Every second counts when stabilizing life-threatening trauma cases. The TNCC Challenge, led by experienced trauma nurses, is built for previously certified providers who need to renew their TNCC verification. This course refines your trauma assessment, strengthens your clinical judgment, and ensures you stay sharp on the latest trauma care standards.
Looking for the full course instead? Visit our TNCC Full Course page to gain your initial certification before taking the TNCC Challenge.
Here’s a glimpse into what you’ll review and reinforce:- Updated trauma nursing practice recommendations
- Systematic assessment using the Trauma Nursing Process
- Rapid identification and management of life-threatening injuries
Why Choose the ENA® TNCC Challenge?
- Evidence-based content developed by trauma nursing experts.
- Streamlined format for experienced nurses needing re-verification.
- Updated regularly to align with evolving trauma standards.
- Earn a four-year, internationally recognized TNCC verification upon completion.
- Boost your confidence in trauma patient care and teamwork.
- Courses available year-round at convenient locations.
- Earn 19.5 CNE hours.
What the TNCC Challenge Covers
- Comprehensive trauma assessment and prioritization.
- Airway and ventilatory management.
- Control of bleeding and management of shock.
- Neurological and musculoskeletal trauma interventions.
- Environmental and accidental trauma care.
- Special populations: pediatric, geriatric, and obstetric trauma.
- Communication and coordination during trauma resuscitation.
The TNCC Challenge reinforces the core trauma nursing framework through testing, review, and skill validation. Learn more about official TNCC guidelines directly from the Emergency Nurses Association (ENA).
Course Format & Learning Methods
- Manual: TNCC Provider Manual (9th Edition) — required for review and testing.
- Online Modules: Self-paced pre-course learning with focused updates and quizzes.
- Testing: Skills validation and open-book electronic exam.
- Instructor-Led Review: Optional classroom review and coaching before testing.
- Virtual Options: Attend in-person or online via live video instruction.
Prerequisites & Completion Requirements
- Participants must be a Registered Nurse with a current or expired TNCC card.
- LPNs and paramedics may attend for CNE hours but are not eligible for verification.
- Psychomotor skills minimum score: 70% (two attempts allowed).
- Online exam minimum score: 80% (two attempts allowed).
- Completion of online course evaluation required for verification.
Upon successful completion, RN participants are verified as TNCC providers for four years. Certificates and cards may be reprinted from ena.org.
Course Materials & Fees
- TNCC Challenge: $260
- TNCC Provider Manual (9th Edition) — required.
- E-book: $80
- Paperback Manual: $80
We offer quality courses at reasonable prices. Our AHA ACLS Renewal, AHA PALS Renewal, AHA First Aid, and AHA CPR Certification in Madera are fun and stress-free. We provide CPR classes in Madera, Fresno, and throughout California.
The American Heart Association promotes proficiency in BLS, ACLS, and PALS. Use of AHA materials does not represent course sponsorship by the Association. Fees charged do not represent income to AHA except for required materials.