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2011 Oncology Nursing Certification Test Bulletin

OCN® · CPHON® · CBCN® · AOCNP® · AOCNS®

February 1- 28, 2011 (apply by October 20, 2010) May 2-31, 2011 (apply by January 5, 2011) August 1-31, 2011 (apply by April 6, 2011) November 1-30, 2011 (apply by July 6, 2011)

OCN®, CPHON® & CBCN® Test Dates

AOCNP® & AOCNS® Test Dates

February 1- December 31, 2011

Test Dates & General Information

Find it Fast!!

OCN® Certification............................................................. 4-6 CPHON® Certification ........................................................ 7-9 CBCN® Certification ........................................................... 10-12 AOCNP® Certification ........................................................ 13-15 AOCNS® Certification......................................................... 16-18 Test Candidate Information .............................................. 19-22 Applying for Certification.................................................. 20 Requesting Special Testing Accommodations................... 20 Authorization to Test/Making a Test Appointment .......... 20 Identification Requirements ............................................. 20 Computer-Based Testing................................................... 20 Canceling a Test Appointment .......................................... 21 Refunds............................................................................. 21 Transfers ........................................................................... 21 Check-In Procedures ........................................................ 21 Score Reports ................................................................... 22 Certification Policies ......................................................... 23-25 Application Instructions.................................................... 26, 30 OCN®, CPHON®, CBCN® Application Form ........................... 27-28 AOCNP® & AOCNS® Application Form ................................ 31-32 AOCNP® Practice Verification Form.................................... 33 AOCNS® Practice Verification Form .................................... 34 Request for Special Accommodations Form ...................... 35

Questions or Comments about Certification? Contact ONCC!

877-769-6622 (toll free, US & Canada) 412-859-6104 [email protected] www.oncc.org

2011 OCN®, CPHON® & CBCN® Test Dates, Application Deadlines & Fees

Test Dates Early Bird Application Deadlines & Fees Final Application Deadlines & Fees

(Full Fee)

Save $100! (savings included in fees below)

Applies only to complete applications that include all required documentation and full payment Online Application Paper Application

Online Application October 20, 2010 (Early bird fee applies) January 19, 2011 April 20, 2011 July 20, 2011 ONS/APHON Member Nonmember ONS/APHON Member: Age 65+ Nonmember: Age 65+

Paper Application

February 1-28, 2011 May 2-31, 2011 August 1-31, 2011 November 1-30, 2011* *Limited testing outside the US & Canada will be available in November 2011. Candidates testing outside the US or Canada must pay an additional $75 International Testing Fee.

October 20, 2010 January 5, 2011 April 6, 2011 July 6, 2011 ONS/APHON Member Nonmember ONS/APHON Member: Age 65+ Nonmember: Age 65+

$ 265 $ 385 $ 199 $ 289

$ 290 $ 410 $ 224 $ 314

$ 365 $ 485 $ 299 $ 389

$ 390 $ 510 $ 324 $ 414

2011 AOCNP® & AOCNS® Test Dates, Application Deadlines & Fees

Test Dates Deadline Dates & Fees

Online Application $ 265 $ 385 $ 199 $ 289 Online Application July 20, 2011 ONS/APHON Member Nonmember ONS/APHON Member: Age 65+ Nonmember: Age 65+ $ 365 $ 485 $ 299 $ 389 Paper Application $ 290 $ 410 $ 224 $ 314 Paper Application $ 390 $ 510 $ 324 $ 414

February 1-December 31, 2011 (test sites within the US & Canada)

Candidates may apply at any time. To ensure a 90-day testing window in 2011 candidates must apply by September 1, 2011 ONS/APHON Member Nonmember ONS/APHON Member: Age 65+ Nonmember: Age 65+ Online Application July 6, 2011 ONS/APHON Member Nonmember ONS/APHON Member: Age 65+ Nonmember: Age 65+ $ 265 $ 385 $ 199 $ 289 Paper Application $ 290 $ 410 $ 224 $ 314

November 1-30, 2011 International Testing Fees shown are for candidates testing at international sites outside the US & Canada only. Candidates testing outside the US or Canada must pay an additional $75 International Testing Fee.

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2011 Oncology Nursing Certification Test Bulletin - Copyright © 2010 Oncology Nursing Certification Corporation

General Information What is Nursing Certification?

Certification is the formal recognition of specialized knowledge, skills, and experience in nursing. It is demonstrated by achieving standards identified by a nursing specialty to promote health outcomes. Certification assures the public a nurse has completed all eligibility criteria to earn a specific credential. It also promotes the development of specialty nursing by establishing minimum competency standards and recognizing those who have met the standards.

Oncology Certifications Available

ONCC offers five certification examinations, including: · Oncology Certified Nurse (OCN®)­basic level certification focusing on adult oncology nursing · Certified Pediatric Hematology Oncology Nurse (CPHON®)­basic level certification focusing on pediatric hematology oncology nursing Advanced Oncology Certified Nurse Practitioner (AOCNP®)­rolespecific advanced certification for nurse practitioners in adult oncology Advanced Oncology Certified Clinical Nurse Specialist (AOCNS®)­ role-specific advanced certification for clinical nurse specialists in adult oncology Certified Breast Care Nurse (CBCN®)­specialty certification that covers the entire continuum of breast care nursing practice

Oncology Nursing Certification Corporation

ONCC is a non-profit organization whose mission is to promote and provide oncology nursing certification for the enhancement of patient care and professional practice. Learn more about ONCC at www.oncc. org. Accreditation--ONCC certifications are accredited by the National Commission for Certifying Agencies (NCCA) and the Accreditation Board for Specialty Nursing Certification (ABSNC). NCCA is an independent organization that has identified the essential components of a national certification program. ABSNC grants accreditation based on peer review and determination that a specialty nursing certification organization has met the high standards established by ABSNC. Read more about ONCC's accreditation at www.oncc.org. ONCC's Testing Partner--ONCC's testing agency, Pearson VUE, delivers over 4 million high-stakes examinations annually in licensure, certification, academic admissions, and regulatory testing markets. It boasts the world's leading test center network, including 230 Pearson Professional Centers that offer a carefully controlled, consistent testing environment. Learn about Pearson VUE at www. pearsonvue.com.

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Advanced Oncology Certified Nurse (AOCN®) and Certified Pediatric Oncology Nurse (CPON®) certification is available only through renewal Option 1 to nurses who currently hold this credential.

Test Locations

ONCC examinations are administered by computer-based testing at 230 Pearson Professional Centers. Limited testing will be available outside the U.S. and Canada in November 2011 (candidates who will be testing outside the U.S. or Canada must pay an additional $75 fee). To locate a test center, go to www.pearsonvue.com/oncc and click on "Locate a Test Center".

Find ONCC on Facebook!

www.facebook.com/oncologycertification

Join your friends and colleagues in finding the latest news and information about certification in oncology nursing on the ONCC Facebook page. Like us on Facebook!

2011 Oncology Nursing Certification Test Bulletin - Copyright © 2010 Oncology Nursing Certification Corporation

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OCN® Certification (Oncology Certified Nurse) OCN® Test Content Eligibility Criteria--Initial OCN® Certification

Any person who is not currently OCN®-certified is an initial candidate, including candidates whose certification has lapsed. All eligibility criteria must be met at the time of application and examination. Nursing experience may be in clinical practice, nursing administration, education, research, or consultation. Candidates must have: · · A current, active, unrestricted RN license at the time of application and examination, and A minimum of one year (12 months) of experience as an RN within the three years (36 months) prior to application, and A minimum of 1,000 hours of adult oncology nursing practice within the two-and-one-half years (30 months) prior to application, and Completed a minimum of 10 contact hours of continuing nursing education or an academic elective in oncology nursing within the three years (36 months) prior to application. The contact hours must have been provided or formally approved by an accredited provider or approver of continuing nursing education (see page 6). A maximum of five (50%) of the contact hours may be continuing medical education (CME) in oncology. Candidates who apply online will be prompted to enter information about the completed CE or academic elective during the application process, and must enter valid information in this section by completing the required fields. Online applicants may be asked to provide documentation of completion, but should not mail or fax documentation unless requested to do so. Candidates who apply by paper (mail or fax) must submit documentation with the application. Acceptable forms of documentation include a CE certificate, Letter of Attendance, or academic grade report. CE certificates or Letters of Attendance must include the candidate's name, title and date of the program, the number of contact hours awarded, and contain an accreditation statement. The academic elective documentation must include the candidate's name, course title, and date. Test applicants must: · apply online at www.oncc.org or submit a paper application by mail or fax (pages 27-28); · provide details and/or documentation that the required CE or academic elective has been completed; · submit full payment at the time of application. Paper applications received without CE documentation will be considered incomplete and charged a $100 late fee if the documentation is received after the first application deadline; all documentation must be received by the final deadline. The OCN® Test is based on the OCN® Test Blueprint (page 5). The Blueprint is based on the results of a role delineation study of basic adult oncology nursing practice conducted in 2007. The OCN® Test Blueprint is composed of 11 major subject areas, each with a percentage assigned to it. Each major subject area is represented in every test with the appropriate percentage of items. However, not all content sub-areas are included on every form of the test. The OCN® Test consists of 165 multiple-choice items (a question or incomplete statement followed by four answers or completions). Of those, 145 items count toward the candidate's score and 20 are "pretest" or experimental items. Candidates do not know which items are scored and which are pretest. To determine the number of scored items from each subject area, multiply the appropriate percentage by 145. A free, 20-item OCN® Practice Test is available at www.oncc.org.

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Renewal of OCN® Certification

Certification is valid for four years. In 2011, certification renewal is available only to OCN®s whose certification expires in 2011. All renewal candidates must hold a current, active, unrestricted RN license. There are three components to recertification and two of them must be met to recertify. · Practice Hours - Minimum of one year (12 months) of experience as an RN within the three years (36 months) prior to application, - Minimum of 1,000 hours of adult oncology nursing practice within the two-and-one-half years (30 months) prior to application. Oncology nursing practice may be in clinical practice, administration, education, consultation or research. · Professional development points, known as the Oncology Nursing Certification Points Renewal Option (ONC-PRO). 100 ONC-PRO points are required for OCN® renewal. · Successful retesting The options for recertification are based on the combinations of two of the components above: Option 1: Practice Hours + ONC-PRO Option 2: Practice Hours + Successful Testing Option 3: ONC-PRO + Successful Testing Nurses who do not have the practice hours include those who are not working, those working in areas other than oncology, and those working in non-nursing roles. Those without oncology nursing practice hours may recertify using Option 3.

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2011 Oncology Nursing Certification Test Bulletin - Copyright © 2010 Oncology Nursing Certification Corporation

OCN® Test Blueprint

I. Health Promotion and Disease Prevention--5% A. Epidemiology (e.g., at-risk populations including cultures; socioeconomic status; age; occupations) B. Prevention (e.g., high risk behaviors; preventive health practices) Screening, Early Detection and Diagnosis--7% A. Risk factors for cancer B. Screening C. Early detection D. Risk reduction guidelines E. Diagnostic testing Scientific Basis for Practice including Research--10% A. Carcinogenesis B. Immunology C. Genetics D. Specific cancers (pathophysiology, diagnostic measures, prognosis) E. Classification (tumors, staging, grading) F. Common metastatic sites G. Research protocols and clinical trials VIII. IV. Cancer Treatment Modalities--15% A. Vascular access devices B. Surgery C. Radiation D. Targeted therapies E. Biotherapy F. Chemotherapy G. Hematopoietic stem cell transplant H. Complementary, alternative and integrative modalities Symptom Management--22% (risk factors, prevention, education, management, and palliative care using the nursing process) A. Etiology and patterns of symptoms (acute, chronic, late) B. Toxicity and rating scales C. Alterations in comfort D. Alterations in protective mechanisms E. Alterations in gastrointestinal function F. Alterations in genitourinary function G. Alterations in respiratory function H. Alterations in circulatory function I. Alterations in nutrition J. Alterations in neurological function K. Anatomical and surgical alterations L. Pharmacologic interventions (e.g., antimicrobials; antiemetics; analgesic regimens; psychotropic drugs; growth factors) M. Nonpharmacologic interventions (e.g., heat; massage; imagery) N. Complementary, alternative and integrative modalities Psychosocial Dimensions of Care--7% A. Cultural, spiritual, and religious diversity B. Financial concerns C. Psychosocial disturbances-alterations D. Anxiety, loss and grief, depression E. Altered body image F. Loss of personal control

Subject Area VI - Psychosocial Dimensions of Care is continued in the next column

2011 Oncology Nursing Certification Test Bulletin - Copyright © 2010 Oncology Nursing Certification Corporation

VI.

Psychosocial Dimensions of Care--continued G. Patient and family support groups H. Learning styles and barriers to learning I. Social relationships J. Coping mechanisms and skills Oncologic Emergencies--10% (risk factors, prevention, education and management using the nursing process, including pharmacologic and nonpharmacologic interventions) A. Disseminated intravascular coagulation (DIC) B. Syndrome of inappropriate antidiuretic hormone secretion (SIADH) C. Septic shock D. Tumor lysis syndrome E. Hypersensitivity and/or anaphylaxis F. Hypercalcemia G. Cardiac tamponade H. Spinal cord compression I. Superior vena cava syndrome J. Increased intracranial pressure Sexuality--5% (risk factors, prevention, education, and management using the nursing process, including pharmacologic and nonpharmacologic interventions) A. Reproductive issues (contraception and fertility) B. STD and HIV risk C. Sexual dysfunction (physical and psychological effects) Survivorship--8% (concept, education and management using the nursing process) A. Psychosocial, physical and cognitive alterations B. Issues (e.g., financial; employment; insurance; discrimination; family and social support) C. Acute effects D. Late effects E. Recurrence and/or secondary malignancies F. Rehabilitation and long-term follow up End of Life Care--6% (principles, complex symptom management including pharmacologic and nonpharmacologic interventions, family support and education) A. Grief and bereavement process B. Reimbursement issues and community resources C. Hospice (e.g., principles, settings for care) Professional Performance--5% A. Local, state, and national resources B. Application of statement on the scope and standards of oncology nursing practice C. Sources of data for evidence-based practice D. Education process (teaching and learning principles) E. Legal issues F. Ethical issues G. Patient advocacy H. Quality assurance I. Professional development J. Multidisciplinary collaboration

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OCN® Reference List

The following references have been used to develop test items; however, this list is not intended to be all-inclusive. A list of Supplemental References is available at www.oncc.org. Use of the references does not guarantee a passing score on the OCN® test. Brant, J.M., & Wickham, R.S. (Eds.). (2004). Statement on the scope and standards of oncology nursing practice. Pittsburgh, PA: Oncology Nursing Society. Bruner, D.W., Haas, M.L., & Gosselin-Acomb, T.K. (Eds.). (2005). Manual for radiation oncology nursing practice and education (3rd ed.). Pittsburgh, PA: Oncology Nursing Society. Carroll-Johnson, R.M., Gorman, L.M., & Bush, N.J. (Eds.). (2006). Psychosocial nursing care along the cancer continuum (2nd ed.). Pittsburgh, PA: Oncology Nursing Society. Deglin, J.H., Vallerand, A.H., & Sanoski, C.A. (2010). Davis's drug guide for nurses (12th ed.). Philadelphia, PA: F.A. Davis. Ezzone, S.M. (Ed.). (2004). Hematopoietic stem cell transplantation: A manual for nursing practice. Pittsburgh, PA: Oncology Nursing Society. Gullate, M.M. (Ed.). (2007). Clinical guide to antineoplastic therapy: A chemotherapy handbook (2nd ed.). Pittsburgh, PA: Oncology Nursing Society. Ignatavicius, D., & Workman, M.L. (Eds.). (2010). Medical-surgical nursing: Patient-centered collaborative care (6th ed.). St. Louis: MO: Elsevier Saunders. Itano, J.K., & Taoka, K.N. (Eds.). (2005). Core curriculum for oncology nursing (4th ed.). St. Louis, MO: Elsevier Saunders. Kuebler, K., & Esper, P. (Eds.). (2008). Palliative practices from A­Z for the bedside clinician (2nd ed.). Pittsburgh, PA: Oncology Nursing Society. Langhorne, M., Fulton, J., & Otto, S.E. (Eds.). (2007). Oncology nursing (5th ed.). Philadelphia, PA: Elsevier Mosby. Newton, S., Hickey, M., & Marrs, J. (2009). Mosby's oncology nursing advisor (2nd ed.). St. Louis, MO: Elsevier Mosby. Polovich, M., Whitford, J.M., & Olsen, M. (Eds.). (2009). Chemotherapy and biotherapy guidelines and recommendations for practice (3rd ed.). Pittsburgh, PA: Oncology Nursing Society. Yarbro, C.H., Frogge, M.H., & Goodman, M. (2004). Cancer symptom management (3rd ed.). Sudbury, MA: Jones and Bartlett. Yarbro, C.H., Gobel, B.H., & Wujcik, D. (Eds.). (2010). Cancer nursing: Principles and practice (7th ed.). Sudbury, MA: Jones and Bartlett Learning.

Attention Initial OCN®, CPHON® and CBCN® Candidates!

Initial OCN®, CPHON® and CBCN® candidates (any candidate who does not currently hold the desired credential, including those whose certification has lapsed), must have completed 10 contact hours of continuing nursing education or an academic elective (see the eligibility criteria for details). The contact hours must have been approved or provided by an accredited provider/approver of continuing education (below). Candidates who apply online will be prompted to enter this information during the online application process, and must enter valid information by completing the required fields. Candidates who submit a paper application by mail or fax must submit the documentation with the application. · Oncology Nursing Society (ONS) · Association of Pediatric Hematology/Oncology Nurses (APHON) · American Nurses Credentialing Center (ANCC) as well as any agency, organization, or educational institution accredited by ANCC · American Nurses Association (ANA) · American Association of Critical Care Nurses (AACN) · Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN) · American Association of Nurse Anesthetists (AANA) · American Academy of Nurse Practitioners (AANP) · European Oncology Nursing Society (EONS) · International Association of Continuing Education and Training (IACET) · Korean Oncology Nursing Society · National Association of Pediatric Nurse Practitioners (NAPNAP) · National Association of Neonatal Nurses (NANN) · National Association of Nurse Practitioners in Women's Health (NPWH) · National League for Nursing (NLN) · Royal College of Nursing · Royal College of Nursing, Australia · State Nurses Associations · State Boards of Nursing in Alabama, California, Florida, Iowa, Kansas, Kentucky, Louisiana, Nevada, Ohio, West Virginia · Wisconsin Society for Health Education and Training (WISHET)

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2011 Oncology Nursing Certification Test Bulletin - Copyright © 2010 Oncology Nursing Certification Corporation

CPHON® Certification (Certified Pediatric Hematology Oncology Nurse) CPHON® Test Content

The CPHON® Test is based on the CPHON® Test Blueprint (page 8). The Test Blueprint is based on the results of a role delineation study of basic pediatric hematology oncology nursing practice conducted in 2008. The CPHON® Test Blueprint is composed of nine major subject areas, each with a percentage assigned to it. Each major subject area is represented in every test with the appropriate percentage of items. However, not all content sub-areas on the Blueprint are included on every form of the test. The CPHON® Test consists of 165 multiple-choice items (a question or incomplete statement, followed by four answers or completions), of which 125 count toward the candidate's score and 40 are pretest items. Candidates do not know which items are pretest. To determine the number of scored items from each subject area, multiply the appropriate percentage by 125. A free, 20-item CPHON® Practice Test is available at www.oncc.org.

Eligibility Criteria--Initial CPHON® Certification

Any person who is not currently CPHON®-certified is an initial candidate, including candidates who were or are CPON®-certified. All eligibility criteria must be met at the time of application and examination. Nursing experience may be in clinical practice, nursing administration, education, research, or consultation. Candidates must have: · · A current, active, unrestricted RN license at the time of application and examination, and A minimum of one year (12 months) of experience as an RN within the three years (36 months) prior to application, and A minimum of 1,000 hours of pediatric oncology or hematology nursing practice within the two-and-onehalf years (30 months) prior to application, and Completed a minimum of 10 contact hours of continuing nursing education (CNE) or an academic elective in oncology nursing within the three years (36 months) prior to application. The contact hours must have been provided or formally approved by an accredited provider/approver of CNE (see page 9 for a list of accredited providers/approvers). A maximum of five (50%) of the contact hours may be continuing medical education (CME) in oncology. Candidates who apply online will be prompted to enter information about the completed CE or academic elective during the application process, and must enter valid information in this section by completing the required fields. Online applicants may be asked to provide documentation of completion, but should not mail or fax CE documentation unless requested to do so. Candidates who apply by paper (mail or fax) must submit the documentation with the application. Acceptable documentation includes a CE certificate, Letter of Attendance, or academic grade report. CE certificates or Letters of Attendance must include the candidate's name, title and date of the program, the number of contact hours awarded, and contain an accreditation statement. The academic elective documentation must include the candidate's name, course title, and date. Test applicants must: · apply online at www.oncc.org or submit a paper application by mail or fax (pages 27-28); · provide details and/or documentation that the required CE or academic elective has been completed; · submit full payment at the time of application. Paper applications received by mail or fax without CE documentation will be considered incomplete and charged a $100 late fee if the documentation is received after the first application deadline; all documentation must be received by the final deadline.

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Renewal of CPHON® Certification

Certification is valid for four years. CPHON® certification renewal will be available beginning in 2014. All renewal candidates must hold a current, active, unrestricted RN license. There are three components to recertification and two of them must be met to recertify. · Practice Hours - Minimum of one year (12 months) of experience as an RN within the three years (36 months) prior to application, - Minimum of 1,000 hours of pediatric oncology or hematology nursing practice within the two-and-one-half years (30 months) prior to application. Pediatric oncology or hematology nursing practice may be in clinical practice, administration, education, consultation or research. · Professional development points, known as the Oncology Nursing Certification Points Renewal Option (ONC-PRO). 100 ONC-PRO points will be required for CPHON® renewal. · Successful retesting The options for recertification are based on the combinations of two of the components above: Option 1: Practice Hours + ONC-PRO Option 2: Practice Hours + Successful Testing Option 3: ONC-PRO + Successful Testing Nurses who do not have the practice hours include those who are not working, those working in areas other than pediatric oncology or hematology, and those working in non-nursing roles. Those without pediatric oncology or hematology nursing practice hours may recertify using Option 3.

2011 Oncology Nursing Certification Test Bulletin - Copyright © 2010 Oncology Nursing Certification Corporation

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CPHON® Test Blueprint

I. Psychosocial Dimensions of Care--10% A. Principles of growth and development B. Effects of acute and chronic illness on the child and family C. Patient and family support D. Psychosocial adaptation of the child and family E. Cultural and spiritual beliefs and rituals F. Reintegration issues related to daily life G. Loss, grief, and bereavement H. Family systems theory I. Community resources Disease Related Biology--10% A. Types of childhood cancers B. Types of hematologic disorders C. Pathophysiology D. Staging and grading E. Microbiology F. Cell cycle G. Hematopoiesis H. Anatomy and physiology I. Immunology J. Carcinogenesis K. Genetics (including genomics) L. Epidemiology M. Clinical manifestations N. Infectious diseases O. Laboratory values P. Prognostic indicators Q. Diagnostic procedures Treatment--23% A. Principles B. Side effects Supportive Care and Symptom Management--22% A. Supportive care measures B. Pain management C. Fatigue management D. Palliative care E. Interventions for symptom management F. Central venous access G. Nutritional alterations H. System specific alterations I. Discharge planning V. Pediatric Oncologic and Hematologic Emergencies--13% A. Emergency management B. Risk factors, prevention, and management Long-Term Follow-Up And Survivorship--8% A. Impact of diagnosis and treatment B. Physical effects C. Psychosocial adaptation D. Cognitive function E. Socioeconomic issues Health Maintenance--2% A. Immunizations B. Health promotion and injury prevention C. Well child and anticipatory guidance D. Transition to primary health care End Of Life Care--6% A. Loss, grief, and bereavement B. Physical care of the dying child C. Psychosocial care of the dying child D. Psychosocial care of the family E. Hospice Professional Performance--6% A. Ethics B. Cultural competence C. Therapeutic communication and relationships D. Regulatory standards and guidelines E. Healthcare legislation F. Principles of teaching and learning G. Professional boundaries H. Risk management I. Research and evidence-based practices J. Professional self-care strategies

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2011 Oncology Nursing Certification Test Bulletin - Copyright © 2010 Oncology Nursing Certification Corporation

CPHON® Reference List Selected References for the CPHON® Test

The following references have been used to develop test items. Use of these references does not guarantee a passing score on the CPHON® test. Arceci, R.J., Hann, I.M., & Smith, O. (Eds.). (2006). Pediatric hematology (3rd ed.). Malden, MA: Wiley-Blackwell. Baggot, C.R., Kelly, K.P., Fochtman, D., & Foley, G. (2002). Nursing care of children and adolescents with cancer (3rd ed.). Philadelphia, PA: Elsevier Saunders. Hockenberry, M.J., & Wilson, D. (2007). Wong's nursing care of infants and children (8th ed.). St. Louis, MO: Elsevier Mosby. Hockenberry, M.J., & Wilson, D. (2008). Wong's essentials of pediatric nursing (8th ed.). St. Louis, MO: Elsevier Mosby. Kline, N.E. (Ed.). (2007). Pediatric chemotherapy and biotherapy curriculum (2nd ed.). Glenview, IL: Association of Pediatric Hematology Oncology Nurses. Kline, N.E. (Ed.). (2008). Essentials of pediatric hematology/oncology nursing: A core curriculum (3rd ed.). Glenview, IL: Association of Pediatric Hematology Oncology Nurses. Lanzkowsky, P. (2005). Manual of pediatric hematology and oncology (4th ed.). Burlington, MA: Academic Press. Mehta, P. (Ed.) (2004). Pediatric stem cell transplantation. Sudbury, MA: Jones and Bartlett. Nelson, M.B., Forte, K., Freiburg, D., Hooke, M.C., Kelly, K.P., & O'Neill, J.B. (2007). Pediatric oncology nursing: Scope and standards of practice. Glenview, IL: Association of Pediatric Hematology Oncology Nurses. Orkin, S.H., Fisher, D.E., Ginsberg, D., & Look, A.T. (2008). Nathan and Oski's hematology of infancy and childhood: Expert consult (7th ed.). Philadelphia, PA: Elsevier Saunders. Pizzo, P.A., & Poplack, D.G. (Eds.). (2006). Principles and practice of pediatric oncology (5th ed.). Philadelphia, PA: Lippincott Williams & Wilkins. Sickle Cell Disease Care Consortium. (2001). Sickle cell disease in children and adolescents: Diagnosis, guidelines for comprehensive care, and care paths and protocols for management of acute and chronic complications. Retrieved from http://www.dshs.state.tx.us/ newborn/pdf/sedona02.pdf Taketomo, C.K., Hodding, J.H., & Kraus, D. (2009). Pediatric dosage handbook (16th ed.). Hudson, OH: Lexi-Comp. Tomlinson, D., & Kline, N.E. (Eds.). (2010). Pediatric oncology nursing: Advanced clinical handbook (2nd ed.). New York, NY: SpringerVerlag.

Attention OCN®, CPHON® and CBCN® Candidates!

Initial OCN®, CPHON® and CBCN® candidates (any candidate who does not currently hold the desired credential, including those whose certification has lapsed), must have completed 10 contact hours of continuing nursing education or an academic elective (see the eligibility criteria for details). The contact hours must have been approved or provided by an accredited provider/approver of continuing education (below). Candidates who apply online will be prompted to enter information about the CE or academic elective during the application process, and must enter valid information by completing the required fields. Candidates who submit a paper application by mail or fax must submit the documentation with the application. · Oncology Nursing Society (ONS) · Association of Pediatric Hematology/Oncology Nurses (APHON) · American Nurses Credentialing Center (ANCC) as well as any agency, organization, or educational institution accredited by ANCC · American Nurses Association (ANA) · American Association of Critical Care Nurses (AACN) · Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN) · American Association of Nurse Anesthetists (AANA) · American Academy of Nurse Practitioners (AANP) · European Oncology Nursing Society (EONS) · International Association of Continuing Education and Training (IACET) · Korean Oncology Nursing Society · National Association of Pediatric Nurse Practitioners (NAPNAP) · National Association of Neonatal Nurses (NANN) · National Association of Nurse Practitioners in Women's Health (NPWH) · National League for Nursing (NLN) · Royal College of Nursing · Royal College of Nursing, Australia · State Nurses Associations · State Boards of Nursing in Alabama, California, Florida, Iowa, Kansas, Kentucky, Louisiana, Nevada, Ohio, West Virginia · Wisconsin Society for Health Education and Training (WISHET)

2011 Oncology Nursing Certification Test Bulletin - Copyright © 2010 Oncology Nursing Certification Corporation

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CBCN® Certification (Certified Breast Care Nurse) CBCN® Test Content Eligibility Criteria--CBCN® Certification

Any person who is not currently CBCN®-certified is an initial candidate. All eligibility criteria must be met at the time of application and examination. Breast care experience may be in any breast care nursing practice area from prevention/ detection through diagnosis and treatment, survivorship, and end of life care. Candidates must have: · · A current, active, unrestricted RN license at the time of application and examination, and A minimum of one year (12 months) of experience as an RN within the three years (36 months) prior to application, and A minimum of 1,000 hours of breast care nursing practice within the two-and-one-half years (30 months) prior to application, and Completed a minimum of 10 contact hours of continuing nursing education (CNE) in breast care within the three years (36 months) prior to application. The contact hours must have been provided or formally approved by an accredited provider/approver of nursing CNE (see page 12 for a list of accredited providers/approvers). A maximum of five (50%) of the contact hours may be continuing medical education (CME) in breast care. Candidates who apply online will be prompted to enter information about the completed CE during the application process, and must enter valid information by completing the required fields. Online applicants may be asked to provide documentation of completion, but should not mail or fax CE documentation unless requested to do so. Candidates who apply by mail or fax must submit documentation with the application. Acceptable documentation includes a CE certificate or Letter of Attendance. CE certificates or Letters of Attendance must include the candidate's name, title and date of the program, the number of contact hours awarded, and contain an accreditation statement. Test applicants must: · apply online at www.oncc.org or submit a paper application by mail or fax (pages 27-28); · provide details and/or documentation that the required CE has been completed; · submit full payment at the time of application. Paper applications received by mail or fax without CE documentation will be considered incomplete and charged a $100 late fee if the documentation is received after the first application deadline; all documentation must be received by the final deadline. The CBCN® test is based on the CBCN® Test Blueprint (page 11). The Blueprint is based on the results of a role delineation study of breast care nursing practice completed in 2007. The Blueprint is composed of eight major subject areas, each with a percentage assigned to it. Each major subject area is represented in every test with the appropriate percentage of items. However, not all content sub-areas on the Blueprint are included on every form of the test. The CBCN® Test consists of 165 multiple-choice items (a question or incomplete statement, followed by four answers or completions), of which 125 count toward the candidate's score and 40 are "pretest" items (candidates do not know which items are pretest). To determine the number of scored items in each subject area, multiply the percentage by 125. A free, 20-item CBCN® Practice Test is available at www.oncc.org

·

·

Renewal of CBCN® Certification

CBCN® certification is valid for 4 years. CBCN® certification renewal will be available beginning in 2013. All renewal candidates must hold a current, active, unrestricted RN license. There are three components to recertification and two of them must be met to recertify. · Practice Hours - Minimum of one year (12 months) of experience as an RN within the three years (36 months) prior to application, - Minimum of 1,000 hours of breast care nuring practice within the two-and-one-half years (30 months) prior to application. Breast care nursing practice may be in clinical practice, administration, education, consultation or research. · Professional development points, known as the Oncology Nursing Certification Points Renewal Option (ONC-PRO). 100 ONC-PRO points will be required for CBCN® renewal. · Successful retesting The options for recertification are based on the combinations of two of the components above: Option 1: Practice Hours + ONC-PRO Option 2: Practice Hours + Successful Testing Option 3: ONC-PRO + Successful Testing Nurses who do not have the practice hours include those who are not working, those working in areas other than breast care nursing, and those working in non-nursing roles. Those without breast care nursing practice hours may recertify using Option 3.

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2011 Oncology Nursing Certification Test Bulletin - Copyright © 2010 Oncology Nursing Certification Corporation

CBCN® Test Blueprint

I. Breast Health: Risk Assessment and Reduction, Screening, Early Detection--15% A. Breast development and changes across the life span B. Hormonal influences C. Benign conditions and anomalies D. Infection/inflammatory breast conditions E. High risk lesions F. Elements of clinical breast exam and lymph node examination G. Abnormal physical findings H. Epidemiology (population-based risk factors) I. Process of carcinogenesis (genetic/genomic, somatic versus germline mutations) J. Risk reduction, screening, and early detection (including clinical trials) K. Issues related to special populations (e.g., male, elderly, disabled, adolescent, pregnant, cultural, ethnicity, health care disparities) L. Regulatory requirements related to mammography (e.g., MQSA) M. Breast cancer risk prediction models (e.g., Gail Model) Diagnosis and Staging--18% A. Diagnostic procedures and tests B. Pathology/tumor characteristics C. Staging and prognosis: AJCC staging criteria Treatment Modalities: Local and Systemic--20% A. Local treatment modalities B. Systemic treatment modalities (e.g., hormonal, chemotherapy, targeted therapy) C. Complementary, alternative, integrative modalities D. Treatment consideration for special populations (e.g., male, elderly, disabled, adolescent, pregnant, cultural, ethnicity, healthcare disparities) E. Treatment preparations F. Modifiers of therapeutics efficacy (e.g., metabolism genes, CYP2D6 inhibitors) Symptom Management--17% (risk factors, pathophysiology, prevention, education, and management) A. Surgical B. Medical C. Oncologic emergencies D. Radiation (e.g., skin changes) Psychosocial and Spiritual--8% A. Influence of culture, spirituality, gender, sexual preference, age and healthcare disparities on psychosocial response across the continuum of breast care B. Psychosocial components accompanying hereditary predisposition to cancer (e.g., survivor guilt, transmitter guilt, family conflict) C. Altered body image D. Sexual dysfunction

Subject Area V - Psychosocial and Spiritual is continued in the next column

2011 Oncology Nursing Certification Test Bulletin - Copyright © 2010 Oncology Nursing Certification Corporation

V.

Psychosocial and Spiritual--continued E. Emotional distress (e.g., anxiety, depression, fear of recurrence, family conflict) F. Socioeconomic considerations related to screening, diagnosis, treatment, and follow-up G. Coping strategies H. Principles of stress response and crisis management I. Psychosocial assessment techniques (e.g., spiritual, sexual, distress, coping, family function) J. Communication strategies and issues (e.g., active listening, clarification, family dynamic) Survivorship--8% A. Long-term effects (occurring from diagnosis to two years after treatment) B. Late effects (treatment-related organ toxicity) C. Surveillance for recurrence (e.g., breast cancer screening, symptom-directed work-up, physical exams) D. Second primaries (e.g., uterine, colon, ovary, skin, thyroid, breast) E. Employment and insurance issues F. Quality of life (physical, spiritual, cultural, emotional) G. Familial risk assessment and implications for genetic counseling H. Rehabilitation (e.g., pain, ROM, lymphedema, cognitive impairment) I. Components of a survivorship care plan (e.g., summary of treatments, side effects, late effects, surveillance, health promotion) End of Life Care--4% A. Advance care planning and advance directives B. Palliative care services/settings C. Comfort measures and symptom management (non-pharmacologic and pharmacologic) D. Legal and ethical issues E. Pathophysiology of the dying process F. Insurance and reimbursement issues G. Spirituality, grief, and bereavement

VI.

II.

III.

VII.

IV.

V.

VIII. Professional Performance and Education--10% A. Clinical trials (e.g., phases, assessing trials, elements of informed consent) B. Scope and standards of nursing practice C. Special populations and diverse needs (e.g., cultural, race, age, disabilities, underserved) D. Telephone assessment and triage E. Program planning and implementation F. Professional practice guidelines (e.g., ONS, NCCN, ASCO, ACR) G. Resources (e.g., local, state, federal, institutional, internet) H. Case management/patient navigation I. Evidence-based practice J. Advocacy and legislative issues impacting breast care delivery and access

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CBCN® Reference Lists Selected References for the CBCN® Test

The following references have been used to develop test items. This list is not intended to be all inclusive. A list of Supplemental References is available at www.oncc.org. Use of the selected references does not guarantee a passing score on the CBCN® test. American Cancer Society. (2010). Cancer facts and figures 2010. Retrieved from http://www.cancer.org/Research/CancerFactsFigures/ index?from=fast Bruner, D.W., Haas, M.L., & Gosselin-Acomb, T.K. (Eds.). (2005). Manual for radiation oncology nursing practice and education (3rd ed.). Pittsburgh, PA: Oncology Nursing Society. Carroll-Johnson, R.M., Gorman, L.M., & Bush, N.J. (Eds.). (2006). Psychosocial nursing care along the cancer continuum (2nd ed.). Pittsburgh, PA: Oncology Nursing Society. DeVita, V.T., Jr., Lawrence, T.S., & Rosenberg, S.A. (Eds.). (2008). DeVita, Hellman, and Rosenberg's Cancer: Principles and practice of oncology (8th ed.). Philadelphia, PA: Lippincott Williams & Wilkins. Dow, K.H. (Ed.). (2004). Contemporary issues in breast cancer: A nursing perspective (2nd ed.). Sudbury, MA: Jones and Bartlett. Harris, J.R., Lippman, M.E., Morrow, M., & Osborne, C.K. (Eds.). (2009). Diseases of the breast (4th ed.). Philadelphia, PA: Lippincott Williams & Wilkins. Mahon, S.M. (Ed.). (2007). Site-specific cancer series: Breast cancer. Pittsburgh, PA: Oncology Nursing Society. Newton, S., Hickey, M., & Marrs, J. (2009). Mosby's oncology nursing advisor (2nd ed.). St. Louis, MO: Mosby. Polovich, M., Whitford, J.M., & Olsen, M. (Eds.). (2009). Chemotherapy and biotherapy guidelines and recommendations for practice (3rd ed.). Pittsburgh, PA: Oncology Nursing Society. Yarbro, C.H., Gobel, B.H., & Wujcik, D. (Eds.). (2010). Cancer nursing: Principles and practice (7th ed.). Sudbury, MA: Jones & Bartlett Learning.

Attention OCN®, CPHON® and CBCN® Candidates!

Initial OCN®, CPHON® and CBCN® candidates (any candidate who does not currently hold the desired credential, including those whose certification has lapsed), must have completed 10 contact hours of continuing nursing education or an academic elective (see the eligibility criteria for details). The contact hours must have been approved or provided by an accredited provider/approver of continuing education (below). Candidates who apply online will be prompted to enter information about the CE or academic elective during the application process, and must enter valid information in these fields. Candidates who submit a paper application by mail or fax must submit the documentation with the application. · Oncology Nursing Society (ONS) · Association of Pediatric Hematology/Oncology Nurses (APHON) · American Nurses Credentialing Center (ANCC) as well as any agency, organization, or educational institution accredited by ANCC · American Nurses Association (ANA) · American Association of Critical Care Nurses (AACN) · Association of Women's Health, Obstetric, and Neonatal Nurses (AWHONN) · American Association of Nurse Anesthetists (AANA) · American Academy of Nurse Practitioners (AANP) · European Oncology Nursing Society (EONS) · International Association of Continuing Education and Training (IACET) · Korean Oncology Nursing Society · National Association of Pediatric Nurse Practitioners (NAPNAP) · National Association of Neonatal Nurses (NANN) · National Association of Nurse Practitioners in Women's Health (NPWH) · National League for Nursing (NLN) · Royal College of Nursing · Royal College of Nursing, Australia · State Nurses Associations · State Boards of Nursing in Alabama, California, Florida, Iowa, Kansas, Kentucky, Louisiana, Nevada, Ohio, West Virginia · Wisconsin Society for Health Education and Training (WISHET)

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2011 Oncology Nursing Certification Test Bulletin - Copyright © 2010 Oncology Nursing Certification Corporation

AOCNP® Certification (Advanced Oncology Certified Nurse Practitioner) AOCNP® Examination Availability

AOCNP® examinations are offered February-December. Candidates may apply at any time; however, incomplete applications will not be processed until all required information is provided. AOCNP® candidates should allow 4-6 weeks following application to receive their Authorization to Test (ATT), which will confirm eligibility to test and contain the information needed to make a testing appointment. The ATT will be valid for 90 days. Candidates must schedule a testing appointment and take the test prior to the expiration of the ATT; therefore, candidates should not apply until they are ready to test. Candidates who do not test prior to the expiration of the ATT will forfeit their test fees and must reapply and pay the application fee to test during a subsequent 90-day test period.

Eligibility Criteria--Initial AOCNP® Certification

(Oncology Nurse Practitioner) All eligibility criteria must be met at the time of application and examination. Candidates must have: · A current, active, unrestricted RN license at the time of application and examination; and · A master's or higher degree in nursing from an accredited institution; and · Successful completion of an accredited nurse practitioner program; and · A minimum of 500 hours of supervised clinical practice as an adult oncology nurse practitioner. These hours may be obtained within the nurse practitioner program or following graduation from the program. Verification of supervised clinical practice must be provided by a faculty member, physician, advanced practice nurse, or supervisor. (See page 33 for information related to AOCNP® Candidate Practice Verification. Candidates who apply online will be prompted to enter practice verification information during the application process, and must enter valid information. Candidates who apply by mail or fax must submit the AOCNP® Candidate Practice Verification Form with the application.) Transcripts must be submitted by mail or fax within 48 hours of applying online, or with paper applications submitted by mail or fax. Applications will not be processed until all required information is provided. Test applicants must: · apply online at www.oncc.org or submit a paper application by mail or fax (pages 31-32); · provide contact information for the individual(s) who can verify supervised practice as an adult oncology nurse practitioner (candidates who apply by mail or fax must submit the AOCNP® Candidate Practice Verification Form, page 33 with the application); · submit a transcript showing conferral of a master's or higher degree in nursing; · submit a transcript showing successful completion of an accredited nurse practitioner program (if not indicated as part of the academic degree program); · submit full payment at the time of application.

The AOCNP® Test (Oncology Nurse Practitioner)

The content of the AOCNP® Test is based on the AOCNP® Test Blueprint (pages 14-15). The Blueprint is based on the results of a role delineation study of advanced oncology nursing practice completed in 2009. The Blueprint is composed of eleven major subject areas, each with a percentage assigned to it. Each major subject area is represented in every test with the appropriate percentage of items. However, not all content sub-areas on the AOCNP® Test Blueprint are included on every form of the test. The AOCNP® test consists of 165 multiple-choice items (a question or incomplete statement followed by four answers or completions), of which 125 count toward the candidate's score and 40 are "pretest" or experimental items. Candidates do not know whether an item is a pretest or scored item. To determine the number of scored items in each subject area, multiply the percentage by 125. A free, 20-item AOCNP® Practice Test is available at www.oncc.org.

Renewal of AOCNP® Certification

Certification is valid for four years. In 2011, certification renewal is available only to AOCNP®s whose certification expires in 2011. All renewal candidates must hold a current, active, unrestricted RN license. There are three components to recertification and two of them must be met to recertify. · Practice Hours - Minimum of 1,000 hours of practice as a nurse practitioner in adult oncology within the four years (48 months) prior to application · Professional development points, known as the Oncology Nursing Certification Points Renewal Option (ONC-PRO). 125 ONC-PRO points are required for AOCNP® renewal. · Successful retesting The options for recertification are based on the combinations of two of the components above: Option 1: Practice Hours + ONC-PRO Option 2: Practice Hours + Successful Testing Option 3: ONC-PRO + Successful Testing Nurses who do not have the practice hours include those who are not working, those working in areas other than adult oncology, those working in roles other than as a nurse practitioner, and those working in non-nursing roles. Those without practice hours may recertify using Option 3.

2011 Oncology Nursing Certification Test Bulletin - Copyright © 2010 Oncology Nursing Certification Corporation

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AOCNP® Test Blueprint

I. Screening, Prevention, Early Detection, and Genetic Risk-- 7% A. At-risk populations (e.g., disparities in cultures, socioeconomic status, age, occupations, cancer history) B. Screening, early detection C. Cancer prevention, risk reduction guidelines (e.g., cancer risk factors such as smoking, nutrition, genetics) D. Hereditary cancer evaluation and counseling methods Diagnosis, Staging, and Treatment Planning--15% A. Diagnostic tests and results B. Patient assessment C. Staging guidelines D. Natural history of disease (e.g., presentation, common metastatic sites, prognosis) E. Prognostic indicators (e.g., immunoassays, flow cytometry, immunotyping, performance status, hormonal status) VII. III. Cancer Treatment--18% A. Clinical trials and research studies B. Systemic therapies (e.g., chemotherapy, hormonal, targeted, biological) C. Localized therapies (e.g., intravesicular, intraperitoneal, intrathecal) D. Surgical and interventional procedures E. Radiation therapy F. Blood and marrow transplantation G. Multi-modality (combined) therapies H. Complementary and alternative therapies I. Delivery systems (e.g., VAD, infusion devices) J. Interrelationship of disease, treatment, and comorbid conditions K. Standards of care for specific cancers L. Clinical response to treatment M. Palliative care principles Side Effect and Symptom Management--19% A. Etiology, incidence, and patterns (e.g., acute, chronic, and late) B. Toxicity and rating scales C. Pharmacologic interventions D. Multidisciplinary therapies (e.g., rehabilitation services, nutrition, counseling) E. Complementary and alternative methods F. Procedural interventions (e.g., paracentesis, thoracentesis, surgical, stents, drains) G. Management of complications related to delivery systems (e.g, infection, thrombosis) V. Oncologic Emergencies--7% A. Risk factors and prevention strategies B. Etiology of oncologic emergencies C. Assessment strategies (e.g., physical examination, differential diagnosis) D. Treatment strategies Survivorship--6% A. Psychosocial (e.g., fear of recurrence, depression, PTSD, family relations) B. Physical (e.g., neuropathies, cardiomyopathy, cognitive effects, secondary cancers, fertility) C. Financial and legal (e.g., employment, insurance, discrimination, disability, debt) D. Survivorship treatment summaries E. Survivorship plan of care (e.g., communication with primary care provider, follow up surveillance) End of Life Care--6% A. Philosophy of hospice B. End of life care principles (e.g., symptom management, family and caregiver support, cultural variations, and education) C. Grief and bereavement process D. End of life care settings E. Reimbursement issues in end of life care

VI.

II.

IV.

VIII. Psychosocial Issues--7% A. Theoretical frameworks used in psychology and sociology (e.g., developmental, coping, family systems) B. Risk factors for psychosocial disturbances/alterations (e.g., social support, financial aspects, family dynamics) C. Assessment instruments and techniques (e.g., interview, patient self-assessment) D. Psychiatric and psychosocial comorbidities (e.g., anxiety, depression, and cognitive impairment) E. Effects of cancer or treatment on psychosocial issues (e.g., sexuality, quality of life, family dynamics, coping) F. Cultural, spiritual, and religious diversity IX. Coordination of Care--5% A. Patient navigation B. Case management C. Insurance and reimbursement issues D. Roles of other healthcare disciplines E. Community resources

AOCNP® Test Blueprint continued on page 15

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2011 Oncology Nursing Certification Test Bulletin - Copyright © 2010 Oncology Nursing Certification Corporation

AOCNP® Reference List

X. Professional Practice--5% A. Ethical/legal issues (e.g., ethical decision-making models, informed consent, advanced directives, durable power of attorney for healthcare) B. Legal documentation requirements C. Regulatory documentation requirements D. Insurance reimbursement documentation requirements E. Diagnostic and procedural coding documentation requirements F. Outcomes of advance practice nurse interventions on individuals, groups, and systems G. Accreditation standards (e.g., The Joint Commission, ACOS, HCFA) H. Competency evaluation of self and others I. Continuous quality improvement methods J. Evidence-based practice K. Standards of care L. Advanced practice standards M. Collaborative agreements with physician(s) N. Healthcare legislation O. Licensing/certification requirements P. Current practice trends (national, state, local, institutional) Q. Validation of APN contributions to organizations Roles of the Advanced Practice Nurse--5% A. Mentorship and coaching B. Presentation skills and writing for publications C. Patient education (e.g., needs assessment, preparation of materials) D. Research process (e.g., problem identification, synthesis of research literature, rights of human subjects, sampling, data collection instruments, data analysis) E. Research utilization

Selected References for the AOCNP® Test

The following references have been used to develop items for the AOCNP® Test. A list of Supplemental References is available at www. oncc.org. These lists are not all inclusive. Use of the references does not guarantee a passing score on the AOCNP® Test. Bickley, L.S., & Szilagyi, P.G. (2009). Bates' pocket guide to physical examination and history taking (10th ed.). Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins. Buchsel, P.C., & Yarbro, C.H. (Eds.). (2005). Oncology nursing in the ambulatory setting (2nd ed.). Sudbury, MA: Jones and Bartlett. Camp-Sorrell, D., & Hawkins, R.A. (Eds.). (2006). Clinical manual for the oncology advanced practice nurse (2nd ed.). Pittsburgh, PA: Oncology Nursing Society. Carroll-Johnson, R.M., Gorman, L.M., & Bush, N.J. (Eds.). (2006). Psychosocial nursing care along the cancer continuum (2nd ed.). Pittsburgh, PA: Oncology Nursing Society. Chernecky, C.C., & Berger, B.J. (Eds.). (2008). Laboratory tests and diagnostic procedures (5th ed.). Philadelphia, PA: Elsevier Saunders. Cope, D., & Reb, A. (Eds.). (2006). An evidence-based approach to the treatment and care of the older adult with cancer. Pittsburgh, PA: Oncology Nursing Society. DeVita, V.T., Jr., Lawrence, T.S., & Rosenberg, S.A. (Eds.). (2008). DeVita, Hellman, and Rosenberg's Cancer: Principles and practice of oncology (8th ed.). Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins. Hamric, A.B., Spross, J.A., & Hanson, C.M. (Eds.). (2009). Advanced practice nursing: An integrative approach (4th ed.). Philadelphia, PA: Elsevier Saunders. Kaplan, M. (Ed.). (2006). Understanding and managing oncologic emergencies: A resource for nurses. Pittsburgh, PA: Oncology Nursing Society. Kuebler, K.K., & Esper, P. (Eds.). (2008). Palliative practices from A­Z for the bedside clinician (2nd ed.). Pittsburgh, PA: Oncology Nursing Society. Polit, D.F., & Beck, C.T. (2008). Nursing research: Generating and assessing evidence for nursing practice (8th ed.). Philadelphia, PA: Lippincott Williams & Wilkins. Polovich, M., Whitford, J.M., & Olsen, M. (Eds.). (2009). Chemotherapy and biotherapy guidelines and recommendations for practice (3rd ed.). Pittsburgh, PA: Oncology Nursing Society. Turkoski, B.B., Lance, B.K., & Bonfiglio, M.F. (Eds.). (2009). Drug information handbook for advanced practice nursing (10th ed.). Hudson, OH: Lexi-Comp. Yarbro, C.H., Gobel, B.H., & Wujcik, D. (Eds.). (2010). Cancer nursing: Principles and practice (7th ed.). Sudbury, MA: Jones and Bartlett Learning.

XI.

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AOCNS® Certification (Advanced Oncology Certified Clinical Nurse Specialist) AOCNS® Examination Availability Eligibility Criteria--Initial AOCNS® Certification

(Oncology Clinical Nurse Specialist) All eligibility criteria must be met at the time of application and examination. Candidates must have: · A current, active, unrestricted RN license at the time of application and examination, and · A master's or higher degree in nursing from an accredited institution; and · A minimum of 500 hours of supervised clinical practice in an advanced practice role in adult oncology nursing. These hours may be obtained within the graduate program or following graduation from the program. Verification of supervised clinical practice must be provided by a faculty member, physician, advanced practice nurse, or supervisor. (See page 34 for AOCNS® Candidate Practice Verification Form. Candidates who apply online will be prompted to enter practice verification information during the application process, and must enter valid information. Candidates who apply by mail or fax must submit the AOCNS® Candidate Practice Verification Form with the application.) Transcripts must be submitted by mail or fax within 48 hours of applying online, or with paper applications submitted by mail or fax. Applications will not be processed until all required information is provided. Test Applicants Must: · apply online at www.oncc.org or submit a paper application by mail or fax (pages 31-32); · provide contact information for the person(s) who can verify supervised practice in an advanced practice role in adult oncology nursing (candidates who apply by mail or fax must submit the AOCNS® Candidate Practice Verification Form, page 34, with the application); · submit a transcript showing conferral of a master's or higher degree in nursing. · Submit full payment at the time of application. AOCNS® examinations are offered February-December. Candidates may apply at any time; however, incomplete applications will not be processed until all required information is provided. AOCNS® candidates should allow 4-6 weeks following application to receive their Authorization to Test (ATT), which will confirm eligibility to test and contain the information needed to make a testing appointment. The ATT will be valid for 90 days. Candidates must schedule a testing appointment and take the test prior to the expiration of the ATT; therefore, candidates should not apply until they are ready to test. Candidates who do not test within the 90 day period will forfeit their test fees and must reapply and pay the application fee to test during a subsequent 90-day test period.

The AOCNS® Test (Oncology Clinical Nurse Specialist)

The content of the AOCNS® Test is based on the AOCNS® Test Blueprint (pages 17-18). The Test Blueprint is based on the results of a role delineation study of advanced oncology nursing practice completed in 2009. The Blueprint is composed of 11 major subject areas, each with a percentage assigned to it. Each major subject area is represented in every test with the appropriate percentage of items. However, not all content sub-areas on the AOCNS® Test Blueprint are included on every form of the test. The test consists of 165 multiple-choice items (a question or incomplete statement, followed by four answers or completions), of which 125 count toward the candidate's score and 40 are "pretest" or experimental items. Candidates do not know whether an item is a pretest or scored item. To determine the number of scored items in each subject area, multiply the percentage by 125. A free, 20-item AOCNS® Practice Test is available at www.oncc.org.

Renewal of AOCNS® Certification

Certification is valid for four years. In 2011 certification renewal is available only to AOCNS®s whose certification expires in 2011. All renewal candidates must hold a current, active, unrestricted RN license. There are three components to recertification and two of them must be met to recertify. · Practice Hours - Minimum of 1,000 hours of practice in a role or roles of the adult oncology clinical nurse specialist within the four years (48 months) prior to application · Professional development points, known as the Oncology Nursing Certification Points Renewal Option (ONC-PRO). 125 ONC-PRO points are required for AOCNS® renewal. · Successful retesting The options for recertification are based on the combinations of two of the components above: Option 1: Practice Hours + ONC-PRO Option 2: Practice Hours + Successful Testing Option 3: ONC-PRO + Successful Testing Nurses who do not have the practice hours include those who are not working, those working in areas other than adult oncology, those working in roles other than as a clinical nurse specialist, and those working in non-nursing roles. Those without practice hours may recertify using Option 3.

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2011 Oncology Nursing Certification Test Bulletin - Copyright © 2010 Oncology Nursing Certification Corporation

AOCNS® Test Blueprint (Clinical Nurse Specialist)

I. Screening, Prevention, Early Detection, and Genetic Risk--4% A. At-risk populations (e.g., disparities in cultures, socioeconomic status, age, occupations, cancer history) B. Screening, early detection C. Cancer prevention, risk reduction guidelines (e.g., cancer risk factors such as smoking, nutrition, genetics) Diagnosis, Staging, and Treatment Planning--8% A. Diagnostic tests and results B. Patient assessment C. Staging guidelines D. Natural history of disease (e.g., presentation, common metastatic sites, prognosis) E. Prognostic indicators (e.g., immunoassays, flow cytometry, immunotyping, performance status, hormonal status) Cancer Treatment--16% A. Clinical trials and research studies B. Systemic therapies (e.g., chemotherapy, hormonal, targeted, biological) C. Localized therapies (e.g., intravesicular, intraperitoneal, intrathecal) D. Surgical and interventional procedures E. Radiation therapy F. Blood and marrow transplantation G. Multi-modality (combined) therapies H. Complementary and alternative therapies I. Delivery systems (e.g., VAD, infusion devices) J. Interrelationship of disease, treatment, and comorbid conditions K. Standards of care for specific cancers L. Clinical response to treatment M. Palliative care principles Side Effect and Symptom Management--18% A. Etiology, incidence, and patterns (e.g., acute, chronic, and late) B. Toxicity and rating scales C. Pharmacologic interventions D. Multidisciplinary therapies (e.g., rehabilitation services, nutrition, counseling) E. Complementary and alternative methods F. Procedural interventions (e.g., paracentesis, thoracentesis, surgical, stents, drains) G. Management of complications related to delivery systems (e.g, infection, thrombosis) Oncologic Emergencies--9% A. Risk factors and prevention strategies B. Etiology of oncologic emergencies C. Assessment strategies (e.g., physical examination, differential diagnosis) D. Treatment strategies VI. Survivorship--6% A. Psychosocial (e.g., fear of recurrence, depression, PTSD, family relations) B. Physical (e.g., neuropathies, cardiomyopathy, cognitive effects, secondary cancers, fertility) C. Financial and legal (e.g., employment, insurance, discrimination, disability, debt) D. Survivorship treatment summaries E. Survivorship plan of care (e.g., communication with primary care provider, follow up surveillance) End of Life Care--7% A. Philosophy of hospice B. End of life care principles (e.g., symptom management, family and caregiver support, cultural variations, and education) C. Grief and bereavement process D. End of life care settings

II.

VII.

III.

VIII. Psychosocial Issues--10% A. Theoretical frameworks used in psychology and sociology (e.g., developmental, coping, family systems) B. Risk factors for psychosocial disturbances/alterations (e.g., social support, financial aspects, family dynamics) C. Assessment instruments and techniques (e.g., interview, patient self-assessment) D. Psychiatric and psychosocial comorbidities (e.g., anxiety, depression, and cognitive impairment) E. Effects of cancer or treatment on psychosocial issues (e.g., sexuality, quality of life, family dynamics, coping) F. Cultural, spiritual, and religious diversity IX. Coordination of Care--7% A. Patient navigation B. Case management C. Insurance and reimbursement issues D. Roles of other healthcare disciplines E. Community resources

IV.

AOCNS® Test Blueprint continued on page 18

V.

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AOCNS® Reference Lists (Clinical Nurse Specialist)

X. Professional Practice--7% A. Ethical/legal issues (e.g., ethical decision-making models, informed consent, advanced directives, durable power of attorney for healthcare) B. Legal documentation requirements C. Regulatory documentation requirements D. Insurance reimbursement documentation requirements E. Outcomes of advance practice nurse interventions on individuals, groups, and systems F. Accreditation standards (e.g., The Joint Commission, ACOS, HCFA) G. Competency evaluation of self and others H. Continuous quality improvement methods I. Evidence-based practice J. Standards of care K. Advanced practice standards L. Collaborative agreements with physician(s) M. Healthcare legislation N. Licensing/certification requirements O. Current practice trends (national, state, local, institutional) P. Validation of APN contributions to organizations XI. Roles of the Advanced Practice Nurse--8% A. Administration and organizational theory (e.g., change, management, health care economics) B. Strategic planning process C. Program development methods and funding strategies (e.g., needs assessment, focus groups, community agencies) D. Consultative process E. Organizational structure and culture F. Mentorship and coaching G. Presentation skills and writing for publications H. Group dynamics I. Learning theories and teaching methods (e.g., precepting, goal development for staff) J. Patient education (e.g., needs assessment, preparation of materials) K. Research process (e.g., problem identification, synthesis of research literature, rights of human subjects, sampling, data collection instruments, data analysis) L. Research utilization M. Nursing informatics

Selected References for the AOCNS® Test

The following references have been used to develop items for the AOCNS® Test. A list of Supplemental References is available at www. oncc.org. These lists are not all inclusive. Use of the references does not guarantee a passing score on the AOCNS® Test.

DeVita, V.T., Jr., Lawrence, T.S., & Rosenberg, S.A. (Eds.). (2008). DeVita, Hellman, and Rosenberg's Cancer: Principles and practice of oncology (8th ed.). Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins. Hamric, A.B., Spross, J.A., & Hanson, C.M. (Eds.). (2009). Advanced practice nursing: An integrative approach (4th ed.). Philadelphia, PA: Elsevier Saunders. Kaplan, M. (Ed.). (2006). Understanding and managing oncologic emergencies: A resource for nurses. Pittsburgh, PA: Oncology Nursing Society. Kuebler, K.K., & Esper, P. (Eds.). (2008). Palliative practices from A­Z for the bedside clinician (2nd ed.). Pittsburgh, PA: Oncology Nursing Society. Lockhart, J.S. (2004). Unit-based staff development for clinical nurses. Pittsburgh, PA: Oncology Nursing Society. Polit, D.F., & Beck, C.T. (2008). Nursing research: Generating and assessing evidence for nursing practice (8th ed.). Philadelphia, PA: Lippincott Williams & Wilkins. Polovich, M., Whitford, J.M., & Olsen, M. (Eds.). (2009). Chemotherapy and biotherapy guidelines and recommendations for practice (3rd ed.). Pittsburgh, PA: Oncology Nursing Society. Turkoski, B.B., Lance, B.K., & Bonfiglio, M.F. (Eds.). (2010). Drug information handbook for advanced practice nursing (11th ed.). Hudson, OH: Lexi-Comp. Yarbro, C.H., Gobel, B.H., & Wujcik, D. (Eds.). (2010). Cancer nursing: Principles and practice (7th ed.). Sudbury, MA: Jones and Bartlett Learning.

Bastable, S.B. (Ed.). (2008). Nurse as educator: Principles of teaching and learning for nursing practice (3rd ed.). Sudbury MA: Jones and Bartlett. Bickley, L.S., & Szilagyi, P.G. (2009). Bates' pocket guide to physical examination and history taking (10th ed.). Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins. Buchsel, P.C., & Yarbro, C.H. (Eds.). (2005). Oncology nursing in the ambulatory setting (2nd ed.). Sudbury, MA: Jones and Bartlett. Camp-Sorrell, D., & Hawkins, R.A. (Eds.). (2006). Clinical manual for the oncology advanced practice nurse (2nd ed.). Pittsburgh, PA: Oncology Nursing Society. Carroll-Johnson, R.M., Gorman, L.M., & Bush, N.J. (Eds.). (2006). Psychosocial nursing care along the cancer continuum (2nd ed.). Pittsburgh, PA: Oncology Nursing Society. Conrad, K.J., & Kanaskie, M.L. (Eds.). (2005). Continuing education activities: A planning manual (2nd ed.). Pittsburgh, PA: Oncology Nursing Society. Cope, D., & Reb, A. (Eds.). (2006). An evidence-based approach to the treatment and care of the older adult with cancer. Pittsburgh, PA: Oncology Nursing Society.

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2011 Oncology Nursing Certification Test Bulletin - Copyright © 2010 Oncology Nursing Certification Corporation

Frequently Asked Questions

F.A.Q.

The following are questions that are sometimes asked by ONCC certification test candidates.

Does ONCC offer review courses? ONCC does not offer review courses; however, other organizations provide review courses that may be helpful to candidates. The Oncology Nursing Society (ONS) offers online review courses as well as other programs that may be beneficial to candidates (visit www.ons. org/CNECentral). The Association of Pediatric Hematology Oncology Nurses (APHON) also offers review courses and educational programs. Many ONS and APHON chapters provide review courses, as do some institutions. ONCC lists information about these courses at www.oncc. org when available. Candidates also are encouraged to check with their local ONS or APHON chapter, and with the nursing education department at nearby institutions. Is there a test center in my area? To locate a test center, go to www.pearsonvue.com/oncc and click on "Locate a Test Center". Follow the on-screen instructions to locate test centers in the desired area. What book should I study? ONCC certification tests measure a nurse's mastery of a body of knowledge as defined by the respective Test Blueprint. The test is not based on the content of one book or educational course. Therefore, ONCC cannnot recommend one specific book or resource for test preparation. ONCC recommends that candidates begin their test preparation by reviewing the appropriate Test Blueprint, and assessing their knowledge level of each of the subject areas. One

or two comprehensive references may be helpful for general study, supplemented by specific references in the subject areas in which the candidate's knowledge is not strong. Candidates should refer to the Reference List used to develop test items to identify potential test preparation resources. If I pass the test, will my scope of practice or work roles and responsibilities change? Nursing scope of practice is defined in regulatory terms by state boards of nursing. There may be slight variations from state-to-state. Within the boundaries of their legally defined scope, institutions and employers delineate roles and responsibilities for professional nurses. Some require nurses to be certified in order to fulfill specific roles and take on additional responsibilities. After I take a test, can I find out which items I answered incorrectly? No. To help maintain the integrity of the test and provide a fair test for all candidates, ONCC must keep all test items confidential. If items and correct answers were revealed to candidates, the items would be compromised and could no longer be used on a test. If I fail the test, do I have to pay another fee to test again? Yes. Candidates must apply by the final deadline and pay the test fee each time they wish to test. Due to overlapping test windows and application deadline dates, candidates may not be able to test during the next testing window. ONCC must pay the testing company each time a candidate tests, or fails to show for a scheduled test appointment. In addition, ONCC must verify candidate information and eligibility each time a candidate applies to test.

If you have questions about certification, contact [email protected] or 877-769-6622.

Where can you find the most up-to-date certification practice tests?

At your fingertips!

When you choose a web-based practice test from the Oncology Nursing Certification Corporation you can: · take a practice test online, 24 hours/day, 7 days/week · have unlimited access for 14 consecutive days · choose between study mode and test mode Each web-based practice test includes: · a set of 20 questions or items · the correct answer for each item · the reference and rationale for each correct answer

ONCC's web-based practice tests are constructed in the same style and format as actual ONCC examinations with items written by ONCC test item writers. Plus, ONCC's web-based practice tests match the actual test content outline at the time of development. Try one for FREE! Onefreeweb-basedpracticetestisavailableforeachcertification.Additionalpracticetestsareavailableforpurchase. Go to www.oncc.org for your FREE practice test!

2011 Oncology Nursing Certification Test Bulletin - Copyright © 2010 Oncology Nursing Certification Corporation

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Candidate Information: From Application to Test Day

1.

Preparing to Apply

· · ·

Apply for Certification

>2.

Make a Test Appointment/ Plan for Test Day

Authorization to Test--Applicants who are confirmed as eligible to

test will receive an Authorization to Test (ATT) via email (or regular mail if a valid email address is not provided) from Pearson VUE, not ONCC. The email will be from [email protected] com. The subject line will read "ONCC Authorization to Test." Please check your junk mail or spam folders, and add this address to your email safe senders list. The ATT will provide information on how to schedule or change a test appointment. · OCN®, CPHON®, and CBCN® candidates will receive an ATT approximately 6-8 weeks before the testing interval. · AOCNP® and AOCNS® candidates will receive an ATT within 4-6 weeks of applying. The ATT will expire in 90 days. The AOCNP®/ AOCNS® candidate must make an appointment and take the test before the ATT expires, or will forfeit his/her test fees.

·

·

Review the eligibility criteria for the specific certification. Review ONCC's certification policies (pages 23-25). Gather the information or documentation you need to complete the application (e.g., nursing license, CNE documentation, transcripts). Apply online at www.oncc.org. Follow the on-screen instructions to provide all required information (online applicants save $25). If applying by mail or fax, review the application information on page 26 or 30. Include all required information, documentation, and fees. Please note that incomplete applications will not be processed until all materials are received.

Requesting Special Testing Accommodations Due to Disability--ONCC will provide reasonable accommodations for test

candidates with disabilities that are covered under the Americans with Disabilities Act (ADA), as amended. Candidates requesting special accommodations must submit the Special Accommodations Request Form (page 35) by mail or fax within five business days of applying online, or with a paper application submitted by mail or fax. ONCC uses information submitted as part of a request for Special Accommodations only to make a determination regarding the need for special accommodations. ONCC does not share this information with anyone, including Pearson VUE.

Upon receiving the ATT, all candidates should immediately:

· · · · confirm the information on the ATT is correct. read the ATT and all accompanying information. contact ONCC (877-769-6622, US & Canada or email [email protected] org) to correct inaccuracies on the ATT or to report a lost ATT. call ONCC (877-769-6622, US & Canada or email [email protected]) if they do not receive an ATT at least four weeks prior to the test.

Making a Test Appointment/Planning for Test Day

· · Follow the instructions on the ATT to make a test appointment. Plan for a test session that may last up to three hours, including 10 minutes to complete a CBT tutorial at the start of the test session, and five minutes for an exit survey in the total session time. There are no scheduled breaks during the test session. If you are not familiar with the location of the test center, obtain directions or conduct a trial run before your test day. To preview the test center environment, go to www.pearsonvue. com/oncc and click on "Take tour of PPC." To view the CBT tutorial, go to www.pearsonvue.com/oncc and click on "Computer-Based Testing Tutorial." Candidates do not need to have computer experience to take an ONCC Test. All items are answered using the computer mouse to point and click on the desired answer.

Confirmation Your Application Has Been Received--Candidates

with a valid email address will be sent email confirmation from ONCC that their application has been received. Candidates who do not have a valid email address will be sent confirmation that their application has been received via mail. Please note this is confirmation that the application has been received; not confirmation that the candidate is eligible to test. If you do not receive confirmation that your application has been received within four weeks of applying, contact ONCC.

· · ·

Twoformsofidentificationarerequiredforadmissiontoatest:oneprimaryandonesecondaryform,ortwoprimaryforms. ID must be current, valid and not expired. The name on the ID must match the name on the ATT. Primary ID (must include photo & signature) · · · · · · · · · · Passport or Passport Card Government-issued Driver's License US Department of State Driver's License US Learner's Permit (plastic card only with photo and signature) Military ID (including spouse/dependent) Alien Registration Card (Green Card, Permanent Resident Visa) Government issued local language ID (plastic card with photo and signature) Employee ID School ID Credit Card (with photo and signature) · · · · Secondary ID (must include signature) US Social Security Card Debit/ATM Card Credit Card (Any signature bearing credit card that is not expired) Any form of ID on the Primary ID list

Acceptable Forms of Identification for Admission to a Test

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2011 Oncology Nursing Certification Test Bulletin - Copyright © 2010 Oncology Nursing Certification Corporation

Candidate Information: From Application to Testing

>3.

If You Need to Change Your Test Plans

>4.

·

On Test Day and After

Transferring to a Different Test Date

OCN®, CPHON®, and CBCN® test candidates may request a transfer to a test date that falls within the next 12 months one time. A written request must be received at least four weeks before the first day of the scheduled test interval, and include the candidate's name, address, desired test interval, and a $100 transfer fee. Transfer requests received less than four weeks before the first day of the test interval will not be granted. Candidates who are granted a transfer must: · test within the next 12 months. · cancel a scheduled test appointment at least 24 hours before the appointment (see Canceling a Test Appointment, below). Candidates who do not cancel a scheduled appointment will be charged the full test fee and must pay another test fee in order to test at a later date. AOCNP®/AOCNS® test candidates may reschedule for another test date within their 90-day period. Transfers to a test date beyond the 90day period will not be granted. Candidates must reschedule their test appointment at least 24 hours in advance as instructed on the ATT. Renewal candidates who apply to renew by testing and subsequently transfer to a test date that falls after the expiration of their credential must meet all eligibility criteria for initial certification.

Arrival at the Test Center

Arrive at the test center 30 minutes before your appointment. Candidates who arrive after their scheduled appointment may not be accommodated and may forfeit their appointment and test fees. Small lockers will be provided for storage of personal items that may not be taken into the test room. For security purposes, at the test site each candidate will be asked to provide a palm scan (palm vein image), fingerprint, electronic signature, and digital photo. This information is retained in a secure database for no more than five years from the last test date. It is not linked to a candidate's personal identifying information such as address or credit card information.

· ·

Check-in and ID Requirements

· Candidates will be required to show two forms of identification, including one form of photo ID. Both forms of ID must contain the candidate's signature, and be current, valid, or non-expired. See the table on page 20 for acceptable ID. The name on both forms of ID must match the name on the ATT. Note: a middle name versus a middle initial is acceptable. For other name discrepancies, contact ONCC. Candidates who have changed their name after registering for a test should contact ONCC before the scheduled test date. Candidates will not be admitted to the test without proper ID. Candidates who are not permitted to test due to invalid ID will forfeit their test fee, and must reapply and pay the full test fee in order to test during a subsequent interval.

·

Requesting a Refund

OCN®, CPHON®, and CBCN® candidates may request a refund of all but $100 (processing fee) of the test fee. A written request must be received by ONCC at least four weeks before the first day of the scheduled test interval, and include the candidate's name, address and test date. Refund requests received less than four weeks before the first day of the test interval will not be granted. Candidates who request a refund also must cancel their test appointment at least 24 hours before the test appointment (see Canceling a Test Appointment, below). Candidates who do not cancel a scheduled test appointment will forfeit their test fee and will not receive a refund. AOCNP® and AOCNS® candidates have a 90-day period in which to take the test. Refunds will only be granted under extenuating circumstances and will be considered on a case-by-case basis.

·

Professional Examination Rules

At check-in, candidates will be presented with the following Professional Examination Rules and Privacy Statement regarding the transmission of test results. Candidates will be asked to provide a digital signature indicating that they agree to follow the rules and consent to the transmission of their test data. · No personal items, including cellular phones, hand-held computers/personal digital assistants (PDAs) or other electronic devices, pagers, watches, wallets, purses, hats (and other head coverings), bags, coats, books and notes are allowed in the testing room. You must store all personal items in a locker. Cell phones, pagers or other electronic devices must be turned off before storing them in a locker. The test center is not responsible for lost, stolen or misplaced personal items. Before you enter the testing room, the test administrator will provide you with an erasable noteboard and marker. You may not remove these items from the testing room at any time during the exam, and you must return them to the test administrator after the exam. You may not write on the erasable noteboard until after the exam has been started. If you fill your noteboard during the exam, raise your hand and the administrator will bring you a new one. The administrator will log you in to your assigned workstation,

Professional Examination Rules continued on page 22

Canceling a Test Appointment

All candidates who wish to cancel a test appointment must do so at least 24 hours in advance, or will forfeit their test fee and appointment. Those who do not cancel their appointments will not be eligible for a transfer or refund, and will be required to submit another application and fee to test at a later date. In addition: OCN®, CPHON® & CBCN® candidates also must · reschedule the test appointment within the same test interval, or · submit a written request for a transfer or refund to ONCC (See Transfers or Refunds, above). If a candidate cancels a test appointment and does not notify ONCC in writing, the test fee will be forfeited. AOCNP® & AOCNS® candidates also must: · reschedule an appointment that falls within the 90-day eligibility period or forfeit all fees.

·

·

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2011 Oncology Nursing Certification Test Bulletin - Copyright © 2010 Oncology Nursing Certification Corporation

21

Candidate Information

Your privacy - Your exam results will be encrypted and transmitted to Pearson VUE and the exam sponsor. The test center does not retain any information other than when and where your exam was taken. The Pearson VUE Privacy Policy Statement provides additional information regarding this which you can obtain by visiting the Pearson VUE Web site (www.pearsonvue.com) or by contacting a Pearson VUE Call Center. Candidate Statement: By providing a digital signature, I give Pearson VUE my explicit consent to retain and transmit my personal data and test responses to Pearson VUE and to the exam sponsor (either of which may be outside of the country in which I am testing). I understand the information provided above and agree to follow the Rules. If I do not follow the Rules or I am suspected of cheating or tampering with the computer, this will be reported to Pearson VUE and the exam sponsor, my exam may be invalidated, the sponsor may take other action such as decertifying me, and I will not be refunded my exam fee.

continued

>4.

On Test Day and After

·

·

·

·

·

·

·

·

·

verify that you are taking the intended exam and start the exam. Please remain in your assigned seat until escorted out by a Test Administrator. Eating, drinking, chewing gum, smoking and making noise that creates a disturbance for other candidates are prohibited during the exam. You understand that a Non-Disclosure Agreement will be presented to you before the exam and you must agree to its terms and conditions within the specified time limit in order to take the exam or else you will forfeit your exam fees. To ensure a high level of security throughout your testing experience, you will be monitored at all times. Both audio and video will be recorded. ONCC examinations do not include scheduled breaks. If you take an unscheduled break at any time, the exam timer will not be stopped. The administrator will set your workstation to the break mode, and you will take your ID with you when you leave the room. The administrator will check your ID before you return to your seat and will then restart your exam. If you take take an unscheduled break, you are NOT allowed access to personal items other than medication or food required at a specific time and with the approval of the test administrator. Items not permitted include but are not limited to: cellular phones, exam notes and study guides. You must leave the testing room for all breaks. You will either be fingerprinted or have your palm vein pattern captured when you leave the testing room and again before you re-enter the testing room. The administrator will restart the exam for you when you return. If you experience hardware or software problems or distractions that affect your ability to take the exam, notify the administrator immediately by raising your hand. If you have other questions or concerns, raise your hand and the administrator will assist you as long as other candidates are not disturbed. The administrator cannot answer questions related to exam content. After you finish the exam, you may be asked to complete an optional, onscreen evaluation. After completing the exam or the evaluation, raise your hand. Your examination results will appear on screen. You will receive a printed score report after returning the erasable noteboard and other materials to the administrator. Do not leave these items at your testing workstation. You will be either fingerprinted or have your palm vein pattern captured when you leave the testing room. You may not remove copies of exam questions and answers from the testing center and may not share or discuss the questions or answers seen in your exam with other candidates. If you do not follow the above rules, if you tamper with the computer or if you are suspected of cheating, appropriate action will be taken. This may include invalidation of your exam results.

Confidentiality of ONCC Examinations (Non-Disclosure)

Before the test session begins, candidates will be presented with the following Confidentiality Agreement regarding test content. This examination and the content and the test questions contained herein are the exclusive property of the Oncology Nursing Certification Corporation. This examination and the items (questions) are protected by copyright law. No part of this examination may be copied or reproduced in part or whole by any means, whatsoever, including memorization. Future discussion or disclosure of the contents of this examination orally, in writing, or by any other means is prohibited. Any theft or attempted theft of examination items from the testing center is punishable to the fullest extent of the law. Your participation in any irregularity occurring during this examination, such as giving or obtaining unauthorized aid, as evidenced by observation or subsequent analysis may result in termination of your participation, invalidation of the results of the examination, or other appropriate action. Candidates who do not agree to the terms of the confidentiality agreement will have their test session terminated. Candidates whose test session is terminated will not receive a refund of test fees.

Score Reports--Candidates will receive an official score report on

screen and in print at the test center. Official score reports indicate PASS/FAIL, and list the test subject areas and the competency level the candidate achieved on each. The competency levels can help failing candidates identify subject areas in which further study may be needed. Numeric scores are not reported because they do not represent the number or percentage of items answered correctly. Score reports will not be mailed to candidates. Candidates may request a duplicate score report from Pearson VUE by calling 800-933-2113.

Certificates and Wallet Cards--Candidates who receive a passing

score will receive a personalized certificate and wallet card 4-6 weeks after taking the examination. There is a $10 charge for a duplicate or replacement certificate and/or wallet card.

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2011 Oncology Nursing Certification Test Bulletin - Copyright © 2010 Oncology Nursing Certification Corporation

Certification Policies

Applications · ONCC adheres to all deadline dates, as published in this Bulletin and on the ONCC web site at www.oncc.org. · The certification fee in place at the time the complete application is received will apply, regardless of postmark or any other circumstance. Complete applications include all requested information; signature; fees; and documentation (i.e., verification forms, transcripts, continuing education information, logs or other required documents). · Incomplete applications will not be processed. Candidates whose applications are incomplete will not be permitted to test, or to have their renewal processed. · Candidates who submit an application form, ONC-PRO Logs, or documentation by mail or fax will be charged the $25 paper application fee. Cancellation of Test Results ONCC reserves the right to cancel the score of any candidate who violates the Professional Examination Rules or to cancel scores resulting from any testing irregularity. Please see Professional Examination Rules on pages 21-22. Fraudulent Use of ONCC Credentials ONCC shall thoroughly investigate all reports of an individual fraudulently using the OCN®, AOCN®, AOCNS®, AOCNP®, CPON®, CPHON® or CBCN® credential. If proof is obtained that an individual who is not authorized to use the OCN®, AOCNS®, AOCNP®, AOCN®, CPON®, CPHON® or CBCN® credential has used the credential, ONCC shall write a letter to the individual stating that ONCC has documented proof that the individual has used the OCN®, AOCNS®, AOCNP®, AOCN®, CPON®, CPHON® or CBCN® credential and that ONCC has no record of the individual's certification or renewal of expired certification. The individual shall be requested to provide proof of current ONCC certification (e.g., prove that certification was obtained under a different name) or discontinue use of the credential. ONCC shall report all verified fraudulent use of ONCC credentials to the offending nurse's state board of nursing and take the appropriate action against the individual. Nondiscrimination ONCC does not discriminate against candidates based on age, gender, ethnic origin, religion, race, disability, marital status, or sexual orientation. Refunds OCN®, CPHON®, and CBCN® candidates may request a refund of all but $100 (processing fee) of the test fee. The request must be made in writing, and include the candidate's name, address and test date. The request must be received by ONCC at least four weeks before the first day of the scheduled test interval, regardless of postmark. Candidates who request a refund also must cancel their test appointment at least 24 hours prior to the test appointment. Candidates who do not cancel a scheduled test appointment will forfeit their test fee, and will not receive a refund. AOCNP® and AOCNS® candidates have a 90-day period in which to take the test. Refunds will only be granted under extenuating circumstances and will be considered on a case-by-case basis. Release of Information Names of nurses holding ONCC certifications shall be available to the public upon written request. Confidential information that will not be released includes names of candidates for certification; names of nurses who fail the examination; and individual test scores. ONCC will discuss a candidate's certification-related issues only with the candidate. ONCC does not sell or rent email addresses of certified nurses. ONCC occasionally releases email addresses of certified nurses to the Oncology Nursing Society (ONS) or the Association of Pediatric Hematology Oncology Nurses (APHON) so they may share information about related opportunities. Candidates who do not wish to have their email address released to ONS or APHON should notify ONCC.

Certification Policies continued on page 24

Sharing information can be a good thing, but not when it comes to test content.

WhenyoutakeanONCCcertificationtest,youagreetonotdisclose information about test items and answers in any format. That includes talking about test items with your colleagues, supervisors, mentors, or teachers. ViolatingtheConfidentialityAgreement(page22)mayjeopardize yourcertificationoryouropportunitytobecomecertifiedinthe future. It can do the same for your colleagues. The risks are real. Protect yourself, your colleagues, and the credential by not discussing ONCC test items with anyone.

2011 Oncology Nursing Certification Test Bulletin - Copyright © 2010 Oncology Nursing Certification Corporation

23

Certification Policies

Renewal of ONCC Certification · Certification renewal is due every four years. · It is the responsibility of the candidate to apply for renewal of certification by the required application deadline date as posted at www.oncc.org. Although ONCC attempts to provide candidates with renewal notices, failure to receive a renewal notice does not relieve the candidate of the responsibility to apply for renewal prior to the application deadline date. · There are three components to certification renewal: practice hours, professional development activities (known as the Oncology Nursing Certification Points Renewal Option or ONCPRO), and successful retesting. Two of the three components are required for certification renewal. The available renewal options are based on combinations of the three components and include Option 1: Practice Hours + ONC-PRO; Option 2: Practice hours + Successful retesting; Option 3: ONC-PRO + Successful Retesting. · Fees for renewal options are published in this Bulletin (page 2) and at www.oncc.org. · Candidates who are renewing multiple certification credentials in the same year by Option 1 or Option 3 must meet the eligibility criteria for each certification. Candidates renewing multiple credentials in the same year by Option 1 or Option 3 may use the same set of ONC-PRO points, provided those points meet the criteria for renewal of each certification. The fee to renew multiple certification credentials in the same year by Option 1 or Option 3 is $100 more than the prevailing fee for the desired renewal option. · Those who do not renew certification within the calendar year of its expiration may not continue to use the certification credential, will be considered initial candidates, and must meet the eligibility criteria for initial certification should they apply to become certified in subsequent years. · Candidates who are denied renewal by Option 1 may transfer to the next applicable certification test date by paying a transfer fee of $100. · Candidates who are denied renewal by Option 1 will not be granted a refund of the renewal fee. This includes candidates who are denied renewal due to insufficient points, insufficient documentation, or failure to submit audit or other documentation requested by ONCC. · Candidates who choose to renew their certification by Option 2 and who do not attain a passing score on the test may not renew by Option 1. Reinstatement All applications for certification renewal using Option 1 (practice hours + ONC-PRO) must be received by the ONCC office by October 15 (or the following business day if October 15 falls on a weekend), regardless of postmark, of the year certification is due to expire. · Candidates who wish to maintain their certification, but miss the final deadline for certification renewal, may: Apply to re-take the examination in the following year as an initial candidate, or Apply for certification reinstatement by Option 1 (practice hours + ONC-PRO) on or before March 31 of the year immediately following the credential expiration date, or Apply for certification reinstatement by Option 3 (test + ONCPRO) on or before the final application deadline for the first test administration window of the year immediately following 24 the credential expiration date. AOCNP® and AOCNS® must test on or before February 28 of the year immediately following the credential expiration date. Nurses may not use the credential after their certification expires on December 31, but may again use the credential after being notified that their certification has been reinstated. Reinstatement is retroactive and the certification period will not be extended for nurses who reinstate. For example, if a nurse who was due to renew certification in 2010 missed the October 15 final deadline, then applies for and is granted reinstatement in February 2011, his/her next certification expiration date will be the same as if he/she had renewed certification in 2010; the expiration date would be December 31, 2014. Reinstatement requires the candidate to submit all required applications and logs, as well as documentation of meeting the Option 1 or Option 3 requirements, as they would do if their ONCPRO logs were audited. All CE certificates, transcripts or other documentation that would usually be required if the candidate submitted the application on time and was audited must be submitted with the application for reinstatement. Candidates who apply for reinstatement must submit their application and required documentation to ONCC by mail or fax; the ONC-PRO logs may be submitted electronically. Candidates who apply for reinstatement by Option 3 (test + ONC-PRO) must meet the deadline for the first test administration window of the year immediately following the credential expiration date. Candidates must pay the reinstatement fee of $300, in addition to the final deadline application fee for Option 1 or Option 3. Candidates who miss the final deadline for reinstatement of their certification may utilize the Review and Appeals Policy (below). All requests for review and appeal must document the extenuating circumstances that caused the candidates to miss the deadline. Candidates who apply for reinstatement must have earned all points by December 31 of the year certification was due for renewal; points earned after December 31 will not be accepted.

·

·

·

·

· ·

·

Retesting · Candidates who fail an ONCC examination for a first or second time may apply to retake the test during the next available testing window with no waiting period. · Candidates who do not pass the examination after three attempts are required to wait a minimum of one year before retaking the examination. Candidates who fail to pass the examination on subsequent attempts must wait one year before retaking the test. · Candidates must submit an application and test fee by the application deadline for each test. Because of overlapping test intervals and deadline dates, a candidate who fails a test may not be able to test during the next interval unless the candidate applies by the final application deadline date. Failing candidates are not required to pay the $100 late fee to test in the next interval. · Candidates may not take the same certification test more than one time during a testing interval or 90-day testing period. Review and Appeals Process A review and appeals process is available to individuals seeking an amendment of a decision regarding eligibility for certification, failure of the examination, sanction or revocation of certification. Requests for review must be sent in writing to Mary Wozny, Director of Operations,

Certification Policies continued on page 25

2011 Oncology Nursing Certification Test Bulletin - Copyright © 2010 Oncology Nursing Certification Corporation

Certification Policies

ONCC, 125 Enterprise Drive, Pittsburgh, PA 15275-1214, Fax: 412-8596168. ONCC will provide a written response to the request for review. Candidates may appeal the decision of the review. There is a $50 filing fee for activating the appeals process.

Transfers

OCN®, CBCN®, and CPHON® test candidates may transfer from a scheduled test date to another test date one time only. To transfer, candidates must pay a $100 fee and make a written request to ONCC. The request must be received at least four weeks before the first day of the scheduled test interval, regardless of postmark, and include the candidate's name, address, desired test interval, and fee. Candidates who are granted a transfer must test within the next 12 months. Candidates who have made a test appointment prior to requesting a transfer or refund must cancel the testing appointment at least 24 hours prior to the appointment. Renewal candidates who apply to renew by testing and subsequently transfer to a future test administration must meet the initial eligibility criteria if the transfer is to a test administration following the expiration of their credential. AOCNP® and AOCNS® test candidates who are eligible to test have a 90-day period in which to take the test. Transfers to a test date beyond that 90-day period will not be granted. Candidates who do not take the test within the 90-day period will forfeit all test fees. Candidates who wish to test after the expiration of their ATT must submit a new application and pay all fees.

Sanction of ONCC Certification

1. · · · · · ONCC Certification may be sanctioned for any of the following: Failure to meet eligibility requirements or pay required fees Failure to meet ONC-PRO requirements for renewal of certification Falsification of the application Falsification of any information requested by ONCC Misrepresentation of the OCN®, CPON®, AOCN®, AOCNP®, AOCNS®, CBCN®, or CPHON® credential · Misuse of the OCN®, CPON®, AOCN®, AOCNP®, AOCNS®, CBCN®, or CPHON® credential · Lack of current, active, unrestricted RN license · Cheating on the certification examination · Assisting others to cheat on the certification examination · Unauthorized possession of ONCC examinations or other confidential materials · Criminal convictions or limitation, sanction, revocation, or suspension by a healthcare organization, professional organization, or other private or governmental body relating to nursing or public health safety · Gross or repeated negligence or malpractice in professional practice 2. ONCC may issue sanctions that include, but are not limited to, denials of initial certification, renewal or recertification, revocation, suspension, or any other limitation of certification or combination of sanctions. Upon being notified of a possible violation, ONCC shall, in its sole discretion, investigate the allegation or decline to act on the matter. If ONCC believes that there has been a possible violation of the conditions listed in Section 1, ONCC shall provide the certificate holder or applicant with written notice of the allegations. 3. The review and appeals process may be instituted. 4. The official sanction shall state whether official notice of the sanction will be provided to the nurse's state licensing board(s). Such notice, if authorized by the sanction, shall not be given until the expiration and/ or resolution of any appeal.

Use of an ONCC Credential

Candidates who pass an ONCC Test, as indicated on the official score report, may use the respective certification mark to verify they have met all eligibility and testing requirements. The specific certification mark may be used only as long as certification is valid. ONCC certification is a non-transferable, revocable, limited license to use the certification designation, subject to compliance with ONCC rules, as may be revised from time to time.

Verification of Certification

ONCC provides a free, online service for credential verification. Those who wish to have written verification of a nurse's certification status must make a request in writing, include a $15 fee, and provide the nurse's full name and home address. Certification will be verified in writing only.

If you can't test as planned and need to request a Transfer or Refund

If you need to change your testing plans, be sure you understand your options.

1. Review the Transfer Policy (page 25) or Refund Policy (page 23). 2. Submit your request to ONCC in writing. 3. Note that there is a $100 processing fee for a transfer or refund.

If your test date is:

February 1-28, 2011 May 2-31, 2011 August 1-31, 2011 November 1-30, 2011

The deadline to request a Transfer or Refund is:

January 4, 2011 April 4, 2011 July 5, 2011 October 4, 2011

Transfer or refund requests from OCN®, CPHON®, and CBCN® candidates received outside of these deadline dates, and all transfer or refund requests from AOCNP® & AOCNS® candidates, will be considered only under extenuating circumstances.

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OCN®, CPHON®, & CBCN® Application Instructions

· · Apply online at www.oncc.org to save $25 on the fee. Candidates who submit a paper application should follow the instructions below. Complete applications must be received by the deadline date, regardless of postmark. license outside the U.S., its territories, or Canada must have their education and licensure evaluated for U.S. equivalency by a foreign credential evaluation service. The evaluation must accompany the application, or the candidate will be considered ineligible and will not be permitted to test. A list of evaluation services is available at www. oncc.org, in the section "Take a Test". This is a lengthy process that should be started well before the application deadline date. Nursing Experience--Record the total number of months that you have worked as an RN in the past three years. Record the total number of hours of oncology or breast care experience as indicated below. Calculating Your Hours: Full-time employment equals 2,080 hours per year or 5,200 hours in 30 months. 5,200 hours is the maximum number that can be recorded. You may need to do several calculations if you have held more than one job over the last 30 months. OCN® Candidates--Write the total number of hours of experience in adult oncology nursing you have had within the past 30 months. To obtain this number, multiply the number of hours you have worked in the last 30 months by the percentage of your time spent in oncology. CPHON® Candidates--Write the total number of hours of experience in pediatric oncology or hematology nursing you have had within the past 30 months. To obtain this number, multiply the number of hours you have worked in the last 30 months by the percentage of time spent in pediatric oncology or hematology. CBCN® Candidates--Write the total number of hours of experience in breast care nursing you have had within the past 30 months. To obtain this number, multiply the number of hours you have worked in the last 30 months by the percentage of time spent in breast care nursing. Nursing Experience Details--List, beginning with most recent, your RN experience as requested. Include start/end dates for each position, name and city/state of your employers, position, number of hours worked per week, and percent of time spent in adult oncology, pediatric oncology or hematology, or breast care, depending upon the credential for which you are applying. Affirmation--Read and sign the affirmation statement. Applications that are not signed will be returned. ONCC will randomly select a number of applications to audit for validity. Fee & Payment Information--Indicate if you are age 65 or older at the time of application. Special pricing applies to candidates age 65 or older; proof of age may be required. Enclose full payment (applications received without full payment will not be processed until payment is made). Visa, MasterCard, American Express, Discover, money order, or check (payable to ONCC in U.S. dollars) are accepted. Do not send cash. Payment will not be accepted at test sites. If your employer is funding your registration, obtain the check and include it with your application form. Application Submission--Submit the application to the address or fax number indicated on the application form. If mailing the application, ONCC strongly advises using an overnight or guaranteed delivery method (see page 29).

Customer ID/Membership Number--If you are or were prevously certified by ONCC, this is the number that identifies your record in the ONCC database. If you are an Oncology Nursing Society (ONS) member, it is also your member number. This number is often printed on the mailing panel of materials you receive from ONCC or ONS. Contact ONCC (877-769-6622 or [email protected]) if you need your number. The certification fee is discounted for members of ONS or the Association of Pediatric Hematology Oncology Nurses (APHON). If you are an ONS or APHON member, write your ID number where indicated. (If you recently joined and do not have your number, write "New Member" and ONCC will verify your membership.) Note: paying the nonmember certification fee does not grant you membership in ONS or APHON. Call ONS (866-257-4667) or APHON (847-375-4724) for membership information. You are not required to be a member of ONS or APHON to apply for certification. Required Documentation--Candidates who are not renewing current certification must submit the following with the application. OCN® & CPHON® Initial Candidates--a CE certificate or official Letter of Attendance documenting completion of 10 contact hours of continuing nursing education in oncology or an academic elective in oncology within 36 months prior to application. The contact hours must have been provided or formally approved by an accredited provider of CE (pages 6 or 9). A maximum of five (50%) of the contact hours may be continuing medical education (CME) in oncology. The CE certificate/Letter of Attendance must include your name, date and title of the offering, number of contact hours awarded, and the accreditation statement. Academic elective documentation must include your name, institution name, course title and date. CBCN® Candidates--All CBCN® candidates must submit a CE certificate or official Letter of Attendance documenting completion of 10 contact hours of continuing nursing education in breast care within the 36 months prior to application. The contact hours must have been provided or formally approved by an accredited provider of CE (page 12). A maximum of five (50%) of the contact hours may be continuing medical education (CME) in breast care. The CE certificate/Letter of Attendance must include your name, date and title of the offering, number of contact hours awarded, and the accreditation statement. Special Testing Accommodations--if you require Special Testing Accommodations due to a disability covered by the Americans with Disabilities Act, as amended, check Yes and submit the Request for Special Accommodations Form on page 35. Demographic Information--Select one answer in each category. Completion of the Biographical Data is optional. Nursing License Information--Complete the information requested and enclose a photocopy of your RN license or a copy of the online verification of current licensure from your state board of nursing. Note: Initial candidates who received their nursing education or 26

2011 Oncology Nursing Certification Test Bulletin - Copyright © 2010 Oncology Nursing Certification Corporation

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_______________________________________________________________ Name of ONCC Advocate or person who referred you for certification, if applicable ONCC - Box 3445 · Dollar Bank 2700 Liberty Avenue, Pittsburgh, PA 15222 Toll Free: 877-769-ONCC · Phone: (412) 859-6104 Fax: (412) 859-6168 · Web site: www.oncc.org

2011 OCN® - CPHON® - CBCN® Certification Test Application

10. Demographic & Employment Information (required)

Pleasereadtheinstructionsonpage26ofthe2011OncologyNursingCertificationTestBulletin.Completeallthe information requested. Please print. Illegible, incomplete, or unsigned applications will not be accepted.

Last Name (list your last and first name as it appears on your photo ID)

First Name

Middle Initial

Home Address State (Area Code) Home Phone Number Zip/Postal Code Country

Highest Nursing Degree (select one) m Diploma m Associate m Bachelor's m Master's m Doctorate

City

Primary Specialty (select one) m Blood & Marrow Transplantation m Medical Oncology m Palliative Care m Prevention/Detection m Radiation Oncology m Surgical Oncology m Other Primary Work Setting (select one)

Inpatient

(Area Code) Work Phone Number

E-mail Address (list an individual or personal email address, not a group mailbox that is shared in the workplace)

Employment Status (select one) m Full-time m Part-time m Retired m Unemployed

1. Have you previously taken an ONCC test? mYes (indicate the most recent test and month/year taken) m No (go to #3)

m AOCNP®

mm/yy last test taken

m OCN®

m CPON®

m CPHON® m AOCN®

m AOCNS®

m CBCN® _____________________

2. What was your name at the time you most recently tested? ________________________________________

3. Indicate if you are a current member of either of the following organizations:

Member/Customer ID Number

Primary Functional Area (select one) m Administration m Education m Patient Care m Research m Other

m Oncology Nursing Society

Outpatient

m Blood & Marrow Transplant Unit m Intensive Care Unit m Medical Unit - General m Medical Unit - Oncology m Surgical Unit - General m Surgical Unit - Oncology m Other

m Assoc. of Pediatric Hematology/Oncology Nurses

4. Are you applying for: m Initial certification - Candidates who are not renewing current certification (go to #6)

m Certification Renewal Option 2 or Option 3 - OCN®s due to renew in 2011 only (go to #5)

Primary Patient Population (select one) m Adult m Adult & Pediatric m Pediatric

5. Are you renewing by: m Option 2: Test + Practice hours (go to #6)

Other

m Home Care m Hospice m Hospital-based Clinic m Physician Office/Infusion Center m Radiation-Free Standing m Radiation-Hospital-based m Other

m Option 3: Test + ONC-PRO (OCN® Only) (indicate the number of ONC-PRO points below, continue to #6)

_________ OCN m CPHON® m CBCN®

®

(100 required)

Test Information

6. Which test are you taking?

m OCN®

7. Documentation­Initial candidates (those not renewing current certification) must enclose documentation they have completed the

m Corporate/Industry m Extended Care Facility m HMO/Managed Care m School of Nursing m Self-Employed m Other

required continuing education or an academic elective (see pages 4, 7 or 10). Indicate you have enclosed:

OCN® or CPHON®: m 10 contact hours of nursing CE in oncology or m academic elective in oncology

CBCN®: m August 2011

m 10 contact hours of nursing CE in breast care m November 2011 mYes (submit form on page 35)

8. What date will you be taking the test? (See page 2 for application deadlines)

m February 2011

m May 2011

9. Do you require Special Testing Accommodations due to a disability? mNo

Primary Position (select one) m Academic Educator m Case Manager m Clinical Nurse Specialist m Clinical Trials Nurse m Consultant m Director/Manager/Coordinator m Genetic Counselor m Medical Science Liaison m Navigator m Nurse Practitioner m Nurse Scientist m Patient Educator m Pharmaceutical Representative m Staff Educator m Staff Nurse/Nurse Clinician m VP/CNO m Other

Who is paying for your certification? (select one) m I am paying with my own funds m My employer is paying m I will be reimbursed by my employer upon successful certification m I am an ONCC award winner Please complete other side of form

11. Biographical Data Race Are you Hispanic/Latino? m Yes m No

(optional)

Sex

m Female m Male

($100 savings included)

18. Fee & Payment Information - The fees below apply to paper applications submitted by mail or fax. To save $25, apply online at www.oncc.org. Check the certification method and fee you are paying. Reduced fees apply to candidates age 65 or older at the time of application (proof of age may be required). Early Bird Deadline Final Deadline

(Full Fee)

m American Indian/Alaskan Native m Asian m Black/African American m Caucasian/White m Mixed Race m Native Hawaiian/Other Pacific Islander m Other Race m Do not care to respond

12. Do you hold any other nursing certifications?

mNo

please list credentials

mYes_________________________________

13. Nursing License Information (Required. Complete below and enclose a photocopy of your license.)

Nursing License Number _________________________________________ State__________________

Expiration Date _________________ Month/Year you became a Registered Nurse__________________

14. Nursing Experience All candidates: Total months of experience as an RN in the past 36 months (3 yrs.): ________months

Are you testing outside North America? (November

2011 only) Include an additional $75.

Test Candidates m OCN® m CPHON® m CBCN® m February 1-28, 2011 m May 2-31, 2011 m August 1-31, 2011 m November 1-30, 2011 ONS/APHON Member Nonmember ONS/APHON Member: Age 65 or older Nonmember: Age 65 or older October 20, 2010 January 5, 2011 April 6, 2011 July 6, 2011 m $ 290 m $ 410 m $ 224 m $ 314 m $ 75

N/A January 19, 2011 April 20, 2011 July 20, 2011 m $ 390 m $ 510 m $ 324 m $ 414 m $ 75

OCN® candidates: Total hours of experience in adult oncology in the past 2 1/2 years: _________hrs

CPHON® candidates: Total hours experience in pediatric oncology/hematology in the past 2 1/2 years: _______hrs

CBCN® candidates: Total hours of experience in breast care in the past 2 1/2 years: _________hrs

15. Verification Information (required) - Print the name, title, institution, and phone number of a supervisor who can verify your most recent work experience. Do not list yourself in this space.

Title Phone Cardholder's Name

Renewal Option 3: Test + ONC-PRO m OCN® ONS/APHON Member Nonmember ONS/APHON Member: 65 or older Nonmember: Age 65 or older

See test deadlines, above m $ 390 m $ 510 m $ 292 m $ 383

See test deadlines, above m $ 490 m $ 610 m $ 392 m $ 483

Name

m Check enclosed (payable to the Oncology Nursing Certification Corporation) m Visa m MasterCard m American Express m Discover

Signature

Institution

16. Nursing Experience Details (required) List below, starting with most recent, your RN experience for the past three years. Include the start and end dates for each position, name and city/state of your employer(s), position title, number of hours you worked per week during that time, and the percentage of your time spent in adult oncology, pediatric oncology/hematology or breast care.

Name and City/State of Employer

Card Number

Expiration Date

From (mm/dd/yy)

To (mm/dd/yy)

Position Title

# Hours worked per week

% of Time in adult oncology, pediatric hematology/ oncology, or breast care

17. Affirmation (required)

Name (print)

By signing and submitting this application form, I confirm I have read, understand and accept the conditions set forth in the 2011 Oncology Nursing Certification Test Bulletin concerning the administration of the examination, the reporting of examination scores, and certification policies. I certify that I have met the eligibility criteria, and that the information contained in this application is true, complete, and correct to the best of my knowledge and is given in good faith. I further understand that if any information is later determined to be false, the Oncology Nursing Certification Corporation reserves the right to sanction any certification that has been granted on the basis thereof. The Oncology Nursing Certification Corporation will randomly select a number of applications to audit for validity.

Signature

Date

Application Submission Addresses

Apply online, by fax, or by mail.

Note: ONCC will not be responsible for mail lost, misdirected, or delayed by the Postal Service or other carriers. Watch for email confirmation that your application has been received.

At ONCC, we're working to reduce our environmental footprint. Join us, and you'll save more than just our natural resources.

Online: Online applicants must pay by MasterCard, Visa, or American Express. Go to www.oncc.org, select Take a Test from the left menu, and click on the link to Apply Online. Guaranteed Mail Delivery: Fees for applications submitted by mail are $25 higher than for online applications. Candidates who apply by mail should use a guaranteed overnight or two-day delivery service. When using a guaranteed delivery service, send to: Dollar Bank ONCC Lockbox 3445 2700 Liberty Avenue Pittsburgh, PA 15222 Phone: For questions: 877-769-6622 Phone: For delivery: 412-261-8263 (Do not call this number with questions regarding receipt of application; direct all inquiries to ONCC.)

We're working to reduce our negative impact on the environment by printing less, recycling more, and providing certificationproductsand services in a responsible manner. For example, ONCC offers a paperless online registration system. It's fast, easy, and secure. Reducing our paper usage results in less waste and

Fax: Fees for applications submitted by fax are $25 higher than for online applications. Faxed applications must include credit card payment. Fax both sides of the completed application form and any required documentation to 412-859-6168. Please note: ONCC receives a high volume of faxes on application deadline dates. To avoid delays when faxing, send the transmission at least one week prior to the deadline date.

First-class or Regular Mail: Fees for applications submitted by mail are $25 higher than for online applications. Mail your application at least 2-3 weeks prior to the deadline date to allow for service delays. Send regular mail to the following address (do not use this address for overnight or two-day mail, it will not be accepted or forwarded): ONCC PO Box 3445 Pittsburgh, PA 15230-3445

lower costs. And we're passing that cost-savings on to you. Certificationfeesarelowerforapplicationssubmitted online.Certificationfeesforpaperapplications(those submitted by mail or fax) are $25 higher than for applications submitted using ONCC's online registration system. Save yourself $25, and help ONCC conserve our natural resources by applying online. Go to www.oncc.org and click on Take a Test.

2011 Oncology Nursing Certification Test Bulletin - Copyright © 2010 Oncology Nursing Certification Corporation

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AOCNP® & AOCNS® Application Instructions

· · Apply online at www.oncc.org to save $25 on the fee. Candidates who submit a paper application should follow the instructions below. Complete applications must be received by the deadline date, regardless of postmark. education and licensure evaluated for U.S. equivalency by a foreign credential evaluation service. The evaluation must accompany the application, or the candidate will be considered ineligible and will not be permitted to test. A list of evaluation services is available at www. oncc.org in the section "Take a Test". This is a lengthy process that should be started well before the application deadline date. Nursing Experience AOCN®/AOCNP®/AOCNS® Renewal Candidates--Write the total number of hours of experience you have had within the past four years (48 months). Calculating Your Hours: Full-time employment equals 2,080 hours per year or 8,320 hours in 48 months. 8,320 hours is the maximum number that can be recorded. You may need to do several calculations if you have held more than one job over the last 48 months. AOCN® Candidates--Write the total number of hours of experience you have had in an advanced practice nursing role in adult oncology within the past 48 months. To obtain this number, multiply the number of hours you have worked in the last 48 months by the percentage of your time spent in adult oncology. AOCNP® Candidates--Write the total number of hours of experience you have had as an oncology nurse practitioner in adult oncology nursing within the past 48 months. To obtain this number, multiply the number of hours you have worked in the last 48 months by the percentage of your time spent in adult oncology. AOCNS® Candidates--Write the total number of hours of experience you have had in the role or roles of an oncology clinical nurse specialist in adult oncology nursing within the past 48 months. To obtain this number, multiply the number of hours you have worked in the last 48 months by the percentage of your time spent in adult oncology. Nursing Experience Details--List, beginning with most recent, your RN experience as requested. Include start/end dates for each position, name and city/state of your employers, position, number of hours worked per week, and percent of time spent in adult oncology nursing, depending upon the credential for which you are applying. Affirmation--Read and sign the affirmation statement. Applications that are not signed will be returned. ONCC will randomly select a number of applications to audit for validity. Fee & Payment Information--Indicate if you are age 65 or older at the time of application. Special pricing applies to candidates age 65 or older. Proof of age may be required. Enclose full payment. Applicants who do not submit full payment will be invoiced, and will not be permitted to take the test or have their application processed until payment is made. Visa, MasterCard, American Express, Discover, money order, or check (payable to ONCC in U.S. dollars) are accepted. Do not send cash. Payment will not be accepted at test sites. If your employer is funding your registration, obtain the check and include it with your application form. Application Submission--Submit the application to the address or fax number indicated on the application form. If mailing the application, ONCC strongly advises using a guaranteed delivery method (page 29).

Complete all information. Incomplete applications, including those without required documentation or payment, will not be accepted. All application information is required except Biographical Data. Membership Number--If you are a member of the Oncology Nursing Society (ONS) or the Association of Pediatric Hematology/Oncology Nurses (APHON), write your ID number where indicated. (If you recently joined and do not have your number, write "New Member" and ONCC will verify your membership.) The certification fee is discounted for ONS/APHON members. Note: paying the nonmember certification fee does not grant you membership in ONS or APHON. Call ONS (866-257-4667) or APHON (847-375-4724) for membership information. You are not required to be a member of ONS or APHON to apply for certification. Customer ID Number--If you are, or previously were, a certified nurse, this is the number that identifies your record in the ONCC database. If you are an ONS member, it is also your member number. This number is often printed on the mailing label of materials you receive from ONCC or ONS. Contact ONCC (877-769-6622 or [email protected]) if you need your number. Required Documentation--AOCNP® and AOCNS® candidates who are not renewing current certification must write the month and year your master's or higher degree in nursing was earned and submit the following documentation. Transcripts must be submitted with the application if applying by mail or fax. Transcripts must be submitted within 48 hours of applying online. AOCNP®--A transcript showing your name, degree awarded and date of conferral; a transcript showing completion of the NP program (if not indicated as part of the educational program); a completed AOCNP® Candidate Practice Verification Form (page 33). The transcript(s) may be a student copy or an official copy; diplomas will not be accepted. AOCNS®--A transcript showing your name, degree awarded and date of conferral; and a completed AOCNS® Candidate Practice Verification Form (page 34). The transcript may be a student copy or an official copy; diplomas will not be accepted. Special Accommodations--if you require Special Testing Accommodations due to a disability covered by the Americans with Disabilities Act, as amended, check Yes and submit the Request for Special Accommodations Form on page 35. Demographic Information--Select one answer in each category. Completion of the biographical data is optional. Nursing License Information--Complete the information requested and enclose a photocopy of your RN license or copy of the online verification of current licensure from your state board of nursing. Note: Initial candidates who received their nursing education or license outside the U.S., its territories, or Canada must have their 30

2011 Oncology Nursing Certification Test Bulletin - Copyright © 2010 Oncology Nursing Certification Corporation

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__________________________________________________________________ Name of ONCC Advocate or person who referred you for certification, if applicable

2011 AOCNP® - AOCNS® Certification Test Application

9. Demographic & Employment Information (required) Highest Nursing Degree (select one) m Master's m Doctorate

ONCC - Box 3445 · Dollar Bank 2700 Liberty Avenue, Pittsburgh, PA 15222 Toll Free: 877-769-ONCC · Phone: (412) 859-6104 Fax: (412) 859-6168 · Web site: www.oncc.org

Pleasereadtheinstructionsonpage30ofthe2011OncologyNursingCertificationTestBulletin.Completeallthe information requested. Please print. Illegible, incomplete, or unsigned applications will not be accepted.

Last Name (please list your last and first name as it appears on your photo ID)

First Name

Middle Initial

Home Address State (Area Code) Home Phone Number Zip/Postal Code Country

City

(Area Code) Work Phone Number

Employment Status (select one) m Full-time m Part-time m Retired m Unemployed

Inpatient

Primary Specialty (select one) m Blood & Marrow Transplantation m Medical Oncology m Palliative Care m Prevention/Detection m Radiation Oncology m Surgical Oncology m Other Primary Work Setting (select only one)

E-mail Address (please use a private or personal email address, not a group mailbox that is shared in the workplace) m AOCNP® ___________

mm/yy

1. Have you previously taken an ONCC test? m Yes (indicate most recent test and month/year taken) m No (go to #3)

m AOCNS® m CBCN®

m OCN®

m CPON®

m CPHON® m AOCN®

2. What was your name at the time you tested? _____________________________________________

3. Indicate if you are a current member of either of the following organizations:

Member/Customer ID Number

Primary Functional Area (select one) m Administration m Education m Patient Care m Research m Other

m Oncology Nursing Society

m Assoc. of Pediatric Hematology/Oncology Nurses

4. Are you applying for: m Initial certification - Candidates who are not renewing current certification (go to #6)

m Certification Renewal by Option 2 or 3 - AOCNP® & AOCNS® due to renew in 2011 (go to #5)

Primary Patient Setting (select one) m Adult m Adult & Pediatric m Pediatric

Outpatient

m Blood & Marrow Transplant Unit m Intensive Care Unit m Medical Unit - General m Medical Unit - Oncology m Surgical Unit - General m Surgical Unit - Oncology m Other

5. Are you renewing by: m Option 2: Test + Hours (AOCNP® & AOCNS® only - go to #6) Points: _________ (125 required)

m Option 3: ONC-PRO + Test (AOCNP® & AOCNS® only­indicate number of ONC-PRO points & go to #6)

m AOCNP® m AOCNS® m AOCNS®

Test Information

Other

m Home Care m Hospice m Hospital-based Clinic m Physician Office/Infusion Center m Radiation-Free Standing m Radiation-Hospital-based m Other

6. Which test are you taking?

m AOCNP®

7. Required Documentation - Initial candidates must enclose the following with the application form:

AOCNP®: Month/year Master's or higher degree in nursing was earned: ___________________________

Month/year accredited Nurse Practitioner Program completed: ________________________________

m Transcript showing your name, conferral date, and degree earned

m Transcript showing your name, conferral date, and completion of NP Program

m Corporate/Industry m Extended Care Facility m HMO/Managed Care m School of Nursing m Self-Employed m Other

m AOCNP® Candidate Practice Verification Form (page 33)

AOCNS®: Month/year Master's or higher degree in nursing was earned: __________________________

m Transcript showing your name, conferral date, and degree earned

m AOCNS® Candidate Practice Verification Form (page 34)

8. Do you require Special Testing Accommodations due to a disability? m No m Yes (submit form on page 35)

Primary Position (select one) m Academic Educator m Case Manager m Clinical Nurse Specialist m Clinical Trials Nurse m Consultant m Director/Manager/Coordinator m Genetic Counselor m Medical Science Liaison m Navigator m Nurse Practitioner m Nurse Scientist m Patient Educator m Pharmaceutical Representative m Staff Educator m Staff Nurse/Nurse Clinician m VP/CNO m Other

Who is paying for your certification? (select one) m I am paying with my own funds m My employer is paying m I will be reimbursed by my employer upon successful certification m I am an ONCC award winner Please complete other side of form

10. Biographical Data Race Are you Hispanic/Latino? m Yes m No

(optional)

17. Fee & Payment Information-Fees below apply to paper applications submitted by mail or fax. To save $25, apply online at www.oncc.org. Indicate the certification method and fee you are paying. Reduced fees apply to candidates age 65 or older at the time of application (proof of age may be required). Deadline Dates

Test (Initial & Option 2 Renewal Candidates) m AOCNP® m AOCNS® ONS/APHON Member Nonmember ONS/APHON Member: 65 or older Nonmember: 65 or older July 6, 2011 m $ 290 m $ 410 m $ 224 m $ 314 m $75

or earlier to ensure a 90-day test window in 2011 or earlier to ensure a 90-day test window in 2011

Sex

m Female m Male

September 1, 2011

m American Indian/Alaskan Native m Asian m Black/African American m Caucasian/White m Mixed Race

m Native Hawaiian/Other Pacific Islander m Other Race m Do not care to respond

please list credentials 12. Nursing License Information (Required. Complete below and enclose a photocopy of your license.)

11. Do you hold any other nursing certifications?

mNo

mYes_________________________________

Nursing License Number _________________________________________ State___________

November 1-30, 2011 test sites outside US & Canada m AOCNP® m AOCNS® ONS/APHON Member Nonmember ONS/APHON Member: 65 or older Nonmember: 65 or older Are you tesing outside North America? Add $75 Renewal Option 3: Test + ONC-PRO m AOCNP® m AOCNS®

m $ 290 m $ 410 m $ 224 m $ 314

Expiration Date _________________ Month/Year you became a Registered Nurse__________________

July 20, 2011 m $ 390 m $ 510 m $ 324 m $ 414 September 1, 2011

13. Nursing Experience­AOCNP® & AOCNS® Renewal Candidates Total hours of experience in the past four years

AOCNP®: ________ hours as an adult oncology nurse practitioner in the past four years AOCNS®: ________ hours as an adult oncology clinical nurse specialist in the past four years

14. Verification Information (required) - Print the name, title, institution, and phone number of a supervisor who can verify your most recent work experience. Do not list yourself in this space.

Title Phone

Name

ONS/APHON Member Nonmember ONS/APHON Member: 65 or older Nonmember: 65 or older

m $ 390 m $ 510 m $292 m $383

Institution

m Check Enclosed (payable to the Oncology Nursing Certification Corporation) m Visa

Cardholder's Name Card Number

m MasterCard

m American Express

Signature

15. Nursing Experience Details (required for AOCNP® & AOCNS® Renewal Candidates) List below, starting with most recent, your RN experience for the past 4 years. Include the start and end dates for each position, name and city/state of your employer(s), position title, number of hours you worked per week during that time, and the percentage of your time spent in adult oncology.

m Discover

Expiration Date

From (mm/dd/yy) Name and City/State of Employer

To (mm/dd/yy)

Position Title

# Hours per week

% of Time spent in advanced oncology nursing role

16. Affirmation (required)

Signature Date

Name (print)

By signing and submitting this application form, I confirm I have read, understand and accept the conditions set forth in the 2011 Oncology Nursing Certification Test Bulletin concerning the administration of the examination, the reporting of examination scores, and certification policies. I certify that the information contained in this application is true, complete, and correct to the best of my knowledge and is given in good faith. I further understand that if any information is later determined to be false, the Oncology Nursing Certification Corporation reserves the right to sanction any certification that has been granted on the basis thereof. The Oncology Nursing Certification Corporation will randomly select a number of applications to audit for validity.

Advanced Oncology Certified Nurse Practitioner (AOCNP®) Candidate Practice Verification Form

AOCNP® candidates only (AOCNS® candidates use other side)

If applying by mail or fax, this form must besubmittedwiththecertificationApplicationForm.Ifapplyingonline,youwillbeprompted to enter the information requested below. IndividualsprovidingverificationofsupervisedpracticemaybecontactedbyONCCduringarandomapplicationaudit. Thisformmustprovideverificationofaminimumof500total hours of supervised practice as an adult oncology nurse practitioner (indicateineitherPartA,PartB,orboth).Pleasephotocopythisformifyouneedtoprovideverificationbymorethanoneindividual per section.

Part A: Supervised Practice Completed Within the Educational Program

I, the undersigned, verify that _________________________________________ (print full name of AOCNP® candidate) has completed _____________________________ hours of supervised practice as an adult oncology nurse practitioner within the educational program. The supervised practice was completed between the dates of _______________________ (insert start and end dates of supervised practice). Please check your role: mPhysician Preceptor mNurse Practitioner Preceptor mFaculty member mOther ______________________________________ (please specify role)

Name (print name)____________________________________________________________________________________________ Title _______________________________________________________________________________________________________ Name of Unit (if applicable) ____________________________________________________________________________________ Name of Institution ___________________________________________________________________________________________ Address ___________________________________________________________________________________________________ Daytime Telephone Number (with area code) _______________________________________________________________________ Signature ________________________________________________________________Date ______________________________

Part B: Supervised Practice Following Graduation from the Educational Program

I, the undersigned, verify that _________________________________________ (print full name of AOCNP® candidate) has completed ___________________ hours of supervised practice as an adult oncology nurse practitioner following graduation from the nurse practitioner program. The supervised practice was completed between _____________________ (insert start and end dates of supervised practice). Please check your role: mSupervisor mCollaborating Physician mCollaborating Advanced Practice Nurse mOther________________________________________ (please specify role)

Name (print name)____________________________________________________________________________________________ Title _______________________________________________________________________________________________________ Name of Unit (if applicable) ____________________________________________________________________________________ Name of Institution ___________________________________________________________________________________________ Address ___________________________________________________________________________________________________ Daytime Telephone Number (with area code) _______________________________________________________________________ Signature ________________________________________________________________Date ______________________________

33

Advanced Oncology Certified Clinical Nurse Specialist (AOCNS®) Candidate Practice Verification Form

AOCNS® candidates only (AOCNP® candidates use other side)

If applying by mail or fax, this form must besubmittedwiththecertificationApplicationForm.Ifapplyingonline,youwillbeprompted to enter the information requested below. IndividualsprovidingverificationofsupervisedpracticemaybecontactedbyONCCduringarandomapplicationaudit. Thisformmustprovideverificationofaminimumof500total hours of supervised practice as an adult oncology advanced practice nurse(indicateineitherPartA,PartB,orboth).Pleasephotocopythisformifyouneedtoprovideverificationbymorethanone individual in either section.

Part A: Supervised Practice Completed Within the Graduate Educational Program

I, the undersigned, verify that _________________________________________ (print full name of AOCNS® candidate) has completed __________________ hours of supervised practice in an advanced practice role in adult oncology nursing within the graduate educational program. The supervised practice was completed between the dates of ______________________________ (insert start and end dates of supervised practice). Please check your role: mPhysician Preceptor mAdvanced Practice Nurse Preceptor mFaculty member mOther ______________________________________ (please specify role)

Name (print name)____________________________________________________________________________________________ Title _______________________________________________________________________________________________________ Name of Unit (if applicable) ____________________________________________________________________________________ Name of Institution ___________________________________________________________________________________________ Address ___________________________________________________________________________________________________ Daytime Telephone Number (with area code) _______________________________________________________________________ Signature ________________________________________________________________Date ______________________________

Part B: Supervised Practice Following Graduation from the Educational Program

I, the undersigned, verify that _________________________________________ (print full name of AOCNS® candidate) has completed __________________ hours of supervised practice in an advanced practice role in adult oncology nursing following graduation from the educational program. The supervised practice was completed between the dates of ______________________________ (insert start and end dates of supervised practice). Please check your role: mSupervisor mCollaborating Physician mCollaborating Advanced Practice Nurse mOther________________________________________ (please specify role)

Name (print name)____________________________________________________________________________________________ Title _______________________________________________________________________________________________________ Name of Unit (if applicable) ____________________________________________________________________________________ Name of Institution ___________________________________________________________________________________________ Address ___________________________________________________________________________________________________ Daytime Telephone Number (with area code) _______________________________________________________________________ Signature ________________________________________________________________Date ______________________________

34

ONCC will provide reasonable accommodations for test candidates with disabilities that are covered under the Americans with Disabilities Act (ADA), as amended. Candidates requesting special accommodations must submit the Special Accommodations Request Form by mail or fax within five business days of applying online, or with a paper application submitted by mail or fax. In addition: 1. The Special Accommodations Form must be completed in its entirety. 2. Additional documentation may be requested to support the request for special accommodations. 3. All documentation submitted in support of a request for special accommodations, including this form, will be kept confidential. ONCC will use the documentation only for determination of special testing arrangements and will not disclose the documentation to the testing company or any other individuals. 4. Score reports will contain no indication that a test was taken with special accommodations. 5. The candidate is responsible for obtaining any additional documentation, if requested by ONCC. 6. All ONCC tests are administered by computer (computer-based testing). There is NO paper and pencil test available. 7. Questions should be directed to ONCC ([email protected] or by telephone 877-769-6622). SECTION ONE - TO BE COMPLETED BY THE CANDIDATE REQUESTING SPECIAL ACCOMMODATIONS

Last Name Home Address City (Area Code) Work Phone Number State Zip/Postal Code Country First Name Middle Initial

Oncology Nursing Certification Corporation Special Accommodations Request Form

(Area Code) Home Phone Number

Email Address (please provide an individual or personal email address, not a group mailbox that is shared in the workplace) Test Type: m OCN® m CPHON®

m CBCN® m AOCNP® m AOCNS®

Test Date:

SECTION TWO - TO BE COMPLETED BY A LICENSED PHYSICIAN (MD/DO), PSYCHIATRIST, OR CLINICAL PSYCHOLOGIST (professional evaluation must have been made no earlier than three years prior to application) SpecificDiagnosis(es): Treatment/Medication history: Date of initial diagnosis and treatment: Current treatment/medication status: Listthespecificdiagnostictestsperformedandconclusionbasedondiagnostictests: Date of most recent evaluation:

Specificrecommendedaccommodation(s)forthecertificationtest(checkallthatapply): mSpecial seating or other physical accommodation mExtended testing time (indicate whether 1.5 hours or 3 hours of additional time is required) mSeparate testing room mOther (please describe):___________________________________________________________________________________ Professional's Name___________________________________________________ Credentials_____________________________ Address ___________________________________________________________________________________________________ City________________________________________________________State __________Zip/Postal Code ___________________ Telephone _____________________________________________ Email address ________________________________________ Professional License Number__________________________________________________ State of License Issue ______________ Specialtycertification/qualifications_______________________________________________________________________________ Signature __________________________________________________________________ Date ____________________________

Return this completed form (and any additional documentation you wish to submit) to ONCC with your certification test application, or by fax to 412-859-6168 within five days of applying online.

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