will be available in your ENA University account (under Transcripts), and a copy of your TNCC eCard will be located there also). To access the ENA University website log in to https://enau.ena.org

ENA awards 18.25 Continuing Nursing Education credits for completion of this course. 

• Day 1: Zoom session, practice TNP, Q&A, TraumaReady, lectures. (Approximate online time 6-8 hours)
• Day 2: Finish-up lectures from day 1 (as needed), Q&A, and TNP Testing. (Approximate online time: 2-3 hours)

Times may vary based on smaller class sizes (i.e. smaller classes often run slightly shorter). 

ENA Courses: Frequently Asked Questions:

Q: What platform do you use for the virtual course?

A: We use the Zoom platform. We HIGHLY recommend that you download zoom on your laptop/desktop computer AND test the audio and video (it is very difficult to take this course via phone or small tablet; hence our recommendation is to use a desktop computer/laptop). It is ideal for testing Zoom on your computer BEFORE the course; those who do not often run into issues at course time. Moreover, as we often see, Zoom technical support does take many days to get back to those who experience issues. Our office cannot provide any technical support for Zoom. Here is a link to test Zoom on your computer. https://zoom.us/test 

Q: How do you perform the practical testing for this course?

A: This is by far our number one question for this program, and our answer is often quite surprising and pleasing to many! The physical testing is performed live, via zoom, by displaying a mock patient and equipment over Zoom AND providing you with a testing scenario. The student will then guide the instructor through the scenario, indicating the correct course of assessment and actions for that patient. The student is objectively scored based upon their responses. Although the instructor is not permitted to prompt the student during the testing, we have much success due to the online classroom practice we did from day 1 of the course; following the A-J mnemonic, most students do well and enjoy the relaxed-friendly format (created by our awesome faculty). Additionally, the practice scenarios are very interactive, and often most students feel prepared at test (and patient) time! Remember, we're here to help you succeed in the course, yet you must pre-study the course to get through.

Q: How do I take the written exam for this course?

A: The written exam is done online, after the live portion of the course. After you have passed the practical portion (see above), you are then issued a link to take the written exam. ENA will send this link to you. The great thing is that you will have seven days to begin the exam. (50 questions, multiple-choice, 2-hours to complete, two attempts, 80% to pass). By doing the written exam "outside" of the course, you can focus more on what's needed in the class and reduce any exam-taking stress. Note: the exam is OPEN-BOOK, yet requires study from the course, pre-course modules, textbooks, and practice stations.

Q: I'm a travel nurse, and I'm in a hurry to get my card. How soon can I start my exam and get my card?

A: You can start your exam as soon as your complete the practical testing for the course. Your course director will enter your score to the ENA website; providing you pass the station, they will issue you the written exam. Once you have completed the course, the card will be available, in your account, on ENA's website.

Q: I'm a brand-new nurse. Can I take this course online/via Zoom?

A: Absolutely, but do know this is an intense course. You will need ample time to study for this program. 

Q: I do not have any ED experience. Can I take this course?

A: Absolutely, but do know this is an intense course. You will need ample time to study for this program. Moreover, this course is great for those who do not work in a major trauma center (or pediatric ED). This program builds upon basic concepts, and before long, you have developed a sound structured assessment. 

Q: How do I receive my card?

A: Upon successful completion (see below for criteria), your card will be issued via ENA.org. The ENA's website is a great resource as it will be available to you online, and no more waiting for a training center to issue your card. 

Q: How do I receive my contact hours?

A: Upon completion of the course, the contact hours are issued directly via ENA.org. Upon logging into your account, you will print/reprint copies of your contact hours certificates. 

Q: Can I use my textbook for the written exam?

A: Yes, the written exam is an open-book exam, yet do know that that questions are well-written by ENA and require that you have internalized the concepts from the course to answer the questions.

Q: How long after the course do I have to take the exam?

A: You have seven days to take the exam. Those who do not take the exam are marked incomplete (failed) by ENA. 

Q: Can you extend my time to take the written exam?

A: Sadly, no. ENA does not permit us to allow any extensions in the period to take your exam. Their rules are pretty strict, yet we encourage you to contact ENA if you have questions about their exam, course modules, etc. (800) 942-0011.

Q: What happens if I fail both attempts of the exam?

A: ENA does not permit another attempt without re-enrolling in another course.

Q: Do you offer other ENA programs?

A: We offer both popular ENA programs (TNCC and ENPC).

Q: Do I need the textbook to start the pre-course modules?

A: No, you don't need the course textbook to start the modules. However, we recommend that you do have it. The ENA sometimes delays the delivery of both the print version of the book or the eBook. Usually, this delay is due to being out of stock of both the eBook or the print book. We, therefore, implore you to begin the online pre-course modules as soon as you gain access to them, as these modules will cover the core portion of the course (The A-J assessment). 

Q: I ordered a textbook, and it has not arrived? What can I do?

A: If you ordered an eBook, please check your junk or spam for the ebook email. This email will contain your ebook code and link to access the text. If you ordered a print book and the 21 day delivery time frame has passed, please email support@CardiacEd.com, and we will obtain tracking for you. 

Required Contact Hours Disclaimers:

• Nursing Continuing Education is accepted in ALL states (AL AK AZ AR CA CO CT DE FL GA HI ID IL IN KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY), except for IA.
• The planning committee, presenters, faculty, authors, and content reviewers have no conflict of interest to disclose. 
• Speakers must provide a balanced and unbiased presentation; the presentation has been reviewed, and any bias, if found, has been eliminated. 
• There is no commercial support, joint providership, or sponsorship for this program.
• The Health Care Training Academy (D/B/A CardiacEd) is an approved provider of continuing nursing education by the New Jersey State Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. #P295
• Approved by the California Board of Registered Nursing, Provider # CEP17561
• Approved via CE Broker for FL, GA, SC, NC, AK # 50-24286
• Accreditation status does not imply endorsement by The Health Care Training Academy (D/B/A CardiacEd), NJSNA, or ANCC Commission on Accreditation of any commercial products displayed (if any) in conjunction with this program.
• Non-nursing professionals should consult with their respective boards to ensure nursing credit is acceptable for your credential renewal requirements. If you are not a nurse and take this educational credit program, please verify your board's acceptance before registering for this event, as refunds will not be issued.
• All registrations are final. Once purchased, there are no refunds, credits, extensions, or transfers. Please verify you can attend the program before registering with enough time to complete it. 
• Criteria to complete this program: The entire session must be attended to receive nursing continuing education credit.
• ANCC does not permit us to issue contact hours for BLS provider courses, except for BLS Instructor course(s).

Click this link for the Course Schedule

Click the link above to navigate to the calendar of available course dates for this program.

Once on the course calendar, click the date you would like to register and follow the prompts to complete your registration in this program.