Recertify by Points

CCI recognizes that professional development and competency maintenance may be accomplished in a variety of ways, including successful participation in various professional activities.

To recertify by points, you are required to earn 300 points within a five year period. You may choose from seven eligible activities to earn your points. When you successfully recertify, your credential will be valid for another five years. 

Application Process

CNOR recertification by points is available online.

If you are due to recertify in 2018, applications will be accepted beginning January 1, 2018.


You may submit a Points recertification application through December 31st of the year you are due to recertify.

Points Earning Period

The window during which you must complete the eligible activities for recertification by points is as follows:

Credential Valid Activities Accrued Between Early Fee Application Due Standard Fee Application Due
2011 - 2016 Jan. 1, 2011 - Dec. 31, 2015 July 1, 2016 Dec. 31, 2016
2012 - 2017 Jan. 1, 2012 - Dec. 31, 2016 July 1, 2017 Dec. 31, 2017
2013 - 2018 Jan. 1, 2013 - Dec. 31, 2017 July 1, 2018 Dec. 31, 2018

How to Earn Points through Eligible Activities

The following is a list of Eligible Activities to recertify your CNOR credential by points.  You may pick and choose among the activities.  There are maximum numbers of points allowed for each activity with the exception of Academic Study, where you may earn unlimited points.  You must earn a total of 300 points to recertify your CNOR credential.

Continuing Education

A maximum of 100 points (50 contact hours) may be earned from Continuing Education activities through an approved provider.

  • 1 contact hour = 2 points
  • 1 CME credit = 1 contact hour = 2 points. A maximum of 25 CMEs (50 points) may be submitted.

Academic Study

Unlimited points may be earned in the Academic Study category. This includes courses taken toward a healthcare degree (BSN, MSN, DNP, etc.), or a degree where the knowledge attained is used to advance your perioperative nursing career (including MBA).

  • 1 semester hour/credit = 15 points
  • 1 quarter hour = 10 points

Teaching a Perioperative–Related Course for College Credit

A maximum of 150 points is allowed in the Teaching category.

  • Each perioperative class taught  = 30 points


A maximum of 150 points may be earned in the Publishing category.


A maximum of 150 points may be earned in the Presentation category.

  • Each 60 minutes of presentation time = 10 points

Service as a Board or Committee Member

A maximum of 150 points is allowed in the Service as a Board or Committee Member category.

  • International, National or State Board Member = 30 points per year 
  • Local or facility level = 15 points per year


A maximum of 100 points is allowed in the Precepting/Mentoring Category. Examples include mentoring and/or orienting a new employee. Maximum of four (4)  different employees allowed. 

  • Each precepted employee  = 25 points

Volunteer, CCI Test Development Committee

A CNOR who serves as a subject matter expert for CCI exam test development committees may earn points for recertification. A maximum of 100 points is allowed.

Attain/Maintain Perioperative-Related Certification

A maximum of 100 points may be earned for earning an accredited perioperative-related certification or completing the recertification process for an accredited perioperative-related certification. Examples of accredited perioperative-related certifications include CAPA, CPAN, CRCST, or ABCGN. Accreditation by ANSI, ABSNC, or NCCA will meet these criteria. This list is not intended to be all-inclusive. Other accredited certification deemed equivalent by the CEO of CCI in consultation with the Credentialing Manager may be accepted.

  • Initial Certification = 30 points
  • Completion of Certification = 20 points

Clinical Inquiry

A maximum of 100 points may be earned in the Clinical Inquiry category. Quality Improvement (QI), Quality Assurance (QA), Evidence-Based Practice (EBP) and Research projects are accepted under this heading. To receive points under this heading you must have primary responsibility for developing, implementing, and/or evaluating projects in these categories. The activity must show evidence of the participation in or application of clinical inquiry that improves current practice and/or patient outcomes.

  • Primary Investigator or Primary Project Leader = 50 points/project
  • Co-Investigator or Project Lead = 30 points/project

Professional Perioperative-Related Volunteer Service

A maximum of 100 points may be earned for medically-related volunteer service activities. Examples include surgical mission trips and service at medically underserved clinics.

  • Professional Perioperative-Related Volunteer Service = 20 points/year of service or project