RCES
Courtesy St. David’s Medical Center
RCIS
Courtesy Lancaster General Hospital

Application Publication Date: January 2015. This application supersedes all documentation previously released.
2

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
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
Examination Application Instructions and Requirements ................................................................................................... 12
Examination Cancellation/Refund Policy ..............................................................................................................................12
CCI Exam Application ............................................................................................................................................................13
Examination Overviews (Table of Contents) .........................................................................................................................16
Registered Cardiac Electrophysiology Specialist (RCES) .......................................................................................................17
Registered Cardiovascular Invasive Specialist (RCIS) ...........................................................................................................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
3

4
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 applicant_support@cci-online.org. 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

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.
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.
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.
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.
Credentials administered by CCI are accredited by the American National Standards Institute (ANSI) based on the ISO/IEC 17024 Accreditation Standard.
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.
CCT – Certified Cardiographic Technician
• Who should apply: Professionals working in the areas of
ECG, Holter monitoring, and stress testing
CRAT – Certified Rhythm Analysis Technician
• Who should apply: Professionals who utilize specialized monitoring equipment to analyze cardiac rhythms
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
• Who should apply: Professionals working in the area of electrophysiology
RCIS – Registered Cardiovascular Invasive Specialist
• Who should apply: Professionals working in the area of cardiac catheterization (invasive)
RCS – Registered Cardiac Sonographer
• Who should apply: Professionals working in the area of echocardiography
RPhS – Registered Phlebology Sonographer
• Who should apply: Professionals working in the area of phlebology ultrasound
RVS – Registered Vascular Specialist
• Who should apply: Professionals working in the area of vascular technology (vascular ultrasound)
Credential CCT CRAT RCCS RCES
Specialty Exam Certified Certified Congenital Electrophysiology
Cardiographic Rhythm Analysis Echocardiography Registry
Registry
Specialty Exam Fee $160 $160 $350 $350
RCIS
Invasive
Registry
RCS RPhS
Echocardiography Phlebology
Registry Registry
RVS
Vascular
Registry
$350 $350 $350 $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.
55

6
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 and was submitted within the last two (2) years). 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.
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.
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.
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.
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.
For Pre-Application Procedures, please go to the Applicant Information
Section on CCI’s website, www.cci-online.org, or contact CCI Headquarters.
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 – 101 W. Pleasant St., Suite 200,
Milwaukee, WI 53212-3963; (414) 289-3400; www.ece.org
Foundation for International Services, Inc.
– 505 5th Avenue South,
Suite 101, Edmonds, WA 98020; (425) 487-2245; www.fis-web.com
Global Education Group – 2 East Congress Street, Suite 900, Tucson, AZ
85701; (520) 202-7800; fax (520) 877-7867; www.globaledu.com
International Educational Research Foundation, Inc.
– P.O. Box 3665,
Culver City, CA 90231-3665; (310) 258-9451; fax (310) 342-7086; www.ierf.org
World Education Services, Inc.
– Bowling Green Station, P.O. Box 5087,
New York, NY 10274-5087; (212) 966-6311; www.wes.org

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.
Processing a complete application may take up to 15-20 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 two (2) years since applying for an examination, or who are seeking recertification, do 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.
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.
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.
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.
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
7

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.
D. Books, personal calculators, calipers, rate rulers, papers, or reference material may not be taken into the examination area. Electronic devices are prohibited from use in Pearson testing centers. 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.
8
All CCI credentialing examinations consist of multiple choice questions
(approximately 170 for registry-level examinations (RCES and RCIS).
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.
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.
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.
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
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.

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.
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 .
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 15-20 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 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.
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, 2016.
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 this 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

10
SAMPLE ONSITE RESULTS LETTER
CCI Examination Results
Registered Cardiac Electrophysiology Specialist
Examination Score Report
CANDIDATE : Candidate
CANDIDATE ID : 54321
REGISTRATION : 2147483647
VALIDATION : 574951121
DATE : 28-Oct-2014
SITE ID
EXAM
: 8675309
: 000-000
PASSING SCORE : 650 YOUR SCORE : 900 GRADE : Pass
SECTION NAME:
A. Conducting Pre-Procedural Activities
B. Conducting Intra-Procedural Activities
C. Conducting Post-Procedural Activities
D. Performing Diagnostic Studies
E. Performing Therapeutic Procedures
F. Communicating with Patients and the Health Care Team
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.
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.
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.
Appeals must be emailed to appeals@cci-online.org 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.
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.
(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.
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.
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, RCES, RCIS
Educational Director

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)
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.
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.
2. As a credentialed cardiovascular technologist/technician or 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.
3. As a credentialed cardiovascular technologist/technician or 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.
4. As a credentialed cardiovascular technologist/technician or 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.
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.
6. As a credentialed cardiovascular technologist/technician or applicant/candidate of CCI Examinations, I will represent my qualifications honestly and provide only those services which I am qualified to perform.
7. As a credentialed cardiovascular technologist/technician or 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.
8. As a credentialed cardiovascular technologist/technician or 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.
12. As a credentialed cardiovascular technologist/technician or applicant/candidate of CCI Examinations, I will avoid compromise of professional judgment by conflicts of interest.
13. As a credentialed cardiovascular technologist/technician or applicant/candidate of CCI Examinations, I will engage only in legal arrangements and practices in the healthcare field.
14. As a credentialed cardiovascular technologist/technician or 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.
15. As a credentialed cardiovascular technologist/technician or 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.
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.
17. As a credentialed cardiovascular technologist/technician or 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

12
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 two (2) years since the date of your original application.
4. Please type or print legibly your social security number, your first name, middle initial, and last name.
5. Please type or print legibly your mailing address, telephone numbers, and email address.
6. Please type or print legibly your current employer’s information
(if applicable).
7. Please type or print legibly your educational background (if applicable).
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.
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.
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).
14. Your application will not be processed without all required documentation and fees.
15. Mail form, required documents, and payment to:
Cardiovascular Credentialing International (CCI)
1500 Sunday Drive, Suite 102
Raleigh, NC 27607
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.
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.
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
Check all that apply: q Electrophysiology Registry q Invasive Registry
Price
$350
$350
Qualification Number
For details on qualification numbers please refer to the
Exam Overview Section (starting on page 16).
Circle one:
RCES1 ............ RCES4 ...................RCES234-2013 ........... RCES5
RCIS4 ............. RCIS234-2013 .......RCIS5
Cardiovascular Credentialing
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: _______ _______ _______
(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.)
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
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 # _________________________
Product code/amt/qual (2)__________/___________/____________ Approval _____________________________ Payment Total ________________________
Product code/amt/qual (3)__________/___________/____________ Date ________________________________ Payment Method ______________________
Application Publication Date: January 2015. This application supersedes all documentation previously released.
13

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.
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 40-49 q 30-39 q 50-59 q over 60
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 q Other (please specify) __________________
Professional Membership (check all that apply) q ACC q ASE q SDMS q ACCP q ASRT q SICP q ACP q ANA q q
HRS
SASEAP q SVU q Other (please specify) __________________
Type of Facility in Which You Are Employed q Community Hospital q University-Affiliated Medical Center q Military/Federal Hospital q State/County Hospital q 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 __________ q Other (please specify) __________________
Present Position Held q Staff Technologist q Supervisor q Director/Administrator q Nurse q Academic Instructor q Other (please specify) __________________
Certification (RCES & RCIS) Examination ($350) ............$ _____________
TOTAL ...............................................................................$ _____________
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.
q Check q Money Order q MasterCard q Visa
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.
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

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
Application Publication Date: January 2015. This application supercedes all documentation previously released.
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
15

16
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.
Registered Cardiac Electrophysiology Specialist (RCES)
Qualification Requirements .......................................................................................................................................................................................... 17
Sample Letters ............................................................................................................................................................................................................... 18
Exam Overview ............................................................................................................................................................................................................. 19
Sample Questions .......................................................................................................................................................................................................... 21
References ..................................................................................................................................................................................................................... 21
Qualification Requirements .......................................................................................................................................................................................... 22
Sample Letters ............................................................................................................................................................................................................... 23
Exam Overview ............................................................................................................................................................................................................. 24
Sample Questions .......................................................................................................................................................................................................... 25
References ..................................................................................................................................................................................................................... 25

Registered Cardiac Electrophysiology Specialist (RCES)
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.
RCES1-2013
Two years of full-time or full-time equivalent work experience in diagnostic and interventional cardiac electrophysiology. (It is anticipated, but NOT required that the successful candidate will have participated in a minimum of 200 diagnostic/ interventional cardiac electrophysiology studies and 300 device implants at the time of application.)
It is recommended, but not a requirement, that the applicant have experience in the following areas:
• Diagnostic/Interventional Studies
• Advanced Mapping
• Device Implants (pacemaker, ICD, and CRT)
(See examples on page 18)
RCES1-2013
Employment Verification Letter
RCES235-2013
A graduate of a diploma, associate, or baccalaureate academic program in health science
(including, but not limited to, cardiovascular technology, ultrasound, radiologic technology, respiratory therapy, or nursing)
AND
One year full-time work experience in electrophysiology
It is anticipated, but NOT required that the successful candidate will have participated in a minimum of 200 diagnostic/ interventional cardiac electrophysiology studies and 300 device implants at the time of application in their career which is defined as work experience and/or clinical experience gained during a formal educational program.
It is recommended, but not a requirement, that the applicant have experience in the following areas:
• Diagnostic/Interventional Studies
• Advanced Mapping
• Device Implants (pacemaker, ICD and CRT)
RCES235-2013
Completion certificate and/or educational transcript
AND
Employment Verification Letter
One year work experience must occur after graduation from a health science program. Time spent in an externship that is part of a formal education program would not count towards the one year work experience requirement.
RCES5
A graduate of a NON-programmatically accredited program in electrophysiology which has a minimum of one year of specialty training and includes a minimum of 800 clinical hours in the specialty in which the examination is being requested.
Students enrolled in NON-programmatically accredited program in electrophysiology with a start date prior to September 1, 2013 will be eligible to apply for their specific registry examinations under this current qualification pathway after they graduate.
RCES4
Applicant must be a graduate of a programmatically accredited** program in electrophysiology.
RCES5
Completion certificate and/or educational transcript
AND
Student Verification Letter
AND
Clinical Experience Letter
RCES4
Completion certificate and/or educational transcript
AND
Student Verification Letter
Students applying to take examination prior to graduation will be required to submit this documentation
IMPORTANT : If an individual’s clinical hours were obtained after graduation or if the hours are not a requirement for their educational program, then those hours
WOULD NOT count toward the 800-hour minimum under qualification RCES5.
** An accredited program is 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 specifically conducts programmatic accreditation for cardiovascular technology, diagnostic cardiac sonography, or vascular technology.
17

18
Registered Cardiac Electrophysiology Specialist (RCES)
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.
3) Indicate the name of the applicant.
4) Indicate full- 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, who must be a MD or DO or hold an active
RCCS, RCES, RCIS, RCS, RDCS, RDMS, RPhS, RVS, or RVT credential.
123 Main St. • San Diego, CA 92701
(1)
• (760) 555-1234
CCI
Raleigh, NC 27607
November 29, 2013
(2)
RE: Ms. Margaret Myers, RN
(3)
This letter has been sent to verify t hat Margaret Myers was ospital. Ms. Myers period Ms. Myers assisted in the scr (5) . During that cal procedures, operated the intraca diac Electrophysiology Lab
(6) rdiac recording system to sit for CCI’s Electrophysiology R
Sincerely,
(7)
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- or part-time student.
5) Indicate the date or expected date of graduation.
6) Indicate the specialty of the educational program.
7) For non-programmatically accredited educational programs, indicate the program length, program specialty, and the number and specialty of clinical hours accrued.
8) Original signature of the educational director.
(1)
• (212) 555-1234
March 4, 2013
(2)
CCI
Raleigh, NC 27607
RE: Ms. Jane Thompson
(3)
This letter has been sent to verify t
(4) hat Ms. Jane Thompson
(5) after completing the EP Cardiovascular Technology p rogram. At the time of
(6) , which included a required 800 ab. Based on CCI’s
(7)
Sincerely,
Elizabeth Johnson
(8)
1) Clinical site’s original, official letterhead or stationery.
2) Indicate the date the letter was signed by the clinical supervisor.
3) Indicate the name of the applicant.
4) Indicate the number of clinical hours.
5) Indicate the time period during which the clinical hours were performed.
6) Original signature of the clinical supervisor.
IMPORTANT : If an individual’s clinical hours were obtained after graduation or if the hours are not a requirement for their educational program, then those hours WOULD
NOT count toward the 800 hour minimum under qualification RCES5.
PA 21113
(1)
August 11, 2013
(2)
CCI
Raleigh, NC 27607
RE: Ms. Jane Doe
(3)
This letter has been sent to verify t hat Ms. Jane Doe
May 2011 to July 2011
Sincerely,
(5) .
otation lasted from
(6)

Registered Cardiac Electrophysiology Specialist (RCES)
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
A. Conducting Pre-Procedural Activities
B. Conducting Intra-Procedural Activities
C. Conducting Post-Procedural Activities
D. Performing Diagnostic Studies
E. Performing Therapeutic Procedures
F. Communicating with Patients and the Health Care Team
Total
Approximate Percentage of Examination
11%
22%
3%
28%
33%
4%
100%
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.
12-lead ECG placement and interpretation
Ablation physics
Arrhythmia recognition and diffrential diagnosis
ACLS
ACT equipment operation
General anatomy and physiology
Basic chemistry
Basic cardiac device technology
Basic electronics
Basic pharmacology
Basic radiology
Basic ultrasound
Biohazardous waste disposal
BLS
Body mechanics
Cabling connectology
Calibration of equipment
X-Ray camera angles
Cardiac action potential
Cardiac anatomy and physiology
Cardiovascular pathophysiology
Procedural equipment
Collection and handling of lab specimens
Congenital anomalies and EP
(Ebstein’s, ASD, etc.)
Normal and abnormal/critical lab values
Defibrillation theory
Device programmer operation(s)
Intracardiac electrogram (EGM) interpretation
Electrocautery
Basic electrophysiology theory and concepts
Basic cardiac device theory
Equipment operation and compatability and troubleshooting
Hemodynamics
Hemostasis
Image processing and interpretation
Implantable cardiac device systems
Indications for electrophysiology procedures
Regulatory and legal issues (orders, consent, power of attorney, etc.)
Magnetic fields
Mapping concepts
Mechanisms of arrhythmias
Medical terminology
Medication administration and dosages
Monitoring equipment operations and troubleshooting
MSDS
Normal and abnormal vital signs
Pain management
Patient care and assessment
Patient positioning
Phlebotomy
Potential complications for all procedures
(symptoms, treatment, etc.)
Moderate sedation
Sterile techniques
Stimulation protocols
Universal protocol
Vascular intervention procedures
19

20
Registered Cardiac Electrophysiology Specialist (RCES)
The task list below describes the activities which an Electrophysiology Specialist is expected to perform on the job. All examination questions are linked to these tasks.
Duties and Tasks
A Conducting Pre-Procedural Activities
Prepare procedure room
Prepare sterile table
Perform patient identification
Review patient laboratory results
Review patient medical record
Verify physician’s orders
Verify/obtain patient consent
Start patient IV
Transport patient to procedure room
Prepare patient for procedure
B Conducting Intra-Procedural Activities
Maintain patient comfort
Monitor patient vital signs
Administer patient medications
Monitor ACT (Activated Clotting Time)
Acquire radiographic images
Evaluate implanted ICDs and pacemakers
Place central venous lines
Place arterial lines
C Conducting Post-Procedural Activities
Remove arterial and venous sheath
Prepare patient for transfer to recovery
Reset procedure room
% of Exam
11%
22%
3%
Duties and Tasks
D Performing Diagnostic Studies
Position diagnostic catheters
Analyze EGMs
Perform stimulation protocols
Perform differential diagnostic techniques
Perform peripheral venography
Perform tilt table testing
E Performing Therapeutic Procedures
Assist physician with peripheral venoplasty
Assist with transeptal puncture
Perform arrhythmia mapping
Assist physician with ablation
Assist physician with lead extraction
Assist physician with periocardiocentisis
Assist physician with internal cardiac device implant
% of Exam
28%
33%
F Communicating with the Physician and the Health Care
Team 4%
Summarize procedural data for physician
Provide patient report
Conduct patient education and training
TOTAL 100%

Registered Cardiac Electrophysiology Specialist (RCES)
a. Sodium b. Calcium c. Chloride d. Potassium
a. Flecainide b. Mexiletine c. Propafenone d. Procainamide
a. Positive b. Biphasic c. Negative d. Isoelectric
a. 2.0 @ 1.5 ms PW b. 2.5V @ .06 ms PW c. 4.0 V @ 0.5 ms PW d. 4.0 V @ 1.0 ms PW
A. 4 cc/hour
B. 12 cc/hour
C. 45 cc/hour
D. 60 cc/hour
1. b 2. b 3. c 4. c 5. c
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. Ellenbogen, Kenneth A., and Bruce L. Wilkoff. Device therapy for congestive heart failure. Philadelphia: W.B. Saunders Co., 2004.
2. Ellenbogen, Kenneth A., and Mark A. Wood. Cardiac pacing and
ICDs. 4th ed. Malden, Mass.: Blackwell Pub., 2005.
3. Fogoros, Richard N.. Electrophysiologic testing. 4th ed. Malden,
Mass.: Blackwell Pub., 2006.
4. Hayes, David L., Paul Wang, Jonathan Sackner-Bernstein, and
Samuel Asivatham. Resynchronization and defibrillation for heart failure a practical approach. 1st ed. Oxford, UK: Blackwell/Futura,
2004.
5. Hayes, David L., and Paul A. Friedman. Cardiac pacing, defibrillation and resynchronization: a clinical approach. 2nd ed. Chichester,
West Sussex, UK: Wiley-Blackwell, 2008.
6. Murgatroyd, Francis D., George J. Klein, Andrew D. Krahn, Raymond Yee, and Allan Skanes. Handbook of Cardiac Electrophysiology a Practical Guide to Invasive EP Studies and Catheter Ablation..
1st ed. London: Remedica Medical Education and Pub., 2002.
7. Opie, Lionel H.. Drugs for the heart. 7th ed. Philadelphia, PA: Saunders/Elsevier, 2009.
8. Podrid, Philip J., and Peter R. Kowey. Cardiac arrhythmia: mechanisms, diagnosis, and management. 2nd ed. Philadelphia: Lippincott Williams & Wilkins, 2001.
9. Wilber, David J., Douglas Packer, and William G. Stevenson. Catheter ablation of cardiac arrhythmias basic concepts and clinical applications. 3rd ed. Malden, Mass.: Blackwell, 2008.
10. ACLS Handbook, 2006 Revision, AHA.
A self-assessment examination is available for purchase for self-evaluation purposes. See pages 28-29 for more information.
21

22
Registered Cardiovascular Invasive Specialist (RCIS)
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.
RCIS235-2013
A graduate of a diploma, associate, or baccalaureate academic program in health science
(includes, but not limited to, cardiovascular technology, ultrasound, radiologic technology, respiratory therapy, or nursing)
AND
One year full-time work experience in invasive cardiovascular technology
AND
600** cardiac diagnostic/interventional procedures in their career which is defined as work experience and/or clinical experience gained during a formal educational program.
In the verification letter(s) the medical director(s) and/or program director(s) must confirm the number of studies performed during the applicant’s employment and/or during the academic program.
RCIS5
A graduate of a NON-programmatically accredited program in invasive cardiovascular technology which has a minimum of one year of specialty training and includes a minimum of
800 clinical hours* in the specialty in which the examination is being requested.
Students enrolled in NON-programmatically accredited program in invasive cardiovascular technology with a start date prior to September 1, 2013 will be eligible to apply for their specific registry examinations under this current qualification pathway after they graduate.
RCIS4
Applicant must be a graduate of a programmatically accredited program in invasive cardiovascular technology.
(See examples on page 23)
RCIS235-2013
Completion certificate and/or educational transcript
AND
Employment Verification Letter
AND
Clinical Experience Letter (only required for applicants submitting verification of the number of studies completed during a formal educational program)
RCIS5
Completion certificate and/or educational transcript
AND
Student Verification Letter
AND
Clinical Verification Letter
RCIS4
Completion certificate and/or educational transcript
AND
Student Verification Letter
Students applying to take examination prior to graduation will be required to submit this documentation
IMPORTANT: If an individual’s clinical hours were obtained after graduation or if the hours are not a requirement for their educational program, then those hours
WOULD NOT count toward the 800-hour minimum under qualification RCIS5.
** If an individual’s studies were completed during a formal educational program, then those procedures completed WOULD count toward the minimum of 600 diagnostic/interventional procedures under qualification RCIS235-2013.
*** An accredited program is 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 specifically conducts programmatic accreditation for cardiovas-cular technology, diagnostic cardiac sonography, or vascular technology.

Registered Cardiovascular Invasive Specialist (RCIS)
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.
3) Indicate the name of the applicant.
4) Indicate full- 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) Indicate the number of studies performed during the applicant’s employment (required for candidates applying on or after July 1, 2013).
8) Original signature of direct supervisor, who must be a MD or DO or hold an active RCCS, RCES, RCIS, RCS, RDCS, RDMS, RPhS, RVS, or RVT credential.
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- or part-time student.
5) Indicate the date or expected date of graduation.
6) Indicate the specialty of the educational program.
7) For non-programmatically accredited educational programs, indicate the program length, program specialty (echo or vascular or invasive), and the number and specialty of clinical hours accrued.
8) Original signature of the educational director.
1) Clinical site’s original, official letterhead or stationery.
2) Indicate the date the letter was signed by the clinical supervisor.
3) Indicate the name of the applicant.
4) Indicate the number of clinical hours.
5) Indicate the number of studies performed during the applicant’s clinical training (required if applying on or after July 1, 2013).
6) Indicate the time period during which the clinical hours were performed.
7) Original signature of the clinical supervisor.
IMPORTANT : If an individual’s clinical hours were obtained after graduation or if the hours are not a requirement for their educational program, then those hours WOULD NOT count toward the 800-hour minimum under qualification RCIS5.
123 Main St. • San Diego, CA 92701
October 1, 2011
(2)
(1)
• (760) 555-1234
CCI
Raleigh, NC 27607
RE: Ms. Margaret Myers, RN
(3)
This letter has been sent to verify t period Ms. Myers scrubbed, moni hat Ms. Margaret Myers ospital. Ms. Myers was
cases in our cardiac cath lab, and t
During that
Sincerely,
(8)
(1)
• (212) 555-1234
January 4, 2011
(2)
CCI
Raleigh, NC 27607
RE: Ms. Jane Thompson
(3)
This letter has been sent to verify t
student at Cath Lab University. Ms.
after completprogram, including 800 clinical h ours (7)
(6) . At onth Invasive Cardiovascular qualified to sit for the Invasive R
Sincerely, egistry Examination.
Elizabeth Johnson
(8)
July 11, 2011
(2)
123 Main St. • San Diego, CA 92701
(1)
• (760) 555-1234
CCI
Raleigh, NC 27607
RE: Ms. Jane Thompson
(3)
This letter has been sent to verify t tion training at ABC Hospital. Ms.
(4)
Doe “scrubbed in” for diac patients in our facility. Ms. Jan
Sincerely, onitoring of over 150 carlasted from January 2011 to June 2011.
(6)
(7)
John Jones, MD
Director of Invasive Cardiology
23

Registered Cardiovascular Invasive Specialist (RCIS)
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
Conducting Pre-Procedural Activities
Approximate Percentage of Examination
10%
Conducting Intra-Procedural Activities
Performing Invasive Procedures
40%
40%
Conducting Post-Procedural Activities 10%
TOTAL 100%
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.
Mathematics
• Calculation/conversion skills
• Units of measurement
• Shunt calculations, VOA
Medical terminology
Cardiovascular anatomy and physiology
Cardiovascular pathology and pathophysiology
Body mechanics
Regulatory and compliance standards
Patient care and assessment
Normal and abnormal lab values
ECG interpretation and analysis
Pharmacology and medication administration
Hemodynamic waveform recognition
Imaging
• Angiography
• Radiation safety
• Operation of radiographic equipment
• IVUS
• ICE
Sterile technique
Universal precautions
Diagnostic and interventional procedures
• Cardiac procedures
• Vascular procedures
• Device implants
• Procedural indications, contraindications, and complications
Hemostasis
Emergency procedures and equipment
The task list below describes the activities which an Registered Cardiovascular Invasive Specialist is expected to perform on the job. All examination questions are linked to these tasks.
Duties and Tasks % of Exam
A Conducting Pre-Procedural Activities
1 Prepare procedure room (e.g., set up equipment, QC, QA)
10%
2 Review patient chart (e.g., lab results, consent, verifying orders, medical record)
3 Prepare patient for procedure (e.g., patient ID/verification, start IV, educate patient)
4 Set up sterile field (e.g., patient, procedure table, equipment)
B Conducting Intra-Procedural Activities 40%
1 Monitor vital signs of patients (e.g., heart rate rhythm, blood pressure, respiratory rate, O2 saturation)
2 Evaluate hemodynamic data (e.g., pressure waveforms, CO, Fick, Shunt,
PVR, SVR, valve areas)
3 Perform 12-lead ECG analysis (e.g., infarct, bundle branch, ischemia, tamponade)
4 Understand pharmacologic effects of medications (e.g., ACLS, recognize side effects/adverse reactions, pain management)
5 Monitor ACT (Activated Clotting Time)
6 Ensure radiation safety (e.g., time, distance, shielding)
7 Position radiographic equipment (e.g., C arm, pan table, angles & views)
8 Acquire/interpret radiographic images (administer contrast)
9 Administer conscious sedation (e.g., levels, Aldrete, assessing effects)
10 Place arterial lines
11 Place venous lines
12 Perform intra-coronary injection
13 Perform cardiac outputs (e.g., TDCO)
14 Perform endomyocardial biopsy
15 Respond to intra-procedural emergency situations (e.g., anaphylaxis, cardiac arrest, cardiogenic shock, tamponade, ACLS)
Duties and Tasks % of Exam
C Performing Invasive Procedures
1 Perform adult cardiac catheterization
2 Perform Intra-vascular ultrasound (IVUS)
3 Perform Intra-cardiac echocardiography (ICE)
40%
4 Perform Fractional Flow Reserve (FFR)
5 Perform device implants (e.g., pacemaker, ICD)
6 Perform coronary balloon angioplasty (including CTO devices)
7 Perform peripheral interventions (e.g., carotids, renals, SFAs, vena cava filters)
8 Perform coronary stenting
9 Perform rotational atherectomy
10 Perform laser interventional procedures
11 Perform IABP insertion (intra-aortic balloon pump)
12 Insert and operate transvenous temporary pacemaker
13 Perform pericardiocentesis
14 Perform transcatheter valve repair/replacement
15 Perform structural heart disease interventions (e.g., ASD/PFO, VSD, PDA)
16 Perform percutaneous valvuloplasty
17 Operate thrombectomy equipment (e.g., Angiojet, aspiration catheter)
18 Implant percutaneous left ventricular assist device (e.g., LVAD, Impella)
19 Assist with transseptal puncture
20 Insert distal protection devices
D Conducting Post-Procedural Activities
1 Obtain femoral hemostasis with manual pressure
2 Obtain femoral hemostasis with collagen closure device
3 Obtain femoral hemostasis with mechanical device
4 Obtain radial hemostasis manually or with mechanical device
5 Manage access site complications
6 Respond to post-procedure emergency situations (e.g., vasovagal, anaphylaxis, retroperitoneal bleed)
10%
TOTAL 100%
24

Registered Cardiovascular Invasive Specialist (RCIS)
a. 2.5 L/min. b. 4.0 L/min. c. 5.0 L/min. d. 6.0 L/min.
a. 2.22 L/min./m2 b. 2.77 L/min./m2
C. 3.00 L/min./m2 d. 3.33 L/min./m2
a. LV systolic & Aortic systolic b. LV systolic & PCW c. LVedp & PCW d. LVedp & Aortic diastolic
a. LVH b. IV Strain c. Hyperkalemia d. Anterior Infarction
Position Saturation%
SVC
IVC
70%
71%
Hi RA 78%
Mid RA 86%
Low RA 83%
Position Saturation%
RV
PA
86%
86%
LA
LV
AO
94%
94%
94% a. ASD with left to right shunt b. PDA with left to right shunt c. VSD with left to right shunt d. Tetralogy of Fallot with bidirectional shunt
1. c 2. b 3. c 4. a 5. a
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. Aehlert, Barbara. ECGs made easy. 4th ed. St. Louis: Mosby, 2009.
2. Baim, Donald S., and William Grossman. Grossman’s cardiac catheterization, angiography, and intervention. 7th ed. Philadelphia:
Lippincott Williams & Wilkins, 2006.
3. Daily, Elaine Kiess, and John Speer Schroeder. Techniques in bedside hemodynamic monitoring. 5th ed. St. Louis: Mosby, 1994.
4. Darovic, Gloria Oblouk. Hemodynamic monitoring: invasive and noninvasive clinical application. 3rd ed. Philadelphia: W.B. Saunders Co., 2002.
5. Kern, Morton J.. The cardiac catheterization handbook. 4th ed.
Philadelphia, PA: Mosby, 2003.
6. Safian, Robert D., and Mark Freed. The manual of interventional cardiology. 3rd ed. Royal Oak, Mich.: Physicians’ Press, 2001.
7. Watson, Sandy, and Kenneth A. Gorski. Invasive cardiology: a manual for cath lab personnel. 3rd ed. Sudbury, MA: Jones and
Bartlett Learning, 2011.
A self-assessment examination is available for purchase for self-evaluation purposes. See pages 28-29 for more information.
25

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.
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.
Direct Supervisor ..................Qualified individual who is charged with authority and responsibility for the direction and guidance of the work of personnel.
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 on Education 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 on Education 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: January 2015. This application supercedes all documentation previously released.
26

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.
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.
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.
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.
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.
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

28
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.
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.
Subject Category
Questions
Questions Answered Percentage 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%

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.
Cardiovascular Credentialing
International
First Name __________________________________ Middle Initial __________ Last Name ________________________________
Mailing Address (include Apt #) ________________________________________________________________________________
City ______________________________________ State ________ Postal Code _______________ Country ___________________
Telephone ____________________________________________ Email ______________________________________________
Please check all examinations you are ordering:
Examination q CCT $55
Total #
______ = $______________ q CRAT $55 ______ = $______________ q RCCS $55 ______ = $______________ q RCES $55 ______ = $______________ q RCIS $55 ______ = $______________ q RCS $55 ______ = $______________ q RPhS $55 ______ = $______________ q RVS $55 ______ = $______________
TOTAL ENCLOSED = $______________
q Check q Money Order q MasterCard q Visa
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

30
Replacement lapel pins and wallet cards may be requested at a cost of $10 each. The CCI Registrant Items Order Form can be downloaded from the
CCI website once you have logged into your account.
Mary Smith
Credentials: RCIS
Status: A through: 03/31/2018
Issue Date: 3/31/2015
Reg. ID: 00012345
Credentialing Cardiovascular Professionals
Registrants may order a wall certificate suitable for framing for $25 each.
Certificate holder is black with gold foil. Certificate is black and gold on parchment paper.
The CCI Registrant Items Order Form can be downloaded from the
CCI website once you have logged into your account.

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.
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.
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.
When credential is earned… First Renewal End Date
January 1 to March 31, 2015 December 31, 2015
April 1 to June 30, 2015
July 1 to September 30, 2015
October 1 to December 31, 2015
March 31, 2016
June 30, 2016
September 30, 2016
Second Renewal Cycle – when CEUs are due
December 31, 2018
March 31, 2019
June 30, 2019
September 30, 2019
• 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.
• 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)
Examples of organizations that provide CCIapproved CE activities:
• Alliance of Cardiovascular Professionals
(ACVP)
• American Academy of Physician Assistants
(AAPA)
• American Association of Critical Care
Nurses (AACCN)
• American Association of Medical
Assistants (AAMA)
• American College of Cardiology (ACC)
• American College of Phlebology (ACP)
• American College of Chest Physicians
(ACCP)
• American Heart Association (AHA)
• American Medical Association (AMA)
• American Society of Echocardiography
(ASE)
• American Society of Radiologic
Technology (ASRT)
• Association of Vascular and Interventional
Radiographers (AVIR)
• Heart Rhythm Society (HRS)
• Society of Cardiac Angiography and
Intervention (SCAI)
• Society of Diagnostic Medical Sonography
(SDMS)
• Society of Invasive Cardiovascular
Professionals (SICP)
• Society of Vascular Ultrasound (SVU)
31

32
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
Please see page 31 for further details.
1. Mail – Please mail copies of CEU certificates to:
Attn: CCI Registrant Services
1500 Sunday Drive, Suite 102
Raleigh, NC 27607.
You will not receive confirmation of CEU submissions. It is your responsibility to log into your CCI Online Account and check your
CEU Tracker.
2. Fax - CEU Dedicated Fax Line: (919) 882-8787. Use the CEU Fax
Cover Sheet for all submissions, it can be downloaded from www.cci-online.org. When sending multiple pages, please send as one fax. Please allow up to one week for CEUs to be received and updated. CEUs should be submitted to CCI through the above
CEU Fax Line. CEUs submitted to any other fax line WILL NOT BE
ACCEPTED. You will not receive confirmation of CEU submissions.
It is your responsibility to log into your CCI Online Account and check your CEU Tracker.
3. Email - Scan and email to CEUS@cci-online.org. You will not receive confirmation of CEU submissions. It is your responsibility to log into your CCI Online Account and check your CEU Tracker.
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.
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.
Appeals must be emailed to appeals@cci-online.org 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.
1234 Cardiovascular Drive, Raleigh, NC 20000

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
Cardiovascular Credentialing International
1500 Sunday Drive, Suite 102
Raleigh, NC 27607
(919) 861-4539 • 800-326-0268 www.cci-online.org
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).
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 ______________________________
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.
q Check q Money Order q MasterCard q Visa
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.
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 _______________________
Application Publication Date: January 2015. This application supersedes all documentation previously released.
33

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.
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.
www.cardiosource.org/pic
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.
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.
www.asecho.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.
www.hrsonline.org
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.
34
www.saseap.org
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.
www.svunet.org
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.
www.sdms.org
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.
www.sicp.com
The SICP is a non-profit organization that promotes and advances the field of invasive cardiovascular technology. For RCES and RCIS.

This page intentionally left blank.
35

Cardiovascular Credentialing International
1500 Sunday Drive, Suite 102
Raleigh, NC 27607 www.cci-online.org