CCT CRAT - Cardiovascular Credentialing International

Transcription

Cardiovascular Credentialing
International
Credentialing Cardiovascular Professionals
Apply online at www.cci-online.org
Examination Application & Overview
CCT
Certified
Cardiographic
Technician
CRAT
Certified
Rhythm Analysis
Technician
Important – Please Read
All Applicants – Please Read This Section Before Starting Your Application Process
It is extremely important for all applicants to read the entire Examination Application and Overview booklet to be fully aware of CCI’s application requirements and appropriate supporting documentation. Please note that the samples of the required supporting documentation are provided
for your assistance. Please use these sample documents when having your employer, educator, or
clinical advisor write your verification letters.
Application Publication Date: October 2014. This application supersedes all documentation previously released.
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Table of Contents
General Information
Introduction..............................................................................................................................................................................5
CCI Credentials........................................................................................................................................................................ 5
General Information.................................................................................................................................................................6
Payment of Fees........................................................................................................................................................................6
Pre-Application Policy Pertaining to Criminal Matters........................................................................................................... 6
Applicants outside North America............................................................................................................................................6
The Testing Process
Testing Objectives.....................................................................................................................................................................7
Examination Application Policies............................................................................................................................................ 7
Examination Scheduling and Sites........................................................................................................................................... 7
Examination Rescheduling...................................................................................................................................................... 7
Examination Rules................................................................................................................................................................... 7
Special Testing Accommodations............................................................................................................................................. 8
Frequently Asked Questions .................................................................................................................................................... 9
Reporting of Results................................................................................................................................................................10
CCI Code of Ethics...................................................................................................................................................................11
Application Instructions and Application Form
Examination Application Instructions and Requirements.................................................................................................... 12
Examination Cancellation/Refund Policy...............................................................................................................................12
CCI Exam Application.............................................................................................................................................................13
CCI Examination Overviews
Examination Overviews (Table of Contents)..........................................................................................................................16
Certified Cardiographic Technician (CCT).............................................................................................................................17
Certified Rhythm Analysis Technician (CRAT)......................................................................................................................21
Definition of CCI Terms .........................................................................................................................................................26
Helpful Hints ......................................................................................................................................................................... 27
CCI Self Assessment Examinations ........................................................................................................................................28
Once You Have Earned Your Credential...................................................................................................................................30
Recertification Application.....................................................................................................................................................33
Societies and Associations......................................................................................................................................................34
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From the Board of Trustees & Advisors
Dear Applicant,
Congratulations on your decision to become credentialed!
This Examination Application and Overview Booklet is meant to assist you as a prospective candidate.
Please take the time to read it now. Before applying, please become fully familiar with the requirements
for sitting for CCI’s examination(s) and retaining your credential.
Earning a CCI credential demonstrates not only fundamental knowledge, but also dedication to your
professional development. Becoming certified allows you to become part of a group of more than 20,000
certified cardiovascular professionals worldwide. CCI’s credentials are internationally recognized by physicians, employers, contractors of Medicare and Medicaid services, administrators, accreditation bodies,
and patients.
For your convenience, you can apply for your CCI examination on the CCI web site at www.cci-online.org
or by completing the application (on page 13 of this booklet) and submitting the required supporting
documentation.
CCI wishes you every success in the examination. If anything is unclear after reading this booklet, please
call CCI at 800-326-0268 or e-mail [email protected]. CCI staff will guide you through
any aspect of the program that you would like explained in more detail.
Sincerely,
CCI Board of Trustees & Advisors
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Introduction
General Information
General Information
Credentials Administered
through CCI
This publication contains information about Cardiovascular
Credentialing International (CCI). It also provides the necessary
information and references concerning the process by which
candidates may earn certificate or registry-level credentials.
CCI offers eight credentials which, when earned, demonstrate
that the registrant holds fundamental knowledge in the
particular cardiovascular specialty. This booklet covers CCI’s
two certificate level examinations. For more information, on
CCI’s six registry level credentials, visit www.cci-online.org or
contact CCI Headquarters.
IT IS VERY IMPORTANT THAT YOU READ ALL THE
INFORMATION CONTAINED IN THIS BOOKLET BEFORE
COMPLETING AND SUBMITTING YOUR APPLICATION.
If questions arise after reading this application, please contact CCI
Headquarters at 800-326-0268 or via email at Applicant_Support@
cci-online.org.
Certificate Level
CCT – Certified Cardiographic Technician
• Who should apply: Professionals working in the areas of
ECG, Holter monitoring, and stress testing
Please retain this booklet and copies of all submitted materials and
documentation. The application and any required documents are
considered the sole responsibility of the applicant. Do not contact
Pearson VUE regarding scheduling of your examination until you
have received an Authorization to Test (ATT) letter from CCI.
CRAT – Certified Rhythm Analysis Technician
• Who should apply: Professionals who utilize specialized
monitoring equipment to analyze cardiac rhythms
Who We Are …
Registry Level
CCI is a not-for-profit corporation established for the purpose
of administering credentialing examinations as an independent
credentialing agency. CCI began credentialing cardiovascular
professionals in 1968.
RCCS – Registered Congenital Cardiac Sonographer
• Who should apply: Professionals working in the area of
pediatric and adult congenital cardiac ultrasound
RCES – Registered Cardiac Electrophysiology Specialist
electrophysiology
RCIS – Registered Cardiovascular Invasive Specialist
cardiac catheterization (invasive)
RCS – Registered Cardiac Sonographer
echocardiography
RPhS – Registered Phlebology Sonographer
phlebology ultrasound
RVS – Registered Vascular Specialist
vascular technology (vascular ultrasound)
Credentials administered by CCI are accredited by
the American National Standards Institute (ANSI)
based on the ISO/IEC 17024 Accreditation Standard.
Details of Required Examinations for Credentials
Credential CCT RCES RCIS RCS RPhS RVS
Specialty Exam Certified Certified
Congenital
Cardiographic Rhythm Analysis Echocardiography Registry
Electrophysiology
Registry
Invasive
Registry
Echocardiography
Registry
Phlebology
Registry
Vascular
Registry
Specialty Exam Fee
$350
$350
$350
$350
$350
$160
CRAT $160
RCCS $350
* All exam fees include a $100 non-refundable filing fee. Other fees may include: Score Verification Request – $50; Returned Check Fee – $25;
Replacement wallet cards – $10; Wall Certificates – $25.
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General Information
General Information
General Rules
Check Acceptance Policy
1. Candidates who fail an examination and wish to apply to sit for
the same examination must complete a new application and
submit the required fees. Attaching supporting documentation
is not required (as long as the previously submitted supporting
documentation still meets the requirements). There is a
mandatory waiting period of 45 days, after the previous
examination, before a new authorization to test start date is issued.
The new application can be submitted prior to the conclusion of
the mandatory 45-day waiting period.
2. Registrant wallet cards are provided to successful exam candidates
and expire on the date of first renewal. Triennial wallet cards are
provided upon renewal of credentials.
3. Maintenance of an “active status” for certificate-level credentials
requires the submittal of triennial renewal dues, signature of compliance to the CCI Code of Ethics, and the completion of Continuing
Education Units (CEUs) every three years. For the certificate-level
credentials, 16 CEUs are required every three years.
4. An Active Status registrant may re-take a specialty examination
that he or she has already passed without penalty for a
recertification fee. This may occur once during a triennial (3-year)
period. A passing grade will fulfill the CEU requirements for the
current triennial cycle.
5. CCI sends new registrants a wallet card and lapel pin. Registrants
may order a wall certificate, suitable for framing for a fee of $25
plus shipping. Go to the section in this application booklet titled
“Once you have earned your credential” on page 30 or www.ccionline.org for further details.
When you pay by check you expressly authorize CCI, if your check is
dishonored or returned for any reason, to electronically debit your
account for the amount of the check plus a processing fee of $25 (or
the legal limit), plus any applicable sales tax. The use of a check for
payment is your acknowledgment and acceptance of this policy and
its terms. If your check is dishonored or returned for any reason,
your Authorization to Test (ATT) will be suspended until payment is
completed. Credentials will not be awarded to any candidate with an
outstanding balance owed to CCI.
Payment of Fees
Pre-Application requests must be made by the applicant. Pre-Application requests will not be accepted from any third party, including but
not limited to educational programs. A $50.00 USD fee is required at
the time of Pre-Application, and this fee is non-refundable.
Payment of fees may be made by check, money order, MasterCard,
or VISA. Cash is not accepted. Applicants must not have outstanding
financial obligations to CCI. All expenses related to the examinations
are the responsibility of the applicant. Once a complete application is
approved, the applicant will be mailed an Authorization to Test (ATT)
within 15 business days after the application has been approved. An
incomplete application could delay processing of the application,
which in turn will delay the Authorization to Test (ATT).
All exam fees include a $100 non-refundable examination filing fee
for the staff resources required to review and process applications.
It is CCI’s policy to deposit all examination fees at the time the
application is received. If an application is not complete when
submitted (invalid documentation of qualification, missing required
documentation, missing signature, etc.), CCI will make electronic
copies of the application and return the original application and
supporting documentation with an explanation of the reason(s) for
denial and return. The applicant will have 60 days to return a completed
application and required documents for approval, or contact CCI
Headquarters with an estimated time-schedule of when the completed
application with required documents will be resubmitted by the
applicant. If CCI Headquarters does not receive these documents or
any communication within 60 days after the original application was
returned, CCI will refund the examination fee minus a $100 filing fee.
Pre-Application Policy Pertaining to
Criminal Matters
Applicants with questions regarding personal criminal matters may
request a pre-application to determine whether they qualify for the
CCI credentialing process.
CCI reserves the right to deny an application, revoke the eligibility of a
candidate, or take action against any registrant who has been convicted, pled guilty, or pled nolo contendere (no contest) to an offense that
is classified as a misdemeanor or felony which is directly or indirectly
related to patient care or public health. Crimes which may directly or
indirectly relate to patient care or public health include, but are not
limited to murder; attempted murder; manslaughter; rape; attempted
rape; sexual assault; sexual abuse; assault; driving while intoxicated or
impaired; controlled substance abuse; and fraudulently altering medical documentation, insurance claims, and medical prescriptions.
For Pre-Application Procedures, please go to the Applicant Information
Section on CCI’s website, www.cci-online.org, or contact CCI Headquarters.
Foreign Education Transcript Evaluators
Applicants who have completed formal education or course work at
an institution in a country other than the United States must obtain a
complete evaluation of foreign transcripts, degrees, and other relevant
documents prior to applying for any CCI examination.
The following organizations provide evaluation services:
Commission on Graduates of Foreign Nursing Schools – 3600 Market St.,
Suite 400, Philadelphia, PA 19104; (215) 349-8757; www.cgfns.org
Educational Credential Evaluators, Inc. – 260 East Highland Ave, Suite 300,
Milwaukee, WI 53202; (414) 289-3400; www.ece.org
Foundation for International Services, Inc. – 19015 North Creek Pkwy,
Suite 103, Bothell, WA 98011; (425) 487-2245; www.fis-web.com
Global Education Group – 1205 Lincoln Road, Suite 218, Miami Beach, FL
33139; (305) 534-8746; fax (305) 534-3487; www.globaledu.com
International Educational Research Foundation, Inc. –
PO Box 66940, Los Angeles, CA 90066; (310) 390-6276; www.ierf.org
World Education Services, Inc. – PO Box 745, Old Chelsea Station,
New York, NY 10113; (212) 966-6311; www.wes.org
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The Testing Process
Testing Objectives
The examinations developed and credentials administered by CCI are
designed with the following objectives in mind:
1 . Establish fundamental assessment of a healthcare professional’s
knowledge for the protection of the public.
2. Identify persons with acceptable fundamental knowledge of principles and practices of the profession and related disciplines.
3. Improve the performance in the profession by encouraging
participation in a continuing education program of professional
development.
The examination overview is provided as a service of CCI to help candidates prepare for the examination. The overview for each examination includes the following:
• An examination matrix to illustrate the general distribution of
questions and the relative weight or emphasis given to a skill or
content area on the examination.
• A list that describes general areas of knowledge that are needed in
order to perform the tasks identified.
• A task list that describes the activities that a credentialed cardiovascular professional is expected to perform on the job. All
examination questions are linked to these tasks.
Detailed examination overviews can be found in the CCI Examination
Overviews section, beginning on p.16 of this booklet, and on CCI’s
website.
Examination Application Policies
Processing a complete application may take up to 15 business days.
1. A completed original application with original signature must be
submitted. Faxed applications are not accepted.
2. All applications must include a clear copy of your non-expired
government-issued photo identification (e.g., driver’s license,
government-issued identification card, or passport photo page).
Both the first and last names on your current government-issued
photo identification must exactly match the first and last names
you provide on the application page.
3. Applications may be sent throughout the year.
4. If an incomplete application is received, the candidate will be
contacted by CCI for required information or the application will
be returned with an explanation.
5. Transcripts may be forwarded under separate cover. Transcripts
from institutions in countries other than the United States require
U.S. evaluation. Education transcript evaluators are listed on page 6.
6. CCI will not supply an applicant’s examination information to anyone other than the applicant. Applicants have the right to appeal
application qualification decisions, but cannot appeal the criteria
upon which decisions are based.
7. Falsification of applicant information may result in disciplinary
action or revocation of credential.
8. Special testing accommodation requests must be submitted in
writing at the time of application and require supporting documentation. Please go to page 8 of this booklet or cci-online.org for
details about special testing accommodations.
9. Candidates who are reapplying less than six (6) months since
applying for an examination, or who are seeking recertification, do
Examination Scheduling and
Testing Sites
CCI’s credentialing examinations are administered year-round at over
230 Pearson Professional Centers (PPC) in the United States and US
territories and over 3000 Pearson VUE Authorized Centers (PVTC)
internationally. Examination site availability is provided when scheduling your examination with Pearson VUE. Do not contact Pearson
VUE until you have received an Authorization to Test (ATT) letter
from CCI. Available sites may be viewed at www.pearsonvue.com/cci.
Examination Rescheduling
To reschedule your examination, contact the Pearson VUE Call Center
at least two full working days in advance of your scheduled appointment. (Please see page 12 for exam cancellation/refund policy.)
• Phone: Call 800-869-4102, 7:00 am to 7:00 pm, Central Standard
Time, Monday through Friday (Outside of the U.S. 952-681-3789).
• Internet: Go to www.pearsonvue.com/cci
If you do not contact the Call Center within two working days of your
testing appointment, you cannot reschedule the examination.
Emergencies
If you experience the death of an immediate family member, suffer
a serious illness or injury which requires hospitalization, or experience another event causing emotional distress, and such events
conflict with the administration of your examination, then you may
be permitted to reschedule your examination authorization window
without penalty, upon approval from CCI. All such instances must be
documented within three (3) days of the initially scheduled examination date and submitted in writing to CCI Headquarters.
Examination Rules
A. The only people admitted into the examination room are
1. Test Administrators
2. Authorized Candidates
B. Each approved candidate must present two (2) non-expired IDs
(one with a photo, both with a signature) to the proctor upon arrival at the test center.
Primary IDs:
• government-issued driver’s license
• state/national ID card
•passport
• military ID (with signature)
• alien registration card (green card, permanent resident visas)
• employee ID
• school ID
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The Testing Process
Examination Overview
not have to enclose supporting documentation (as long as previously submitted documentation still meets requirements). CCI
reserves the right to request additional information.
10.No information regarding an applicant’s qualification can or will
be discussed via telephone, fax, or email.
11. Candidates may request one extension to their originally issued
Authorization to Test (ATT). The extension will be for a period of
90 days.
The Testing Process
Secondary IDs:
• any ID on primary list
• Social Security card
• ATM card
C. Candidates arriving more than 15 minutes late to the Pearson VUE
examination site will not be admitted.
The Testing Process
D. Books, personal calculators, calipers, rate rulers, papers, or reference material may not be taken into the examination area. No cell
phones or pagers. Note: A calculator on the computer is available
for use during the examination.
E. An erasable board and marker will be provided and must be
returned to the test administrator upon completion of the exam.
F. No smoking, food, or drinks are permitted in the examination room.
G. No examinee may leave the room without a test administrator’s
permission.
H. Questions concerning the content of the exam may not be
answered by the test administrator. Instructions will be provided
before the exam begins. If you do not understand the instructions, ask for clarification. Don’t fail the exam because you were
confused about some of the instructions.
I. If you need assistance during testing for any reason (other than
reasons related to examination content), a test administrator will
assist you.
J. Candidates suspected of cheating will be referred to CCI for further investigation and possible invalidation of exam results.
K. A tutorial is offered prior to the test to orient the candidate with
computer-based testing. The tutorial does not affect time given to
complete the examination.
L. CCI and Pearson VUE reserve the right to reschedule examination
dates or eligibility windows due to any unforeseen circumstance.
M. In an effort to keep up with the latest security technology, starting
January 4, 2010, candidates taking CCI examination through Pearson VUE will have the palm vein scanned as a form of identification.
This will replace the finger-printing that was done in the past. The
palm vein will be scanned by placing your hand on a small, rectangular scanner. The process is quick and non-invasive. Palm vein
scanning is 10 times more reliable for identification than fingerprinting, thus prompting this change. If you have any questions
regarding the palm vein scanning, please contact CCI Headquarters.
Evaluation Questions
All CCI credentialing examinations consist of multiple choice questions
(approximately 130 for certificate-level examinations (CCT & CRAT).
Some of the items on the examination may not be scored. These items
are not identified for examination candidates at the time of testing. This
is standard practice and enables CCI to evaluate questions which may
be used in future examinations. These items are not scored when your
examination results are calculated and thus will not affect your score.
The time you have been allotted to take the examination has been
determined by taking into consideration the number of scored and
un-scored items. Certificate-level examinations have a time allotment
of approximately two hours while the registry-level examinations
have a time allotment of approximately three hours.
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Comments on the Exam
Each CCI examination, including individual items, contains an option
where a candidate is allowed to make comments pertaining to the
exam item and/or the examination as a whole. These comments are
reviewed by the appropriate examination committee throughout the
year. While responses to comments are not provided back to you, your
comments will be used to help ensure the maintenance of CCI’s highquality examinations.
Non-Discrimination Policy
CCI abides by all federal and state laws prohibiting discrimination
solely on the basis of a person’s race, color, creed, national origin,
religion, age, sex, marital status, or physical disability, except where a
reasonable, bona fide occupational qualification exists. CCI’s policy
prohibits racial or sexual harassment of any kind. This policy applies
to all professionals requesting examination.
Special Testing Accommodations
CCI will provide, upon approved request, reasonable accommodations
including auxiliary aids and services necessary to afford an individual with a documented disability an equal opportunity to participate
in all services, programs, and activities. To request special accommodations, please provide an original letter signed by the applicant and
an evaluator, qualified psychologist, physician, or other health care
professional who specializes in the stated disability. This letter should
include the following:
1. The specific diagnosed disability
2. The specific functional limitations
3. Impact of the functional limitations on the individual’s ability to
participate in the testing activity
4. What accommodations or assistive devices, if any, would cancel
or ease the impact of the disability on the candidate’s ability to
participate in the examination process
Additional documentation required:
1. Verification of the evaluator, psychologist, physician, or health
care professional credentials and specialty in the diagnosis of the
stated disability.
2. Examples, when possible, of where special accommodations have
been requested and granted. If no prior accommodations have
been provided, the evaluator, psychologist, physician, or health
care professional should include a detailed explanation as to why
no accommodations were given in the past and why accommodations are needed now.
REQUESTS FOR SPECIAL ACCOMMODATIONS AND THE
REQUIRED SUPPORTING DOCUMENTATION MUST BE
SUBMITTED WITH EACH APPLICATION, INCLUDING
RE-EXAMINATIONS.
CCI reserves the right to request additional documentation.
The Testing Process
Frequently Asked Questions
1. Are CCI Self Assessment Exams intended to be used as a
study guide?
No. CCI Self Assessment Exams are intended to be used only as an
assessment tool, so that applicants/candidates can determine their
strengths and weaknesses based on the subject matrix for each
examination. Applicants/candidates will not receive exact question/answer combinations; only a score report broken down by the
subject matrix will be returned.
3. What type of identification will I need to obtain admission to
the Pearson examination site?
It will be necessary to have two (2) forms of non-expired identification, including at least one (1) current, government-issued
source of identification that includes a photo. A valid driver’s
license with a picture and a passport are two examples of acceptable forms of identification.
4. When will I get my results?
Preliminary results are delivered immediately at the Pearson
Professional Center (PPC). Official results will be mailed from CCI
approximately 15 business days after the examination.
5. If I must retake an examination, what is the time requirement
for retaking the examination?
There is a 45-day waiting period before you may re-take an examination.
6. On what dates are the examinations offered?
CCI examinations are administered using a computer-based testing format, thus allowing the examinations we offer to be taken
year-round based on availability at Pearson Testing Centers.
7. Where are the test sites for the examinations?
The examinations offered by CCI are administered by Pearson Professional Centers, which has over 3200 sites worldwide. A complete
list of Pearson test sites can be found at www.pearsonvue.com/cci.
8. What are the qualifications for the examinations?
The qualifications are listed in the section titled CCI Examination
Overviews, starting on page 16.
9. After I submit my application, how long will it take before I
receive something back from CCI?
CCI requires a minimum of 15 business days from receipt of
exam application for processing. Once the application has been
processed and approved, you will be mailed an Authorization to
Test (ATT) letter, which will provide your 90-day testing window.
10.What is the $100 non-refundable examination filing fee?
The $100 non-refundable examination filing fee is for the staff
resources required to review and process applications.
It is CCI’s policy to deposit all examination fees at the time the application is received. If an application is not complete when submitted
(invalid documentation of qualification, missing required documentation, missing signature, etc.), CCI will make electronic copies of the
application and return the original application and supporting documentation with an explanation of the reason(s) for denial and return.
The applicant will have 60 days to return a completed application
11.How do I schedule an examination?
To schedule or reschedule your examination appointment, please
contact Pearson Vue Call Center at 1-800-869-4102 or at www.
pearsonvue.com/cci.
12.If I fail the examination and have to retest, do I have to pay
the fee again?
Yes. The full fee is required each time you take an examination.
13.If I fail an examination, must I reapply to retest?
When you complete your exam, you will receive an official results
letter. Attached to your results letter will be an application to test.
Candidates who fail an examination and wish to apply to sit for
the same examination must complete a new application and submit the required fees. Attaching supporting documentation is not
required as long as the previously submitted documentation still
meets the specified requirements. There is a mandatory waiting
period of 45 days, after the previous examination, before a new
authorization to test start date is issued. The new application can
be submitted prior to the mandatory 45-day waiting period.
14.How does one cover the hundreds of possible subjects listed
in the detailed outlines?
CCI is a credentialing agency and can’t provide recommendations on how to study. A detailed outline of each examination and
popular reference materials are found in the CCI Examination
Application and Overview Booklet. Applicants may also order a
self-assessment exam. These exams are not intended to be study
guides, but rather tools to assess the applicants’ knowledge in each
of the subject categories found on the credentialing examination.
15.Will CCI’s exam qualifications be changed?
Although CCI’s examination qualifications are currently under
review, the qualifications may be revised and effective no sooner
than January 1, 2015.
16. How long is my credential valid for after I pass my exam?
A credential is active for 9-12 months after passing an exam. Refer
to the chart on page 31 of the 2014 CCI Application and Examination Overview Booklet.
17.Can I have an extension to test?
Each applicant is eligible to receive one 90-day extension to test.
If the exam is not taken by the end of the extension period, the
testing fee will be forfeited, and the applicant will have to reapply
to take the test. If the applicant has made an appointment with
Pearson prior to requesting the extension, the appointment must
be cancelled before CCI is contacted.
18.Why aren’t all of the questions on the examination scored?
All CCI credentialing examinations consist of 100 or more multiple
choice questions. Some of the items on the examination may not be
scored. These items are not identified for examination candidates
at the time of testing. This is standard practice and enables CCI
to evaluate questions which may be used in future examinations.
These items are not scored when your examination results are calculated and thus will not affect your score. The time you have been
allotted to take the examination has been determined by taking
into consideration the number of scored and unscored items.
19. Does having an existing credential mean that I do not have to
submit supporting documentaion with my application?
No.
9
The Testing Process
2. Are there any study guides or review courses to assist me in
preparation for the examination?
CCI does not endorse, recommend, or create any review course or
educational material. There are several sources of review material
advertised in CCI’s official publication, The Pulse. Review courses
offered by a variety of groups and businesses are also advertisers
in The Pulse. CCI does not endorse any third-party review course,
even those who may advertise in The Pulse.
and required documents for approval, or contact CCI Headquarters
with an estimated time-schedule of when the completed application
with required documents will be resubmitted by the applicant. If CCI
Headquarters does not receive these documents or any communication within 60 days after the original application was returned, CCI
will refund the examination fee minus a $100 filing fee.
The Testing Process
Results
Appeals
SAMPLE ONSITE RESULTS LETTER
CCI will receive (in writing) appeals to contest any adverse decisions affecting examination eligibility (for applicants), examination results (for
candidates), or active status (for credential holders). The written appeal
must include the stated appeal, the reason for the appeal, relevant supporting documentation, and contact information of the appellant.
CCI Examination Results
Certified Rhythm Analysis Technician
Examination Score Report
CANDIDATE: Candidate CANDIDATE ID: 54321 REGISTRATION: 2147483647 VALIDATION: 574951121
DATE: 28-Oct-2010
SITE ID: 8675309
EXAM: 000-000
PASSING SCORE: 650 YOUR SCORE: 900 GRADE: Pass
The Testing Process
SECTION NAME: A. Complying with Governing Regulations B. Interacting with Patients and Others C. Identify Normal ECG Components and Cardiac Anatomy D. Determine Patient’s Cardiac Rhythm E. Troubleshoot ECG F. Compile ECG Results YOUR SCORE:
100%
100%
100%
100%
100%
100%
Because the number of items in each section varies, it is not possible to average
the section scores in order to determine your overall percentage correct score.
Please refer to the CCI Examination Application and Overview for further
information.
Pearson VUE’s digital embossing process is available online at www.pearsonvue.
com/authenticate. Digital embossing will allow you to verify that this score
report is authentic. Digital embossing preserves the integrity of this testing
program, maintains the value of your certification, and eliminates the possibility
of unauthorized embossing of counterfeit score reports.
Registration Number: 2147483647 Validation Number: 574951121
This examination was delivered at an authorized Pearson VUE Testing Center.
Thank you for choosing Pearson VUE!
Candidates will receive an official results letter approximately two to
three weeks after taking their exam.
Scaled Scoring
Total scores are reported on a scale that ranges from 0 to 900. Keep
in mind that CCI total scaled scores do not equal the number or
percentage of questions answered correctly. A total scaled score of 650
is required to pass an exam, and the number of correct answers required to achieve a score of 650 was determined through a standardsetting (or passing score) study. CCI and panels of experts from each
specialty periodically review the passing score to assure its validity.
Examination Score Verification Requests
CCI does NOT hand-score exams. We can process a score verification
for a fee of $50 USD. Score verification ensures that the computer
counted the correct and incorrect answers appropriately but does
not review the questions and answers. You must submit a written
request for a score verification. Please print or type all information
and include a check, money order or credit card processing fee in the
amount of $50 USD. In deciding whether to have your score verified,
please consider that CCI examinations are scored electronically with
a high degree of accuracy. It is therefore unlikely that verification will
alter your original score.
Appeals must be emailed to [email protected] or mailed to the
office at 1500 Sunday Drive, Suite 102, Raleigh, NC 27607.
All appeals will be responded to within 10 business days regarding
status or further steps and actions required by CCI’s Appeals
Committee.
Release of Student Results
As a service to educational programs in the field of Cardiovascular
Technology, CCI will, upon request, release a candidate’s examination
results to their educational program.
Candidates can authorize the release of their results by checking the
authorization box found under the Educational Background section
of the CCI Examination Application or by providing a signed authorization from the educational institution or facility. The signed authorization must include the name of the facility to which the examination
results may be released. Request must be made in writing. Results will
not be given over the phone.
Official Examination Result Requests
must include the following:
(See sample letter below.)
1) Original, official letterhead or stationery
2) Indicate the date the letter was signed by educational director
3) Candidate’s name for whom the results are being requested
4) Date of the candidates graduation from the educational program
making the request
5) Signature of the educational director
* All result requests must include an attached document stating the
candidate’s authorization to release their examination results.
ABC University (1)
1000 College Rd. • New York, NY 10001 • (212) 555-1234
January 4, 2011 (2)
CCI
1500 Sunday Drive, Suite 102
Raleigh, NC 27607
RE: Credentialing Results
Cath Lab University would like to request the examination results for the following students. Each student has approved the release of this information and has
signed the attached ageement. (To be provided by the school.)
Student Name (3)
Date of Graduation (4)
Jane Doe...........................December 2002
Mary Smith......................December 2002
Robert Mathew................June 2003
Sincerely,
(5)
Elizabeth Johnson, CCT, CRAT
Educational Director
10
CCI Code of Ethics
It is the policy of the CCI Board of Trustees to develop and implement
a code of ethics and disciplinary procedures. The Board of Trustees
shall review and revise the code of ethics to remain current with
changes in health care and the cardiovascular technology field of
practice.
The purpose of the CCI Code of Ethics is to acknowledge the
applicant’s, candidate’s, and registrant’s acceptance of the
responsibility and trust conferred upon it by the organization and to
acknowledge that earning a CCI credential is a privilege that must be
earned and maintained. The delivery of safe, competent, and ethical
patient care is a responsibility of the highest order. This document
sets forth the Code of Ethics to be adhered to by credentialed
cardiovascular technologists awarded the CCI credentials:
• Certified Cardiographic Technician (CCT)
• Certified Rhythm Analysis Technician (CRAT)
• Registered Congenital Cardiac Sonographer (RCCS)
• Registered Cardiac Electrophysiology Specialist (RCES)
• Registered Cardiovascular Invasive Specialist (RCIS)
• Registered Cardiac Sonographer (RCS)
• Registered Phlebology Sonographer (RPhS)
• Registered Vascular Specialist (RVS)
1. As a credentialed cardiovascular technologist/technician or
applicant/candidate of CCI Examinations, I will place the safety,
health, and protection of the patient above all other interests.
applicant/candidate of CCI Examinations, I will demonstrate and
maintain professional competence in all aspects of patient care
and within the scope of practice as defined by my employer.
applicant/candidate of CCI Examinations, I will defend and
protect the patient’s right to privacy and confidentiality, unless
required to disclose such information by law.
applicant/candidate of CCI Examinations, I will consistently
maintain and improve professional competence through regular
assessment of skills, continuing education, experience, and
professional training.
9. As a credentialed cardiovascular technologist/technician
or applicant/candidate of CCI Examinations, I will accept
responsibility for maintaining the credential by meeting renewal
requirements and remaining in good standing with CCI.
10.As a credentialed cardiovascular technologist/technician or
applicant/candidate of CCI Examinations, I will voluntarily report
any criminal behavior resulting in a conviction of a misdemeanor
or felony.
11.As a credentialed cardiovascular technologist/technician
or applicant/candidate of CCI Examinations, I will avoid
deceptive acts which misrepresent my academic or professional
qualifications.
applicant/candidate of CCI Examinations, I will avoid compromise
of professional judgment by conflicts of interest.
applicant/candidate of CCI Examinations, I will engage only in
legal arrangements and practices in the healthcare field.
applicant/candidate of CCI Examinations, I will act in a manner
free of bias with regard to religion, ethnicity, gender, age, national
origin, disability, social, or economic status.
applicant/candidate of CCI Examinations, I will represent my
credential(s) accurately and honestly, and I will not attempt to
maintain CCI credentials by fraud, deception, or artifice.
applicant/candidate of CCI Examinations, I understand that the
certificate, logo, and marks are the property of CCI and I will not
misrepresent or inappropriately use the property of CCI. I agree
to return the wallet card and certificate of my credentialing, upon
request, to the CCI Board of Trustees.
applicant/candidate of CCI Examinations, I will not knowingly
assist another person or persons in obtaining or attempting to
obtain or maintain CCI credentials by fraud, deception, or artifice.
16.As a credentialed cardiovascular technologist/technician
or applicant/candidate of CCI Examinations, I will act in a
professional manner in my correspondence and interaction with
CCI Headquarters.
5. As a credentialed cardiovascular technologist/technician
or applicant/candidate of CCI Examinations, I will uphold
professional standards by adhering to defined technical protocols
and diagnostic criteria established by peer review.
applicant/candidate of CCI Examinations, I will uphold and follow
all policies and procedures required by the CCI to remain in good
standing, and I will abide by CCI’s Code of Ethics.
The CCI Code of Ethics shall be enforced by the CCI Ethics and
Discipline Committee.
11
CCI Code of Ethics
All credentialed cardiovascular technologists awarded a CCI
designation shall, in their professional activities, sustain and advance
the integrity and honor of the profession by adhering to this Code of
Ethics. Applicants, candidates, and registrants who intentionally or
knowingly violate any provision of the Code of Ethics will be subject
to action by a peer review panel, which may result in revocation of the
certification.
applicant/candidate of CCI Examinations, I will represent my
qualifications honestly and provide only those services which I am
qualified to perform.
Application Instructions
Examination Application Instructions and Requirements
This page leads you through a step-by-step process of filling out your application.
1. Check the appropriate box for which test you wish to take.
2. Circle the corresponding number for the qualification under
which you are applying. (Qualification details can be found in the
section for that exam.)
3. Check the appropriate box pertaining to whether this is your
first time applying for this certification or if you are re-applying.
If you are re-applying, please list the date(s) of your previous
examination(s). You must supply current supporting documentation if it has been more than six (6) months since the date of your
original application.
9. Fill out all relevant background data on the second page of the
application (page 14).
10.Complete the section concerning required fees and method of
payment.
11.Read and sign the affidavit.
12.Enclose all required payments (Applicants taking examination(s)
outside the North America are required to enclose an additional
$50 USD international fee).
4. Please type or print legibly your social security number, your first
name, middle initial, and last name.
13.Enclose a clear copy of your non-expired government-issued
photo identification (e.g., driver’s license, government-issued
identification card, or passport photo page).
5. Please type or print legibly your mailing address, telephone
numbers, and email address.
14.Your application will not be processed without all required
documentation and fees.
6. Please type or print legibly your current employer’s information
(if applicable).
15.Mail form, required documents, and payment to:
7. Please type or print legibly your educational background (if
applicable).
Cardiovascular Credentialing International (CCI)
Raleigh, NC 27607
8. Please affix all required supporting documents. All supporting
documentation should be addressed appropriately (i.e. to CCI).
Supporting documentation criteria and samples can be found in
the section for that exam.
Exam Cancellation/Refund Policy
No refunds will be made to candidates who do not show up for
an examination for any reason. Failure to show for a scheduled
examination will cause forfeiture of all fees. Reapplication and the
resubmittal of required fees will be required to test in the future.
Application Instructions
Once an examination time has been made by the candidate,
cancellation can only be made by notifying both CCI and Pearson
VUE of this cancellation request. Refunds cannot be made if both
parties are not notified.
12
CCI must be notified for a request to change an examination type
or eligibility window. A new ATT will then be issued.
Cancellations made within one (1) working day of the test date are
non-refundable.
Refunds, minus the $100 filing fee per exam, will be given only if
the above policies are followed. Applicant must submit a signed
request for cancellation and refund.
All CCI examination applications are required to be completed by the individual applicant, not by an
employer, educator, or other individual. This applies to both paper and online applications. Complete
the front and back of this application and sign the affidavit before mailing to CCI. Please make a copy
for your records. Application instructions are located on page 12. Please type or print legibly. Do not
fax this application: original signature is required.
Examination Requested
Price
Check all that apply:
Qualification Number
For details on qualification numbers please refer to the
Exam Overview Section (starting on page 16).
Circle one:
q Certified Cardiographic
$160
CCT1............... CCT2................CCT3................CCT4
q Certified Rhythm Analysis
$160
CRAT1............. CRAT2.............CRAT3.............CRAT4
International
I am: q Applying for this examination for the first time. q Re-applying for this examination. Please fill out: ➔ ➔ ➔ ➔ ➔ ➔ ➔ ➔ CCI examinations previously taken: _______ _______ _______
Has your address changed since taking your last CCI examination? q Yes q No
_______ _______ _______
Date of previous CCI examinations:
Personal Information
(Application must include a clear copy of your non-expired government-issued photo identification)
Social Security Number (or Canadian Insurance #) ___________-_______-______________ Birth date (month/date/year) _______/_______/_________
q Mr. q Mrs. q Ms. q Dr.
First Name _________________________________________ Middle Initial _____ Last Name__________________________________________
Mailing Address (include Apt #)____________________________________________________________________________________________
City ______________________________________ State ________ Postal Code__________________ Country____________________________
Home Telephone _____________________ Work Telephone _____________________ Email____________________________________________
q Check here if you have been convicted, pled guilty, or pled nolo contendere (no contest) to an offense which is classified as a misdemeanor or felony. (If you
checked this box, you are required to submit a Pre-Application to determine whether you qualify for the CCI credentialing process. See page 6 for details.)
Employment History
Fill this out if applying under a qualification that requires documentation of your experience in the specialty for which you are applying for certification.
Provide the following information about your employment in Cardiovascular Technology. Employment Verification Letter must be attached: sample letters are found in the
section specific to the credential for which you are applying.
Place of Employment__________________________________________Dates of Employment: From ________/________ to ________/__________
Position/Title_________________________________________________________________________________________________________
Mailing Address_______________________________________________________________________________________________________
City ______________________________________ State ________ Postal Code__________________ Country____________________________
Supervising Physician/Supervisor Name _______________________________________ Supervisor’s Telephone______________________________
Have you had a credential or license revoked, suspended, or been denied the privilege of taking an examination? q Yes q No
Educational Background
Fill this out if applying under a qualification that requires supporting documentation of your educational training.
College/Educational Program ___________________________________________Graduation Date _______________Degree Obtained___________
Address __________________________________________________City _________________________State ________ Postal Code__________
Program Director _____________________________________________________Telephone__________________________________________
If you are applying under a qualification that requires supporting documentation of your educational training, educational transcripts and/or completion
certificate must be attached with Student Verification Letter (samples found in the section specific to the credential for which you are applying).
q I authorize CCI to release my score results to my educational program.
(Print name of program director or person you authorize to receive your score results:_____________________________________________________ )
For Office Use Only
Product code/amt/qual (1)__________/___________/____________
ATT file______________________________ Constituent #__________________________
Approval______________________________ Payment Total_________________________
Date_________________________________ Payment Method_______________________
13
CCI Exam Application
CCI Exam Application (continued)
Information related to applicants, candidates, and registrants shall remain confidential with the exception of the publication of the registrant’s credential(s), active
status, city, and state on CCI’s online directory. It is the responsibility of CCI to publish any and all sanctions imposed on registrants who are found to be in violation of CCI Code of Ethics.
q Check this box if you wish to decline having your name and other information appear in the CCI online credential verification area. This online list is provided as a
means for the public/employers to locate and verify the status of a registrant’s credential(s). Personal contact information such as address, phone numbers, and emails
are not provided. Checking this box does not exempt you from CCI’s policy of publishing the name of sanctioned registrants and the violations they have committed.
q As a courtesy to other cardiovascular healthcare-related organizations, CCI may at its discretion make available its list of registrants in good standing for education
and employment opportunities. Check this box if you wish to decline having your name and address given to cardiovascular healthcare-related organizations.
Background Data
Submission of this information is voluntary. All information is confidential and is obtained to promote the recognition of the cardiovascular credential.
Age Range
q 20-29
q 30-39
q over 60
q 40-49
q 50-59
Cardiovascular Experience
q Student q 7-15 years q over 21 years
q 2-6 years q 16-20 years
Cardiovascular Training
q On-the-Job
q Trade School (one year or less)
q College (Associate level)
q College (Baccalaureate level)
q Hospital Training Program
q Other (please specify)__________________
Current Salary Range
q $10,000-14,999
q $15,000-19,999
q $20,000-24,999
q $25,000-29,999
q $30,000-34,999
q $35,000-39,999
q $40,000-44,999
q $45,000-49,999
q $50,000-59,999
q $60,000-69,999
q over $70,000
Other Credentials (check all that apply)
q RN
q RRT q RDMS q RT(N)
q LPN/LVN q DO q RVT q CEPS
q RDCS q RT q MD
q CCDS
Professional Membership (check all that apply)
q ACC
q ASE q SDMS
q ACCP
q ASRT q SICP
q ACP
q HRS q SVU
q ANA
q SASEAP
Type of Facility in Which You Are Employed
q q q q q Community Hospital
University-Affiliated Medical Center
Military/Federal Hospital
State/County Hospital
Private Office or Clinic
Number of Beds in Hospital
q Less than 50 q 100-199 q 400 or more
q 50-99
q 200-399
Your Primary Cardiovascular Specialty
q Cardiac Catheterization/Angioplasty
q Echocardiography
q EKG Stress Testing and Holter Monitors
q Electrophysiology
q Phlebology
q Vascular Ultrasound
q Pediatric/Congenital Ultrasound___________
Present Position Held
q Staff Technologist
q Supervisor
q Director/Administrator
q Nurse
q Academic Instructor
Fees Enclosed
Method of Payment
Certification (CCT or CRAT) Examination ($160)............$______________
q Check q Money Order q MasterCard q Visa
International Fee ($50)......................................................$______________
(for individuals taking examination outside of North America)
Card # _____________________________________ Exp._________
TOTAL................................................................................$______________
Name as it appears on card (please print):
All fees above include a non-refundable examination filing fee of $100.
See page 6 for details.
_______________________________________________________
*Don’t forget the self assessment examination. See pages 28-29 for details.
Signature________________________________________________
Falsification of information on any CCI exam application or violation of CCI
policies during exam administration will void the examination process/results
and cause forfeiture of all fees. In cases where credentials have been awarded,
revocation may occur, and the situation may become the subject of legal action.
Affidavit
I have read all information contained in this application booklet and understand that CCI reserves the right to deny my application, revoke my eligibility if I qualify
as a candidate, or take action against me if I become a registrant if documentation I provide is found to be fraudulent, misrepresenting, if I do not meet the application qualifications (including high school graduation or documentation of any conviction), or maintain the requirements for maintaining the active status of my
credential. I authorize CCI and its agents, at their sole discretion, to request any and all information concerning material related to this application. I authorize CCI
to communicate information regarding my application and other credential-related information to government authorities, employers, and others.
I agree to comply with the CCI Code of Ethics, all rules, regulations, and policies (now existing or adopted in the future) pertaining to this application and to the
standards and renewal of any credential I may receive through CCI.
I hereby release and shall indemnify and hold harmless CCI, its Board of Trustees, officers, committee members, employees, and agents(hereinafter referred to,
individually and collectively, as “CCI Entities”) from and against and with respect to any and all liability and claims (including but not limited to losses, costs,
expenses, damages, and judgments including legal fees) that arise or allegedly arise from, with respect to, out of, or in connection with any action or omission of
the CCI Entities. My agreement hereunder to indemnify and hold harmless expressly is intended to apply to any and all such liability and claims relating to any CCI
examination and application therefore, and, if applicable and without limitation, the failure of CCI to issue to me a CCI credential or to renew said credential or preexisting credential awarded to me, CCI’s revocation of any credential previously issued to me, or CCI’s notification to any person of such actions taken by CCI.
Applicant’s Signature________________________________________________________________Date________________________________
Please ensure that your application is signed and dated. Attach the necessary documentation and fees and mail to:
Cardiovascular Credentialing International (CCI) • 1500 Sunday Drive, Suite 102 • Raleigh, NC 27607 • www.cci-online.org
14
Abbreviations
MS�� Mitral Stenosis
MV�� Mitral Valve
MVA�� Mitral Valve Area
OM�� Obtuse Marginal
OPG�� Occular Plethysmography
PA�� Pulmonary Artery
PAW (P)�� Pulmonary Artery Wedge (Pressure)
PBF�� Pulmonary Blood Flow
PCI�� Percutaneous Coronary Intervention
PD�� Posterior Descending
PDA�� Patent Ductus Arteriosus
PEP�� Pre-Ejection Period
Post�� Posterior
P-P�� From one P wave to the next consecutive P wave
PPG�� Photo Plethysmography
P-R�� Interval measured from the onset of the P wave to the
onset of the QRS
PRF�� Pulse Recurrence/Reception Frequency
PTCA�� Percutaneous Transluminal Coronary Angioplasty
PV�� Pulmonary Valve
PVR�� Pulmonary Vascular Resistance
PW�� Pulsed Wave
QRS�� Interval measured from the first deflection following the
P wave to the end of the last deflection of that complex
Qs�� Systemic Flood Flow
Q-T�� Interval measured from the onset of the QRS to the end
of the T wave
Q-Tc�� Q-T interval corrected for intrinsic heart rate
RA�� Right Atrium
RAO�� Right Anterior Oblique
RBBB�� Right Bundle Branch Block
RCA�� Right Coronary Artery
R-R�� From the R wave to the next consecutive R wave
RV�� Right Ventricle
SA�� Sino-Atrial Node
SBF�� Systemic Blood Flow
s/n�� Signal to Noise Ratio
SNRT�� Sinus Node Recovery Time
Sup�� Superior
SV�� Stroke Volume
SVC�� Superior Vena Cava
SVR�� Systemic Vascular Resistance
Sys�� Systolic, systole
TDCO�� Thermodilution Cardiac Output
TI�� Tricuspid Insufficiency
TIA�� Transient Ischemic Attack
sep�� Systolic Ejection Period (per beat)
TPA�� Tissue Type Plasminogen Activator
TPR�� Total Pulmonary Resistance
TR�� Tricuspid Regurgitation
TSR�� Total Systemic Resistance
TV�� Tricuspid Valve
VCF�� Circumferential Fiber Shortening Velocity
Vol %�� Volumes Percent
VSD�� Ventricular Septal Defect
V02�� Oxygen Consumption
Application Publication Date: October 2014. This application supercedes all documentation previously released.
15
Abbreviations
AVA�� Aortic Valva Area
A-H�� From the septal atrial wave to the His Bundle wave
AM�� Acute Marginal
AO�� Aorta
AP�� Anterior - Posterior
AS�� Aortic Stenosis
ASD�� Atrial Septal Defect
AV02�� Arteriovenous Oxygen Difference
BSA�� Body Surface Area
CABG�� Coronary Artery Bypass Graft
CAD�� Coronary Artery Disease
CB�� Conus Branch
CHF�� Congestive Heart Failure
Cl�� Cardiac Index
cm�� Centimeters
CO�� Cardiac Output
CPA�� Carotid Phonoangiography
CVA�� Cerebrovascular Accident
CW�� Continuous Wave
CX�� Circumflex
D�� Diagonal
dfp�� Diastolic Filling Period (per beat)
dp/dt�� First derivative of a pressure
ECG�� Electrocardiogram
EDP�� End Diastolic Pressure
EDV�� End Diastolic Volume
EF�� Ejection Fraction
EP�� Electrophysiology
ESV�� End Systolic Volume
HTN�� Hypertension
Hgb�� Hemoglobin
HR�� Heart Rate
Hz�� Hertz
IMA�� Internal Mammary Artery
IPG�� Impedance Plethysmography
IR�� Current in Amperes X’s Resistance in Ohms
lVC�� Inferior Vena Cava
Kg�� Kilogram
KV�� Kilovoltage
LA�� Left Atrium
LAD�� Left Anterior Descending
LAO�� Left Anterior Oblique
Lat�� Lateral
LBBB�� Left Bundle Branch Block
LCA�� Left Coronary Artery
L/Min�� Liters Per Minute
LV�� Left Ventricle
LVEDP�� Left Ventricular End Diastolic Pressure
LVET�� Left Ventricular Ejection Time
LVH�� Left Ventricular Hypertrophy
MI�� Myocardial Infarction
mm�� Millimeters
mm/Hg�� Millimeters of Mercury
mm/sec�� Millimeters per second
MR�� Mitral Regurgitation
ms�� Millisecond
The examination overviews are provided as a service of CCI to help candidates prepare for the examination. The overview for each examination
has an examination matrix, a knowledge list, and a task list.
Certified Cardiographic Technician (CCT)
Qualification Requirements........................................................................................................................................................................................... 17
Sample Letters................................................................................................................................................................................................................ 18
Exam Overview.............................................................................................................................................................................................................. 19
Sample Questions........................................................................................................................................................................................................... 20
References...................................................................................................................................................................................................................... 20
Certified Rhythm Analysis Technician (CRAT)
Qualification Requirements........................................................................................................................................................................................... 21
Sample Letters................................................................................................................................................................................................................ 22
Exam Overview.............................................................................................................................................................................................................. 23
Sample Questions........................................................................................................................................................................................................... 25
References...................................................................................................................................................................................................................... 25
16
Qualification Requirements
All applicants must meet the following criteria:
1. Have a high school diploma or general education diploma at the time of application.
2. Fulfill one (1) of the qualifications of the exam for which you are applying. See qualifications listed in the tables below.
3. Provide typed documentation to support the qualification under which you are applying. Required documentation for each qualification is
listed below. CCI reserves the right to request additional information.
Qualification Prerequisite
Supporting Documentation
(see examples on page 18)
CCT1
Currently enrolled as a student or a graduate of a cardiovascular or allied health
training program.
CCT1
Completion certificate
OR
Student Verification Letter
OR
Educational Transcripts
CCT2
Currently employed or previously employed in the field of Cardiovascular Technology
or in a recognized allied health field (recognized by the American Medical
Association [AMA]).
CCT2
Employment Verification Letter
CCT3
Completed requirements for a graduate or undergraduate degree from a recognized
institution in a field related to science or physical health.
CCT3
OR
OR
CCT4
Volunteer service in the field of Cardiovascular Technology for a minimum of two (2)
years and documentation supporting full-time technical activities for a two (2) year
period.
CCT4
CCT
17
Supporting documentation should be addressed
appropriately (i.e., to CCI).
1000 College Rd. Sample Student Verification Letter
1) Educational program’s original, official letterhead or stationery.
2) Indicate the date the letter was signed by educational director.
3) Indicate the name of the applicant.
4) Indicate full-time or part-time student.
5) Indicate the date or expected date of graduation.
6) Indicate the specialty of the educational program.
7) Original signature of direct supervisor or employer.
CV Institute (1)
• New York, NY 10
001 • (212) 5551234
March 4, 2011 (2
)
CCI
1500 Sunday Drive
,
Raleigh, NC 2760 Suite 102
7
RE: Ms. Jane Thom
pson (3)
This letter has be
en
is enrolled as a fu sent to verify that Ms. Jane Thom
ll-time (4) stude
pson
nt at
Ms. Thompson wi
ll graduate in June the CV Institute.
completing the Ca
of 2011 (5) after
rd
the time of gradua iovascular Technician (6) progra
m.
tion, Ms. Thomps
a 12-month card
on will have com At
iovascular progra
pleted
m.
Sincerely,
Elizabeth John
son (7)
Elizabeth Johnso
n
Educational Dire
ctor
ABC Hospital (1)
Sample Employment/Volunteer
Verification Letter
1) Employer’s original, official letterhead or stationery.
2) Indicate the date the letter was signed by employer/supervisor.
Should not be older than six months from the date the application is
received at CCI Headquarters.
4) Indicate full-time or part-time employment.
5) Indicate the time period of employment.
6) Indicate the primary duties of applicant, related to the field of
cardiovascular technology.
7) Original signature of direct supervisor.
123 Main St. • Sa
n Diego, CA 9270
Januar y 4, 2011 (2
)
CCI
1500 Sunday Drive
,
7
RE: Mr. Jack Doe
(3)
This letter has be
en
been employed fo sent to verify that Mr. Jack Doe ha
r over two years fu
s
Hospital. Mr. Doe
llhas been employ time (4) at ABC
ed since July 2005
Within this time(5).
fra
exercise stress te me, Mr. Doe has shown proficienc
sting and Holter
and Event monito y in
ring (6).
I am sending this
let
Mr. Doe’s applica ter in support and endorsement
tio
of
Technician exam n to sit for the Certified Cardiogr
aphic
ination.
Sincerely,
Walter Reed (7)
CCT
Walter Reed, CCT,
RC
Clinical Superviso S
r
18
1 • (760) 555-12
34
Examination Matrix
This examination matrix is provided to illustrate the general distribution of questions and the relative weight or emphasis given to a
skill or content area on the examination.
Content Category
Approximate Percentage of Examination
A Conducting Pre-Procedural Activities
10%
B Performing Resting ECG (12-Lead, 15-Lead, etc.)
40%
C
Performing Stress Tests
20%
D
Performing Ambulatory Monitoring (Holter, Event, Telemetry, Transtelephonic, Pacemaker, etc.)
5%
E
Performing Rhythm Analysis
25%
TOTAL100%
Knowledge List
The list below describes general areas of knowledge that are needed in order to perform the tasks identified. This knowledge will apply
across multiple tasks.
Size
Location
Layers
Chambers
Valves
Blood flow
Arteries
Veins
Capillaries
Arterioles
Venules
Cardiac valve function
Pressures
Relationship of cardiac output to heart rate
and stroke volume
Control mechanisms
Cardiac cycle
Normal values
Waveforms
ECG measurement
Bipolar, unipolar, and precordial leads
Einthoven’s triangle and law
ECG calibration methods
Single- and three-channel ECG
Troubleshooting ECGs
Standardization
Paper speed
Lead placement
Electrical interference
Somatic tremor
Task List
The task list below describes the activities that a Cardiographic Technician is expected perform on the job. All examination questions
are linked to these tasks.
Duties and Tasks
% of Exam
C Performing Stress Tests
20%
1 Gather supplies and equipment
2 Explain patient safety procedures
3 Perform baseline ECG
4 Obtain baseline vital signs
5 Verify stress test protocol
6 Explain protocol expectations (including demonstration of
treadmill, etc.)
7 Perform stress test protocol
D Performing Ambulatory Monitoring (Holter, Event,
Telemetry, Transtelephonic, Pacemaker, etc.)
5%
1 Gather ambulatory monitoring supplies and equipment
2 Explain procedure to patient
3 Verify equipment functionality
4 Attach leads to patient (stress loops, pouch, etc.)
5 Explain ambulatory monitoring requirements (limitations,
expectations, duration etc.)
E Performing Rhythm Analysis
25%
1 Analyze obtained data
2 Correlate ECG findings (waveforms, segments, intervals, etc.)
with cardiac function
3 Identify, report, and record findings
TOTAL100%
19
CCT
Duties and Tasks
% of Exam
A Conducting Pre-Procedural Activities
10%
1 Receive doctor’s orders
2 Verify doctor’s orders
3 Perform universal precautions (e.g., handwashing, PPE)
4 Identify patient
5 Obtain patient consent
6 Transport patient
7 Prepare the patient (shaving, cleaning skin, etc.)
8 Identify proper landmarks
9 Collect patient demographics
10 Enter patient information into ECG machine
11 Identify patient safety hazards
B Performing Resting ECG (12-Lead, 15-Lead, etc.)
40%
1 Gather supplies and equipment
2 Educate patient on procedure expectations
3 Apply electrodes to patient
4 Confirm equipment
5 Perform standard ECG
6 Perform right side
7 Analyze ECG tracing
8 Corrolate ECG morphology with anatomy and physiology
Sample Questions
Answers
1. The heart is divided into ______ chambers:
1. c 2. c 3. c 4. b 5. c
a. One
b. Two
c. Four
d. Three
2. Which of the following supplies blood to the
arterial system after contraction?
a. Left atrium
b. Right atrium
c. Left ventricle
d. Right ventricle
3. The sensitivity switch controls the:
a. Heat
b. Speed
c. Amplification
d. ECG position
4. The little “spark” that makes the heart beat,
originates in the
a. AV node
b. SA node
c. Purkinje fibers
CCT References
The textbooks listed below are intended as recommended resources
when preparing for examination. You may have previous or later editions of these or other references available that also present acceptable coverage of the subject matter. Any general text in cardiovascular
techniques and evaluation, and cardiac patient care and management
may be used. It is not necessary to use all of the texts identified. They
are provided as suggestions only. CCI does not endorse or recommend
any third-party review course or material.
1. Shier, David, Jackie Butler, and Ricki Lewis. Hole’s essentials of human anatomy and physiology. 9th ed. Boston: McGraw-Hill, 2006.
2. Booth, Kathryn A., and Thomas E. O’Brien. Electrocardiography for
healthcare professionals. 3rd ed. New York: McGraw-Hill, 2012.
3. Dubin, Dale. Rapid interpretation of EKG’s: an interactive course.
6th ed. Tampa, Fla.: Cover Pub. Co., 2000.
4. Green, Jacqueline M., and Anthony J. Chiaramida. 12-Lead EKG
Confidence a Step-by-Step Guide. 2nd ed. New York: Springer Pub.
Co., 2009.
5. Phalen, Tim, and Barbara Aehlert. The 12-lead ECG in acute coronary syndromes. 2nd ed. St. Louis: Elsevier Mosby, 2006.
6. Wagner, Galen S., and Henry J. L. Marriott. Marriott’s practical
electrocardiography. 11th ed. Philadelphia: Wolters Kluwer Health/
Lippincott Williams & Wilkins, 2008.
7. Wesley, Keith. Huszar’s basic dysrhythmias and acute coronary syndromes: interpretation and management. 4th ed. Elsevier- Health
Sciences, 2011.
d. Bundle branches
5. Which of the following is a poor conductor of
electric current?
a. Metal
b. Blood
c. Dry skin
CCT
d. Body fluids
20
A self-assessment examination is available for purchase
for self-evaluation purposes. See pages 28-29 for more
information.
CRAT
Qualification Requirements
All applicants must meet the following criteria:
1. Have a high school diploma or general education diploma at the time of application.
2. Fulfill one (1) of the qualifications of the exam for which you are applying. See qualifications listed in the tables below.
3. Provide typed documentation to support the qualification under which you are applying. Required documentation for each qualification is
listed below. CCI reserves the right to request additional information.
Qualification Prerequisite
Supporting Documentation
(see examples on page 22)
CRAT1
Currently enrolled as a student or a graduate of a cardiovascular or allied health
training program.
CRAT1
OR
OR
CRAT2
Currently employed or previously employed in the field of Cardiovascular Technology
or in a recognized allied health field (recognized by the American Medical
Association (AMA)).
CRAT2
CRAT3
Completed requirements for a graduate or undergraduate degree from a recognized
institution in a field related to science or physical health.
CRAT3
OR
OR
CRAT4
Volunteer service in the field of Cardiovascular Technology for a minimum of two (2)
years and documentation supporting full-time technical activities for a two (2) year
period.
CRAT4
21
CRAT
Supporting documentation should be addressed
appropriately (i.e., to CCI).
1000 College Rd. Sample Student Verification Letter
1) Educational program’s original, official letterhead or stationery.
2) Indicate the date the letter was signed by educational director.
4) Indicate full-time or part-time student.
5) Indicate the date or expected date of graduation.
6) Indicate the specialty of the educational program.
7) Original signature of educational director.
CV Institute (1)
• New York, NY 10
001 • (212) 555-1234
March 4, 2011 (2
)
CCI
1500 Sunday Drive
Raleigh, NC 2760 , Suite 102
7
RE: Ms. Jane Thom
pson (3)
This letter has be
en
is enrolled as a fu sent to verify that Ms. Jane Thom
llMs. Thompson wi time (4) student at the CV Insti pson
tu
ll
completing the Ca graduate in June of 2011 (5) aft te.
er
the time of graduardiovascular Technician (6) prog
ra
a 12-month Cong tion, Ms. Thompson will have co m. At
m
en
including 800 cli ital Cardiac Ultrasound program pleted
ni
echocardiography cal hours in at the ABC Children’s ,
Hospital
lab.
Sincerely,
Elizabeth John
son (7)
Elizabeth Johnso
n
Educational Dire
ctor
ABC Hospital (1)
Sample Employment/Volunteer
Verification Letter
1) Employer’s original, official letterhead or stationery.
2) Indicate the date the letter was signed by employer/supervisor.
Should not be older than six months from the date the application is
received at CCI Headquarters.
4) Indicate full-time or part-time employment.
5) Indicate the time period of employment.
6) Indicate the primary duties of applicant, related to the field of
cardiovascular technology.
7) Original signature of direct supervisor.
123 Main St. • Sa
n Diego, CA 9270
Januar y 4, 2011 (2
)
CCI
1500 Sunday Drive
,
7
RE: Mr. Jack Doe
(3)
This letter has be
en
been employed fo sent to verify that Mr. Jack Doe ha
r over two years fu
s
Hospital. Mr. Doe
ll-time (4) at AB
C
ha
Within this time- s been employed since July 2005
(5).
fra
within our hospita me Mr. Doe personally monitore
d
l’s telemetry unit
letter in support
(6). I am sending
and
th
to sit for the Certi endorsement of Mr. Doe’s applica is
fied Rhythm Analy
tion
examination.
sis Technician
Sincerely,
Walter Reed
(7)
Walter Reed, CCT,
CR
Clinical Superviso AT
r
22
1 • (760) 555-12
34
CRAT
Examination Matix
This examination matrix is provided to illustrate the general distribution of questions and the relative weight or emphasis given to a
skill or content area on the examination.
Content Category
Approximate Percentage of Examination
A. Comply with Governing Regulations
5%
B. Interact with Patients and Others
10%
C. Identify Normal ECG Components and Cardiac Anatomy
19%
D. Determine Patient’s Cardiac Rhythm
55%
E. Troubleshoot ECG
6%
F. Compile ECG Results
5%
TOTAL100%
Knowledge List
The list below describes general areas of knowledge that are needed in order to perform the tasks identified. This knowledge will apply
across multiple tasks.
Regulatory and compliance standards
(e.g., OSHA, HIPAA, informed consent,
medical records)
Communication with staff and faculty
Cardiac rhythm analysis and interpretation
Patient safety
ECG troubleshooting
Medical ethics
Emergency response
Documentation of findings
Communication with the client
Basic cardiovascular anatomy and physiology
Medical terminology
23
CRAT
Task List
The task list below describes the activities that a Rhythm Analysis Technician is expected to perform on the job. All examination
questions are linked to these tasks.
Duties and Tasks
A
1
2
3
4
Complying with Governing Regulations
Obtain/maintain prescriptions/orders
Maintain HIPAA compliance
Obtain patient demographics
Verify patient identification
% of Exam
5%
B
1
2
3
4
5
6
7
8
Interacting with Patients and Others
10%
Familiarize patients regarding services
Educate patients on when to call for help
Educate patients on electrical hazards, broken wires
Obtain patient symptoms, activities, location
Service cardiac patients (customer service)
Communicate with ordering physician or physician’s office
Communicate with patients’ family members
Communicate with other offices (scheduling, order
verification, etc.)
9 Seek advice regarding findings
10 Conduct inter-departmental interactions
Identify Normal ECG Components
and Cardiac Anatomy
19%
1 Identify P-wave
2 Identify and measure the PR interval
3 Identify and measure a QRS complex
4 Identify T-wave
5 Identify the standards for ECG recording.
6 Calculate the atrial rate
7 Calculate the ventricular rate
8 Identify the relationship of the atrial and ventricular rates
9 Evaluate P-P and R-R interval regularity
10 Identify the chambers of the heart
11 Identify the valves of the heart
12 Identify the conduction system of the heart
Duties and Tasks
3
4
5
6
C
D Determine Patient’s Cardiac Rhythm
55%
1 Identify sinus rhythm
a Identify normal sinus rhythm
b Identify sinus arrhythmia
c Identify sinus tachycardia
d Identify sinus bradycardia
e Identify sinus arrest
2 Identify atrial rhythm
a Identify wandering atrial pacemaker
b Identify rhythms with premature atrial ectopy (PAC,
couplets, triplets, runs, multifocal)
c Identify atrial tachycardia
d Identify supraventricular tachycardia
e Identify atrial fibrillation (general characteristics)
1 Identify atrial fibrillation with a slow ventricular
response
2 Identify atrial fibrillation with a rapid ventricular
response
f Identify atrial flutter
1 Identify atrial flutter with a ratio of ventricular response
2 Identify atrial flutter with a variable ventricular response
24
7
E
1
2
3
4
5
F
1
2
3
4
5
% of Exam
Identify junctional rhythm
a Identify rhythms with premature junctional ectopy
b Identify junctional escape rhythms
c Identify accelerated junctional rhythms
d Identify junctional tachycardia
Recognize ventricular rhythms
a Identify rhythm with premature ventricular ectopy (PVCs,
couplets, triplets)
b Identify idioventricular rhythms (agonal, escape, and
accelerated)
c Identify ventricular tachycardia
d Identify ventricular fibrillation
e Identify ventricular standstill
Recognize asystole
Recognize conduction defects
a Identify first degree AV block
b Identify second degree type one AV block
c Identify second degree type two AV block
d Identify third degree AV block
1 Identify third degree AV block with a junctional
escape rhythm (narrow QRS)
2 Identify third degree AV block with a ventricular
escape rhythm (wide QRS)
e Identify presence of intraventricular conduction delay
(bundle branch block)
Determine paced events
a Identify paced atrial rhythm
b Identify paced ventricular rhythm
c Identify AV sequential (atrioventricular) paced rhythm
d Identify P-wave synchronous, ventricular paced rhythm
e Identify loss of pacing capture
f Identify loss of sensing
g Identify failure to pace
Troubleshoot ECG
6%
Recognize artifact on ECG tracings
a Recognize artifact on ECG tracings from wandering baseline
b Recognize artifact on ECG tracings from somatic tremor,
patient movement
c Recognize artifact on ECG tracings from EMI/60 cycle
interference
Identify inappropriate electrocardiograph paper speed
Identify inappropriate gain of the ECG signal
Identify causes of artifact
Identify lead reversals
Compile ECG Results
Insert preliminary findings
Compare test results to past tests
Respond if notification criteria are met (dispatch EMS if
needed)
Correlate findings with patient symptoms or risk
Create patient report
5%
Total100%
Answers
1. Somatic tremor artifact may be caused by
1. d 2. d 3. b 4. c 5. c
a. Switching leads
b. Circuit overload
c. Defective machine
d. A cold, uncomfortable environment
2. Which of the following arrhythmias may lead
to death if asynchronous counter shock is not
available?
a. Atrial tachycardia and atrial flutter
b. Atrial fibrillation and bundle branch block
c. Sinus tachycardia and wandering pacemaker
d. Ventricular fibrillation
3. Ventricular repolarization occurs during the
______ wave on the ECG.
a. P wave
b. T wave
c. P-R interval
d. QRS complex
4. Which waves and/or lines on the standard EKG
measuring greater than 0.12 seconds may be
indicative of a bundle branch block?
a. P waves
b. PR intervals
c. QRS complexes
d. ST segments
5. Measure the asystolic period within this cardiac
tracing.
a. 1.48 seconds
b. 2.48 seconds
CRAT
Sample Questions
CRAT References
The textbooks listed below are intended as recommended resources
when preparing for examination. You may have previous or later editions of these or other references available that also present acceptable coverage of the subject matter. Any general text in cardiovascular
techniques and evaluation, and cardiac patient care and management
may be used. It is not necessary to use all of the texts identified. They
are provided as suggestions only. CCI does not endorse or recommend
any third-party review course or material.
1. Barold, S. Serge, and Roland X. Stroobandt. Cardiac Pacemakers
and Resynchronization Step by Step an Illustrated Guide. 2nd ed.
Chichester: John Wiley & Sons, 2010.
2. Booth, Kathryn A., and Thomas E. O’Brien. Electrocardiography for
healthcare professionals. 3rd ed. New York: McGraw-Hill, 2012.
3. Diehl, Tracy S., and Diane M. Allen. ECG interpretation made incredibly easy!. 5th ed. Philadelphia, PA: Wolters Kluwer/Lippincott
Williams & Wilkins, 2011.
4. Dubin, Dale. Rapid interpretation of EKG’s: an interactive course.
6th ed. Tampa, Fla.: Cover Pub. Co., 2000.
5. Ellenbogen, Kenneth A., and Mark A. Wood. Cardiac pacing and
ICDs. 5th ed. Malden, Mass.: Blackwell Pub., 2008.
6. Hayes, David L., and Paul A. Friedman. Cardiac pacing, defibrillation and resynchronization: a clinical approach. 2nd ed. Chichester,
West Sussex, UK: Wiley-Blackwell, 2008.
7. Huff, Jane. ECG workout: exercises in arrhythmia interpretation. 6th
ed. Ambler, PA: Lippincott Williams & Wilkins, 2011. Print.
8. Kenny, Tom. The nuts and bolts of cardiac pacing. 2nd ed. Malden,
Mass.: Blackwell Futura, 2008.
9. Wesley, Keith. Huszar’s basic dysrhythmias and acute coronary syndromes: interpretation and management. 4th ed. Elsevier- Health
Sciences, 2011.
10.Woods, Stephanie L., and Karen S. Ehrat. The art of EKG interpretation: a self-instructional text. 7th ed. Dubuque, Iowa: Kendall
Hunt Pub Co., 2009.
A self-assessment examination is available for purchase
for self-evaluation purposes. See pages 28-29 for more
information.
c. 3.48 seconds
d. 4.48 seconds
25
Definition of CCI Terms
Accredited Educational
Program��Program accredited by an agency recognized by the Council for Higher Education Accreditation (CHEA), United
States Department of Education (USDOE), or Canadian Medical Association (CMA) that conducts programmatic
accreditation.
Active Status��Registrants who have paid triennial renewal fees and have met continuing education requirements.
Applicant��Person(s) applying for examination(s), who has not yet successfully completed a CCI examination.
Definition of CCI Terms
ATT��“Authorization to Test” confirmation and instructions on how to schedule your examination with Pearson VUE.
The ATT will also define the 90-day window in which an examination may be scheduled and taken by the candidate.
CAAHEP��Commission on Accreditation of Allied Health Education Programs, an independent accreditation agency
established for the purpose of reviewing and accrediting allied health education programs. (www.caahep.org)
Candidate��Applicants who have met examination qualification criteria and have been authorized to schedule an examination.
CBT��Computer-Based Testing.
Certificate Level��Refers to the CCT or CRAT examinations.
CEU��Continuing Education Unit. CCI requires each Registrant to accrue a set quantity of CEUs each triennial cycle.
See section “Maintaining Your Credential’s Active Status” (page 31) for further details.
Clinical Hour��Clinical hours, for the purposes of CCI’s qualifications, are defined as the hours spent by an individual (student), while
enrolled in an educational program, spent performing “hands-on” studies/procedures. Clinical hours can be either/
both internal or external but must be a requirement for graduation from/completion of the educational program.
Equivalent College Hours��Sixty-two (62) semester hours. Course work must be in health, science, natural science, nursing, engineering, or
other primary science area.
Extension��An applicant can be granted one extension to their eligibility window per examination. If the applicant does not
take the examination before the end of second eligibility window, the applicant’s examination fee will be forfeited,
and applicant must reapply to take the examination.
Full-Time Equivalent��Working a minimum of 35 hours per week or 1820 hours per year in the specialty area for which the examination
request is made. If working part time, requirements are prorated. For example, someone working ten hours per
week would meet the requirement for hours in 182 weeks (or three and a half years).
Inactive Status��Registrants who have not maintained triennial renewal fees or continuing education requirements.
Incomplete Application��Any examination request made on any form other than a current original application or examination request, which
does not include the necessary fees, qualification documents, selections, or signature.
In-the-Field��Full-time teaching, researching, providing, managing, and supervising patient care and diagnosis in cardiovascular
medicine. See definition of full-time equivalent.
JRC-CVT��Joint Review Committee in Cardiovascular Technology: the specific committee under CAAHEP designated for
Cardiovascular Technology. This committee is directly responsible for the establishment of the Educational
Essentials and Guidelines for Cardiovascular Technology.
JRC-DMS��Joint Review Committee in Diagnostic Medical Sonography: the specific committee under CAAHEP designated for
Diagnostic Medical Sonography. This committee is directly responsible for the establishment of the Educational
Essentials and Guidelines for Diagnostic Medical Sonography.
Pearson VUE��Third-party organization which manages CBT facilities where CCI examinations are administered.
PPC��Pearson Professional Center, locations at which Pearson VUE conducts the examination.
Recertification��Re-examination of a specialty examination successfully taken in the past. May be requested once every three years.
Recertification meets the CEU requirement for your specialty every three years.
Registrants��Candidates who have successfully completed the entire examination process and have been awarded a credential.
Registry Level��Refers to RCCS, RCES, RCIS, RCS, RPhS, or RVS examinations.
Working Days��Working days are considered Monday through Friday. Weekend days, Saturday and Sunday, are not considered
working days. Routine hours of operation for “Working Days” is 8:45 am to 4:45 pm, Eastern Standard Time (EST).
Application Publication Date: October 2014. This application supercedes all documentation previously released.
26
Helpful Hints
The Day of the Examination
1. Remember to bring two non-expired IDs (one with a photo, both
with a signature) to the proctor upon arrival at the test center.
Primary IDs:
• government-issued driver’s license
• state/national ID card
•passport
• military ID (with signature)
• alien registration card (green card, permanent resident visas)
• employee ID
• school ID
Secondary IDs:
• any ID on primary list
• Social Security card
• ATM card
2. Plan to arrive at the test center 15 minutes early.
3. In the remaining minutes before the test begins, relax. This is a
good time to reassure yourself that you will do well on the exam.
Remind yourself that you have carefully studied the material and
that you have the ability to perform well and to make correct
choices on the exam. Use the mental resources that work for you to
reinforce that you will do well.
Hints on Taking an Examination
1. Your examination will be delivered using a computer. This is
generally referred to as computer-based testing or CBT. Remember that CBT does not require that you be proficient in using a
computer. It is literally as easy as using an ATM.
3. The proctor will not be allowed to answer questions relating to
questions, answers, or definitions on the exam. In fact, the proctor
will most likely have little or no knowledge of the subject matter.
However, the proctor will be available at any time during the testing period to answer questions regarding the administration of
the test, the test center, or your personal needs.
4. A calculator will be provided as a “pop-up” on the computer. An
erasable board and pen will be provided at the test center. An area
will be provided in which you can leave personal items outside of
the testing room.
5. It is useful for some test-takers to begin the testing session by
writing from memory such things as acronyms, formulas, or
charts on the erasable board for use later in the exam.
7. All questions on the exam are multiple choice. If you do not immediately know the correct answer, elimination of one or more of
the possible choices is a useful technique. There is no penalty for
guessing. Therefore, if you can narrow the possible choices, you
will significantly increase the probability of selecting the correct
answer.
8. If you are unsure or question the answer you have given, you will
be allowed to “mark for review” any question. This will allow you,
at any time during the time allowed for the exam, to go back and
review the “marked for review” items.
9. You may skip any question during the exam and go on to the next
question. At any time during the exam or at the end or the exam,
you may go back and answer any unanswered questions.
10.You should answer all questions that you are sure of first, then
go back and answer questions that you have skipped or “marked
for review.” Do not spend too much time on any question. Each
question is weighted equally in scoring. Answer the questions you
know for sure first!
11.Think shallow! The questions on the examination are not designed as trick questions to fool the candidate. Although you are
reading very carefully, do not read more into a question than is
written. Do not agonize over each answer trying to imagine every
exception or hidden meaning. Accept the questions and responses
at face value as they are written.
12.Do not worry about the time limit. You will normally have more
than enough time to carefully read and answer all of the questions,
even if you are a slow reader. You may want to check the remaining time occasionally (shown on the computer screen) and pace
yourself accordingly. Understand that the other test-takers around
you are most likely not taking the same exam and start at different
times. Do not be distracted by others finishing their exams.
13.When you have finished all test questions, you may have time to
review those items you have skipped or “marked for review.” The
computer will allow you to do this easily and efficiently. When you
go back, remember that your initial response is most likely correct. You should be certain that you are correct before changing a
response. Do not use this time to “second guess” either yourself or
the questions.
14.If you begin to get nervous any time during the examination, talk
to yourself! Sounds silly, but it works. Repeat to yourself: “I do not
need to rush, there’s plenty of time.” “I will think about that after
the exam is over.” “I can pass the exam without answering this
specific question.” Anything that will help you stay calm will help
you do well.
27
Helpful Hints
2. You will be given instructions by the proctor when you check in
for the exam. Then, you will be offered a tutorial by the computer
before you begin testing. Even if you have previously taken CBT
exams, it is suggested that you take the time to take the tutorial.
This time will not reduce the amount of time you will be allowed
to take the exam.
6. Questions will be presented individually, one per screen. If you are
a fast reader, force yourself to slow down and read each question
thoroughly. See all the words. The ability to read carefully is very
important to your ability to understand the question. Read all
choices before selecting your answer. Even if you think you have
identified the correct answer, read the others.
CCI Self Assessments
About Self Assessment Examinations
Self Assessment Examinations can be ordered using the form on the
next page or by visiting www.cci-online.org. The cost for the online
exam is $55.
The examinations are composed of questions that are to be used for
self-evaluation purposes with regards to a CCI examination. These
questions will help you become familiar with the format and subject
content for your future examination.
Self Assessment Examinations should not be used as
your only reference or as a study guide!
The questions are categorized by subject category, similar to the
subject matrix on which the credentialing examination is based. The
credentialing examination you are preparing to take will have more
than 100 questions. The questions on the actual examination are
randomized in the order in which they are presented.
The online versions of the Self Assessment Examinations offer immediate score results, similar to the results matrix shown on right.
*PLEASE NOTE: You will not receive specific question/answer
combinations.
28
Results Matrix
Questions QuestionsAnswered Percentage
Subject Category in Category Correctly
Score
Subject Category 1 .............. 20 ................. 20 ................100%
Subject Category 2 .............. 20 ................. 18 .................90%
Subject Category 3 .............. 20 ................. 10 .................50%
Subject Category 4............... 20 .................. 8 ..................40%
Subject Category 5............... 20 ................. 16 .................80%
Overall ............................... 100................. 72..................72%
Self Assessment Examinations Order Form
These self assessment examinations offer a resource and preparation for credentialing examinations. These
examinations offer you a means of assessing your performance before taking the credentialing examination.
Self assessment exams are available to take online at www.cci-online.org.
Online examinations are $55.00 (It’s recommended but not required that these be ordered online at
www.cci-online.org using a valid MasterCard or VISA for payment.)
Remember: You will not receive specific question/answer combinations. Self assessments are not
meant to be used as a study guide.
International
Information
First Name __________________________________ Middle Initial __________ Last Name_________________________________
Mailing Address (include Apt #)_________________________________________________________________________________
City ______________________________________ State ________ Postal Code _______________ Country____________________
Telephone ____________________________________________ Email_______________________________________________
Examination Request
Please check all examinations you are ordering:
Examination
q CCT $55
q CRAT$55
q RCCS$55
q RCES$55
q RCIS$55
q RCS$55
q RPhS$55
q RVS$55
Total #
______
=
______ =
______ =
______ =
______ =
______ =
______ =
______ =
$______________
$______________
$______________
$______________
$______________
$______________
$______________
$______________
TOTAL ENCLOSED = $______________
Payment
Card # _____________________________________________________________________________ Expiration Date__________
Signature_________________________________________________________________________________________________
Name as it appears on card (please print)___________________________________________________________________________
Cardiovascular Credentialing International (CCI) • 1500 Sunday Drive, Suite 102 • Raleigh, NC 27607
Fax (919) 787-4916 • (919) 861-4539 • (800) 326-0268 • www.cci-online.org
For Office Use Only
Payment Total ______________________ Order Number __________________________________ Customer Number______________________________________
29
Mail or fax this order form with payment to CCI Headquarters, Attn: CCI Self Assessment
Sample Lapel Pin and Wallet Card
Replacement lapel pins and wallet cards may be requested at a cost of $10 each.
Cardiovascular Credentialing International
Mary Smith
Credentials: CCT
Status: A through: 03/31/2017
Issue Date: 3/31/2014
Reg. ID: 00012345
Credentialing Cardiovascular Professionals
Registrants may order a wall certificate suitable for framing for the price of $25, plus shipping.
Credentialing Inte
r
a
l
u
rna
asc
v
tio
o
i
na
hereby certifies that
d
ar
Mary Smith
l
C
Once You Have Earned Your Credential
has met certain standards and qualifications through examination
to be recognized as a
Certified Cardiographic Technician
Registrant Since December 1, 2012
Registry Number 00012345
Credential Active Until September 30, 2013
#0777
30
____________________________________
James Shafer – President
Maintaining Your Credential’s Active Status
As a new CCI registrant, there are two types of renewals with CCI: your first renewal and your second renewal, which will be your first triennial renewal.
First Renewal
New registrants are required to pay their first renewal before the first day of the same quarter (when the credential was earned) the following year.
For example, if the credential is earned between the dates of April 1st and June 30th, then your first renewal would be due on or before March 31st
of the following year. After completing the first renewal, credentials are renewed every three years. There are no CEU requirements for the first
renewal; only a renewal fee, currently $150.00 USD, and a signature of compliance to the Code of Ethics must be submitted.
This date will be noted on your original wallet card.
Second Renewal/First Triennial Renewal
Maintenance of an “active status” for Certificate-Level credentials requires the submission of triennial renewal dues (currently $150.00 USD),
signature of compliance to the CCI Code of Ethics, and the completion of Continuing Education Units (CEUs) every three years. These three steps
are required, and until all three are fulfilled, your credential will not be renewed.
Review the following chart to determine when your first and second renewals would occur.
Second Renewal Cycle –
When credential is earned…
First Renewal End Date when CEUs are due
January 1 to March 31, 2014
December 31, 2014
December 31, 2017
April 1 to June 30, 2014
March 31, 2015
March 31, 2018
July 1 to September 30, 2014
June 30, 2015
June 30, 2018
October 1 to December 31, 2014
September 30, 2015
September 30, 2018
Submitting evidence of required CEUs (16 for certificate-level registrants – CCT & CRAT)
• Registrants with certificate-level credentials are required to earn 16 contact hours every triennial cycle. If you hold multiple certificate-level
credentials, the requirement is 16 hours.
• If you hold multiple credentials, the CEU requirement is the maximum contact hours for the credential(s) that you hold. For example, if you
hold the CCT and the RCS credentials, you are required to earn 36 total contact hours every triennial cycle, 30 of which must be cardiovascularrelated. If you hold the CCT and CRAT credentials, you are required to earn 16 contact hours every triennial cycle.
• Passing a CCI recertification examination during your current triennial cycle will satisfy the CEU requirements for your current triennial cycle.
(Passing recertification examination does not substitute the triennial renewal fees.) For an application, go to page 33.
• Only college credits that are approved by one of the following entities will be accepted. It is the registrant’s responsibility to obtain the
appropriate certificate with CE approval.
CEUs must be obtained from one
of the following CCI-approved CE
activities
• Category 1 – Continuing Medical
Education (CME) Units from Accredited
Sponsors of the Accreditation Council for
Continuing Medical Education (ACCME),
• Category A – contact hours from
Accredited Providers of Continuing
Education in Nursing by the American
Nurses Credential Center (ANCC) or one
of its Accredited Approvers,
• Category A – contact hours from
organizations that utilize the
American Registry of Radiologic
Technologists(ARRT) Recognized
Continuing Education Evaluation
Mechanism (RCEEM),
• Continuing Education Contact Hours
from a Board of Registered Nursing
(BRN) – approved Continuing Education
Providers (CEPs)
• American Heart Association (AHA)
Examples of organizations that provide CCIapproved CE activities:
• American Society of Radiologic
Technology (ASRT)
• American Medical Association (AMA)
• American Society of Echocardiography
(ASE)
• Alliance of Cardiovascular Professionals
(ACVP)
• Association of Vascular and Interventional
Radiographers (AVIR)
• American Academy of Physician Assistants
(AAPA)
• Heart Rhythm Society (HRS)
• American Association of Critical Care
Nurses (AACCN)
• American Association of Medical
Assistants (AAMA)
• Society of Cardiac Angiography and
Intervention (SCAI)
• Society of Diagnostic Medical Sonography
(SDMS)
• American College of Cardiology (ACC)
• Society of Invasive Cardiovascular
Professionals (SICP)
• American College of Phlebology (ACP)
• Society of Vascular Ultrasound (SVU)
• American College of Chest Physicians
(ACCP)
31
Credential Renewal Policy
2. Fax – CEU Dedicated Fax Line: (919) 882-8787. Use the CCI CEU
Fax Cover Sheet for all submissions. The cover sheet can be downloaded online at www.cci-online.org.
All CEU certificates must contain the following
information:
All renewal requirements are due by renewal end date. If requirements are not received by renewal end date, registrants are granted a
90-day grace period to submit all requirements to our office, and a
$50 late fee will be assessed. The grace period is not to be used to
earn CEUs. Any credits earned during the grace period WILL NOT
be accepted. All CEU credits must have been earned within the
triennial cycle.
1. The registrant’s name
2. The date of the Continuing Education Program
3. The name of the Continuing Education Program
4. The name of the accrediting body
5. The name of the CEU provider
6. The number of CEUs or CMEs awarded
Appeals
Please see page 31 for further details.
CCI will receive (in writing) appeals to contest any adverse decisions
affecting examination eligibility (for applicants), examination results
(for candidates), or active status (for credential holders). The written
appeal must include the stated appeal, the reason for the appeal,
relevant supporting documentation and contact information of the
appellant.
CEUs may be submitted by mail or fax:
1. Mail – Please mail copies of CEU certificates to:
Attn: CCI, Registrant Services
Raleigh, NC 27607
For further information on the procedures for Appeals, please visit
www.cci-online.org.
Certificate of Attendance
The ABC Society certifies
that
<First Name> <Last Nam
e>
has participated in the ed
ucational activity entitle
“Annual Cardiovascular
Scientific Meeting,
June 30-July 2, 2013”
d
The activity was designa
ted for 31.0 AMA PRA ca
tegory 1 credits.
Number of hours attend
ed: <Hours>
Janet Williams
____________________
__________________
Janet Williams, Director
of Continuing Education
1234 Cardiovascular Dr
32
ive, Raleigh, NC 20000
Examination Application for Active Credential Holders Earning CEU*
*Taking examination in lieu of continuing education credits
Complete this application and sign the affidavit before mailing to CCI. Please make a copy for your records.
Please type or print legibly. Do not fax this application: original signature is required. Passing a CCI recertification
during your current triennial cycle will satisfy the CEU requirements for your current triennial cycle.
Examination Requested
Price
Check all that apply:
q Certified Cardiographic............................ $120
q Certified Rhythm Analysis....................... $120
q Invasive Registry...................................... $300
q Non-Invasive/Echo Registry..................... $300
q Vascular Registry...................................... $300
q Electrophysiology Registry...................... $300
q Congenital Cardiac Registry..................... $300
q Phlebology Registry................................. $300
Please ensure that your application is
signed and dated. Supporting documentation
is not required.
Has your address changed since taking your last CCI examination? q Yes q No
Personal Information
Social Security Number (or Canadian Insurance #) _______________-___________-____________________ Birth date (month/date/year) _______/_______/_________
q Mr. q Mrs. q Ms. q Dr.
First Name _________________________________________________ Middle Initial _____ Last Name________________________________________________
Mailing Address (include Apt #)__________________________________________________________________________________________________________
City ______________________________________________________ State ________ Postal Code__________________ Country__________________________
Home Telephone ______________________________ Work Telephone ______________________________ Email________________________________________
q Check here if you have been convicted, pled guilty, or pleded nolo contendere (no contest) to an offense which is classified as a misdemeanor or felony. (If you checked this box, you
are required to submit a Pre-Application to determine that you qualify for the CCI credentialing processing process see page 6 for details).
Employment History
Please provide the following information about your employment in Cardiovascular Technology.
Place of Employment________________________________________________________Dates of Employment: From ________/________ to ________/__________
Position/Title_______________________________________________________________________________________________________________________
Mailing Address_____________________________________________________________________________________________________________________
City ______________________________________________________ State ________ Postal Code__________________ Country__________________________
Supervising Physician/Supervisor Name ____________________________________________________ Supervisor’s Telephone_______________________________
Fees Enclosed
Method of Payment
Registry Examination ($300).................................................................$____________
Certification (CCT or CRAT) Examination ($120)................................$____________
International Fee ($50)..........................................................................$____________
(for individuals currently residing outside of North America)
TOTAL....................................................................................................$____________
All fees above include a non-refundable examination filing fee of $100.
Card # ___________________________________________ Exp.__________
Signature_______________________________________________________
Name as it appears on card (please print):________________________________
Falsification of information on any CCI exam application or violation of CCI policies
during exam administration will void the examination process/results and cause forfeiture of all fees. In cases where credentials have been awarded, revocation may occur,
and the situation may become the subject of legal action.
Affidavit
I have read all information contained in this application booklet and understand that CCI reserves the right to deny my application, revoke my eligibility if I qualify as a candidate, or
take action against me if the documentation I provide is found to be fraudulent, misrepresenting, if I do not meet the application qualifications (including high school graduation or
documentation of any conviction), or maintain the requirements for maintaining the active status of my credential. I authorize CCI and its agents, at their sole discretion, to request any
and all information concerning material related to this application. I authorize CCI to communicate information regarding my application and other credential related information to
government authorities, employers, and others.
I agree to comply with the CCI Code of Ethics, all rules, regulations, and policies (now existing or adopted in the future) pertaining to this application, and to the standards and renewal
of any credential I may receive through CCI.
I hereby release and shall indemnify and hold harmless CCI, its Board of Trustees, officers, committee members, employees, and agents(hereinafter referred to, individually and collectively, as “CCI Entities”) from and against and with respect to any and all liability and claims (including but not limited to losses, costs, expenses, damages, and judgments including
legal fees) that arise or allegedly arise from, with respect to, out of, or in connection with any action or omission of the CCI Entities. My agreement hereunder to indemnify and hold
harmless expressly is intended to apply to any and all such liability and claims relating to any CCI examination and application therefore, and, if applicable and without limitation, the
failure of CCI to issue to me a CCI credential or to renew said credential or pre-existing credential awarded to me, CCI’s revocation of any credential previously issued to me, or CCI’s
notification to any person of such actions taken by CCI.
Applicant’s Signature________________________________________________________________Date_______________________________________________
For Office Use Only
Product code/amt/qual (1)__________/___________/____________ ATT file______________________________ Cust #________________________________
Product code/amt/qual (2)__________/___________/____________ Approval______________________________ Payment Total__________________________
Product code/amt/qual (3)__________/___________/____________ Date_________________________________ Payment Method________________________
33
Recertification Application
Raleigh, NC 27607
(919) 861-4539 • 800-326-0268
www.cci-online.org
Join Societies and Get Involved!
CCI supports the professional triad: professional organizations, personnel credentialing, and educational programs. As a CCI registrant, you are
neither a member nor a licensee. Licensing is required by law and, when required, will allow licensees to practice the particular profession in a
certain geographic area. Recently, there are a small number of states that have enacted licensure and utilize CCI’s credentials in the license process.
A state board will administer the licensing examinations or oversee the licensing requirements. Credentials are administered and governed by
independent certification bodies, and the holding of a credential proves that you have a fundamental knowledge in the particular specialty.
Membership in a professional society or association will require payment of dues in return for benefits such as conferences, continuing education,
professional development, and advancement of the field.
Societies and Associations
The best way to stay connected to what is happening in your field is to join your professional society and get involved! These societies ensure the
advancement and recognition of your field, as well as protect the professionals working within the field.
American College of Cardiology –
Partners in Care (ACC-PIC)
South Atlantic Society of Electrophysiology for Allied
Professionals (SASEAP)
www.cardiosource.org/pic
www.saseap.org
The ACC is transforming cardiovascular
care and improving heart health through continuous quality
improvement, patient-centered care, payment innovation, and
professionalism. The ACC invites cardiovascular technologists,
including sonographers, electrophysiology specialists, invasive
specialists, and vascular specialists, to become Partners in Care (PIC)
members of the ACC. Applicants must be certified by Cardiovascular
Credentialing International (CCI) and have two or more years of
experience in their field. For RCCS, RCES, RCIS, RCS, and RVS.
The SASEAP is the largest professional society for
electrophysiology (EP) professionals in the Southeast
United States. It was formed to provide education and
a venue for information exchange. SASEAP’s mission is to advance
education for allied professionals such as nurses, radiation technologists, cardiovascular technologists, and pharmacists in the growing
field of EP. For RCES.
American College of Phlebology (ACP)
www.svunet.org
www.phlebology.org
The ACP is the premier association for
physicians and allied health professionals working in the field of venous disease, including such disorders as
varicose and spider veins, venous ulcers, and DVT. Comprised of more
than 2,000 vein care professionals, the ACP offers vein treatment education and training with the goal of improving the quality of patient care.
For RPhS and RVS.
The SVU is the only professional
organization completely dedicated
to the advancement of noninvasive
vascular technology used in the diagnosis of vascular disease. The
Society’s success for 35 years is based on the involvement of a diverse
membership of vascular ultrasound professionals, including vascular
technologists, sonographers, echocardiographers, vascular surgeons,
physicians, nurses, vascular lab technical directors, and other allied
healthcare professionals. For RCCS, RCS, RPhS, and RVS.
American Society of Echocardiography (ASE)
Society of Diagnostic Medical Sonography (SDMS)
www.asecho.org
www.sdms.org
The ASE is the
largest global organization for cardiovascular ultrasound imaging,
setting practice standards and guidelines. Comprised of over 15,000
physicians, sonographers, nurses, and scientists, ASE is a strong voice
providing guidance, expertise, and education to its members with a
commitment to improving the practice of ultrasound and imaging of
the heart and cardiovascular system for better patient outcomes. For
RCCS, RCS, and RVS.
The SDMS was founded in 1970 to promote,
advance, and educate its members and the medical
community in the science of Diagnostic Medical
Sonography. SDMS offers 60 free SDMS CME credits
specifically for cardiovascular sonographers and currently serves over
12,800 cardiovascular sonographer members. For RCCS, RCS, RPhS,
and RVS.
Society for Vascular Ultrasound (SVU)
Heart Rhythm Society (HRS)
Society of Invasive Cardiovascular Professionals
(SICP)
www.hrsonline.org
www.sicp.com
The HRS is the leading professional association representing the
allied specialties of cardiac pacing and electrophysiology, providing
members with educational courses and products, practice management tools, career and networking resources, advocacy for favorable
governmental policies, and more. For RCES.
The SICP is a non-profit organization that
promotes and advances the field of invasive
cardiovascular technology. For RCES
and RCIS.
34
35
Raleigh, NC 27607
www.cci-online.org

CCT CRAT - Cardiovascular Credentialing International

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