TNCC / Trauma Nursing Core Course

Initial & Renewal Course 9th Edition

Are you looking for an Emergency Nursing Pediatric Course (ENPC)? Click here

100% Virtual / Zoom - Instructor-led course

See below for FAQs.

1.5 Day Program

Watch this video for a brief overview of how virtual programs are conducted for ENA's TNCC or ENPC programs.

IMPORTANT: Before registering, be sure to expand each section below and review all of the content on this page.

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

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

Learn:

• Rapid identification of life-threatening injuries
• Comprehensive patient assessment
• Enhanced intervention for better patient outcomes

Various learning methodologies are incorporated into TNCC including:

• Hands-on training at home, using both an individual and a team approach. Psychomotor skill stations — trauma nursing process, airway and ventilation, and trauma interventions — offer you the opportunity to practice the initial assessment's systematic approach in real-life situations.
• Online learning: Online modules with links to additional information let you learn at your own pace, apply what you learn, and receive immediate feedback, and refer back to information at any time. The modules are a complete case study process — taking you through an entire sequence of care.
• Flipped-classroom method, which engages students and faculty in the content.
• Evidence-based content developed by trauma emergency experts.

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

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

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

• Obtain and read the TNCC textbook [9th Edition] (available for purchase during registration). You will need this textbook to study for the course; however, you do not need to have the book to begin the ENA's TNCC pre-course modules.
• Complete the online pre-course modules (issued after registration) on ENA's website. These must be completed BEFORE attending the live session of the course.
• During the course, complete the online lectures and activities via HealthCareTrainingAcademy.org (different from the ENA's modules above).
• Complete and participate in the entire live session of the course, held via Zoom. (The link to the Zoom session will be located in your account via our website).
• Pass the Trauma Nursing Process Skills session with a 70% or greater (during your live session).
• Pass the online written exam (80% or greater) within seven days of the course (50 questions, open-book, 2-hour time limit, two attempts, random questions).

ENA recommends registering 30+ days before the course to prepare for the heavy TNCC content. See below for textbook options.

We have over 20 certified TNCC faculty/instructors who teach this course. Each is friendly, fun, and educational. A TNCC Course Director supervises the course.

Our Lead Course Directors:

• Lee Taylor-Vaughan, JD, MSN, APN, CCRN-CSC-CMC, CFRN, CEN, NRP, LNC, PCCN. Lee is a dynamic faculty member who is enthusiastic about his courses and students. With over 20 years of experience, Lee started as a paramedic, became an RN and NP, and later pursued law school. Lee has an extensive ER/ICU background and co-authored Emergency Nursing and Critical Care Nursing textbooks. Lee is eager to help students succeed in this course.
• Lori Kelty, MSN, CEN, CCRN, RN. Lori is an exceptional educator who presents the course with a "hands-on" approach. With over 40 years of nursing experience, Lori covers critical care topics and delivers engaging lectures, including her notable Spinal Lecture.

Course Tuition:

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

Textbook:

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

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

Textbook delivery can take 14-21 days (USA only). If delivery timing is a concern, consider purchasing the eBook.

We are only teaching the latest version (9th Edition) of the TNCC program, which was released in September 2023. Per ENA, all attendees must have the new textbook.

To attend this course, you must use Zoom. The attendee is responsible for ensuring that Zoom fully works on your device. We recommend using a laptop/desktop, as smaller devices like phones may cause issues.

The prerequisites for this course are as follows:

1. You must obtain the correct version of the textbook.
2. Completion of the pre-course modules via ENA's website before the course begins.
3. Hold an active RN License (required to take the exam and skills testing).
4. Ensure access to a stable internet connection.
5. Have the latest version of Zoom installed.
6. Use Google Chrome as your internet browser (Internet Explorer will not work).
7. A desktop or laptop computer is highly recommended.

Contact Hours: Upon program completion, CNE is issued directly by ENA. You can access your contact hours certificate and TNCC eCard in your ENA University account.

ENA awards:

• 19.50 Continuing Nursing Education credits for completing the 1.5 Day Full TNCC Provider course
• 13.75 Continuing Nursing Education credits for completing the 1-Day Renewal TNCC Provider course

• Day 1: Zoom session, practice TNP, Q&A, TraumaReady, lectures (Approx. 6-8 hours)
• Day 2: Finish-up lectures from Day 1, Q&A, TNP Testing (Approx. 2-3 hours)

Times may vary based on class size (smaller classes often run shorter).

ENA Courses: Frequently Asked Questions:

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

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

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

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

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

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

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

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

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

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

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

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

Q: How do I receive my card?

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

Q: How do I receive my contact hours?

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

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

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

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

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

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

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

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

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

Q: Do you offer other ENA programs?

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

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

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

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

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

Required Contact Hours Disclaimers

• Nursing Continuing Education: Accepted in ALL states (AL, AK, AZ, AR, CA, CO, CT, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, ME, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VT, VA, WA, WV, WI, WY).
• Conflict of Interest: The planning committee, presenters, faculty, authors, and content reviewers have no conflicts of interest to disclose.
• Presentation Standards: Speakers must provide balanced and unbiased presentations. All content has been reviewed, and any identified bias has been addressed.
• Program Support: This program has no commercial support, joint providership, or sponsorship.

Approvals and Accreditations:

• Health Care Training Academy Inc. is approved as a provider of nursing continuing professional development by the New Jersey State Nurses Association (an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation). Provider ID: P295-8/2025-90.
• Approved by the California Board of Registered Nursing, Provider # CEP17561.
• Approved via CE Broker for FL, GA, SC, NC, AK (Provider ID: 50-24286).

Important Notes:

• Accreditation: Accreditation status does not imply endorsement by The Health Care Training Academy (D/B/A CardiacEd), NJSNA, or ANCC of any commercial products displayed during this program (if applicable).
• Non-Nursing Professionals: Non-nursing professionals should verify with their respective boards to ensure nursing contact hours are acceptable for credential renewal. Refunds will not be issued if your board does not accept nursing credits.
• Refund Policy: All registrations are final. No refunds, credits, extensions, or transfers are allowed. Before registering, verify your availability and ability to complete the program.
• Contact Hour Requirements: Partial contact hours are not awarded. You must attend and complete all program requirements to receive nursing continuing education credit.
• ANCC Policy: ANCC does not permit the issuance of contact hours for BLS provider courses, except for BLS Instructor courses.
• College Credit: This activity does not offer college credit unless explicitly stated.

Criteria to Earn Contact Hours:

• The entire session must be attended to receive nursing continuing education credit.

Click this link for the Course Schedule

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

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