TNCC was developed by the Emergency Nurses Association, TNCC encompasses core knowledge and interactive skill sessions to aid the trauma nurse in methodically assessing and intervening for critical trauma victims. TNCC serves as the basis for a standardized approach to initial trauma care. 

The Trauma Nursing Core Course (TNCC) consists of lectures, hand-on psychomotor skills, and interactive online learning.  Lectures and skills stations are presented by verified TNCC instructors and instructor candidates. Interactive online learning reinforces chapter content with case studies and learning activities. The lecture content is organized to provide substantive knowledge for use in the skills stations. Participation in all psychomotor skills is required for successful course completion.

Evaluation of learners includes a written multiple choice test and the Trauma Nursing Process Psychomotor Evaluation Station. To successfully complete the course, the learner must achieve a minimum of 80% on the written examination, actively participate in all skills stations, and demonstrate all critical criteria and a minimum of 70% of all steps in the Trauma Nursing Process Psychomotor Evaluation Station.

Participants receive continuing education credit hours (CECHs) for attending the course. Prehospital providers and other medical professionals may desire and are encouraged to attend TNCC but a course completion card may only be achieved by registered nurses.

2019 Provider Courses 

Date Provider
January 23 and 30 Register Here
February 6 and 13* Register Here
March 20 and 27 Register Here
April 10 and 17 Register Here
June 12 and 19* Register Here
July 17 and 24 Register Here
August 14 and 21 Register Here
October 9 and 16 Register Here
November 7 and 14* Register Here
December 11 and 18 Register Here

 *Course is taught by OhioHealth instructors and reserved for COTS member OhioHealth hospital employees. No tuition discounts are permitted for OhioHealth TNCC courses.

2018 Instructor Course

Date Instructor
December 7 Register Here

2019 Instructor Courses

Date Instructor
April 5 Register Here
August 2 Register Here
December 6 Register Here

General Information

  • On-line registration is limited for each course.
  • Breakfast and lunch are on your own.
  • Course workbook, directions, and syllabus are mailed approximately 30 days prior to class following paid registration. No refunds are given for failure to enter the appropriate coupon code at registration.


  • Coupon codes must be applied at time of registration -  no refunds or cancellations will be given for failure to provide the appropriate coupon code at time of registration.
  • Student substitutions are not permitted.
  • Within 30 days of course start date: $100 cancellation fee subtracted from refund. A one-time course transfers will be considered when  requested 30 days prior to course start date. $100 change fee charged.    
  • Within 10 business days of course start date: no refunds or transfers.
  • Refunds are not provided to students who fail to show for the course.  Refunds are also not provided to students who fail to achieve a passing grade.
  • COTS reserves the right to cancel any course in which the number of students enrolled is deemed insufficient or for which an instructor cannot be secured.  All tuition paid for such course will be refunded.  Students coming from out of state/country should purchase airfare and hotel stays that are refundable as COTS is not responsible for expenses incurred for cancelled courses. The right to set maximum limits on the number of students allowed to enroll in any course is also reserved. Courses are not cancelled due to weather except in EXTREME conditions. Please plan your travel accordingly. Local TV and radio will broadcast cancellations. 

​​​​​For questions or additional information please contact our education department at​​​