Homepage Fill Out Your Ccht Recertification Application Form
Article Structure

The CCHT Recertification Application form is an essential tool for Certified Clinical Hemodialysis Technicians looking to maintain their professional credentials. This application process, overseen by the Nephrology Nursing Certification Commission (NNCC), outlines the eligibility requirements and the necessary steps for recertification. Applicants have two main paths: they can either submit documentation of continuing education and clinical experience or apply to recertify through examination. The form also includes vital information on fees, timelines, and the consequences of failing to recertify on time. To renew their certification, CCHTs must ensure that their application is postmarked by the expiration date of their current certification. In addition to the application, the form addresses options for those who have retired, offering an Emeritus Status for certified technicians over 50 who wish to acknowledge their past credentials. The process can seem daunting, but it's designed to be straightforward, helping technicians effectively navigate their recertification journey while enhancing their professional development within the nephrology scope of practice.

Ccht Recertification Application Example

Recertification

Application

Nephrology Nursing

Certification Commission

Recertification Application

Recertification Application Booklet

Table of Contents

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Verification of Recertification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Current Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Emeritus Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Fee Schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Continuing Education Approvers and Providers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4

Denial/Revocation of Certification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Appeal Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

CCHT Recertification

CCHT Eligibility Criteria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

CCHT Contact Hour Certificates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

CCHT Recertification Application Instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

CCHT Recertification Application . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-10

CCHT Form 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

CCHT Form 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

CCHT Recertification by Examination

CCHT Recertification by Exam Application . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-16

CCHT-A Emeritus Status

Emeritus Status Application . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19-20

Revised 9/19

1

Recertification Application

2

Recertification Application

Introduction

To qualify for recertification, a Certified Clinical Hemodialysis Technician (CCHT) must meet the eligibility requirements set forth by the Nephrology Nursing Certification Commission (NNCC). To avoid a late fee, the appropriate recertification application (contained in this booklet) must be postmarked by the last day of the month in which the certificant’s certification expires.

Certification is effective for three (3) years from the first day of the month in which the certificant passed the exam- ination. Certification must be renewed every three (3) years. The CCHT is a national credential that may be used in all professional activities and correspondence.

The following two options are available to meet the recertification requirements:

Continuing education and clinical experience:

This booklet contains the forms and instructions to recertify by continuing education and clinical experience. To determine eligibility requirements to recertify as a CCHT, please refer to the eligibility requirements on page 7 of this booklet.

Recertification by examination:

A recertification by examination application can be found on page 15 of this booklet. When submitting the examination application for recertification, all require- ments for recertification must be met except for #3, con- tinuing education. Testing must be completed before the certification expiration date to avoid a lapse in certifica- tion status.

Verification of Recertification

If approved for recertification, individuals will receive a wallet card with expiration date within sixty (60) days of the date the National Office receives a recertification application. Replacement wallet cards and/or wall certifi- cates are available for a fee.

Current Address

It is the certified technician’s responsibility to notify the NNCC National Office of any changes in name and/or address.

Emeritus Status

Techincians who have maintained an active credential, who are over 50 years of age, and who have retired from active practice may apply for emeritus status. To apply for the retired credential the certificant must complete the application for Emeritus Status (available on the NNCC website at www.nncc-exam.org or by calling 888.884.6622) and submit a one time fee. If approved, the certificant may use the emeritus credential at nephrology nursing functions to acknowledge a previous active credential and the accom-

plishments it signifies. If the certificant chooses to return to active practice and wishes to again hold the active creden- tial, he/she must meet current eligibility criteria and certify by examination.

Fee Schedule

Recertification application fees are non-refund- able. Periodically fees are reevaluated and adjustments may be made. Fees can only be adjusted by a vote of the NNCC Commission. To avoid a late fee, the recertification application must be postmarked by the certification expi- ration date. For an additional (late) fee a certificant may submit a recertification application after the certification expiration date, provided all eligibility criteria are met during the certification period. Applications are processed in order of receipt. It may take up to eight (8) weeks from date of receipt of an application to be reviewed. Expedited applications will be processed within 14 business days from date of receipt with an additional expedited fee included.

Continuing Education Approvers and Providers

It is recommended but not mandatory that contact hours be accredited by one of the following to be accepted toward the continuing education requirement for recertification:

Organizations accredited by the American Nurses’ Credentialing Center — Commission on Accreditation (ANCC-COA), the credentialing body of the American Nurses’ Association

For example, The American Nephrology Nurses’ Association (ANNA), which is both an accredited provider and approver of continuing education in nursing

The American Association of Critical-Care Nurses (AACN)

The Council of Continuing Education

California, Florida, Kansas, Ohio, and Iowa State Boards of Nursing*

For example, the National Association of Nephrology Technicians/Technologists (NANT) programs when approved by the California State Boards of Nursing

*Please be aware that although programs meet require- ments set forth by other state boards of nursing, they may not meet the Nephrology Nursing Certification Commission criteria.

*Ten (10) contact hours/continuing education credits must be relevant to nephrology.

3

Recertification Application

Acceptable Continuing Education

Nephrology programs

These programs should be relevant to the dialysis technician scope of practice. Credit will be given accord- ing to the number of contact hours awarded.

Academic credit

Includes all course work credits earned during the 3- year certification period while enrolled in the Baccalaureate in Nursing degree program. It is not necessary that the course contact be relevant to nephrology. Five (5) contact hours will be assigned for one (1) semester credit. Three (3) contact hours will be assigned for one (1) quarter credit.

*NNCC will assign a maximum of 15 contact hours for course credits earned through Anatomy & Physiology if course credits were earned during the 3-year certification period.

Denial, Suspension, or Revocation of

Certification/Recertification

The occurrence of any of the following actions will result in the denial, suspension, or revocation of the cer- tification:

Falsification of the NNCC application

Falsification of any materials or information requested by the NNCC

Any restrictions such as revocation, suspension, probation, or other sanctions of professional RN license by a nursing authority

Misrepresentation of certification status

Cheating on the examination

Applicable state and/or federal sanctions brought

against the certificant

The NNCC reserves the right to investigate all sus- pected/reported violations and, if appropriate, notify the applicant/certificant's employer/State Board of Nursing.

The applicant/certificant will be notified in writing of NNCC's decision(s)/action(s).

Appeal Process

An individual who has been denied certification or had a certification credential revoked has the right of appeal. This appeal must be submitted in writing to the President of NNCC within thirty (30) days of notification. The appeal shall state specific reasons why the individual feels entitled to certification. At the individuals request, the President shall appoint a committee of three (3) NNCC Commissioners who will meet with the individual and make recommendations to the NNCC. The commit- tee will meet in conjunction with a regularly schedule NNCC Board of Commissioners meeting. The individual will be responsible for their own expenses. The final deci- sion of the NNCC will be communicated in writing to the individual within thirty (30) days following the NNCC meeting. Failure of the individual to request an appeal or appear before the committee shall constitute a waiver of the individual’s right of appeal.

Letters of appeal should be sent to the President at the NNCC National Office:

NNCC PO Box 56

Pitman, NJ 08071-0056

4

Recertification Application

Recertification

By Continuing

Education

Application

Nephrology Nursing

Certification Commission

5

Recertification Application

6

Recertification Application

CCHT Recertification Eligibility Criteria

1.Certificant must be a Certified Clinical Hemodialysis Technician (CCHT).

2.Certificant must have a minimum of 3000 hours of work experience as a dialysis technician within the three (3) year certification period.

3.Continuing education must include thirty (30) hours of education credits earned within the three (3) year certification period. A minimum of ten (10) contact hours must be nephrology specific.

Continuing education criteria is not required for recertification by examination.

If academic course credits were earned through Anatomy and Physiology during the three (3) year certification period, contact hours can be applied.

If enrolled in a baccalaureate in nursing degree pro- gram during the three (3) year certification period, all course work credits required for the degree can be applied toward the contact hour requirement.

CCHT Contact Hour Certificates

Contact hour certificates must include the following information to be acceptable for recertification:

Name of attendee

Date of program

Name of program

Number of contact hours awarded

Accreditation statement if applicable (see page 3)

Only submit programs where contact hour certificates have been provided and contact hours have been awarded.

It is not necessary to include copies of contact hour certificates with the recertification application, unless you have been notified that you have been selected for a random audit. Keep all certificates for your records in case they are requested upon review of your appli- cation.

CCHT Recertification Application Instructions

1.Make sure you meet all CCHT recertification eligibil- ity requirements.

2.Complete the application in its entirety.

3.Record all contact hour information on the appropri- ate form(s).

4.Enclose a copy of your current, government issued photo ID (non-temporary) if recertifying by examina- tion.

5.Enclose appropriate fee made payable to NNCC.

6.Retain a copy of the recertification application and all contact hour certificates.

7

Recertification Application

8

Recertification Application

 

For office use only

 

 

 

 

 

 

Number:

Processor:

 

 

Exam Date:

Postmark:

 

 

Check #:

Amount:

 

 

 

 

 

 

 

 

 

Recertification by Continuing Education Application

Applications must be postmarked on or before certification expiration date to avoid a late fee. Applications can take up to 8 weeks from date of receipt for review, or up to 14 business days if “Expedited Review” is selected. Please clearly print or type all information requested.

Recertification application fees are non-refundable.

Application Fee (check ALL that apply): ❏ $100 ❏ $50 Late fee ❏ $50 Expedited Review

Payment Method (check one): ❏ Check or money order (payable to NNCC)

❏ Charge my credit card ❏ Visa ❏ MC

1. Name: _________________________________________________________________________________________

 

Last

Maiden

First

Middle

2.

Expiration date of current certification: ____________________________________________________________

3.

Last 4 digits of social security number _____________

E-mail____________________________________________

4. Home/mailing address ____________________________________________________________________________

Street/P.O. Box

City

State

Zip

5. Personal phone ❏ _____________________________________ Work phone ❏ ______________________________

Please check preferred contact number

6.Has your address changed in the past three (3) years? ❏ Yes ❏ No

7.Have you been employed at least 3,000 hours as a Dialysis Technician in the last three (3) years? ❏ yes ❏ no

8.Total years of experience as a dialysis technician _______

9.Highest level of education completed:

High School Diploma/GED

Associate degree

Bachelor’s Degree

Master’s degree

Doctorate

LPN/LVN

Credit Card Authorization Form

The NNCC accepts only Visa and MasterCard credit cards.

Home telephone: ______________________________________

Name: _______________________________________________

Work telephone: ______________________________________

Address: (as it appears on your credit card statement)

Charge my:

❏ Visa ❏ MasterCard the amount of $ ________

____________________________________________________

Card number: _________________________________________

City: ________________________________________________

CVV__________ Expiration date: _________________________

State: ______ Zip: __________ Country:____________________

_____________________________________________________

 

 

Authorized Signature

9

Form Characteristics

Fact Name Details
Governing Body The CCHT Recertification Application is governed by the Nephrology Nursing Certification Commission (NNCC).
Application Deadline The recertification application must be postmarked by the last day of the month in which certification expires to avoid a late fee.
Certification Duration A CCHT's certification is valid for three years from the first day of the month in which the individual passed the examination.
Recertification Options Options for recertification include continuing education or passing a recertification examination.
Emeritus Status Technicians over 50 who have retired from active practice may apply for Emeritus status, allowing them to acknowledge previous credentials.
Fee Structure Recertification application fees are non-refundable, and adjustments can be made periodically based on NNCC Commission votes.
Continuing Education Requirement Ten contact hours relevant to nephrology are required for recertification, with credits awarded based on accredited programs.
Appeal Process An individual can appeal a denial of certification within 30 days of notification by writing to the NNCC President.

Guidelines on Utilizing Ccht Recertification Application

Completing the CCHT Recertification Application is an important step for maintaining certification. Following the outlined steps will ensure that you provide all necessary information accurately and on time. Once your application is submitted and reviewed, you can expect to receive your recertification wallet card within sixty days, if approved.

  1. Obtain the Application Form: Find the CCHT Recertification Application form in the booklet.
  2. Verify Eligibility: Confirm that you meet the eligibility requirements listed on page 7 of the booklet.
  3. Complete Personal Information: Fill out your current address and contact information accurately.
  4. Document Continuing Education: Gather and record any continuing education hours or clinical experience required for recertification.
  5. Fee Payment: Include the appropriate recertification fee according to the fee schedule provided.
  6. Review Application: Double-check all sections for completeness and accuracy.
  7. Submit Application: Mail your application, postmarked by the certification expiration date, to the NNCC National Office.

What You Should Know About This Form

What is the CCHT Recertification Application Form?

The CCHT Recertification Application Form is a document that Certified Clinical Hemodialysis Technicians must complete to renew their certification. The certification is valid for three years, and to maintain it, individuals must meet specific eligibility requirements, which include completing continuing education or passing a recertification examination.

How do I know if I am eligible for recertification?

To be eligible for recertification, you need to meet the criteria set by the Nephrology Nursing Certification Commission (NNCC). This generally includes being active in your field and fulfilling continuing education requirements during your certification period. Please check the eligibility requirements detailed in the application booklet.

When should I submit my recertification application?

You should submit your recertification application before the last day of the month in which your certification expires. To avoid additional late fees, make sure your application is postmarked on time. Late applications may still be accepted, provided you meet all eligibility criteria.

What happens after I submit my application?

Once your application is received, it will be processed in the order it was received. Typically, you can expect a review to take up to eight weeks. If approved, you will receive a wallet card indicating your new expiration date within sixty days from the date the application is received.

Can I apply for emeritus status?

If you are over 50 years of age, have retired from active practice, and have maintained an active credential, you may apply for emeritus status. This allows you to use a retired credential to acknowledge your previous active certification. You will need to submit an application along with a one-time fee.

What fees are associated with the recertification process?

Recertification application fees are non-refundable. These fees can change, so be sure to check the current fee schedule in the application booklet. If you miss the application deadline, you may still submit your application with an additional late fee.

What types of continuing education are accepted for recertification?

Continuing education hours must be relevant to nephrology and ideally should be accredited by recognized organizations like the American Nurses’ Credentialing Center. You can earn credit through relevant programs or qualified academic courses taken during your certification period.

What do I do if my recertification application is denied?

If your application is denied or if your certification is revoked, you have the right to appeal. You must submit a written appeal to the President of the NNCC within thirty days of receiving the denial notification. Include your reasons for appealing, and a committee will review your case.

How can I keep my address updated with the NNCC?

It’s essential to keep your contact details current. Whenever you change your name or address, you must inform the NNCC National Office. Keeping this information updated ensures you receive important notifications regarding your certification.

Common mistakes

Completing the CCHT Recertification Application form requires careful attention to detail. One common mistake made by applicants is failing to provide the current address. Keeping your address updated is crucial, as any changes must be communicated to the National Office. An outdated address could lead to missed communications regarding the status of your application or any important updates.

Another frequent error is the incorrect submission of fees. Each application has associated costs, and fees are non-refundable. Applicants often overlook the deadline for postmarking the application to avoid late fees. Ensuring payment is sent on time can save both money and complications in the recertification process.

Inadequate documentation concerning continuing education units is yet another pitfall. While applicants might believe that they have enough qualifying hours, it’s essential to ensure that the education received aligns with the criteria set forth by the Nephrology Nursing Certification Commission. Failing to match the requirements may result in the denial of the application.

Some individuals mistakenly provide incomplete or inaccurate information. This can include misrepresenting the number of contact hours earned or failing to complete all sections of the form. Such oversights can delay the processing of an application or cause outright rejection, prolonging the certification cycle unnecessarily.

Not reading the instructions carefully presents another significant challenge. The application booklet contains vital information detailing how to navigate the various sections of the application successfully. Ignoring these guidelines could lead to improper submissions, impacting the applicant's chances of recertification.

Around the aspect of certification status, candidates can err by misrepresenting their current standing. Any history of suspension or revocation of a license must be disclosed. Failing to do so not only jeopardizes the application but could also lead to serious consequences, including future denials of certification.

Finally, the appeal process after a denial is often misunderstood. If a certification is revoked or denied, applicants have only thirty days to submit a written appeal. A failure to meet this deadline means losing the right to contest the decision, a mistake that can have lasting effects on one’s professional standing.

Documents used along the form

When seeking recertification as a Certified Clinical Hemodialysis Technician (CCHT), several additional forms and documents complement the CCHT Recertification Application. Understanding these forms can streamline the process and ensure that everything goes smoothly. Below is a summary of the most commonly required documents.

  • CCHT Eligibility Criteria: This document outlines the requirements to be eligible for recertification. It includes specifics about the necessary continuing education and clinical experience required within the certification period.
  • CCHT Contact Hour Certificates: These certificates verify that you have completed the required contact hours of continuing education. This documentation is essential for demonstrating your ongoing commitment to professional development.
  • CCHT Form 1: Typically used to provide detailed information regarding your continuing education. Completing this form accurately ensures that the hours you accumulated towards recertification are properly credited.
  • CCHT Form 2: This form focuses on clinical experience. It may ask for information about your practical work in the field, including hours worked and responsibilities held, to further validate your eligibility.
  • CCHT Recertification by Exam Application: For those opting to recertify by examination, this document must be filled out. It contains instructions on how to register for the re-certification test, along with necessary deadlines.
  • Emeritus Status Application: If you are over 50 and have retired from active practice, you can apply for emeritus status. This form enables you to maintain a credential while no longer participating in the field actively.
  • Fee Schedule: This document outlines the fees associated with the recertification process. It is crucial to be aware of the costs to avoid late fees or misunderstandings.

By familiarizing yourself with these forms and documents, you can better navigate the recertification process. Each one plays a crucial role in maintaining the standards and integrity of the CCHT credentialing system. Ensure all paperwork is completed accurately and submitted on time for a seamless recertification experience.

Similar forms

Below are documents that share similarities with the CCHT Recertification Application form. Each document serves a unique yet related purpose in the recertification process for professionals in the field of nephrology nursing. Understanding these documents can facilitate a smoother recertification journey.

  • Certification Renewal Form: Like the Recertification Application, this form is used to formalize the request for renewal of a professional certification. It requires the submission of proof of continued education and practice, similar to the CCHT version.
  • Continuing Education Attendance Verification: This document verifies the completion of required continuing education hours. It parallels the CCHT requirements, as both necessitate documentation of educational activities to maintain certification status.
  • Eligibility Verification Form: This form serves to confirm that applicants meet the necessary guidelines to apply for certification or recertification. The role of this document is similar to the eligibility criteria outlined in the CCHT recertification process.
  • Professional Development Plan: Much like the CCHT Recertification Application, this plan is tailored to help professionals outline their continuing education goals and related activities required for maintaining certification.
  • Application for Emeritus Status: Both the CCHT form and the Emeritus Status Application allow experienced professionals to maintain recognition after active practice ends, emphasizing professional achievements and ongoing contributions to the field.
  • Certification Examination Application: Similar to the CCHT Recertification Application, this document is used for those seeking to take an examination for initial certification or recertification. It outlines the requirements and submission information necessary for exam eligibility.
  • Recertification Audit Notification: This notification is relevant for those who are selected for an audit of their continuing education credits and clinical hours. It plays a similar role to the verification processes in the CCHT recertification, ensuring that all qualifications are met timely.

Dos and Don'ts

When filling out the CCHT Recertification Application form, it's important to adhere to specific guidelines to ensure your application is processed smoothly. Below is a list of dos and don'ts to guide you through the process.

  • Do ensure that your application is postmarked by the last day of the month in which your certification expires.
  • Do provide your current contact information, including any changes in name or address, to maintain accurate records.
  • Do confirm that you meet all eligibility requirements before submitting your application.
  • Do include any required fees with your application to avoid delays in processing.
  • Do check that all continuing education contact hours are relevant to nephrology to ensure they are accepted.
  • Don't falsify any information or documentation submitted with your application, as this could lead to denial or revocation of certification.
  • Don't submit your application after the expiration date without including the necessary late fee.
  • Don't assume that all educational programs will be accepted; ensure they meet the criteria set forth by the Nephrology Nursing Certification Commission.
  • Don't overlook the need for a written appeal if your certification is denied; ensure it is submitted within 30 days of notification.
  • Don't forget to keep a copy of your application and all supporting documents for your records.

Misconceptions

Understanding the CCHT Recertification Application can sometimes be complicated, leading to misconceptions. Here’s a breakdown of 10 common myths to help clarify the process.

  1. Myth: I don’t need to renew my CCHT certification until I am notified.

    This is false. It is each technician's responsibility to know when their certification expires and initiate the renewal process on time.

  2. Myth: Continuing education hours don’t need to be relevant to nephrology.

    Actually, the continuing education hours must be relevant to the dialysis technician scope of practice, which limits acceptable topics.

  3. Myth: I can submit my recertification application at any time.

    The application must be postmarked by the last day of the month in which the certification expires to avoid a late fee.

  4. Myth: There are no consequences for falsifying information on the application.

    In reality, falsifying any information can lead to denial, suspension, or even revocation of your certification.

  5. Myth: I can ignore changes to my address or name.

    This is incorrect. You must notify the NNCC of any changes to ensure you receive important communication regarding your certification.

  6. Myth: Taking the exam is my only option for recertification.

    While recertification by examination is an option, you can also recertify through continuing education and clinical experience.

  7. Myth: The recertification fee is refundable if my application is denied.

    In fact, all recertification application fees are non-refundable, regardless of the outcome.

  8. Myth: Emeritus status is available to anyone who wishes to retire.

    Emeritus status is only available to technicians over 50 who have maintained an active credential and retired from active practice.

  9. Myth: It is optional to appeal if your certification is denied.

    While it is not mandatory, individuals who feel aggrieved by a denial have the right to appeal within a specified timeframe.

  10. Myth: All desired continuing education credits are accepted automatically.

    This is misleading. Credits must come from accredited providers recognized by the NNCC to count toward recertification requirements.

By clearing up these misconceptions, you can approach the CCHT Recertification process with more confidence and understanding. For further guidance, always refer to the official guidelines provided by the Nephrology Nursing Certification Commission.

Key takeaways

When filling out and using the CCHT Recertification Application form, keep these key takeaways in mind:

  • The form must be completed accurately to avoid any delays in processing.
  • The application should be postmarked by the last day of the month when your certification expires to avoid late fees.
  • To qualify for recertification, you must meet the eligibility criteria set by the Nephrology Nursing Certification Commission.
  • Continuing education and clinical experience can be used to fulfill recertification requirements.
  • If you opt for recertification by examination, ensure all other requirements are met except continuing education.
  • After approval, expect to receive a wallet card with your new certification date within 60 days.
  • Notify the NNCC of any changes to your name or address to keep your records up to date.
  • Techs over 50 who are retired may apply for Emeritus Status by paying a one-time fee.
  • Recertification fees are non-refundable, so carefully review the fee schedule.
  • A late fee applies if you submit your application after the expiration date, although you must still meet eligibility requirements.

Keep these points in mind as you navigate the recertification process. They will help you complete your application smoothly and maintain your certification.