2009 Oncology Nursing Certification Test Bulletin

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1 2009 Oncology Nursing Certification Test Bulletin OCN, CPON & CBCN Test Dates February 2-28, 2009 (Apply by October 8, 2008) May 1-30, 2009 (Apply by January 7, 2009) August 1-31, 2009 (Apply by April 8, 2009) November 2-30, 2009 (Apply by July 8, 2009) AOCNP & AOCNS Test Dates Available year-round, beginning February 2, 2009! Oncology Certified Nurse (OCN ) Certified Pediatric Oncology Nurse (CPON ) Advanced Oncology Certified Clinical Nurse Specialist (AOCNS ) Advanced Oncology Certified Nurse Practitioner (AOCNP ) New! Certified Breast Care Nurse (CBCN)

2 Test Dates & General Information Inside this Bulletin OCN Certification CPON Certification CBCN Certification AOCNP Certification AOCNS Certification Test Candidate Information Requesting Special Accommodations Computer-Based Testing Refunds Transfers Check-In Procedures & ID Requirements Professional Examination Rules Test Development Scoring ONCC Policies OCN, CPON, CBCN Application Instructions & Form AOCNP & AOCNS Application Instructions & Form AOCNS Practice Verification Form AOCNP Practice Verification Form Application Submission Addresses ONCC Contact Information Do you have questions about certification? Contact ONCC at or or visit our web site at Why Should YOU Become Certified? certified nurses have an average income that is almost $10,000 higher than non-certified nurses 1 73% of people say they are more likely to choose a hospital with a high percentage of certified nurses 2 65% of nurses say certification makes them feel more competent in their practice 3 1 Robinson, E.S. Nursing 2004 salary survey. Nursing. October Springhouse Corporation. 2 Harris Interactive, Inc. American Association of Critical Care Nurses Survey. November Cary, A.H. Certified registered nurses: results of the study of the certified workforce. American Journal of Nursing. January OCN, CPON & CBCN TEST DATES First Application Deadline Save $75! (savings included below) Applies only to complete applications that include all required documentation Final Application Deadline (Full Fee) Computer-Based Test Dates February 2-28, 2009 May 1-30, 2009 August 1-31, 2009 November 2-30, 2009* *Note: Testing outside North America will be available in November 2009 only October 8, 2008 January 7, 2009 April 8, 2009 July 8, 2009 ONS/APHON Member $ 260 Nonmember $ 380 Note: Candidates testing outside North America must submit an additional fee of $75 and apply by mail or fax October 22, 2008 January 21, 2009 April 22, 2009 July 22, 2009 ONS/APHON Member $ 335 Nonmember $ 455 Note: Candidates testing outside North America must submit an additional fee of $75 and apply by mail or fax 2009 AOCNP & AOCNS TEST DATES Computer-Based Test Offered year-round AOCNP & AOCNS Only Allow 4-6 weeks to receive Authorization to Test ONS/APHON Member $ 260 Nonmember $ 380 Incomplete applications will not be processed until all required information is received. Note: Candidates testing outside North America must submit an additional fee of $75 and apply by mail or fax Oncology Nursing Certification Test Bulletin - Copyright 2008 Oncology Nursing Certification Corporation

3 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 Nursing Certification Corporation ONCC s mission is to promote and provide oncology nursing certification for the enhancement of patient care and professional practice. Incorporated in 1984 as a non-profit organization, ONCC offered its first certification examination in ONCC is governed by a Board of Directors, representing various certifications, roles in nursing, and the public. ONCC Accreditation ONCC certifications are accredited by the National Commission for Certifying Agencies (NCCA) and the American Board of Nursing Specialties (ABNS). NCCA is an independent organization that has identified the essential components of a national certification program. These standards are nationally recognized principles utilized by a variety of organizations for certification programs in diverse professions. Accreditation by NCCA indicates that ONCC certifications have been evaluated by the Commission and were found to meet or exceed all of its established standards. ABNS grants accreditation based on peer review and determination that a specialty nursing certification organization has met the high standards established by ABNS. ONCC s Testing Partner ONCC s testing agency, Pearson VUE, delivers over 4 million high-stakes examinations annually in licensure, certification, academic admissions, regulatory and government 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. Oncology Certifications Available ONCC offers five certification examinations, including: Oncology Certified Nurse (OCN ) basic level certification focusing on adult care Certified Pediatric Oncology Nurse (CPON ) basic level certification in pediatric oncology nursing Advanced Oncology Certified Nurse Practitioner (AOCNP ) role-specific advanced certification for oncology nurse practitioners Advanced Oncology Certified Clinical Nurse Specialist (AOCNS ) advanced certification for oncology clinical nurse specialists Certified Breast Care Nurse (CBCN) specialty certification that covers the entire continuum of breast care Renewal of Advanced Oncology Certified Nurse (AOCN ) certification is available only to nurses who currently hold this credential. Test Format, Locations & Dates ONCC examinations are administered by computer-based testing at more than 230 Pearson Professional Centers. Most test centers are located in North America; however, limited testing will be available outside North America during November Candidates who will be testing outside North America. must pay an additional fee of $75 and apply by mail or fax. Locate a test site at oncc/. OCN, CPON, and CBCN tests are offered during quarterly testing windows. OCN, CPON, and CBCN candidates must apply by the deadline date for the desired test interval (see OCN, CPON, & CBCN Test Dates & Application Deadlines, page 2). AOCNP /AOCNS candidates may apply at any time, and if eligible to test, will receive an Authorization to Test (ATT) in 4 weeks. The ATT will be valid for 90 days, and the AOCNP /AOCNS candidate must schedule an appointment and take the test prior to the expiration of the ATT, or will forfeit the test fees. Where can you find the most up-to-date certification practice tests? At your fingertips! Why choose a web-based practice test from the Oncology Nursing Certification Corporation? you can take a practice test in your home or office, 24 hours/day, 7 days/week you ll have unlimited access for 7 consecutive days you can choose between study mode and test mode Each web-based practice test includes: 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! One free web-based practice test is available for each certification. Additional practice tests are available for purchase. Go to for your FREE practice test! 2009 Oncology Nursing Certification Test Bulletin - Copyright 2008 Oncology Nursing Certification Corporation 3

4 OCN Certification (Oncology Certified Nurse) 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. Current, active, unrestricted RN license at the time of application and examination, and Minimum of one year (12 months) of experience as an RN within the three years (36 months) prior to application, and Minimum of 1,000 hours of oncology nursing practice within the two-and-one-half years (30 months) prior to application, and Completion of a minimum of 10 contact hours of continuing education or an academic elective in oncology nursing within the 3 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 5 (50%) of the contact hours may be continuing medical education (CME) in oncology. A CE certificate, Letter of Attendance, or academic course documentation must be submitted with the application, or faxed or mailed to ONCC within 48 hours of applying online. 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, date, and number of credits earned. Applicants Must Submit: OCN Test application (pages or apply online at Documentation that the required CE or academic elective in oncology nursing has been completed, such as a CE certificate, Letter of Attendance, or grade report (renewal candidates do not need to submit) A photocopy of the online verification of current licensure details from the State Board of Nursing or photocopy of RN license (if permitted by state) Full payment The OCN Test The OCN Test is based on the OCN Test Blueprint (pages 5-6). The blueprint is based on the results of a role delineation study of basic adult oncology nursing practice conducted in The test consists of 165 multiple-choice items (a question or incomplete statement followed by four answers or completions), of which 145 count toward the candidate s score and 20 are pretest or experimental items. Sample OCN Test items can be found at TestInformation/ocn/questions.shtml. For more information on how the OCN test is developed, see Test Development on page 23. Use of the OCN Credential Candidates who pass the OCN Test, as indicated on the official score report, may use the certification mark OCN. The certification mark may be used only as long as certification is valid. OCN certification is a non-transferable, revocable, limited license to use the certification designation OCN, subject to compliance with ONCC rules, as may be revised from time to time. Renewal of OCN Certification Certification is valid for 4 years. In 2009, certification renewal is available only to OCN s whose certification expires in 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 oncology nursing practice within the two-and-one-half years (30 months) prior to application. *Oncology nursing practice may be in the areas of 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: RN license + Practice Hours + ONC-PRO Option 2: RN license + Practice Hours + Successful Testing Option 3: RN license + 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 practice hours may recertify using Option 3. Applications received without CE documentation will be considered incomplete and charged a $75 late fee if the documentation is received after the first application deadline; all documentation must be received by the final deadline Oncology Nursing Certification Test Bulletin - Copyright 2008 Oncology Nursing Certification Corporation

5 OCN Certification (Oncology Certified Nurse) 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. To determine the number of scored items from each subject area, multiply the appropriate percentage by 145. I. II. III. IV. Health Promotion and Disease Prevention 5% of test content 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% of test content A. Risk factors for cancer B. Screening C. Early Detection D. Risk Reduction Guidelines E. Diagnostic Testing Scientific Basis for Practice including Research 10% of test content 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 Cancer Treatment Modalities 15% of test content 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 V. VI. VII. Symptom Management 22% of test content (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% of test content 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 G. Patient and family support groups H. Learning styles and barriers to learning I. Social relationships J. Coping mechanisms and skills Oncologic Emergencies 10% of test content (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 OCN Test Blueprint continued on page Oncology Nursing Certification Test Bulletin - Copyright 2008 Oncology Nursing Certification Corporation 5

6 OCN Certification (Oncology Certified Nurse) VIII. Sexuality 5% of test content (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) X. End of Life Care 6% of test content (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) IX. Survivorship 8% of test content (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 XI. Professional Performance 5% of test content 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 Attention OCN, CPON and CBCN Candidates! Initial OCN, CPON and CBCN candidates (any candidate who does not currently hold the desired credential, including those whose certification has lapsed), must submit a copy of a CE certificate or Letter of Attendance documenting completion of 10 contact hours of continuing education or an academic elective (see the Eligibility Criteria for the details). The contact hours must have been approved or provided by an accredited provider/approver of nursing continuing education (see list below). This documentation must be submitted with the application or by mail or fax within 48 hours of applying online. 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 Associates & 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) Oncology Nursing Certification Test Bulletin - Copyright 2008 Oncology Nursing Certification Corporation

7 OCN Certification (Oncology Certified Nurse) Selected References for the OCN Test The following list of references has been used to develop test items; it is not intended to be all-inclusive. Use of the references does not guarantee successful completion of the test. If a new edition of a reference becomes available in 2009, the new edition will replace the old one. American Cancer Society. (2008). Cancer facts and figures for African Americans Atlanta, GA: Author. Retrieved July 1, 2008 from CAFF2007AAacspdf2007.pdf. American Cancer Society. (2008). Cancer facts and figures for Hispanics and Latinos Atlanta, GA: Author. Retrieved July 1, 2008 from CAFF2006HispPWSecured.pdf. American Cancer Society. (2008). Cancer facts and figures Atlanta, GA: Author. Retrieved June 30, 2008 from org/docroot/stt/stt_0.asp. Barton-Burke, M. & Wilkes, G.M. (2006). Cancer therapies. Sudbury, MA: Jones & Bartlett. Blecher, C.S. (Ed.). (2003). Standards of oncology education: Patient/significant other and public. (3rd ed.). Pittsburgh, PA: Oncology Nursing Society. 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., Haas, M., & Gosselin-Acomb, T. (Eds.). (2005). Manual for radiation oncology nursing practice and education. (3rd ed.). Pittsburgh, PA: Oncology Nursing Society. Camp-Sorrell, D. (Ed.). (2004). Access device guidelines: recommendations for nursing practice and education. (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. 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. Deglin, J.H., & Vallerand, A.H. (2009). Davis s drug guide for nurses. (11th ed.). Philadelphia: F.A. Davis. Ezzone, S. (Ed.). (2004). Hematopoietic stem cell transplantation: A manual for nursing practice. Pittsburgh, PA: Oncology Nursing Society. Gullate, M. (2005). Nursing management: principles and practices. Pittsburgh, PA: Oncology Nursing Society. Gullate, M. (Ed.). (2007). Clinical guide to antineoplastic therapy: A chemotherapy handbook. (2nd ed.) Pittsburgh, PA: Oncology Nursing Society. Ignatavicius, D., & Workman, L. (Eds.). (2006). Medical-surgical nursing: Critical thinking for collaborative care. (5th ed.). Philadelphia: W.B. Saunders. Itano, J., & Taoka, K. (Eds.). (2005). Core curriculum for oncology nursing. (4th ed.). Philadelphia: W.B. Saunders. Jacobs, L.A. (Ed.). (2003). Standards of oncology nursing education: Generalist and advanced practice levels. (3rd ed.). Pittsburgh, PA: Oncology Nursing Society. Jennings-Dozier, K., & Mahon, S. (Eds.). (2002). Cancer prevention, detection, and control: A nursing perspective. Pittsburgh, PA: Oncology Nursing Society. Kogut, V. & Luthringer, S. (Eds.). (2005). Nutritional issues in cancer care. Pittsburgh, PA: Oncology Nursing Society. Kuebler, K. & Esper, P. (Eds.). (2008). Palliative practices from A-Z 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: Mosby. Newton, S., Hickey, M., & Marrs, J. (2009). Mosby s oncology nursing advisor. (2nd ed.). St. Louis, MO: Mosby. Polovich, M. (Ed.). (2003). Safe handling of hazardous drugs. Pittsburgh, PA: Oncology Nursing Society. Polovich, M., White, J.M., & Kelleher, L.O. (Eds.). (2005). Chemotherapy and biotherapy guidelines and recommendations for practice. (2nd ed.). Pittsburgh, PA: Oncology Nursing Society. Tranin, A.S., Masny, A., & Jenkins, J. (Eds.). (2003). Genetics in oncology practice: Cancer risk assessment. 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., Frogge, M.H., & Goodman, M. (Eds.). (2005). Cancer nursing: Principles and practice. (6th ed.). Sudbury, MA: Jones and Bartlett. Other Review Materials The following review materials are not ONCC products, do not contain actual OCN test items, and may or may not be reflective of OCN test items. Use of these materials does not guarantee a passing score on an actual OCN test. Oncology Nursing Society. (2007). Online OCN Review Course. Pittsburgh, PA: Author. Retrieved July 30, 2007 from onsopcontent.ons.org/education/distanceeducation/ocnreviewol/ index.shtml. Yarbro, C.H., Frogge, M.H., & Goodman, M. (2004). Oncology nursing review. (3rd ed.). Sudbury, MA: Jones and Bartlett. Great Tip! Review the Test Blueprint. Identify the subject areas you know well, and the areas in which your knowledge is not as strong. Be sure to study the areas where your knowledge is not as strong Oncology Nursing Certification Test Bulletin - Copyright 2008 Oncology Nursing Certification Corporation 7

8 CPON Certification (Certified Pediatric Oncology Nurse) Eligibility Criteria Initial CPON Certification Any person who is not currently CPON -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 pediatric 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 education (CE) 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 nursing CE (see page 10 for a list of accredited providers/approvers). A maximum of 5 (50%) of the contact hours may be continuing medical education (CME) in oncology. A CE certificate, Letter of Attendance, or academic elective documentation must be submitted with the application, or mailed or faxed within 48 hours of applying online. 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, date, and number of credits earned. Test Applicants Must Submit: Completed CPON Test application (pages or apply online at Documentation that the required CE or academic elective has been completed, such as a CE certificate, Letter of Attendance or grade report (renewal candidates do not need to submit) A photocopy of the online verification of current licensure details from the State Board of Nursing or a photocopy of the RN license (if permitted by state) Full payment Applications received without CE documentation will be considered incomplete and charged a $75 late fee if the documentation is received after the first application deadline; all documentation must be received by the final deadline. The CPON Test The content of the CPON Test is based on the CPON Test Blueprint (pages 9-10). The blueprint was developed based on the results of a role delineation study of pediatric oncology nursing conducted in 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. Sample CPON Test items can be found at getcertified/testinformation/cpon/shtml. For more information on how the CPON Test is developed, see Test Development on page 23. Use of the CPON Credential Candidates who pass the CPON Test, as indicated on the official score report, may use the certification mark CPON to verify they have met all eligibility and testing requirements. The CPON mark may be used only as long as certification is valid. CPON certification is a non-transferable, revocable, limited license to use the certification designation CPON, subject to compliance with ONCC rules, as may be revised from time to time. Renewal of CPON Certification Certification is valid for 4 years. In 2009, certification renewal is available only to CPON s whose certification expires in 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 nursing practice within the two-and-one-half years (30 months) prior to application. *Pediatric oncology nursing practice may be in the areas of 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 CPON renewal. Successful retesting The options for recertification are based on the combinations of two of the components above: Option 1: RN license + Practice Hours + ONC-PRO Option 2: RN license + Practice Hours + Successful Testing Option 3: RN license + 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 practice hours may recertify using Option Oncology Nursing Certification Test Bulletin - Copyright 2008 Oncology Nursing Certification Corporation

9 CPON Certification (Certified Pediatric Oncology Nurse) The CPON Test Blueprint is composed of ten 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. Not all content sub-areas on the Blueprint are included on every form of the test. To determine the number of scored items in each subject area, multiply the percentage by 125. I. II. III. Growth and Development 8% of test content A. Principles of growth and development B. Family systems theory C. Effects of acute illness on the child and family D. Effects of chronic illness on the child and family Psychosocial Dimensions of Care 8% of test content A. Patient and family support services B. Psychosocial adaptation (e.g., effective and ineffective coping mechanisms) C. Spiritual beliefs and rituals D. Reintegration issues related to daily living (e.g., school re-entry) E. Social relationships F. Parenting skills G. Grief theory H. Cultural diversity I. Community resources Cancer Biology and Pediatric Malignancies 16% of test content A. Pathophysiology B. Staging and grading C. Microbiology D. Cell cycle E. Hematopoiesis F. Anatomy and physiology G. Immunology H. Carcinogenesis I. Genetics J. Epidemiology K. Physical assessment skills L. Laboratory values M. Prognostic indicators N. Diagnostic procedures V. VI. Symptom Management 20% of test content (risk factors, etiology, prevention, assessment and management) A. Infection B. Fatigue C. Pain 1. Pharmacological pain management (e.g., nonsteroids, narcotics) 2. Nonpharmacological pain management (e.g., distraction, guided imagery, TENs) D. Alterations in nutrition E. Alterations in gastrointestinal functions F. Alterations in integumentary system G. Alterations in neurological function H. Alterations in circulatory function I. Alterations in immunological function J. Alterations in genitourinary function K. Alterations in respiratory function L. Alterations in hematological function M. Pharmacologic interventions for symptom management (e.g., antimicrobials, psychotherapeutics, steroids, hematopoietic growth factor) N. Nonpharmacologic interventions for symptom management (e.g., distraction, guided imagery) O. Blood component therapy Pediatric Oncologic Emergencies 10% of test content (risk factors, etiology, prevention, assessment and management) A. Respiratory distress B. Septic shock C. Tumor lysis syndrome D. Disseminated intravascular coagulation (DIC) E. Typhlitis F. Syndrome of inappropriate antidiuretic hormone secretion (SIADH) G. Spinal cord compression H. Superior vena cava syndrome I. Diabetes insipidus J. Increased intracranial pressure K. Hyperleukocytosis L. Anaphylaxis IV. Treatment 17% of test content (e.g., mechanisms of action, administration, immediate and long term side effects) A. Chemotherapy B. Biotherapy C. Radiation therapy D. Hematopoietic stem cell transplantation process E. Surgery F. Supportive care measures (e.g., hydration, antibiotics, blood products, antiemetics, G-CSF, vascular access devices) G. Complementary and alternative therapies H. Clinical trials I. Treatment protocols J. Informed consent process K. Discharge planning VII. Late Effects and Long-Term Survivorship 7% of test content A. Psychosocial effects and adaptation (e.g., post-traumatic stress) B. Physical (e.g., cardiac defects, fertility issues, cognitive effects) C. Secondary malignancies D. Socioeconomic issues (e.g., insurance issues, employment) CPON Test Blueprint continued on page Oncology Nursing Certification Test Bulletin - Copyright 2008 Oncology Nursing Certification Corporation 9

10 CPON Certification (Certified Pediatric Oncology Nurse) VIII. IX. X. Health Promotion 3% of test content A. Health maintenance B. Cancer prevention and detection C. Well-child care and anticipatory guidance D. Immunizations E. Safety End of Life Care 6% of test content A. Physical care of the dying child B. Psychosocial care of the dying child C. Grief process D. Bereavement E. Hospice services for children F. Self-care strategies for healthcare providers Professional Performance 5% of test content A. Regulatory standards and guidance (e.g., IRB, JCAHO, HIPAA) B. Therapeutic communication C. Principles of teaching and learning D. Principles of ethics E. Therapeutic relationships F. Professional boundaries G. Principles of confidentiality H. Risk management (e.g., incident reports, documentation, adverse event reports) Selected References for the CPON Test The following list of references has been used to develop test items; it is not intended to be all-inclusive. Use of the selected references does not guarantee successful completion of the test. If a new edition of any book on the reference list becomes available during 2009, the new edition will replace the old one. Baggot, C.R., Kelly, K.P., Fochtman, D., & Foley, G. (2002). Nursing care of children and adolescents with cancer. (3rd ed.). Philadelphia: W. B. Saunders. Hockenberry, M. (2005). Wong s essentials of pediatric nursing. (7th ed.). St. Louis, MO: Mosby. Hockenberry, M.J., & Wilson, D. (2007). Wong s nursing care of infants and children. (8th ed.). St. Louis, MO: Mosby. Kline, N.E. (Ed.). (2008). Essentials of pediatric oncology nursing: A core curriculum. (3rd ed.). Glenview, IL: Association of Pediatric Oncology Nurses. Kline, N.E. (Ed.). (2007). The pediatric chemotherapy and biotherapy curriculum. (2nd 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. (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. Pizzo, P.A., & Poplock, D.G. (2006). Principles and practice of pediatric oncology. (5th ed.). Philadelphia: Lippincott Williams & Wilkins. Taketomo, C.K., Hodding, J.H., & Kraus, D. (2008). Pediatric dosage handbook. (15th ed.). Hudson, OH: Lexi-Comp. Tomlinson, D.B. & Kline, N.E. (Eds.) (2005). Pediatric oncology nursing: Advanced clinical handbook. N.Y.: Springer. Attention CPON, OCN, and CBCN Candidates! Initial OCN, CPON and CBCN candidates (any candidate who does not currently hold the desired credential, including those whose certification has lapsed), must submit a copy of a CE certificate or Letter of Attendance documenting completion of 10 contact hours of continuing 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 nursing continuing education (see list below). This documentation must be submitted with the application or by mail or fax within 48 hours of applying online. 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 Associates & 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) Oncology Nursing Certification Test Bulletin - Copyright 2008 Oncology Nursing Certification Corporation

11 CBCN Certification (Certified Breast Care Nurse) The CBCN Test The content of the CBCN Test is based on the CBCN Test Blueprint (page 12). The blueprint was developed based on the results of a role delineation study of breast care nursing conducted in 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. Sample CBCN Test items can be found at getcertified/testinformation/cbcn. For more information on how the CBCN Test is developed, see Test Development on page 23. Please note: Because the first CBCN Examination will consist entirely of new items that have not been pretested, analysis of the items must be completed prior to releasing final scores. Therefore, the first group of CBCN candidates will not receive a score at the testing center. Once the analysis is complete and the poorly performing items removed from scoring, the fist group of candidates will receive their scores. Use of the CBCN Credential Candidates who pass the CBCN Test, as indicated on the official score report, may use the certification mark CBCN to verify they have met all eligibility and testing requirements. The CBCN mark may be used only as long as certification is valid. CBCN certification is a non-transferable, revocable, limited license to use the certification designation CBCN, subject to compliance with ONCC rules, as may be revised from time to time. Renewal of CBCN Certification Certification is valid for 4 years. CBCN certification renewal will be available beginning in CE Required for Initial Eligibility: What Counts as Breast Care? Initial CBCN candidates must submit a copy of a CE certificate or Letter of Attendance documenting completion of 10 contact hours of continuing nursing education in breast care. The contact hours must have been approved or provided by an accredited provider/approver of nursing continuing education. See the list of Accredited Approvers/ Providers of CE for Initial Certification on page 10. This documentation must be submitted with the application or within 48 hours of applying online. Note: Breast Care CE contact hours may be earned at programs that address breast care nursing at any point along the continuum of care, from prevention/detection, to diagnosis and treatment, survivorship and end-of-life care. The 10 contact hours may be earned in more than one program. Partial credit may be submitted for programs that are not specific to breast care, but that address breast care within the content. For example, if 50% of a 6 contact hour CE program on women's health is dedicated to breast care, 3 contact hours may be used toward the CBCN eligibility criteria. 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 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 education (CE) 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 CE (see page 10 for a list of accredited providers/approvers). A maximum of 5 (50%) of the contact hours may be continuing medical education (CME) in breast care. A CE certificate or Letter of Attendance must be submitted with the application, or mailed or faxed within 48 hours of applying online. 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 Submit: CBCN Test application (pages or apply online at Documentation that the required CE has been completed, such as a CE certificate or Letter of Attendance A photocopy of the online verification of current licensure details from the the State Board of Nursing or photocopy of RN license (if permitted by state) Full payment Applications received without CE documentation will be considered incomplete and charged a $75 late fee if the documentation is received after the first application deadline; all documentation must be received by the final deadline Oncology Nursing Certification Test Bulletin - Copyright 2008 Oncology Nursing Certification Corporation 11

12 CBCN Certification (Certified Breast Care Nurse) The CBCN Test 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. Not all content sub-areas on the Blueprint are included on every form of the test. To determine the number of scored items in each subject area, multiply the percentage by 125. IV. Symptom Management 17% of test content (risk factors, pathophysiology, prevention, education, and management) A. Surgical B. Medical C. Oncologic emergencies D. Radiation (e.g., skin changes) I. II. III. Breast Health: Risk Assessment and Reduction, Screening, Early Detection 15% of test content 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% of test content A. Diagnostic procedures and tests B. Pathology/tumor characteristics C. Staging and prognosis: AJCC staging criteria Treatment Modalities: Local and Systemic 20% of test content 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) V. VI. VII. Psychosocial and Spiritual 8% of test content 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 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% of test content 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% of test content 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 CBCN Test Blueprint continued on page Oncology Nursing Certification Test Bulletin - Copyright 2008 Oncology Nursing Certification Corporation

13 CBCN Certification (Certified Breast Care Nurse) VIII. Professional Performance and Education 10% of test content 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 Selected References for the CBCN Test The following list of references has been used to develop test items; it is not intended to be all-inclusive. Use of the selected references does not guarantee successful completion of the test. If a new edition of any book on the reference list becomes available during 2009, the new edition will replace the old one. American Cancer Society. (2008). Breast cancer facts and figures Atlanta, GA: Author. Retrieved July 1, 2008 from American Cancer Society. (2008). Cancer facts and figures for African Americans Atlanta, GA: Author. Retrieved July 1, 2008 from CAFF2007AAacspdf2007.pdf. American Cancer Society. (2008). Cancer facts and figures for Hispanics and Latinos Atlanta, GA: Author. Retrieved July 1, 2008 from CAFF2006HispPWSecured.pdf American Cancer Society. (2008). Cancer facts and figures Atlanta, GA: Author. Retrieved June 30, 2008 from org/docroot/stt/stt_0.asp. 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., & Gosselin-Acomb, T. (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. (2009). Davis s drug guide for nurses. (11th ed.). Philadelphia: F.A. Davis. Dow, K. (Ed.). (2004). Contemporary issues in breast cancer: A nursing perspective. (2nd ed.) Sudbury: Jones and Bartlett. Harris, J.R., Lippman, M.E., Morrow, M., & Osborne, C.K. (2004). Diseases of the breast. (3rd ed.). Philadelphia: Lippincott Williams & Wilkins. Ignatavicius, D. D., & Workman, M. (2006). Medical-surgical nursing: Critical thinking for collaborative care. (5th ed.). St. Louis: Elsevier Saunders. Itano, J. K., & Taoka, K. N. (Eds.). (2005). Core curriculum for oncology nursing. (4th ed.) St. Louis: Elsevier Saunders. Mahon, S. (Ed.). (2007). Breast cancer. Pittsburgh, PA: Oncology Nursing Society. National Comprehensive Cancer Network. (2008). NCCN Clinical Practice Guidelines in Oncology Breast Cancer, V Jenkintown, PA: Author. Retrieved June 11, 2008 from National Comprehensive Cancer Network. (2008). NCCN Clinical Practice Guidelines in Oncology Breast Cancer Risk Reduction V.I Jenkintown, PA: Author. Retrieved June 11, 2008 from National Comprehensive Cancer Network. (2008). NCCN Clinical Practice Guidelines in Oncology Breast Cancer Screening and Diagnosis Guidelines V.I Jenkintown, PA: Author. Retrieved June 11, 2008 from National Comprehensive Cancer Network. (2008). NCCN Clinical Practice Guidelines in Oncology Genetic/Familial High-Risk Assessment: Breast and Ovarian V.I Jenkintown, PA: Author. Retrieved June 11, 2008 from Newton, S., Hickey, M., & Marrs, J. (2009). Mosby s oncology nursing advisor. (2nd ed.). St. Louis, MO: Mosby. Polovich, M., White, J.M., & Kelleher, L.O. (Eds.). (2005). Chemotherapy and biotherapy guidelines and recommendations for practice. (2nd ed.). Pittsburgh, PA: Oncology Nursing Society. Roses, D. F. (2005). Breast cancer. (2nd ed.). New York, New York: St. Louis: Elsevier Saunders. Singletary, S., Robb, G. L., & Hortobagyi, G. N. (2004). Advanced therapy of breast disease (2nd ed.) Hamilton, London: BC Decker Inc. Vincent, T., DeVita, V. T., Jr., Lawrence, T. S., & Rosenberg, S. A. (Eds.). (2008). DeVita, Hellman, and Rosenberg s Cancer: Principles & practice of oncology. (8th ed.). Philadelphia: Wolters Kluwer/ Lippincott Williams & Wilkins. Yarbro, C. H., Frogge, M. H., & Goodman, M. (2005). Cancer nursing: Principles and practice. (6th ed.) Sudbury: Jones and Bartlett. Great Tip! Pay attention to the weighting of the categories on the Test Blueprint, so you ll know the percentage of test items to expect from each subject area Oncology Nursing Certification Test Bulletin - Copyright 2008 Oncology Nursing Certification Corporation 13

14 AOCNP Certification (Advanced Oncology Certified Nurse Practitioner) Eligibility Criteria Initial AOCNP Certification (Oncology Nurse Practitioner) All eligibility criteria must be met at the time of application and examination. Current, active, unrestricted RN license at the time of application and examination; and Master s or higher degree in nursing from an accredited institution; and Successful completion of an accredited nurse practitioner program; and Minimum of 500 hours of supervised clinical practice as an 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 34 for AOCNP Candidate Practice Verification Form.) Transcripts and the AOCNP Practice Verification Form must be submitted with the application, or by mail or fax within 48 hours of applying online. Applications received without all documentation will not be processed until all required information is provided. Test Applicants Must Submit AOCNP application form (pages or apply online at AOCNP Candidate Practice Verification Form (page 34) Transcript showing conferral of a master s or higher degree in nursing Transcript showing successful completion of an accredited nurse practitioner program (if not indicated as part of the academic degree program) A photocopy of the online verification of current licensure details from the State Board of Nursing or a photocopy of the RN license (if permitted by state) Full payment AOCNP Examination Availability AOCNP examinations are offered throughout the year at 230 computer-based testing locations (locate a test center at www. pearsonvue.com/oncc/). 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. Candidates who do not test prior to the expiration of the ATT will forfeit their test fees. The AOCNP Test (Oncology Nurse Practitioner) The content of the AOCNP Test is based on the AOCNP Test Blueprint (page 15). The blueprint was developed based on the results of a role delineation study of advanced oncology nursing practice conducted in The test consists of 225 multiple-choice items (a question or incomplete statement followed by four answers or completions), of which 175 count toward the candidate s score and 50 are pretest or experimental items. Sample test items can be found at TestInformation/AdvancedQuestions.shtml. For information on how the AOCNP Test is developed, see Test Development (page 23). Use of the AOCNP Credential Candidates who pass the AOCNP Examination, as indicated by the official score report, may use the certification mark AOCNP to verify that they have met all eligibility and testing requirements. The mark may be used only as long as certification is valid, after which time certification may be renewed. AOCNP certification is a non-transferable, revocable, limited license to use the certification designation AOCNP, subject to compliance with ONCC rules, as may be revised from time to time. Renewal of AOCNP Certification Certification is valid for 4 years. In 2009, certification renewal is available only to AOCNP s whose certification expires in 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 an oncology nurse practitioner 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: RN license + Practice Hours + ONC-PRO Option 2: RN license + Practice Hours + Successful Testing Option 3: RN license + 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 roles other than as a nurse practitioner. Those without practice hours may recertify using Option Oncology Nursing Certification Test Bulletin - Copyright 2008 Oncology Nursing Certification Corporation

15 AOCNP Certification (Advanced Oncology Certified Nurse Practitioner) The AOCNP Test Blueprint is composed of ten 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. To determine the number of scored items in each subject area, multiply the percentage by 175. I. II. III. IV. V. Cancer Screening, Prevention, Early Detection, and Genetic Risk 4% of test content A. Risk factors and at-risk populations B. Prevention, risk reduction, screening and early detection guidelines C. Hereditary cancer evaluation and counseling Cancer Diagnosis and Staging 8% of test content A. History and physical B. Diagnostic testing and results (including pathology and tumor markers) C. Presentation, common metastatic sites, and prognosis D. Staging guidelines Cancer Treatment Modalities 20% of test content A. Chemotherapy (including hormonal and targeted) B. Surgery C. Radiation therapy D. Biological therapy (e.g., monoclonal antibodies, radioimmunotherapy, gene therapy) E. Blood and marrow transplantation F. Multimodality therapies G. Complementary and alternative therapies H. Implications of comorbid conditions I. Side effects of treatment J. Clinical trials Acute, Chronic, and Late Symptom Management 19% of test content A. Etiology and patterns of symptoms (related to disease and treatment) B. Toxicity and symptom rating scales C. Pharmacological interventions (e.g., analgesics, antiemetics, laxatives, antimicrobials) D. Nonpharmacological interventions (e.g., relaxation techniques, hypnosis, biofeedback, art/music therapy) E. Procedural interventions (e.g., paracentesis, thoracentesis, radiation) F. Complementary and alternative therapies G. Delivery systems (e.g., PCAs, VADs, pumps) Oncologic Emergencies (metabolic and structural) 12% of test content A. Risk factors B. Etiology C. Prevention D. Assessment E. Management VI. VII. VIII. IX. Psychosocial Management 15% of test content A. Risk factors for psychosocial disturbances (e.g., comorbidities, specific treatment, lack of social support) B. Assessment techniques C. Sexuality D. Pharmacological interventions (e.g., anxiolytics, antidepressants) E. Nonpharmacological interventions (e.g., relaxation techniques, hypnosis, biofeedback, art/music therapy) F. Coping methods G. Family dynamics H. Diversity (e.g., cultural, lifestyle, religious) Coordination of Multidisciplinary Care 5% of test content A. Roles of healthcare team members B. Rehabilitation C. Survivorship D. Community resources Professional Practice 9% of test content A. Ethical and legal issues (e.g., informed consent, advance directives) B. Documentation requirements (e.g., legal, regulatory, insurance reimbursement) C. Diagnostic and procedural coding D. Patient/family education E. Continuous quality improvement methods F. Advanced practice standards G. Healthcare legislation H. Licensing, certification, and credentialing issues End of Life Care 5% of test content A. End of life symptom management B. Family support/education C. Grief and bereavement process D. Settings for care (e.g., home, hospice, inpatient) X. Research Utilization 3% of test content Selected References for the AOCNP Test The following list of references has been used to develop test items; it is not intended to be all-inclusive. Use of the references does not guarantee a passing score on an AOCNP Test. If a new edition of any reference becomes available in 2009, the new edition will replace the old one. American Cancer Society. (2008). Cancer facts and figures for African Americans Atlanta, GA: Author. Retrieved July 1, 2008 from CAFF2007AAacspdf2007.pdf. American Cancer Society. (2008). Cancer facts and figures for Hispanics and Latinos Atlanta, GA: Author. Retrieved July 1, 2008 from CAFF2006HispPWSecured.pdf. AOCNP Reference List continued on page Oncology Nursing Certification Test Bulletin - Copyright 2008 Oncology Nursing Certification Corporation 15

16 AOCNP Certification (Advanced Oncology Certified Nurse Practitioner) American Cancer Society. (2008). Cancer facts and figures Atlanta, GA: Author. Retrieved June 30, 2008 from org/docroot/stt/stt_0.asp. American Society for Pain Management & St. Marie, B. (Ed.). (2002). Core curriculum for pain management nursing. Philadelphia: Saunders Bickley, L.S., & Szilagyi, P. G. (2007). Bates guide to physical examination and history taking. (9th ed.). Philadelphia: Lippincott Williams & Wilkins. Blecher, C.S. (Ed.). (2003). Standards of oncology education: Patient/significant other and public. (3rd ed.). Pittsburgh, PA: Oncology Nursing Society. Brant, J.M., & Wickham, R.S. (Eds.). (2004). Statement on the scope and standards of oncology nursing practice. Pittsburgh, PA: Oncology Nursing Society. Brunton, L., Lazo, J. & Parker, K. (Eds.). (2006). Goodman & Gilman s the pharmacological basis of therapeutics. (11th ed.). New York: McGraw-Hill. Buchsel, P., 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. (2008). Laboratory tests and diagnostic procedures. (5th ed.). Philadelphia: Saunders. Clarke, L.K. & Dropkin, M.J. (Eds.). (2006). Head and neck cancer. 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. Decker, G.M. (Ed.). (1999). An introduction to complementary and alternative therapies. Pittsburgh, PA: Oncology Nursing Society. Desai, S.P. (2004). Clinician s guide to laboratory medicine: A practical approach. (3rd ed.). Hudson, OH: Lexi-Comp. Ezzone, S. (Ed.). (2004). Hematopoietic stem cell transplantation: A manual for nursing practice. Pittsburgh: Oncology Nursing Society. Ferrell, B.R., & Coyle, N. (Eds.). (2005). Textbook of palliative nursing. (2nd ed.). New York: Oxford University Press. Frank-Stromborg, M., & Olsen, S.J. (Eds.). (2001). Cancer prevention in diverse populations: Cultural implications for the multidisciplinary team. (2nd ed.). Pittsburgh, PA: Oncology Nursing Society. Griffin-Sobel, J. (Ed.). (2007). Gastrointestinal cancer. Pittsburgh, PA: Oncology Nursing Society. Gullate, M. (2005). Nursing management: Principles and practices. Pittsburgh, PA: Oncology Nursing Society. Hamric, A.B., Spross, J.A., & Hanson, C.M. (Eds.). (2009). Advanced practice nursing: An integrative approach. (4th ed.). Philadelphia: Elsevier Saunders. Hawkins, J. W., & Thibodeau, J.A. (2000). The advanced practice nurse: Issues for the new millennium. (5th ed.). New York: Tiresias. Houlihan, N.G. (2004). Lung cancer. Pittsburgh, PA: Oncology Nursing Society. Infusion Nurses Society, Alexander, M., & Corrigan, A.M. (2004). Core curriculum for infusion nursing. (3rd ed.). Philadelphia: Lippincott Williams & Wilkins. Jacobs, L.A. (Ed.). (2003a). The master s degree with a specialty in advanced practice oncology nursing. (4th ed.). Pittsburgh, PA: Oncology Nursing Society. Jacobs, L.A. (Ed.). (2002). Standards of oncology nursing education: Generalist and advanced practice levels. (3rd ed.). Pittsburgh, PA: Oncology Nursing Society. Jacobs, L.A. (Ed.). (2003c). Statement on the scope and standards of advanced practice nursing in oncology. (3rd ed.). Pittsburgh, PA: Oncology Nursing Society. Jennings-Dozier, K. & Mahon, S.M. (Eds.). (2002). Cancer prevention, detection and control: A nursing perspective. Pittsburgh, PA: Oncology Nursing Society. Kaplan, M. (2006). Understanding and managing oncologic emergencies: A resource for nurses. Pittsburgh, PA: Oncology Nursing Society. Kasper, D.L., Braunwald, E., Fauci, A.S., Hauser, S.L., & Longo, D.L. (Eds.). (2005). Harrison s principles of internal medicine. (16th ed.). New York: McGraw-Hill. Kogut, V. & Luthringer, S. (Eds.). (2005). Nutritional issues in cancer care. Pittsburgh, PA: Oncology Nursing Society. Kuebler, K. & Esper, P. (Eds.). (2008). Palliative practices from A-Z for the bedside clinician. (2nd ed.). Pittsburgh, PA: Oncology Nursing Society. Lenhard, R.E. Jr., Osteen, R.T., & Gansler, T.S. (Eds.). (2001). Clinical oncology. Atlanta, GA: American Cancer Society. Mahon, S.M. (Ed.). (2007). Breast cancer. Pittsburgh, PA: Oncology Nursing Society. Oncology Nursing Society. ( ). [ONS position statements]. Pittsburgh, PA: Author. Retrieved June 30, 2008 from org. Patt, R.B. & Lang, S.S. (2006). The complete guide to relieving cancer pain and suffering. New York: Oxford University Press. Perley, M.J. & Dahlin, C. (2007). Core curriculum for the advanced practice hospice and palliative care nurse. Pittsburgh, PA: Hospice and Palliative Care Nurses Association. Polit, D.F., & Beck, C.T. (2007). Nursing research: Generating and assessing evidence for nursing practice. (8th ed.). Philadelphia: Lippincott Williams & Wilkins. Polovich, M., White, J.M., & Kelleher, L.O. (Eds.). (2005). Chemotherapy and biotherapy guidelines and recommendations for practice. (2nd ed.). Pittsburgh, PA: Oncology Nursing Society. Tranin, A.S., Masny, A., & Jenkins, J. (Eds.). (2003). Genetics in oncology practice: Cancer risk assessment. Pittsburgh, PA: Oncology Nursing Society. Turkoski, B.B., Lance, B.K. & Bonfiglio, M.F. (Eds.). (2007). Drug information handbook for advanced practice nursing. (8th ed.). Hudson, OH: Lexi-Comp. Vincent, T., DeVita, V. T., Jr., Lawrence, T. S., & Rosenberg, S. A. (Eds.). (2008). DeVita, Hellman, and Rosenberg s Cancer: Principles & practice of oncology. (8th ed.). Philadelphia: Wolters Kluwer/ Lippincott Williams & Wilkins. Watkins-Bruner, D. (2004). Manual for radiation oncology nursing practice and education. (3rd ed.). Pittsburgh, PA: Oncology Nursing Society. Yarbro, C.H., Frogge, M.H., Goodman, M., & Groenwald, S.L. (Eds.). (2005). Cancer nursing: Principles and practices. (6th ed.). Sudbury, MA: Jones and Bartlett Oncology Nursing Certification Test Bulletin - Copyright 2008 Oncology Nursing Certification Corporation

17 AOCNS Certification (Advanced Oncology Certified Clinical Nurse Specialist) AOCNS Examination Availability AOCNS examinations are offered throughout the year at 230 computerbased testing locations (locate a test center at 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. Candidates who do not test within the 90 day period will forfeit their test fees. The AOCNS Test (Oncology Clinical Nurse Specialist) The content of the AOCNS Test is based on the AOCNS Test Blueprint (page 18). The blueprint is based on the results of a role delineation study of advanced oncology nursing practice conducted by ONCC in The test consists of 225 multiple-choice items (a question or incomplete statement, followed by four answers or completions), of which 175 count toward the candidate s score and 50 are pretest or experimental items. Sample items can be found on the ONCC Web site at AdvancedQuestions.shtml. For more information on how the AOCNS Test is developed, see Test Development on page 23. Use of the AOCNS Credential Candidates who pass the AOCNS Examination, as indicated on the official score report, may use the certification mark AOCNS to verify that they have met all eligibility and testing requirements. The mark may be used only as long as certification is valid, after which time certification may be renewed. AOCNS certification is a non-transferable, revocable, limited license to use the certification designation AOCNS, subject to compliance with ONCC rules, as may be revised from time to time. Renewal of AOCNS Certification Certification is valid for 4 years. In 2009, certification renewal is available only to AOCNS s whose certification expires in Eligibility Criteria Initial AOCNS Certification (Oncology Clinical Nurse Specialist) All eligibility criteria must be met at the time of application and examination. Current, active, unrestricted RN license at the time of application and examination, and Master s or higher degree in nursing from an accredited institution; and Minimum of 500 hours of supervised clinical practice in an advanced practice role in 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 33 for AOCNS Candidate Practice Verification Form.) Transcripts and the AOCNS Practice Vertification Form must be submitted with the application, or by fax or mail within 48 hours of applying online. Applications received without all documentation will not be processed until all required information is provided. Test Applicants Must Submit: AOCNS application form (pages or apply online at AOCNS Candidate Practice Verification Form (page 33) Transcript showing conferral of a master s or higher degree in nursing A photocopy of the online verification of their current licensure details or photocopy of RN license (if permitted by state) Full payment 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 clinical nurse specialist in 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 AOCNS renewal. Successful retesting The options for recertification are based on the combinations of two of the components above: Option 1: RN license + Practice Hours + ONC-PRO Option 2: RN license + Practice Hours + Successful Testing Option 3: RN license + 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 practice hours may recertify using Option Oncology Nursing Certification Test Bulletin - Copyright 2008 Oncology Nursing Certification Corporation 17

18 AOCNS Certification (Advanced Oncology Certified Clinical Nurse Specialist) The AOCNS Test Blueprint is composed of ten 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. To determine the number of scored items in each subject area, multiply the percentage by 175. V. Oncologic Emergencies (metabolic and structural) 11% of test content A. Risk factors B. Etiology C. Prevention D. Assessment E. Management I. II. III. IV. Cancer Screening, Prevention, Early Detection, and Genetic Risk 4% of test content A. Risk factors and at-risk populations B. Prevention, risk reduction, screening and early detection guidelines Cancer Diagnosis and Staging 3% of test content A. History and physical B. Diagnostic testing and results (including pathology and tumor markers) C. Presentation, common metastatic sites, and prognosis D. Staging guidelines Cancer Treatment Modalities 14% of test content A. Chemotherapy (including hormonal and targeted) B. Surgery C. Radiation therapy D. Biological therapy (e.g., monoclonal antibodies, radioimmunotherapy, gene therapy) E. Blood and marrow transplantation F. Multimodality therapies G. Complementary and alternative therapies H. Implications of comorbid conditions I. Side effects of treatment J. Clinical trials Acute, Chronic, and Late Symptom Management 13% of test content A. Etiology and patterns of symptoms (related to disease and treatment) B. Toxicity and symptom rating scales C. Pharmacological interventions (e.g., analgesics, antiemetics, laxatives, antimicrobials) D. Nonpharmacological interventions (e.g., relaxation techniques, hypnosis, biofeedback, art/music therapy) E. Procedural interventions (e.g., paracentesis, thoracentesis, radiation) F. Complementary and alternative therapies G. Delivery systems (e.g., PCAs, VADs, pumps) VI. VII. VIII. IX. X. Psychosocial Management 16% of test content A. Risk factors for psychosocial disturbances (e.g., comorbidities, specific treatment, lack of social support) B. Assessment techniques C. Sexuality D. Pharmacological interventions (e.g., anxiolytics, antidepressants) E. Nonpharmacological interventions (e.g. relaxation techniques, hypnosis, biofeedback, art/music therapy) F. Coping methods G. Family dynamics H. Diversity (e.g., cultural, lifestyle, religious) Coordination of Multidisciplinary Care 9% of test content A. Roles of healthcare team members B. Rehabilitation C. Survivorship D. Community resources E. Case management Professional Practice 13% of test content A. Ethical and legal issues (e.g., informed consent, advance directives) B. Documentation requirements (e.g., legal, regulatory, insurance reimbursement) C. Diagnostic and procedural coding D. Patient/family education E. Continuous quality improvement methods F. Advanced practice standards G. Healthcare legislation H. Licensing, certification, and credentialing issues End of Life Care 5% of test content A. End of life symptom management B. Family support/education C. Grief and bereavement process D. Settings for care (e.g., home, hospice, inpatient) Additional Roles of the Clinical Nurse Specialist 12% of test content A. Administration B. Consultation C. Public and professional education D. Research utilization Oncology Nursing Certification Test Bulletin - Copyright 2008 Oncology Nursing Certification Corporation

19 AOCNS Certification (Advanced Oncology Certified Clinical Nurse Specialist) Selected References for the AOCNS Test The following list of references has been used to develop test items; it is not intended to be all-inclusive. Use of the references does not guarantee a passing score on an AOCNS Test. If a new edition of any reference becomes available in 2009, the new edition will replace the old one. American Cancer Society. (2008). Cancer facts and figures for African Americans Atlanta, GA: Author. Retrieved July 1, 2008 from CAFF2007AAacspdf2007.pdf. American Cancer Society. (2008). Cancer facts and figures for Hispanics and Latinos Atlanta, GA: Author. Retrieved July 1, 2008 from CAFF2006HispPWSecured.pdf. American Cancer Society. (2008). Cancer facts and figures Atlanta, GA: Author. Retrieved June 30, 2008 from org/docroot/stt/stt_0.asp. American Society for Pain Management & St. Marie, B. (Ed.). (2002). Core curriculum for pain management nursing. Philadelphia: Saunders. Bastable, S.B. (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. (2007). Bates guide to physical examination and history taking. (9th ed.). Philadelphia: Lippincott Williams & Wilkins. Blecher, C.S. (Ed.). (2003). Standards of oncology education: Patient/significant other and public. (3rd ed.). Pittsburgh, PA: Oncology Nursing Society. Brant, J.M., & Wickham, R.S. (Eds.). (2004). Statement on the scope and standards of oncology nursing practice. Pittsburgh, PA: Oncology Nursing Society. Brunton, L., Lazo, J. & Parker, K. (Eds.). (2006). Goodman & Gilman s the pharmacological basis of therapeutics. (11th ed.). New York: McGraw-Hill Buchsel, P., 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. (2008). Laboratory tests and diagnostic procedures. (5th ed.). Philadelphia: Saunders. Clarke, L.K. & Dropkin, M.J. (Eds.). (2006). Head and neck cancer. 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. Decker, G.M. (Ed.). (1999). An introduction to complementary and alternative therapies. Pittsburgh, PA: Oncology Nursing Society. Desai, S.P. (2004). Clinician s guide to laboratory medicine: A practical approach. (3rd ed.). Hudson, OH: Lexi-Comp. Ezzone, S. (Ed.). (2004). Hematopoietic stem cell transplantation: A manual for nursing practice. Pittsburgh: Oncology Nursing Society. Ferrell, B.R., & Coyle, N. (Eds.). (2005). Textbook of palliative nursing. (2nd ed.). New York: Oxford University Press. Frank-Stromborg, M., & Olsen, S.J. (Eds.). (2001). Cancer prevention in diverse populations: Cultural implications for the multidisciplinary team. (2nd ed.). Pittsburgh, PA: Oncology Nursing Society. Frank-Stromborg, M. & Olsen, S. (Eds.). (2004). Instruments for clinical health-care research. (3rd ed.). Sudbury, MA: Jones and Bartlett. Griffin-Sobel, J. (Ed.). (2007). Gastrointestinal cancer. Pittsburgh, PA: Oncology Nursing Society. Gullate, M. (2005). Nursing management: Principles and practices. Pittsburgh, PA: Oncology Nursing Society. Hamric, A.B., Spross, J.A., & Hanson, C.M. (Eds.). (2009). Advanced practice nursing: An integrative approach. (4th ed.). Philadelphia: Elsevier Saunders. Hawkins, J. W., & Thibodeau, J.A. (2000). The advanced practice nurse: Issues for the new millennium. (5th ed.). New York: Tiresias. Houlihan, N.G. (2004). Lung cancer. Pittsburgh, PA: Oncology Nursing Society. Infusion Nurses Society, Alexander, M., & Corrigan, A.M. (2004). Core curriculum for infusion nursing. (3rd ed.). Philadelphia: Lippincott Williams & Wilkins. Jacobs, L.A. (Ed.). (2003a). The master s degree with a specialty in advanced practice oncology nursing. (4th ed.). Pittsburgh, PA: Oncology Nursing Society. Jacobs, L.A. (Ed.). (2003b). Standards of oncology nursing education: Generalist and advanced practice levels. (3rd ed.). Pittsburgh, PA: Oncology Nursing Society. Jacobs, L.A. (Ed.). (2003c). Statement on the scope and standards of advanced practice nursing in oncology. (3rd ed.). Pittsburgh, PA: Oncology Nursing Society. Jennings-Dozier, K. & Mahon, S.M. (Eds.). (2002). Cancer prevention, detection and control: A nursing perspective. Pittsburgh, PA: Oncology Nursing Society Kaplan, M. (2006). Understanding and managing oncologic emergencies: A resource for nurses. Pittsburgh, PA: Oncology Nursing Society. Kasper, D.L., Braunwald, E., Fauci, A.S., Hauser, S.L., & Longo, D.L. (Eds.). (2005). Harrison s principles of internal medicine. (16th ed.). New York: McGraw-Hill. Kogut, V. & Luthringer, S. (Eds.). (2005). Nutritional issues in cancer care. Pittsburgh, PA: Oncology Nursing Society. Kuebler, K. & Esper, P. (Eds.). (2008). Palliative practices from A-Z for the bedside clinician. (2nd ed.). Pittsburgh, PA: Oncology Nursing Society. Lenhard, R.E. Jr., Osteen, R.T., & Gansler, T.S. (Eds.). (2001). Clinical oncology. Atlanta, GA: American Cancer Society. Lockhart, J.S. (2004). Unit-based staff development for clinical nurses. Pittsburgh, PA: Oncology Nursing Society. Mahon, S.M. (Ed.). (2007). Breast cancer. Pittsburgh, PA: Oncology Nursing Society. AOCNS Reference List continued on page Oncology Nursing Certification Test Bulletin - Copyright 2008 Oncology Nursing Certification Corporation 19

20 AOCNS Certification (Advanced Oncology Certified Clinical Nurse Specialist) National Association of Clinical Nurse Specialists. (2004). NACNS statement on clinical nurse specialist practice and education. (2nd ed.). Harrisburg, PA: National Association of Clinical Nurse Specialists. Oncology Nursing Society. ( ). [ONS position statements]. Pittsburgh, PA: Author. Retrieved June 30, 2008 from Patt, R.B. & Lang, S.S. (2006). The complete guide to relieving cancer pain and suffering. New York: Oxford University Press. Perley, M.J. & Dahlin, C. (2007). Core curriculum for the advanced practice hospice and palliative care nurse. Pittsburgh, PA: Hospice and Palliative Nurses Association. Polit, D.F., & Beck, C.T. (2007). Nursing research: Generating and assessing evidence for nursing practice. (8th ed.). Philadelphia: Lippincott Williams & Wilkins. Polovich, M., White, J.M., & Kelleher, L.O. (Eds.). (2005). Chemotherapy and biotherapy guidelines and recommendations for practice. (2nd ed.). Pittsburgh, PA: Oncology Nursing Society. Tranin, A.S., Masny, A., & Jenkins, J. (Eds.). (2003). Genetics in oncology practice: Cancer risk assessment. Pittsburgh, PA: Oncology Nursing Society. Turkoski, B.B., Lance, B.K. & Bonfiglio, M.F. (Eds.). (2007). Drug information handbook for advanced practice nursing. (8th ed.). Hudson, OH: Lexi-Comp. Vincent, T., DeVita, V. T., Jr., Lawrence, T. S., & Rosenberg, S. A. (Eds.). (2008). DeVita, Hellman, and Rosenberg s Cancer: principles & practice of oncology (8th ed.). Philadelphia: Wolters Kluwer/ Lippincott Williams & Wilkins. Watkins-Bruner, D. (2004). Manual for radiation oncology nursing practice and education. (3rd ed.). Pittsburgh, PA: Oncology Nursing Society. Yarbro, C.H., Frogge, M.H., Goodman, M., & Groenwald, S.L. (Eds.). (2005). Cancer nursing: Principles and practices. (6th ed.). Sudbury, MA: Jones and Bartlett. Applying for Certification All candidates must apply, either online ( or by mail or fax. See pages for the OCN, CPON, & CBCN application; or see pages for the AOCNP & AOCNS application. Requesting Special Testing Accommodations ONCC will provide reasonable accommodations for test candidates with disabilities that are covered under the Americans with Disabilities Act (ADA). The ADA defines a person with a disability as someone with a physical or mental impairment that substantially limits one or more major life activities (i.e., walking, sitting, standing, seeing, hearing, speaking, breathing, learning, working, caring for oneself, and performing manual tasks). Candidates must submit the following documentation with the application to support a request for special accommodations: A signed letter from the candidate that indicates the nature of the disability and the special accommodations needed. A signed letter from an appropriate and qualified healthcare professional. The documentation must: *be current (completed within the last three years) *clearly state the diagnosed disability or disabilities *describe the functional limitations resulting from the disability *include complete medical history relevant to the disability for which accommodations are being requested *describe the specific accommodations requested and the rationale for such accommodations *be typed or printed on official letterhead and signed by the evaluator qualified to make the diagnosis *include information about the credentials of the healthcare professional that qualify him/her to make the particular diagnosis, including information about the practitioner s license or certification and specialization in the area of the diagnosis *description of past testing accommodations, if any, made for this disability and the specific testing accommodations requested. The purpose of the documentation is to validate that the candidate is covered under the ADA as a disabled individual. Additional documentation may be required to support the request. All documentation will be kept confidential; ONCC will only use the documentation for determination of special testing arrangements. Candidates who apply online must mail or fax special accommodations documentation within five business days from the date the online application is submitted. Confirmation of Eligibility to Test All applicants who are confirmed as eligible to test will receive an Authorization to Test (ATT) via (or regular mail if no address is provided). The ATT will provide information on how to schedule, change, and cancel a test appointment. OCN, CPON, and CBCN candidates will receive an ATT approximately 4-6 weeks before the testing interval. AOCNP and AOCNS candidates will receive an ATT within 4-6 weeks of applying. The ATT will expire within 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. It is important that all candidates immediately: confirm the information on the ATT is correct read the ATT and accompanying information to ensure they understand all policies and procedures related to testing call ONCC ( ) to correct inaccuracies on the ATT or to report a lost ATT call ONCC ( ) if they do not receive an ATT within 4 weeks prior to the test Oncology Nursing Certification Test Bulletin - Copyright 2008 Oncology Nursing Certification Corporation

21 Test Candidate Information Computer-Based Testing (CBT) Candidates will be able to choose their test site, test by appointment (within ONCC test dates), test in individual workstations, and change answers or flag items for further review. Candidates will receive an immediate, official score report at the test center upon completion of the test. Note: the first group of CBCN test candidates will not receive an immediate score report. Because the first test will consist of new items that have not been pretested, analysis will be completed on the items prior to scoring to determine if any poorly performing items need to be eliminated. These candidates will receive official score reports once the analysis is complete. CBT Tutorial Candidates do not need to have computer experience to use CBT. Test items will be answered using the computer mouse to click on the desired response. Candidates will have an opportunity to complete a computer-based testing tutorial, which demostrates the navigation features, before the test begins. Candidates may try a tutorial prior to their testing appointment at oncc/ to familiarize themselves with the features of CBT. Test Sessions all test sessions include 10 minutes for the tutorial and 5 minutes for an exit survey in the total test session time. OCN, CPON, and CBCN candidates: up to a 3 hour session AOCNP and AOCNS candidates: up to a 4 hour session Locate a Test Center Go to and click on Locate a Test Center. Canceling a Test Appointment Cancellations of test appointments must be made at least 24 hours prior to the scheduled appointment. OCN, CPON & CBCN Candidates OCN, CPON, and CBCN candidates who cancel a test appointment must: reschedule their test appointment within the same test interval, or notify ONCC in writing to request a transfer to a future test date or a refund. Requests for transfers/refunds must be received 4 weeks before the first day of the test interval. If a candidate cancels a test appointment and does not notify ONCC in writing, the test fee will be forfeited. AOCNP & AOCNS Candidates AOCNP & AOCNS candidates who cancel a test appointment must: reschedule a test appointment that falls within the 90-day eligibility period or forfeit all fees. All Candidates Candidates who do not cancel or reschedule at least 24 hours before the appointment time will: forfeit their test fee and appointment, not be eligible for a transfer or refund, be required to submit another application and fee to test at a later date. Refunds OCN, CPON, and CBCN candidates who are unable to take the test may request a refund of all but $100 (processing fee) of the test fee. A written request must be received by ONCC at least 4 weeks before the first day of the scheduled test interval, regardless of postmark, and include the candidate s name, address, and test date. Candidates who request a refund also must cancel their test appointment at least 24 hours prior to the test appointment (see Canceling a Test Appointment, left). Candidates who do not cancel their test appointment will forfeit all test fees, and will not receive a refund. Note: Because 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. Transferring to a Different Test Date OCN, CPON, and CBCN test candidates may request a transfer from a scheduled test interval to a test date that falls within the next 12 months one time. A written request must be received at least 4 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. Candidates who are granted a transfer must: test within the next 12 months cancel any scheduled test appointment at least 24 hours prior to the appointment (see Canceling a Test Appointment, left). 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. 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 candidates. AOCNP and AOCNS test candidates may reschedule for another test date within their 90-day period. Transfers to a test date beyond the 90-day period will not be granted. Candidates must reschedule their test appointment at least 24 hours prior to the scheduled appointment (see Canceling a Test Appointment, left), as instructed on their ATT. Test Day Information Arrival Time Candidates should arrive at the test center 30 minutes before their appointment time to check-in prior to the examination. Late Arrivals Candidates who do not arrive within 15 minutes of the scheduled appointment time will technically forfeit their test appointment, and may not be accommodated for testing. Candidates who cannot be accommodated will forfeit their test fee and appointment, and will be required to apply and pay the full test fee in order to test in the future. Test Center Environment The test centers administer many types of examinations including some that require typed responses. Typing noise is considered a normal part of the testing environment. Ear plugs are available at the test center. ONCC must pay the testing company the test fee for no show candidates Oncology Nursing Certification Test Bulletin - Copyright 2008 Oncology Nursing Certification Corporation 21

22 Test Candidate Information Test Check-In & ID Requirements To protect the security of the tests, each candidate will be asked to provide a fingerprint and signature on an electronic signature tablet, and have a digital photograph taken. To preview the test center environment, or read more about test center check-in procedures, go to and click on Take Tour of PPC. Identification Requirements Candidates will be required to show two forms of identification, including one photo ID. Both forms of ID must contain your signature, and be current, valid, or non-expired. See the table below 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. 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. Acceptable Forms of Identification (Must Be Current and Valid) Primary ID (photo & signature, not expired) Passport 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 Military ID for spouses or dependents Alien Registration Card (Green Card, Permanent Resident Visa) Government issued local language ID (plastic card with photo and signature only) Employee ID School ID Credit Card (Must contain both a photo and a signature and is not expired. Any credit card can be used as a secondary form of ID, as long as it contains a signature and is not expired, including major credit cards, department store and gasoline credit cards.) Secondary ID (signature, not expired) US Social Security Card Debit/ATM Card Any form of ID on the Primary list Professional Examination Rules & Candidate Privacy Statement At check-in, candidates will be presented with the Professional Examination Rules and Privacy Statement regarding the transmission of test results. Candidates will be asked to provide a digital signature indicating they agree to follow the rules, and consent to the transmission of their test data. No personal items, including cell phones, hand-held computers/ personal digital assistants (PDA) or other electronic devices, pagers, watches, wallets, purses, hats, bags, coats, books and notes, are allowed in the testing room. Candidates must store all personal items in a locker. The test center is not responsible for lost, stolen or misplaced items. Before entering the testing room, the administrator will provide the candidate with an erasable noteboard and marker. These items may not be removed from the testing room and must be returned to the administrator at the end of the test. Candidates may not write on the noteboard until after the test has started. The administrator will log candidates into their assigned workstation. Candidates must remain in their seats. Eating, drinking, smoking, and making noise that creates a disturbance for others are prohibited during the test. There will be no scheduled breaks during the test. Candidates who wish to take an unscheduled break should raise their hand to get the administrator s attention. Candidates must leave the testing room during any breaks. Candidates will not be permitted to access personal items during breaks. Any time lost by a candidate who leaves the testing room will count toward the total test time. Candidates will be fingerprinted when they leave the testing room and again when they re-enter. Candidates who experience hardware or software problems or distractions that affect their ability to take the test should notify the administrator immediately by raising their hand. Candidates who have questions or concerns should raise their hand and the administrator will provide assistance. The administrator cannot answer questions related to test content. At the end of the test, candidates will be asked to complete an onscreen evaluation. After completing the test or evaluation, candidates should raise their hand. The administrator will ensure the test has ended properly. Candidates will receive a printed score report after returning the erasable noteboard to the administrator. Candidates will be be fingerprinted upon leaving the testing room. Candidates may not remove copies of test items and answers from the test center, and may not share the items or answers seen in the testing session with anyone. If candidates do not follow these rules, if candidates tamper with the computer, or if candidates are suspected of cheating, appropriate action will be taken. This may include invalidation of test results. Candidate Privacy The candidate s examination results will be encrypted and transmitted to Pearson VUE and ONCC. The test center does not retain any information other than when and where the candidate s examination was taken. The Pearson VUE Privacy Policy provides additional information regarding this, and can be obtained by visiting the Pearson VUE web site at Important! Check the two forms of ID you plan to use on test day. Be sure they are included in the list above, are not expired, and match your name as it appears on your ATT! Oncology Nursing Certification Test Bulletin - Copyright 2008 Oncology Nursing Certification Corporation

23 Test Candidate Information Cancellation of Results ONCC reserves the right to cancel the score of any candidate who violates the Professonal Examination Rules, or to cancel scores resulting from any testing irregularity. Exiting the Examination Voluntarily Candidates who voluntarily exit the examination at any point during the test will be considered finished, and their test will be scored. Candidates who voluntarily exit the examination before they are finished may not restart the examination, or answer incomplete items. Numerous measures are in place to prevent candidates from accidentally exiting the examination. Test Development Diverse groups of oncology certified nurses write items for ONCC certification tests. The OCN Test Development Committee, CPON Test Development Committee, CBCN Test Development Committee, and Advanced Practice Test Development Committee, with staff from ONCC and Pearson VUE, review items that are written for the respective tests, and use these items to assemble different forms of each test. Each certification test is developed according to its test blueprint. Each major subject area on the blueprint is represented in each test with the appropriate percentage of questions. However, not all content sub-areas are included on every form of the test. Not all items on an ONCC certification test count toward the test score. Some items are pretest items, and do not count toward the candidate s score. Candidates do not know which items are scored, and which are pretest items. The purpose of pretesting is to determine if items are statistically sound and fair. Extensive analyses are performed on each newly developed item to determine how well it performs. Items that have poor statistics are not used on future tests. They are either discarded, or rewritten and pretested again. Items that perform well when pretested are used on future test forms as items that count toward scoring. Scoring ONCC tests consist entirely of multiple-choice items. The number of items a candidate answers correctly determines their score; there is no penalty for incorrect answers. It is to your advantage to answer every item. On difficult items candidates should select the answer they think is correct, and click the Select for Review button so they can return to the item later if time permits. Items that are flagged for review and that contain an answer will be scored. Scaled Scores ONCC test scores are reported as scaled scores. A scaled score is a raw test score (the number of items answered correctly) that has been transformed into other measurement units. The process is similar to transforming height in inches (raw score) to centimeters (scaled score). A formula is applied to the raw score to transform it into the scaled score. A scaled score is neither the number of items answered correctly or the percentage of items answered correctly. Passing Scores The passing scores for the ONCC tests were established via a systematic procedure (a Passing Score Study) that employed the judgment of groups of oncology nursing professionals representing various geographical areas, practice settings, roles, and subspecialties. The passing score for all ONCC certification tests has been set at a scaled score of 55. Because of ONCC s commitment to quality and test security, there are multiple forms of each certification test. All forms of each test are developed from the test blueprint; however, the level of difficulty of the forms may vary slightly because different items appear on different forms. Because it would be unfair to require a candidate taking a slightly more difficult form of the test to answer as many items correctly as a candidate taking an easier form, the statistical procedure known as equating is used to correct for differences in test difficulty. This method maintains the passing score at a scaled score of 55, even though the passing raw score may vary from test form to test form. Score Reports Candidates will receive an official pass/fail score report on screen and in print at the test center. Candidates may request a duplicate score report by calling Pearson VUE at Note: the first group of CBCN test candidates will not receive an immediate score report. Because the first test will consist of new items that have not been pretested, analysis will be completed on the items prior to scoring to determine if any poorly performing items need to be eliminated. These candidates will receive official score reports once the analysis is complete. Candidates who achieve a scaled score of 55 or above will receive score reports indicating Pass only. No numeric scores will be reported for passing candidates. Candidates who fail will receive score reports that contain the actual scaled scores achieved (54 or below). Official score reports list the major subject areas of the test and the competency level the candidate achieved on each. These levels may help failing candidates identify areas in which further study may be needed before retaking the test. The levels are: Level 1 The score obtained is well below competence level Level 2 The score obtained is below competence level Level 3 The score obtained is at competence level Level 4 The score obtained is above competence level Certificates and Wallet Cards Each test candidate who receives a passing score will receive a personalized certificate and wallet card approximately 4-6 weeks after taking the examination. There is a $10 charge for a duplicate or replacement certificate and/or wallet card. Great Tip! Be sure to submit your application form, fee, and any required documentation before the first deadline -- you ll save $75! 2009 Oncology Nursing Certification Test Bulletin - Copyright 2008 Oncology Nursing Certification Corporation 23

24 ONCC Certification Policies ONCC policies are subject to change. Please go to for current policies, or contact ONCC at (toll free), (phone), or ( ). Nondiscrimination ONCC does not discriminate against candidates based on age, gender, ethnic origin, religion, race, disability, marital status, or sexual orientation. Late Applications ONCC adheres to all published deadline dates. ONCC must receive complete applications, including required documentation and payment, on or before the published deadline dates, regardless of postmark. Incomplete applications, including those without proper documentation, will be charged a $75 late fee if the documentation is received after the first deadline; all documentation must be received by the final deadline. Complete applications received after the first deadline date, but before the final deadline, will not be granted the early application discount fee. Applicants who do not include the correct fee will be invoiced for the difference and will not be permitted to take the examination unless the invoice is paid in full. Payment will not be accepted at the test site. ONCC will return applications received after the final deadline date, regardless of postmark or other circumstances. Renewal of Certification Certification renewal is due every four years. There are three components to recertification and two of them must be met to recertify. They include: * Practice Hours (amount varies depending on the credential) * Professional development points, known as the Oncology Nursing Certification Points Renewal Option (ONC-PRO). The number of points required varies depending on the credential. * 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 practice hours may recertify using option 3. Renewal information is mailed to ONCC certified nurses at the beginning of the calendar year in which renewal is due. Those who do not renew certification in 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 candidates should they apply to become certified in subsequent years. The fee for renewal by Option 1 (ONC-PRO) is less than the fee for renewal by Option 2 (testing). The fee to renew by Option 3 (ONC-PRO + Testing) is $100 more than the test fee. Candidates who are renewing two advanced certification credentials (AOCN, AOCNP, AOCNS ) in the same year by Option 1 may use the same set of ONC-PRO points. The fee to renew two advanced certification credentials is $100 more than the regular Option 1 fee. Candidates who are denied renewal by Option 1 may use Option 2 by transferring to the next available certification test date and paying a $100 transfer fee. Candidates who choose to renew their certification by Option 2 and who do not pass the test may not renew by Option 1. Retaking the Test Candidates who fail an ONCC examination for the first or second time may apply to retake the test during the next available testing interval. Candidates who do not pass the examination after three attempts are required to wait a minimum of one year before retaking the examination. If the candidate fails the examination on subsequent attempts, he/she must wait one year before retaking the test. ONCC recommends that failing candidates seek remedial education in the content areas in which they perform below or well-below the competence level as indicated on the official score report. Candidates must submit an application and test fee by the application deadline date for each test. Because of overlapping test intervals and deadline dates, ONCC cannot guarantee that a candidate who fails a test will be able to test during the next test interval if the candidate does not meet the final application deadline date (failing candidates are not required to pay the $75 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. Release of Information Certification is a voluntary credentialing process with the goal of protecting the public. Names of nurses holding ONCC certification are available to the public. A list of names only will be provided free of charge upon written request. Information about certification will be sent to the candidate s home address as indicated on the certification application. The names of candidates for certification, names of nurses who fail the examination, and individual test scores of candidates will not be released. ONCC Certification Policies continued on page Oncology Nursing Certification Test Bulletin - Copyright 2008 Oncology Nursing Certification Corporation

25 ONCC Certification Policies 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, or CBCN credential Misuse of the OCN, CPON, AOCN, AOCNP, AOCNS or CBCN 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. Transfers-OCN, CPON, & CBCN Candidates OCN, CPON, and CBCN test candidates may request a transfer from a scheduled test date to a test date that falls within the next 12 months one time only. Candidates who are granted a transfer will forfeit their test fees if they do not test within 12 months. To transfer, candidates must pay a $100 fee and make a written request to ONCC. The request must be received at least 4 weeks before the first day of the scheduled test interval, and include the candidate s name, address, desired test interval, and fee. Candidates who have made a test appointment prior to requesting a transfer must cancel the appointment at least 24 hours prior to the appointment (see Canceling a Test Appointment, page 21). Renewal candidates who apply to renew by testing and subsequently transfer to a test date that falls after their credential expiration must meet the initial eligibility criteria. Transfers-AOCNP & AOCNS Candidates Because AOCNP and AOCNS test candidates have a 90-day period in which to take the test, transfers to a test date beyond the 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. Requests for Verification Third party requests for verification of a nurse s certification status must be made in writing, include a $15 fee, and contain the nurse s full name and home address. Certification will be verified in writing only. Confidential information that will not be released includes names of candidates for certification, names of nurses who fail the examination, and individual test scores of candidates. Review & Appeals Process A review and appeals process is available to individuals seeking an amendment of a decision regarding eligibility for certification or revocation of certification. Failure of the examination is not a circumstance for review or appeal. Requests to activate the review process must be sent in writing to Cynthia Miller Murphy, RN, MSN, CAE, Executive Director, ONCC, 125 Enterprise Drive, Pittsburgh, PA , Fax: Great Tip! Be sure you understand ONCC Policies, especially those related to Transfers and Refunds, in the event you are unable to test as planned Oncology Nursing Certification Test Bulletin - Copyright 2008 Oncology Nursing Certification Corporation 25

26 Application Instructions: OCN, CPON & CBCN You must apply, either at or by mail or fax. Candidates testing outside North America must apply by mail or fax. Incomplete applications, including those without required documentation or payment, will not be accepted. Provide an individual or personal address where test-related information can be sent. Do not list a group box that is shared in the workplace. Provide two telephone numbers where you may be reached if there are questions or if the test center needs to contact you. All information requested on the application form is required, except Biographical Data (#11) 1. Indicate if you have previously taken an ONCC test. 2. Indicate your full name at the time you tested. 3. 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 ( ) or APHON ( ) for membership information. You are not required to be a member of ONS or APHON to apply for certification. Note: What is a Customer ID Number? If you are a certified nurse, this is the number by which your record is identified 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. Please use this number when corresponding with ONCC as we use this number, rather than a social security number to protect your privacy. Contact ONCC ( or oncc@ons.org) if you need your number. 4. Indicate if you are applying for Initial Certification or Renewal. If Initial go to #6, if Renewal go to #5. 5. Specify the renewal method you are using. If Option 1 (ONC- PRO), indicate the number of ONC-PRO points submitted, then go to #10; if Option 2 (Test), go to #6; if Option 3, indicate the number of ONC-PRO points and continue to #6. Test Information 6. Indicate which test you are taking. 7. Required Documentation Candidates who are not renewing current certification must provide the following documentation. OCN & CPON Initial candidates those who are not renewing current certification must submit a CE certificate or official Letter of Attendance documenting completion of 10 contact hours of continuing education in oncology nursing or an academic elective in oncology, within the 3 years (36 months) prior to application. The contact hours must have been provided or formally approved by an accredited provider of nursing CE (see pages 6 or 10). A maximum of 5 (50%) of the contact hours may be continuing medical education (CME) in oncology. The CE certificate or Letter of Attendance must include your name, date and title of the offering, number of contact hours awarded, and the accreditation statement. The academic elective documentation must include your name, institution name, course title, date, and number of credits earned. CBCN Candidates All CBCN candidates must submit a CE certificate or official Letter of Attendance documenting completion of 10 contact hours of continuing education in breast care nursing within the 3 years (36 months) prior to application. The contact hours must have been provided or formally approved by an accredited provider of nursing CE (see pages 6 or 10). A maximum of 5 (50%) of the contact hours may be continuing medical education (CME) in breast care. The CE certificate or Letter of Attendance must include your name, date and title of the offering, number of contact hours awarded, and the accreditation statement. ALL candidates: The required documentation must be submitted with the application, or mailed or faxed within 48 hours of applying online. Applications received without documentation will be considered incomplete and charged a $75 late fee if the documentation is received after the first deadline; all documentation must be received by the final deadline date. 8. Indicate the date you will be taking the test. 9. Indicate if you require Special Testing Accommodations due to a disability covered by the Americans with Disabilities Act. See page 20 for documentation that must be submitted. Demographic Information 10. Select only one answer in each category. 11. Biographical data Completion is optional. 12. List any additional nursing certifications you hold. Nursing License Information 13. Write your RN license number, state of issue, and expiration date. Indicate the month/year you became an RN. Enclose a photocopy of your RN license (if permitted by your state). Note: Initial candidates who received their nursing education or 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. Information on evaluation services is available at This is a lengthy process that should be started well before the application deadline date. Nursing Experience 14. Record the total number of months that you have worked as an RN in the past 3 years. Record the total number of hours of oncology experience as indicated below: OCN Candidates write the total number of hours of experience in 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. CPON Candidates write the total number of hours of experience in pediatric 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 pediatric oncology. Instructions continued on page Oncology Nursing Certification Test Bulletin - Copyright 2008 Oncology Nursing Certification Corporation

27 C09X50 Name of ONCC Advocate or person who referred you for certification, if applicable 2009 OCN - CPON - CBCN Certification Application Please read the instructions on pages 22 & 25 of the 2009 Oncology Nursing Certification Test Bulletin. Complete all the information requested. Please print. Illegible, incomplete, or unsigned applications will be returned. 10. Demographic & Employment Information (required) ONCC - Box 3445 Dollar Bank 2700 Liberty Avenue, Pittsburgh, PA Toll Free: ONCC Phone: (412) Fax: (412) Web site: Last Name (please use name as it appears on your photo ID) First Name Middle Initial Home Address City State Zip/Postal Code Country (Area Code) Work Phone Number (Area Code) Home Phone Number Address (list an individual or personal address, not a group mailbox that is shared in the workplace) 1. Have you previously taken an ONCC test? myes (indicate the most recent test and month/year taken) m No (go to #3) 2. m OCN m CPON m AOCN m AOCNP m AOCNS m CBCN month/year last test taken 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: m Oncology Nursing Society m Assoc. of Pediatric Hematology/Oncology Nurses Member/Customer ID Number 4. Are you applying for: m Initial certification - Candidates who are not renewing current certification (go to #6) m Certification Renewal - Currently certified nurses due to renew in 2009 only (go to #5) 5. Are you renewing by: m Option 1: ONC-PRO + Practice hours (indicate number of ONC-PRO points submitted, then go to #10) Test Information OCN (100 required) CPON (100 required) m Option 2: Test + Practice hours (go to #6) m Option 3: Test + ONC-PRO Renewal Method (indicate the number of ONC-PRO points below, then continue to #6) OCN (100 required) CPON (100 required) 6. Which test are you taking? m OCN m CPON m CBCN 7. Documentation Initial candidates (those not renewing current certification) must enclose documentation they have completed the required continuing education or an academic elective (see pages 4 or 8). Indicate you have enclosed: OCN or CPON : m 10 contact hours of oncology nursing CE or m academic elective in oncology CBCN: m 10 contact hours of nursing CE in breast care 8. What date will you be taking the test? (See page 2 for application deadlines) m February 2009 m May 2009 m August 2009 m November Do you require Special Testing Accommodations due to a disability? mno myes (see page 20) Highest Nursing Degree (select one) m Diploma m Associate m Bachelor s m Master s m Doctorate Employment Status (select one) m Full-time m Part-time m Retired m Unemployed Primary Functional Area (select one) m Administration m Education m Patient Care m Research m Other Primary Patient Population (select one) m Adult m Adult & Pediatric m Pediatric 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 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 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 Outpatient m Home Care m Hospice m Hospital-based Clinic m Physician Office/Infusion Center m Radiation-Free Standing m Radiation-Hospital-based m Other Other m Corporate/Industry m Extended Care Facility m HMO/Managed Care m School of Nursing m Self-Employed 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

28 11. Biographical Data (optional) Race m American Indian/Alaskan Native m Asian m Black/African American m Caucasian/White m Mixed Race 14. m Native Hawaiian/Other Pacific Islander m Other Race m Do not care to respond 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 Nursing Experience All candidates: Total months of experience as an RN in the past 36 months (3 yrs.): months OCN candidates: Total hours of experience in oncology in the past 2 1/2 years: hours CPON candidates: Total hours of experience in pediatric oncology in the past 2 1/2 years: hours CBCN candidates: Total hours of experience in breast care in the past 2 1/2 years: hours 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. Name Title Are you Hispanic/Latino? m Yes mno Sex m Female m Male 12. Do you hold any other nursing certifications? mno myes please list credentials 18. Fee & Payment Information -Check the certification method and fee you are paying. Test (Initial Candidates and Renewal Option 2) m OCN m CPON m CBCN m February 2-28, 2009 m May 1-30, 2009 m August 1-31, 2009 m November 2-30, 2009 ONS/APHON Member Nonmember Are you testing outside Norh America? Include an additional $75 for testing outside North America Renewal Option 1: ONC-PRO m OCN m CPON Renewal Option 3: Test + ONC-PRO m OCN m CPON ONS/APHON Member Nonmember ONS/APHON Member Nonmember First Deadline* ($75 savings included) October 8, 2008 January 7, 2009 April 8, 2009 July 8, 2009 m $ 260 m $ 380 September 15, 2009 m $ 210 m $ 330 See test deadlines, above m $ 360 m $ 480 m $ 75 * Discount applies to complete applications only. Incomplete applications will be charged the full fee. All complete applications must be received by the final deadline, regardless of postmark. m Check enclosed (payable to the Oncology Nursing Certification Corporation) m Visa m MasterCard m American Express m Discover Final Deadline (Full Fee) October 22, 2008 January 21, 2009 April 22, 2009 July 22, 2009 m $ 335 m $ 455 October 15, 2009 m $ 285 m $ 405 See test deadlines, above m $ 435 m $ 555 Institution Phone 16. Nursing Experience Details (required) List below, starting with most recent, your RN experience for the past 3 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 oncology, pediatric oncology or breast care. Cardholder s Name Signature Card number Expiration Date From (mm/dd/yy) To (mm/dd/yy) Name and City/State of Employer Position Title # Hours per week % of Time spent in oncology, pediatric oncology, or breast care 17. Affirmation (required) Name (print) Signature Date By signing and submitting this application form, I accept the conditions set forth in the 2009 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.

29 Application Instructions: OCN, CPON & CBCN 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 your time spent in breast care nursing. 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. Employment Verification Information 15. Write your supervisor s name, title, institution, and phone number. Do not list yourself. Nursing Experience Details 16. List, beginning with most recent, your RN experience for the last 3 years. 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 oncology, pediatric oncology, or breast care, depending upon the credential for which you are applying. Affirmation 17. 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 18. Indicate the fee you are paying. 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. Apply Online, or by Mail or Fax! Applications (including documentation) must be received by the deadline date, regardless of postmark or other circumstances. Online Online applicants must pay by MasterCard, VISA, or American Express. Go to click on Get Certified and Apply Online Fax Faxed applications must include credit card payment. Fax both sides of the completed application form and required documentation to Guaranteed First Mail Delivery ONCC strongly recommends using a guaranteed overnight or two-day delivery service. When using a guaranteed delivery method, send to: Dollar Bank ONCC Lockbox Liberty Avenue Pittsburgh, PA Telephone - For all questions: Telephone - For delivery only: (Do not call Dollar Bank; direct all inquiries to ONCC at ) Class Mail Mail your application at least 2-3 weeks before the deadline date to allow for service delays. When using first-class mail, send to: ONCC PO Box 3445 Pittsburgh, PA Great Tip! After you have applied, check your and mail for communications from ONCC or Pearson VUE. They ll contain important information related to your application or testing appointment. Please note: ONCC is not responsible for mail that is lost, misdirected, or delayed by the postal service or other carriers. Allow adequate time for your application to reach ONCC. Watch for confirmation from ONCC that your application has been received Oncology Nursing Certification Test Bulletin - Copyright 2008 Oncology Nursing Certification Corporation 29

30 Application Instructions: AOCNP & AOCNS You must apply, either at or by mail or fax. Candidates testing outside North America must apply by mail or fax. Incomplete applications (e.g., without required transcripts, Practice Verification Forms, or payment) will not be accepted. Provide two telephone numbers where you may be reached if there are questions regarding your application. Provide an individual or personal address where test-related information can be sent. Do not list a group box that is shared in the workplace. All information requested on the application is required, except Biographical Data (#10). 1. Indicate if you have previously taken an ONCC test. 2. Indicate your full name at the time you tested. 3. If you are a member of the Oncology Nursing Society (ONS) or the Association of Pediatric Hematology/Oncology Nurses (APHON), write your ID number. (If you recently joined ONS or APHON 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 ( ) or APHON ( ) for membership information. You are not required to be a member of ONS or APHON to apply for certification. Note: What is a Customer ID Number? If you are a certified nurse, this is the number by which your record is identified 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. Please use this number when corresponding with ONCC as we use this number as an identifier to protect your privacy. Please contact ONCC ( or oncc@ons.org) if you need your number. 4. Indicate if you are applying for Initial Certification or Renewal. If Initial go to #6, if Renewal go to #5. 5. Specify the renewal method you are using. If Option 1 (ONC- PRO), indicate the number of ONC-PRO points submitted; if Option 2 (Test), go to #6; if Option 3 (ONC-PRO + Test), indicate the number of points submitted and go to #6. Test Information 6. Indicate which test you are taking. 7. Required Documentation-Initial candidates, write the month and year your master s or higher degree in nursing was earned and submit the following documentation: AOCNS : A transcript showing your name, degree awarded and date of conferral; and a completed AOCNS Candidate Practice Verification Form (page 33). The transcript may be a student copy or an official copy; diplomas will not be accepted. 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 34). The transcript(s) may be a student copy or an official copy; diplomas will not be accepted. 8. Indicate if you require Special Testing Accommodations due to a disability covered by the Americans With Disabilities Act. See page 20 for required documentation. Demographic & Employment Information 9. Select only one answer in each category. 10. Biographical data Completion is optional. 11. Indicate if you hold any other nursing certifications. Nursing License Information 12. Write your RN license number, state of issue, and expiration date. Indicate the month/year you became an RN. Enclose a photocopy of your RN license (if permitted by your state). Note: Initial candidates who received their nursing education or 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. Information on evaluation services is available at This is a lengthy process that should be started well before the application deadline date. Nursing Experience-AOCN /AOCNP /AOCNS Renewal Candidates 13. Write the total number of hours of experience you have had within the past 4 years: AOCN in an advanced practice role in oncology AOCNP as an oncology nurse practitioner AOCNS as an oncology clinical nurse specialist 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 oncology. 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. Employment Verification Information 14. Write your supervisor s name, title, institution, and phone number. Do not list yourself. Nursing Experience Details 15. List, beginning with most recent, your RN experience for the last 4 years. 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 an advanced practice role in oncology nursing, depending upon the credential you are renewing. Affirmation 16. 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 17. Indicate the fee you are paying. Enclose full payment. Applicants who do not submit full payment will not be permitted to take the test until full payment is made. Visa, MasterCard, American Express, Discover, money order, or check (make payable to ONCC in US 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 from your employer and include it with your application form Oncology Nursing Certification Test Bulletin - Copyright 2008 Oncology Nursing Certification Corporation

31 C09X50 Name of ONCC Advocate or person who referred you for certification, if applicable 2009 AOCNP - AOCNS - AOCN Certification Application Please read the instructions on page 30 of the 2009 Oncology Nursing Certification Test Bulletin. Complete all the information requested. Please print. Illegible, incomplete, or unsigned applications will be returned. ONCC - Box 3445 Dollar Bank 2700 Liberty Avenue, Pittsburgh, PA Toll Free: ONCC Phone: (412) Fax: (412) Web site: 8. Do you require Special Testing Accommodations due to a disability? m No m Yes (see page 20) Last Name (please use name as it appears on your photo ID) First Name Middle Initial Home Address City State Zip Country (Area Code) Work Phone Number (Area Code) Home Phone Number Address 1. Have you previously taken an ONCC test? m Yes (indicate most recent test and month/year taken) m 2. m OCN m CPON m AOCN m AOCNP m AOCNS m CBCN mo/yr What was your name at the time you tested? 3. Indicate if you are a current member of either of the following organizations: m Oncology Nursing Society m Assoc. of Pediatric Hematology/Oncology Nurses Member/Customer ID Number 4. Are you applying for: m Initial certification - Candidates who are not renewing current certification (go to #6) m Certification Renewal - certified nurses due to renew in 2009 only (go to #5) No (go to #3) 5. Are you renewing by: m Option 1: ONC PRO + Practice hours (indicate number of ONC-PRO points below and go to #9) TEST INFORMATION m AOCN m AOCNP m AOCNS Points: (125 required) m Option 2: Test + Hours (AOCNP & AOCNS only - go to #6) m Option 3: ONC-PRO + Test (AOCNP & AOCNS only indicate number of ONC-PRO points and go to #6) m AOCNP m AOCNS Points: (125 required) 6. Which test are you taking? m AOCNP m AOCNS 7. Required Documentation - Initial candidates must enclose the following with the application form: 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 33) 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 AOCNP Candidate Practice Verification Form (page 34) 9. Demographic & Employment Information (required) Highest Nursing Degree (select one) m Master s m Doctorate Employment Status (select one) m Full-time m Part-time m Retired m Unemployed Primary Functional Area (select one) m Administration m Education m Patient Care m Research m Other Primary Patient Setting (select one) m Adult m Adult & Pediatric m Pediatric 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 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 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 Outpatient m Home Care m Hospice m Hospital-based Clinic m Physician Office/Infusion Center m Radiation-Free Standing m Radiation-Hospital-based m Other Other m Corporate/Industry m Extended Care Facility m HMO/Managed Care m School of Nursing m Self-Employed 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

32 10. Biographical Data (optional) Race 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 13. Nursing Experience AOCN, AOCNP, AOCNS Renewal Candidates Total hours of experience in the past four years AOCN : hours in an advanced practice role in oncology in the past 4 years AOCNS : hours as an oncology clinical nurse specialist in the past 4 years AOCNP : hours as an oncology nurse practitioner in the past 4 years Are you Hispanic/Latino? m Yes m No Sex m Female m Male 11. Do you hold any other nursing certifications? mno myes please list credentials 12. 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. 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. 17. Fee & Payment Information Test (Initial Candidates & Option 2 Renewal Candidates) m AOCNP m AOCNS ONS/APHON Member Nonmember Are you testing outside North America? Inclide an additional $75 for testing outside North America Renewal Option 1: (ONC-PRO) m AOCN m AOCNP m AOCNS ONS/APHON Member Nonmember Renewal Option 3: Test + ONC-PRO m AOCNP m AOCNS ONS/APHON Member Nonmember First Deadline* ($75 savings included) September 15, 2009 m $ 210 m $ 330 See test deadlines, above m $ 360 m $ 480 m $ 260 m $ 380 m $ 75 * Discount applies to complete applications only. Incomplete applications (including those without required documentation) will be charged the full fee. All complete applications must be received by the final deadline, regardless of postmark. m Check Enclosed (payable to the Oncology Nursing Certification Corporation) Final Deadline (Full Fee) October 15, 2009 m $ 285 m $ 405 See test deadlines, above m $ 435 m $ 555 Name Title m Visa m MasterCard m American Express m Discover Institution Phone 15. Nursing Experience Details (required for AOCN, 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 oncology. From (mm/dd/yy) Cardholder s Name Signature Card number Expiration Date To (mm/dd/yy) Name and City/State of Employer Position Title # Hours per week % of Time spent in advanced oncology nursing 16. Affirmation (required) Name (print) Signature Date By signing and submitting this application form, I accept the conditions set forth in the 2009 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.

33 Advanced Oncology Certified Clinical Nurse Specialist (AOCNS ) Candidate Practice Verification Form AOCNS candidates only AOCNP candidates use other side This form must be submitted with the completed Certification Application Form (mail or fax within 48 hours if applying online). This form must be completed and signed by the individual who is verifying completion of supervised practice in an advanced practice role in oncology nursing. (Individuals providing verification of supervised practice may be contacted by ONCC during a random application audit.) This form must provide verification of a minimum of 500 total hours of supervised practice as an oncology advanced practice nurse (indicate in either Part A, Part B, or both). Please photocopy this form if you need to provide verification by more than one 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 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: m Physician Preceptor m Advanced Practice Nurse Preceptor m Faculty member m Other (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 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: m Supervisor m Collaborating Physician m Collaborating Advanced Practice Nurse m Other (please specify role) Name (print name) Title Name of Unit (if applicable) Name of Institution Address Daytime Telephone Number (with area code) Signature Date 2009 Oncology Nursing Certification Test Bulletin - Copyright 2008 Oncology Nursing Certification Corporation 33

34 Advanced Oncology Certified Nurse Practitioner (AOCNP ) Candidate Practice Verification Form AOCNP candidates only - AOCNS candidates use other side This form must be submitted with the completed Certification Application Form (fax or mail within 48 hours of applying online). This form must be completed and signed by the individual who is verifying completion of supervised practice as an oncology nurse practitioner. (Individuals providing verification of supervised practice may be contacted by ONCC during a random application audit.) This form must provide verification of a minimum of 500 total hours of supervised practice as an oncology nurse practitioner (indicate in either Part A, Part B, or both). Please photocopy this form if you need to provide verification by more than one individual 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 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: m Physician Preceptor m Nurse Practitioner Preceptor m Faculty member m Other (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 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: m Supervisor m Collaborating Physician m Collaborating Advanced Practice Nurse m Other (please specify role) Name (print name) Title Name of Unit (if applicable) Name of Institution Address Daytime Telephone Number (with area code) Signature Date Oncology Nursing Certification Test Bulletin - Copyright 2008 Oncology Nursing Certification Corporation

35 Application Addresses & Contact Information Apply Online, or by Mail or Fax! Applications (including documentation) must be received by the deadline date, regardless of postmark or other circumstances. Online Online applicants must pay by MasterCard, VISA, or American Express. Go to click on Get Certified and Apply Online ONCC Contact Information Questions about Certification? Contact ONCC with all questions related to certification. Phone: (Toll free, US & Canada) Fax: Comments & Complaints To comment about any matter related to the certification process, contact ONCC within 21 days of taking the test. Include your name, address, test date and location in all correspondence. ONCC will investigate and respond to each complaint. You will have an opportunity to comment on the test content and administration process on the day of the test administration. Please direct all inquiries to ONCC. Privacy Policy As an affiliate organization of the Oncology Nursing Society (ONS), ONCC respects the privacy of our customers and adheres to the ONS Privacy Policy. A copy of the ONS Privacy Policy is available upon request by contacting ONS. customer.service@ons.org Mail: 125 Enterprise Drive Pittsburgh, PA Attn: Customer Service After You Have Applied for Certification Watch for notification that your application has been received. If you don t receive it by (or regular mail if you have not provided an address) within 4 weeks of applying, contact ONCC. Notify ONCC immediately of a name/address/ change. All information related to certification, including your Authorization to Test (ATT) and other materials will be sent to your address or home address on file at ONCC. Keep this Bulletin. It contains information you may need. Fax Faxed applications must include credit card payment. Fax both sides of the completed application form and required documentation to Guaranteed First Mail Delivery ONCC strongly recommends using a guaranteed overnight or two-day delivery service. When using a guaranteed delivery method, send to: Dollar Bank ONCC Lockbox Liberty Avenue Pittsburgh, PA Telephone - For all questions: Telephone - For delivery only: (Do not call Dollar Bank; direct all inquiries to ONCC at ) Class Mail Mail your application at least 2-3 weeks before the deadline date to allow for service delays. When using first-class mail, send to: ONCC PO Box 3445 Pittsburgh, PA Please note: ONCC is not responsible for mail that is lost, misdirected, or delayed by the postal service or other carriers. Allow adequate time for your application to reach ONCC. Watch for confirmation from ONCC that your application has been received Oncology Nursing Certification Test Bulletin - Copyright 2008 Oncology Nursing Certification Corporation 35

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