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Steps to Earn Contact Hours

To ensure the validity of this credential and to be consistent with industry standards, CCI requires contact hours earned for CRNFA recertification to be related to the first assisting role. Although this list is not all-inclusive, it provides a broad range of first-assisting related topics. The candidate must maintain a copy of the certificate of attendance for each approved program attended to submit if audited. Every certificate of attendance must have an accreditation statement and/or provider number.

The following list provides a guideline for determining RNFA specific subject matter and is not intended to be all inclusive.

Accredited Providers

To be acceptable, contact hours MUST be approved by one of the following:
  • American Nurses Credentialing Center (ANCC)
  • An agency, organization, or educational institution accredited by ANCC
  • State boards of nursing in: CA, FL, KS, KY, IA, NV, AL, OH, LA, WV
  • American Association of Critical-Care Nurses (AACN)
  • Any state nurses' association
  • American Association of Neuroscience Nurses (AANN)
  • Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN), formerly NAACOG
  • American Association of Nurse Anesthetists (AANA)
  • Association of periOperative Registered Nurses (AORN)
  • American Academy of Family Practitioners (AAFP)
  • American Academy of Nurse Practitioners
  • American Academy of Physicians Assistants (AAPA)
  • American College of Nurse Midwives (ACNM)
  • National Association of Nurse Practitioners in Women's Health (NPWH)
  • National Association of Pediatric Nurse Associates and Practitioners (NAPNAP)

Approved Topics

Courses or programs which fall under categories from the RNFA Core Curriculum:
  • Scope of practice
  • Nursing process for RNFAs
  • Asepsis, infection control, and epidemiology
  • Surgical anatomy and physiology
  • Intraoperative RNFA nursing behaviors
  • Assisting considerations and procedure management (including specific surgical procedures and assisting techniques)
  • Surgical hazard recognition and intervention (including lab values and EKG interpretation)
  • Communication skills (including professional writing and presentation)
Other Topics Include:
  • Professional development (ethics, mentoring and precepting, leadership skills, self-care issues, critical thinking skills, practice management, entrepreneurship, marketing, reimbursement issues, negotiation, and contract skills)
  • Pre- and postoperative patient care (rounding, patient education, etc.)
  • Trauma assessment and interventions
  • History and physical assessment
  • Pharmacology
  • Pathophysiology
  • Discharge planning
  • Medical record dictation
  • Legal, policy, and practice issues
  • Home healthcare relating to RNFA practice
  • Technology changes/advances and their effect on the RNFA role
  • Healthcare reform
  • CRNFA review
  • Managed care (critical pathways, utilization review, outcomes)
  • Invasive and noninvasive diagnostic procedures
  • Surgical complications
  • Anesthesia considerations

If a candidate attended a program and did not receive or lost the certificate of attendance, the applicant is responsible for contacting the program sponsor for a replacement certificate.

Unacceptable Contact Hours for CRNFA Recertification

The following DO NOT meet the criteria for recertification and are, therefore, not acceptable:
  • Any program approvers or providers not listed under Accredited Providers.
  • Handwritten accreditation statements or provider numbers.
  • Certificates of attendance without an appropriate accreditation statement and/or acceptable provider number.
  • Contact hours earned prior to January 1 of the year certified.

CME Credits toward Recertification

CRNFAs may submit Continuing Medical Education (CME) units in partial fulfillment of the contact hour requirements. Each CME is worth 1 contact hour. One half (100) of the required number of contact hours may be those earned through CMEs. You are responsible for converting CME credits into contact hours using the ANCC conversion of:

1 CME credit = 1 contact hour

Academic Credits for Recertification

CRNFAs may use academic credits in partial fulfillment of the requirements for recertification through the contact-hour method. All academic credits MUST meet the following criteria to be acceptable for use toward CRNFA recertification.

One half (100) of the 200 contact hours required for recertification may be earned through academic credits. Academic credits will be converted to contact hours using the following calculation:

1 semester hour = 15 contact hours
1 quarter = 10 contact hours

Courses must be those that are required for a baccalaureate or higher degree. Although courses must be taken for credit, CRNFAs do not need to be enrolled in a formal degree program at the time the course is taken. To be acceptable, a grade of C or better must be achieved for each course, and courses must be sponsored by an accredited educational institution.

Home Study Providers

The following organizations offer home study programs with topics that are acceptable recertification. Please note that none of these organizations are affiliated with CCI.

You can earn unlimited contact hours through home study programs, as long as they're accrued in the acceptable time frame and approved by one of the agencies listed under Acceptable Accredited Providers. You must receive certificates of completion for all your contact hours with accreditation statements on them to use them for recertification.

Know of any great sources? We would love to hear about them. Contact us