MSNCB FailSafe Certification Program Employee Contract Center for Professional Practice of Nursing What Is It? FailSafe is a program that makes getting certified safer and easier for everyone. To develop this program, MSNCB considered every aspect of the testing process, from test stress to financial concerns, and lifted the barriers. The result is everyone wins: nurses, nurse managers, the health care facilities, and patients. In a nutshell, if the nurse uses the unique facility ID Code when registering for the exam they get more than one chance to pass the exam, and don't pay a penny until they pass. (See contract for all conditions) How It Works: A health care facility agrees that within one year's time, 10 of its medical-surgical nurses will take the certification exam to earn the Certified Medical-Surgical Registered Nurse (CMSRN®) or Certified in Care Coordination and Transition Management (CCCTM) credential. If the nurse passes the exam, the nurse is charged for the exam fees. If the nurse is unsuccessful, they can take the exam an additional time before the contract expiration date. If the nurse passes the second time around, then the nurse is charged the exam fee. If the nurse does not pass, no one pays if within the contract date. If the nurse does not use the unique facility ID Code to register for the examination the fee is the responsibility of the nurse and you will not be covered under the Fail Safe Program. About the Exams: Two certifications − Certified Medical-Surgical Registered Nurse (CMSRN ® ) for medical-surgical Nursing. The Certified Medical-Surgical Registered Nurse (CMSRN®) credential recognizes that the highest standards of medical-surgical nursing practice have been achieved. Successful completion of the CMSRN exam validates proficiency in medical-surgical nursing. − Certified in Care Coordination and Transition Management (CCCTM™) for RNs in a care coordination role. The CCCTM credential is the FIRST validation of RN care coordination and transition management (CCTM). Information concerning registering for the exam: Applying for the FailSafe Program does not register you for the exam. To be eligible to take the CMSRN or CCCTM exam, you must meet all eligibility criteria at Email form to [email protected]or bring in person to 4900 Broadway Suite 1630 Page 1 of 4
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MSNCB FailSafe Certification Program Employee ContractCenter for Professional Practice of Nursing
What Is It?
FailSafe is a program that makes getting certified safer and easier for everyone. To develop this program, MSNCB considered every aspect of the testing process, from test stress to financial concerns, and lifted the barriers. The result is everyone wins: nurses, nurse managers, the health care facilities, and patients. In a nutshell, if the nurse uses the unique facility ID Code when registering for the exam they get more than one chance to pass the exam, and don't pay a penny until they pass. (See contract for all conditions)
How It Works:
A health care facility agrees that within one year's time, 10 of its medical-surgical nurses will take the certification exam to earn the Certified Medical-Surgical Registered Nurse (CMSRN®) or Certified in Care Coordination and Transition Management (CCCTM) credential.
If the nurse passes the exam, the nurse is charged for the exam fees.
If the nurse is unsuccessful, they can take the exam an additional time before the contract expiration date.
If the nurse passes the second time around, then the nurse is charged the exam fee.
If the nurse does not pass, no one pays if within the contract date.
If the nurse does not use the unique facility ID Code to register for the examination the fee is the responsibility of the nurse and you will not be covered under the Fail Safe Program.
About the Exams:
Two certifications− Certified Medical-Surgical Registered Nurse (CMSRN®) for medical-surgical Nursing. The Certified Medical-Surgical Registered Nurse (CMSRN®) credential recognizes that the highest
standards of medical-surgical nursing practice have been achieved. Successful completion of the CMSRN exam validates proficiency in medical-surgical nursing.
− Certified in Care Coordination and Transition Management (CCCTM™) for RNs in a care coordination role.
The CCCTM credential is the FIRST validation of RN care coordination and transition management (CCTM).
Information concerning registering for the exam:
Applying for the FailSafe Program does not register you for the exam. To be eligible to take the CMSRN or CCCTM exam, you must meet all eligibility criteria at the time of the application. More information concerning exam and criteria can be found at http://msncb.org/get-certified
To apply for the FailSafe Program please complete the attached application.This Contract for the MSNCB FailSafe Certification Program is made between the person listed below hereafter referred to as “Nurse” and UC Davis Medical Center, Center for
Email form to [email protected] or bring in person to 4900 Broadway Suite 1630Page 1 of 3
MSNCB FailSafe Certification Program Employee ContractCenter for Professional Practice of Nursing
Professional Practice of Nursing hereafter referred to as “CPPN” is for participation in the MSNCB Fail Safe Certification Program.
Expiration date of contract: 11/15/2018, you must register for the exam by this date. If you have not registered for the exam by this date your contract will expire and you will need to resubmit a new contract.
Do not complete this contract if you are not ready to register for the exam. o Nurses who have missed a scheduled appointment to take their exam or have
allowed their permit to lapse without scheduling an exam and without contacting MSNCB within 10 days are considered unexcused instances and will be charged the cost of the exam .
Personal Information:All Information is required – missing information will stall CPPN confirming your participation in program.
First Name: Click here to enter text. Last Name: Click here to enter text.
PPS ID No: Click here to enter text. Title: Click here to enter text.
Department Name: Click here to enter text.
Work Phone Number: Click here to enter text. Personal Phone Number: Click here to enter text.
Work E-mail address: Click here to enter text. Permanent (Home) Mailing Address:
Street: Click here to enter text.
City: Click here to enter text. State: Click here to enter text. Zip: Click here to enter text.
Contract Agreement – Responsibilities of the Parties – Read carefullyNurse agrees to:
Enroll as an applicant for the Certified Medical-Surgical Nursing Registered Nurse (CMSRN®) exam, using the unique ID Code provided by CPPN, during the period of this Contract Nurses will complete a certification exam application through MSNCB. The Nurse is allowed to enroll to take the CMSRN exam on any one (1) of the four (4) paper and pencil exam dates or at any one of the computer-based testing centers across the United States within the 90-day testing window. (CPPN is not an approved test site.)
If the Nurse registers for the exam and is unable to meet the terms of this Contract by completing the processes to take the exam (successful or not), CPPN will charge for exam, regardless of a pass or fail outcome as outlined below.
If the nurse passes the exam, then the exam fee will be charged at that time to the credit card listed.
If the nurse is unsuccessful, one additional opportunity to re-take the CMSRN exam at no additional cost per Contract Period. Contact CMSRN to arrange second opportunity.
If the nurse passes the second time around, then the exam fee will be charged at that time to their credit card.
Email form to [email protected] or bring in person to 4900 Broadway Suite 1630Page 2 of 3
MSNCB FailSafe Certification Program Employee ContractCenter for Professional Practice of Nursing
If the nurse does not pass the second time around, within the contract period the nurse will not be charged.
A nurse who registers for but does not take the CMSRN exam on the selected paper and pencil exam date or within the 90 day window for computer-based testing for any reason will forfeit one opportunity to take the exam and will be invoiced for exam cost.
The Nurse will provide a valid credit card to CPPN to be charged. All credit card information will be kept confidential and shredded after payment is received. Once credit card information is received the ID Code will be given (in-person or to UC Davis email address)
To register for the examination go to msncb.org/apply and click "Begin Online Application." If you are a member of the affiliated professional association, Academy of Medical-Surgical Nurses (AMSN), or have a previous online account, then that account login should be used. If not, you must create a new account. The use of the ID Code will negate the fee charged.
CPPN will supply a distinct facility ID code to use when registering for the exam upon receipt of this signed contract and valid credit card information.
Do Not Apply for the exam until you have received Unique ID Code from CPPN. If you register and pay for the exam MSNCB will not allow you to change to the Fail Safe Program.
If your code does not work or you are prompted for payment information please contact MSNCB Telephone toll-free: 866-877-2676
web: http://msncb.org/contact If you enter the code correctly you will not be prompted for credit card information
Examination Fees will be charged as follows: $ 250.00 Academy of Medical-Surgical Nurses (AMSN) member rate $375.00 non-member
Credit Card Information Please bring contract and credit card to CPPN, or email form to CPPN and call with credit card information. Credit Card Information (will be kept confidential and only charged when the nurse passes the exam or fails to complete within the contract limits.) If the credit card becomes invalid prior to being charged it is the credit card holder’s responsibility to contact CPPN and update credit card information. Contract will not be valid until credit card information has been received.
By signing below, I agree to register for the examination prior to 11/15/2018, and agree to pay fees as listed.
