There are over 200 nursing specialties and subspecialties. In the United States and Canada, many nurses who choose a specialty become certified in that area, signifying that they possess expert knowledge. There are usually no periods within the credentials (e.g. Nursing credentials are separated from the person's name (and from each other) with commas. This nurse likely will also get the certification listed below: CPHQ: Certified Professional in Healthcare Quality. In this role, the nurse becomes something similar to an auditor and a teacher of patient care quality and risk for the entire hospital staff. In this role, he or she may never see another patient except while doing hospital inspections, or perhaps talking to a patient or the patient's family about a quality of care concern. Such a nurse, while still fully an accredited nurse, will likely become the risk manager for a hospital, working in health administration rather than direct care and perhaps even becoming the director or manager of the risk management department. An example would be earning an MSN in health care risk management. Some nurses who achieve a master's degree (MSN) leave the patient care aspect of nursing, and practice in a more managerial role. For instance, those with master's degrees usually do not list their bachelor's degrees (only the highest earned degree), and a staff nurse would likely not list an MBA, but a nurse manager might choose to do so. These are usually omitted unless they are related to the nurse's job. Nurses may also hold non-nursing credentials including academic degrees. This is often called maintenance of certification (MOC). Certifications generally must be periodically renewed by examination or the completion of a prescribed number of continuing education units (CEUs). State licensure is active until retirement and otherwise only revoked in cases of serious professional misconduct. A degree, once earned, cannot, in normal circumstances, be taken away. Generally credentials are listed from most to least permanent. Highest earned academic degree in or related to nursing (e.g.The letters usually appear in the following order: Nurses' postnominal letters (abbreviations listed after the name) reflect their credentials-that is, their achievements in nursing education, licensure, certification, and fellowship. Nursing credentials and certifications are the various credentials and certifications that a person must have to practice nursing legally. Necessities for practicing nursing legally
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