To earn CMSRN recertification by continuing education, applicants must meet all of the eligibility criteria at the time of application.

Eligibility Criteria for CMSRN Recertification

Hold a current certification in medical-surgical nursing through the Medical-Surgical Nursing Certification Board (MSNCB) or the American Nurses Credentialing Center (ANCC).


Hold a current, full, and unrestricted license as a registered nurse (RN) in the US or its territories;

or, hold a current, full, and unrestricted license as a first-level nurse in the country in which one's nursing education was completed, and meet the eligibility for licensure as an RN in the US in accordance with the requirements of the Commission on Graduates of Foreign Nursing Schools (CGFNS).



Have accrued a minimum of 1,000 hours of practice over the last five years in a medical-surgical setting. Practice may include clinical, management, or education.

RN students in an academic nursing degree program with biopsychosocial content from an accredited educational institution can waive the employment eligibility requirement by submitting documentation signed by a school official verifying full-time status and matriculation with the application for recertification.


Have earned 90 approved contact hours over the last five years, 68 must be medical-surgical related. The remainder of the contact hours may be professional development.

You can use both Continuing Nursing Education (CNE) and non-CNE contact hours. CNE contact hours must be provided by an entity that is accredited as a provider.

Certificates and official academic transcripts are only required if the application is randomly selected for audit.

Contact hours may start accruing January 1 of the year of initial certification. For all following, contact hours within the current certification may be submitted for recertification.

No person shall be excluded from the opportunity to participate in the MSNCB certification program on the basis of race, national origin, religion, sex, age, disability, ethnicity, marital status, sexual orientation, or gender identity.