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Certification Criteria
In addition to achieving a passing score on the Oncology Nurse Navigator–Certified Generalist℠ (ONN-CG℠) certification exam, candidates must meet the following criteria to be eligible to take the ONN-CG(T)℠ exam:- Provide your job description inclusive of thoracic navigation
- Submit documentation of at least 1200 thoracic navigation hours over the past 2 years, verified by reference letter signed and dated by employer
- Upload documentation of at least 5 additional continuing education units related to thoracic care
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Testing Blueprint
- Community Outreach/Prevention – 5%
- Community outreach/awareness
- Prevention
- Early detection (CT screening)
- Smoking cessation
- Lung cancer prevention
- Risk factors
- Coordination of Care/Care Transitions – 45%
- How is the diagnosis made?
- Where are lung navigators located in continuum?
- Diagnostic tests (NCCN; NCI)
- Staging measures
- Clinical trials
- Molecular and genetic testing
- Surgery
- Chemotherapy (targeted therapies)
- Radiation therapy
- Symptom control
- Paraneoplastic syndrome
- Radiation pneumonitis
- Superior vena cava syndrome
- Pleural effusion
- Spinal cord compression
- Pericardial effusion
- Patient Advocacy/Patient Empowerment – 10%
- Lung Cancer Alliance
- Lung Cancer Foundation of America
- Lung Cancer Research Foundation
- Dusty Joy Foundation
- Addario Lung Cancer Foundation
- Global Lung Cancer Coalition, American Lung Association, etc
- Tobacco control issues
- Addiction of nicotine
- Psychosocial Support Services/Assessment – 10%
- Lung statistics
- Signs and symptoms
- Caregiver issues
- Stigma of diagnosis
- Social issues
- Sexuality
- Survivorship/End of Life – 10%
- Survivorship care, including long-term side effects and late effects
- Metastatic disease—end of life
- Hospice care
- Nutrition
- Hydration
- Which type has best survival stats?
- Professional Roles and Responsibilities – 5%
- Treatment modalities, including do no harm
- Genetics
- Recurrences—local and distant
- Tumor board
- Resource use for side effects of radiation therapy and chemotherapy
- NCCN guidelines to steer practice
- Operations Management/Organizational Development/Healthcare Economics – 5%
- Financial toxicity
- Evidence-based algorithms
- Gap analysis
- Nursing Research/Quality/Performance Improvement – 10%
- Early detection (CT screening)
- Palliative care clinic
- Evidence-based algorithms
- Metrics
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Recommended Study Materials
- Kunos CA, Olszewski S, Espinal E. Impact of nurse navigation on timeliness of diagnostic medical services in patients with newly diagnosed lung cancer. J Community Support Oncol. 2015;13(6):219-224.
- Houlihan NG, Tyson LB, eds. Site-Specific Cancer Series: Lung Cancer (Second Edition). Pittsburgh, PA: Oncology Nursing Society; 2004.
- Fujinami R, Otis-Green S, Klein L, et al. Quality of life of family caregivers and challenges faced in caring for patients with lung cancer. Clin J Oncol Nurs. 2012;16(6):E210-E220. doi: 10.1188/12.CJON.E210-E220.
- Lobchuk MM, McClement SE, McPherson C, Cheang M. Does blaming the patient with lung cancer affect the helping behavior of primary caregivers? Oncol Nurs Forum. 2008;35(4):681-689. doi: 10.1188/08.ONF.681-689.
- Carter-Harris L, Hermann CP, Schreiber J, et al. Lung cancer stigma predicts timing of medical help-seeking behavior. Oncol Nurs Forum. 2014;41(3):E203-E210. doi: 10.1188/14.ONF.E203-E210.
- Kreamer K, Riordan D. Targeted therapies for non-small cell lung cancer: an update on epidermal growth factor receptor and anaplastic lymphoma kinase inhibitors. Clin J Oncol Nurs. 2015;19(6):734-742. doi: 10.1188/15.CJON.734-742.
- Fouladbakhsh JM, Davis JE, Yarandi HN. A pilot study of the feasibility and outcomes of yoga for lung cancer survivors. Oncol Nurs Forum. 2014;41(2):162-174. doi: 10.1188/14.ONF.162-174.
- Dean GE, Redeker NS, Wang YJ, et al. Sleep, mood, and quality of life in patients receiving treatment for lung cancer. Oncol Nurs Forum. 2013;40(5):441-451. doi: 10.1188/13.ONF.441-451.
- Skrutkowski M, Saucier A, Eades M, et al. Impact of a pivot nurse in oncology on patients with lung or breast cancer: symptom distress, fatigue, quality of life, and use of healthcare resources. Oncol Nurs Forum. 2008;35(6):948-954. doi: 10.1188/08.ONF.948-954.
- Seek A, Hogle WP. Modeling a better way: navigating the healthcare system for patients with lung cancer. Clin J Oncol Nurs. 2007;11(1):81-85. doi.org/10.1188/07.CJON.81-85.
- Gentry S, Sellers J. Navigation considerations when working with patients. In: Blaseg KD, Daugherty P, Gamblin KA, eds. Oncology Nurse Navigation: Delivering Patient-Centered Care Across the Continuum. Pittsburgh, PA: Oncology Nursing Society; 2014:71-120.
- Shih YC, Chien CR, Moguel R, et al. Cost-effectiveness analysis of a capitated patient navigation program for Medicare beneficiaries with lung cancer. Health Serv Res. 2016;51(2):746-767.
- Ludman EJ, McCorkle R, Bowles EA, et al. Do depressed newly diagnosed cancer patients differentially benefit from nurse navigation? Gen Hosp Psychiatry. 2015;37(3):236-239.
Persistent link to this record (Permalink):
http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=103803548&site=ehost-live - Buckley T. Does lung cancer provide a new role for respiratory therapists? AARC Times. 2016;40(7):14-16.
- Seldon LE, McDonough K, Turner B, Simmons LA. Evaluation of a hospital-based pneumonia nurse navigator program. J Nurs Adm. 2016;46(12):654-661.
Persistent link to this record (Permalink):
http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=119931422&site=ehost-live - Zibrik K, Laskin J, Ho C. Implementation of a lung cancer nurse navigator enhances patient care and delivery of systemic therapy at the British Columbia Cancer Agency, Vancouver. J Oncol Pract. 2016;12(3):e344-e349.
- McPhillips D, Evans R, Ryan D, et al. The role of a nurse specialist in a modern lung-cancer service. Br J Nurs. 2015;24(4):S21-S27.
Persistent link to this record (Permalink):
http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=103766573&site=ehost-live - Edwards R. The RT as lung cancer navigator. AARC Times. 2015;39(11):23-25.
- Building a healthy America: nurse-run programs provide the framework for prevention-focused healthcare. NurseWeek. (15475131) 2009;16(8):18-23.
- Wilkie D, Berry D, Cain K, et al. Effects of coaching patients with lung cancer to report cancer pain. West J Nurs Res. 2010;32(1):23-46.
- Hunnibell LS, Slatore CG, Ballard EA. Foundations for lung nodule management for nurse navigators. Clin J Oncol Nurs. 2013;17(5):525-531.
Persistent link to this record (Permalink):
http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=104235996&site=ehost-live - Wilson B, Holder R, Torres M. Nurse navigator: clinical leader in patient-centric stat lung cancer clinic. Presented at: Oncology Nursing Society 31st Annual Congress; May 4-7, 2006; Boston, MA.
- Hunnibell LS, Rose MG, Connery DM, et al. Using nurse navigation to improve timeliness of lung cancer care at a veterans hospital. Clin J Oncol Nurs. 2012;16(1):29-36.
Persistent link to this record (Permalink):
http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=104510892&site=ehost-live - Irwin KE, Freudenreich O, Peppercorn J, et al. Case records of the Massachusetts General Hospital. Case 30-2016. A 63-year-old woman with bipolar disorder, cancer, and worsening depression. N Engl J Med. 2016;375(13):1270-1281.
- Lorhan S, Dennis D, van der Westhuizen M, et al. The experience of people with lung cancer with a volunteer-based lay navigation intervention at an outpatient cancer center. Patient Educ Couns. 2014;96(2):237-248.
- Dajczman E, Robitaille C, Ernst P, et al. Integrated interdisciplinary care for patients with chronic obstructive pulmonary disease reduces emergency department visits, admissions and costs: a quality assurance study. Can Respir J. 2013;20(5):351-356.
- Wuyts WA, Peccatori FA, Russell AM. Patient-centred management in idiopathic pulmonary fibrosis: similar themes in three communication models. Eur Respir Rev. 2014;23(132):231-238.
- Islam KM, Opoku ST, Apenteng BA, et al. Engaging patients and caregivers in patient-centered outcomes research on advanced stage lung cancer: insights from patients, caregivers, and providers. J Cancer Educ. 2014;29(4):796-801.
- Mollberg NM, Ferguson MK. Postoperative surveillance for non-small cell lung cancer resected with curative intent: developing a patient-centered approach. Ann Thorac Surg. 2013;95(3):1112-1121.
- Tsianakas V, Robert G, Maben J, et al. Implementing patient-centred cancer care: using experience-based co-design to improve patient experience in breast and lung cancer services. Support Care Cancer. 2012;20(11):2639-2647. Erratum in: Support Care Cancer. 2012;20(11):2649.
- Ouwens M, Hermens R, Hulscher M, et al. Development of indicators for patient-centred cancer care. Support Care Cancer. 2010;18(1):121-130.
- Wouters EF, Vanderhoven IM. Pulmonary rehabilitation and integrated care. Semin Respir Crit Care Med. 2009;30(6):713-720.
- Hauser J, Sileo M, Araneta N, et al. Navigation and palliative care. Cancer. 2011;117(15 Suppl):3583-3589. doi: 10.1002/cncr.26266.
- Smith CB, Nelson JE, Berman AR, et al. Lung cancer physicians’ referral practices for palliative care consultation. Ann Oncol. 2012;23(2):382-387. doi: 10.1093/annonc/mdr345.
- Smith TJ, Temin S, Alesi ER, et al. American Society of Clinical Oncology provisional clinical opinion: the integration of palliative care into standard oncology care. J Clin Oncol. 2012;30(8):880-887. doi: 10.1200/JCO.2011.38.5161.
- Morrison RS, Penrod JD, Cassell JB, et al; for the Palliative Care Leadership Centers’ Outcomes Group. Cost savings associated with US hospital palliative care consultation programs. Arch Intern Med. 2008;168(16):1783-1790. doi: 10.1001/archinte.168.16.1783.
- Gade G, Venohr I, Conner D, et al. Impact of an inpatient palliative care team: a randomized control trial. J Palliat Med. 2008;11(2):180-190. doi: 10.1089/jpm.2007.0055.
- Granda-Cameron C, DeMille D, Lynch MP, et al. An interdisciplinary approach to manage cancer cachexia. Clin J Oncol Nurs. 2010;14(1):72-80. doi: 10.1188/10.CJON.72-80.
- Quist M, Rørth M, Langer S, et al. Safety and feasibility of a combined exercise intervention for inoperable lung cancer patients undergoing chemotherapy: a pilot study. Lung Cancer. 2012;75(2):203-208. doi: 10.1016/j.lungcan.2011.07.006.
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Maintaining Certification
Your ONN-CG(T)℠ is valid for 3 years from the date of testing. To maintain your Oncology Nurse Navigator–Certified Generalist Thoracic℠ [ONN-CG(T)℠] credential, you must document participation in 15 continuing education hours in thoracic care every 36 months.
Thank you for your patience as we establish a portal where your credits will be uploaded.
Additional requirements:
- Maintain ONN-CG Certification
- Maintain direct thoracic navigation experience
- Renewal fee of $50 due at time of recertification