TNCC, widely recognized as the premier course for hospitals and trauma centers worldwide, empowers nurses with the knowledge, critical thinking skills, and hands-on training to provide expert care for trauma patients.

      • Rapid identification of life-threatening injuries
      • Comprehensive patient assessment
      • Enhanced intervention for better patient outcomes
ENA developed The Trauma Nursing Core Course to establish a standardized body of trauma nursing knowledge and to improve the care of all trauma patients. This seventh edition course combines interactive learning with scenario-based assessments to give nurses a comprehensive learning experience. The course includes:

A Systematic Approach of Initial Assessment

The first few minutes of trauma care are critical to achieve better patient outcomes. The A – I mnemonic and the Trauma Nursing Assessment will assist nurses in providing appropriate and early intervention.  

Hands-on Training Using both an Individual and Team Approach

Six psychomotor skill stations offer nurses the opportunity to practice the systematic approach of the initial assessment in real life situations. The skill stations cover the following topics: trauma nursing process, airway and ventilation, spinal immobilization, and chest trauma.


2 Day Intensive Course with Expert Instructors

The TNCC instructor course is an 8 hour course. The registered nurse must have successfully completed the provider course prior to attending the instructor course. In addition to a condensed review of provider course material the instructor course emphasizes teaching strategies and correct evaluation methods. Instructors also go through an assessment and verification process to be TNCC instructors. There is a ratio of approximately one faculty per four learners.


24 Chapter Comprehensive Manual

The TNCC Seventh Edition contains evidence-based content developed by trauma experts to reinforce and supplement the lectures and skill stations. It is a compilation of current trauma nursing standards and is a valuable resource for future reference.

Chapter Titles
Trauma Nursing and the Trauma Nursing Core Course Spinal Cord and Vertebral Column Trauma
Teamwork and Trauma Care Musculoskeletal Trauma
Epidemiology Surface and Burn Trauma
​​Biomechanics, Kinematics, and Mechanisms of Injury Special Populations: The Pregnant Trauma Patient
Initial Assessment Special Populations: The Pediatric Trauma Patient
​​Airway and Ventilation​ Special Populations: The Older Adult Trauma Patient
Shock Special Populations: The Bariatric Trauma Patient
​​Pain Special Populations: The Interpersonal Violence Trauma Patient
​​Brain, Cranial, and Maxillofacial Trauma Psychosocial Aspects of Trauma Care
​​Ocular Trauma Disaster Management
​​Thoracic and Neck Trauma Transition of Care for the Trauma Patient
Abdominal and Pelvic Trauma Post Resuscitation Care in the Emergency Department​



5 Online Modules with Live Links to Additional Information

These interactive modules allow students to apply what they learn and receive immediate feedback.  The modules are a complete case study process—taking the nurses through an entire sequence of care. Online learning allows nurses to learn at their own pace and refer back to information at any time.



Please contact the course director in your area for exact pricing.


Evaluation, Verification, and Contact Hours

Successful completion of the course requires 80% or greater on the multiple choice exam and 70% or greater on the skill station evaluation.

ENA will issue verification upon meeting the criteria noted above. The verification will expire four years from the last day of the month in which the card was issued.

Contact hours are awarded based on the hours attended, regardless of evaluation.

Other healthcare providers working in the emergency care setting may attend the course and receive contact hours, but are not eligible for verification.

ENA’s Department of Course Operations is responsible for awarding verification for providers and instructors and monitors the quality of the TNCC program. Please contact for more information.

The TNCC Seventh Edition represents ENA’s continued commitment to uphold its belief statements and provide quality, evidence-based trauma education for nurses worldwide.