For the Technician

For hemodialysis technicians, NNCC offer two different certification programs; the CCHT for all dialysis technicians, and the CCHT-A for experienced dialysis technicians functioning in varied roles in patient care.

For Experienced Dialysis Technicians Functioning in Varied Roles

For All Dialysis Technicians

Technicians

For Experienced Dialysis Technicians Functioning in Varied Roles

Certified Clinical Hemodialysis Technician - Advanced (CCHT-A)
CCHT-A

Eligibility

  1. Five (5) years of continuous employment and a minimum of 5,000 hours as a clinical dialysis technician.
  2. 30 contact hours of continuing education relevant to the practice of a hemodialysis technician, within the previous three years.
    It is recommended but not required that continuing education be approved by one of the following:
    • Organizations accredited by the American Nurses' Credentialing Center — Commission on Accreditation (ANCC-COA), the credentialing body of the American Nurses Association.
      • For example: The American Nephrology Nurses' Association (ANNA), which is both an accredited provider and approver of continuing education in nursing.
    • The American Association of Critical-Care Nurses (AACN).
    • The Council of Continuing Education.
    • California, Florida, Iowa, Kansas, or Ohio State Boards of Nursing*
      • For example: The National Association of Nephrology Technicians/Technologists, which is an approved provider through the California State Board of Nursing.
  3. Current national certification as a CCHT, CHT or CCNT.

The applicant must be in compliance with federal and state regulations of the practice of hemodialysis patient care technicians. Applicants must meet the training and experience requirements of the CMS Conditions for Coverage for End Stage Renal Disease Facilities and of the state in which they practice.

The Exam

The CCHT-A exam contains 150 questions and must be completed in 180 minutes. A correct response rate of no less than 70% is required to pass the exam.

Download the Exam Application

Exam Sites

Deadlines and Policies

Get Ready

Intellectual Preparation

  • Determine the content of the examination from the test blueprint.
  • Read the test specifications to determine which content areas have the most "weight," because those will have the highest number of questions.
  • Review the exam reference list to familiarize yourself with material that will be included on the test.
  • Focus on areas with which you are least familiar.
  • Take the Online Practice Exam
  • Learning strategies:
    • attend a certification review course - check with your local chapter regarding upcoming opportunities or locations may be listed on the ANNA site.
    • systematically review a nephrology nursing reference:
      • Core Curriculum for the Dialysis Technician
      • Kidney School™
      • NCS 2009 Hemodialysis Review Course
      • Kallenbach, J., Gutch, C., Stoner, M., Corea, A. Review of Hemodialysis for Nurses and Dialysis Personnel, 8th Ed. St. Louis: Mosby.
    • participate in a study group.
    • spend a day with a colleague working in an area you need to learn about.
  • Listen to the directions given prior to the examination and follow them exactly.
  • Caution: Test preparation websites offering alternative and/or shortcuts to test preparation should be avoided. Exam content is confidential and is not shared with any individuals involved in test preparation activities. "Tricks of testing" and "short cut methods for test preparation" are specifically avoided when creating this exam. We test candidates on content and not on their "test taking skills." If you have any questions about the best methods to prepare please call us at 888.884.6622. Our goal is that each exam candidate best use their time and money to reach the end result of demonstrating their excellence in nephrology patient care through certification.

Emotional Preparation

  • Moderate anxiety is normal and may be helpful - you may be more alert and open to learning; however too much anxiety is detrimental and will interfere with learning and test-taking.
  • Study and prepare for the examination so that you feel confident.
  • Think positively - you possess a wealth of experience and the examination will allow you to demonstrate that knowledge.
  • Use anxiety-reducing strategies:
    • relaxation response.
    • guided imagery.
    • exercise.
    • prayer.
  • Even though some test takers may finish the exam early, use as much of the allotted time as you need to think through and answer the questions.

Physical Preparation

  • Get a good night's sleep.
  • Eat before the examination - those gray cells will have glucose available when you're answering questions.
  • Gather all the materials you need to take the test the night before the exam:
    • government-issued photo ID.
    • nursing license.
    • examination permit.
    • sweater or jacket in case the room is cool.
  • Allow plenty of time to arrive early.
  • If you are distracted by other candidates during the test or leaving to use the rest room, select a seat at the front of the room where you will be less likely to notice the other candidates.

Tips on Answering Examination Questions

  • Read the questions carefully and focus on key words in the question such as "first", "most likely", "most important", "best". These words are usually printed in boldface type to attract your attention.
  • As you read the question, anticipate the correct answer.
  • Read each of the four choices carefully. Even if the first option sounds correct, read all options before choosing the answer.
  • Do not "read into" the question. Answer the question based only on the information presented, even if you think the answer is too obvious or too easy.
  • Do not be afraid to change an answer. Research has shown that more often than not, test takers change answers to the correct one.
  • Do not spend too much time on any one question. Make a note of the questions of which you are uncertain and return to them later if you have time.
  • If you are unsure about one of the content areas, you may find it helpful to complete the other areas first and leave the problem area for last.

Examination Preparation

The NNCC Board of Commissioners is providing this examination preparation booklet that has been developed by each Certification Examination Board and respective Test Committee with the assistance of NNCCs testing partner, C-NET. Each booklet includes important information regarding exam development and how to prepare for the exam. In addition, each booklet contains 30 test questions, answers, rationales and references to help you gain a better understanding of what to expect from the exam and how to better prepare.

Copyright © 2016 Nephrology Nursing Certification Commission (NNCC). All rights reserved. No part of this booklet may be reproduced or transmitted in any form or by any means, electronic or mechanical, without permission in writing from NNCC.

Certification Preparation Guide

Practice Exam

The purpose of this test is to allow eligible candidates for the CCHT-A examination to practice with a test similar in content and format developed using the same process as that used in the actual CCHT-A test development. However, no questions on the CCHT-A practice exam will be on the actual CCHT-A exam.

The CCHT-A practice exam contains 50 questions and has 90-minute time limit. The fee for the exam is $30 per attempt. All questions should be answered; you will not be penalized for guessing. Once the CCHT-A practice exam is completed, all questions and rationale for the correct response will be displayed for review. The actual CCHT-A exam contains 200 questions and must be completed in four (4) hours (150 questions in three [3] hours for the CBT exam) and requires a correct response rate of between 70 and 75% to pass the exam, depending on the version of the test. Taking the CCHT-A practice exam is not required and does not guarantee a similar result on the CCHT-A exam.

Your credit card payment will be processed on-line and you will be granted immediate access to the CCHT-A Practice Exam. When entering the CCHT-A Practice Exam, the examinee will be presented with one question at a time with four responses to choose from. The examinee should select the single best response to that question and then select “NEXT” to save that answer and move to the next question, while still having the ability to come back to that question for further review.

When all questions are completed, the examinee should then choose to “END”. You will be presented with a “Test Summary” indicating which items have responses and which do not. When you are satisfied with your responses, select “Submit test”. A score will be given and each question with the selected response and rationale will be displayed. If you choose to take the exam at another time (for the same fee), the experience will vary but the questions will be the same.

To purchase the CCHT-A Practice Exam, please read the Terms of Agreement and click the appropriate button below.

    

Recertification

Recertification requirements may be met by continuing education and clinical experience or by exam.

View CCHT-A Recertification Information

Fees

Standard Fees

Fee Name Amount
Exam Fee
$250
CBT 90-day Extension
$100
Expedited Review
$50
Late Fee
$50
Incomplete Application Fee
$25

Online Practice Exam

Fee Name Amount
Online Practice Exam
$30

For All Dialysis Technicians

Certified Clinical Hemodialysis Technician (CCHT)
CCHT

Eligibility

  1. The applicant must possess a minimum of a high school diploma or its equivalent, General Educational Development (GED), and must submit a copy of a government approved high school diploma. The name on the diploma must match the name on the CCHT exam application. If it does not, proof of name change (e.g., marriage certificate) must be submitted.
  2. The applicant must have successfully completed a training program for clinical hemodialysis technicians that included both classroom instruction and supervised clinical experience.
    • The applicant must obtain the signature of the educator or submit a certificate of completion to verify the training program.
  3. If the applicant has not yet obtained a position as a clinical hemodialysis technician, he/she must provide the number of hours spent in clinical, hands-on patient care experience obtained as part of the training program, and must provide the name of the facility where the clinical training occurred.
    • The facility administrator or manager must sign to verify that the clinical, hands-on experience did occur and was supervised by an RN.
  4. If the applicant has held a position as a clinical hemodialysis technician within the last eighteen (18) months he/she must provide the name of the employer.
    • The applicant must obtain the supervisor’s signature to verify employment. It is recommended, but not required, that an applicant have a minimum of six (6) months (or 1,000 hours) of clinical experience.
  5. If the applicant has been unemployed for (18) months or longer, he/she must provide proof of current retraining and hands-on experience.
    • The applicant must obtain the signature of an RN educator to verify the training program and/or the facility administrator or manager to verify the clinical, hands-on experience did occur.

The applicant must be in compliance with federal and state regulations of the practice of hemodialysis patient care technicians. Applicants must meet the training and experience requirements of the CMS Conditions for Coverage for End Stage Renal Disease Facilities and of the state in which they practice.

The Exam

The CCHT exam contains 150 questions and must be completed in 180 minutes. A correct response rate of no less than 74% is required to pass the exam.

Download the Exam Application

Exam Sites

Deadlines and Policies

Get Ready

Intellectual Preparation

  • Determine the content of the examination from the test blueprint.
  • Read the test specifications to determine which content areas have the most "weight," because those will have the highest number of questions.
  • Review the exam reference list to familiarize yourself with material that will be included on the test.
  • Focus on areas with which you are least familiar.
  • Take the Online Practice Exam
  • Learning strategies:
    • attend a certification review course - check with your local chapter regarding upcoming opportunities or locations may be listed on the ANNA site.
    • systematically review a nephrology nursing reference:
      • Core Curriculum for the Dialysis Technician
      • Kidney School™
      • NCS 2009 Hemodialysis Review Course
      • Kallenbach, J., Gutch, C., Stoner, M., Corea, A. Review of Hemodialysis for Nurses and Dialysis Personnel, 8th Ed. St. Louis: Mosby.
    • participate in a study group.
    • spend a day with a colleague working in an area you need to learn about.
  • Listen to the directions given prior to the examination and follow them exactly.
  • Caution: Test preparation websites offering alternative and/or shortcuts to test preparation should be avoided. Exam content is confidential and is not shared with any individuals involved in test preparation activities. "Tricks of testing" and "short cut methods for test preparation" are specifically avoided when creating this exam. We test candidates on content and not on their "test taking skills." If you have any questions about the best methods to prepare please call us at 888.884.6622. Our goal is that each exam candidate best use their time and money to reach the end result of demonstrating their excellence in nephrology patient care through certification.

Emotional Preparation

  • Moderate anxiety is normal and may be helpful - you may be more alert and open to learning; however too much anxiety is detrimental and will interfere with learning and test-taking.
  • Study and prepare for the examination so that you feel confident.
  • Think positively - you possess a wealth of experience and the examination will allow you to demonstrate that knowledge.
  • Use anxiety-reducing strategies:
    • relaxation response.
    • guided imagery.
    • exercise.
    • prayer.
  • Even though some test takers may finish the exam early, use as much of the allotted time as you need to think through and answer the questions.

Physical Preparation

  • Get a good night's sleep.
  • Eat before the examination - those gray cells will have glucose available when you're answering questions.
  • Gather all the materials you need to take the test the night before the exam:
    • government-issued photo ID.
    • nursing license.
    • examination permit.
    • sweater or jacket in case the room is cool.
  • Allow plenty of time to arrive early.
  • If you are distracted by other candidates during the test or leaving to use the rest room, select a seat at the front of the room where you will be less likely to notice the other candidates.

Tips on Answering Examination Questions

  • Read the questions carefully and focus on key words in the question such as "first", "most likely", "most important", "best". These words are usually printed in boldface type to attract your attention.
  • As you read the question, anticipate the correct answer.
  • Read each of the four choices carefully. Even if the first option sounds correct, read all options before choosing the answer.
  • Do not "read into" the question. Answer the question based only on the information presented, even if you think the answer is too obvious or too easy.
  • Do not be afraid to change an answer. Research has shown that more often than not, test takers change answers to the correct one.
  • Do not spend too much time on any one question. Make a note of the questions of which you are uncertain and return to them later if you have time.
  • If you are unsure about one of the content areas, you may find it helpful to complete the other areas first and leave the problem area for last.

Examination Preparation

The NNCC Board of Commissioners is providing this examination preparation booklet that has been developed by each Certification Examination Board and respective Test Committee with the assistance of NNCCs testing partner, C-NET. Each booklet includes important information regarding exam development and how to prepare for the exam. In addition, each booklet contains 30 test questions, answers, rationales and references to help you gain a better understanding of what to expect from the exam and how to better prepare.

Copyright © 2016 Nephrology Nursing Certification Commission (NNCC). All rights reserved. No part of this booklet may be reproduced or transmitted in any form or by any means, electronic or mechanical, without permission in writing from NNCC.

Certification Preparation Guide

Practice Exam

The purpose of the CCHT Practice Test is to allow candidates for the CCHT examination to practice with a test similar in content and format to the actual CCHT examination. However, no questions on the CCHT Practice Test will be on the actual CCHT examination. Taking the CCHT Practice Test is not required and does not guarantee a similar result on the CCHT examination.

The fee for the test is $30. The CCHT Practice Test contains 50 multiple-choice questions available in two modes: Practice Mode provides the correct answer and rationale after each question, while Test Mode holds the results until the end of the test. Both modes at the end of the test provide a Score Report which displays your score and breakdown of percentage correct in each area of the test blueprint. The actual CCHT examination contains 150 questions in three [3] hours and requires a correct response rate of 74% correct to pass.

You will have access to the test for 90 days. Several scrambled versions are offered for retesting. Your credit card payment will be processed online, and you will be granted immediate access to the CCHT Practice Test.

To purchase the CCHT Practice Exam, please read the Terms of Agreement and click the appropriate button below.

I Have Read and Accept the Terms    I Don't Accept the Terms

Recertification

Recertification requirements may be met by continuing education and clinical experience or by exam.

View CCHT Recertification Information

Fees

Standard Fees

Fee Name Amount
Exam Fee
$225
CBT 90-day Extension
$100
Expedited Review
$50
Late Fee
$50
Incomplete Application Fee
$25

Online Practice Exam

Fee Name Amount
Online Practice Exam
$30