Nonsurgical Pain Management


The NBCRNA has developed a voluntary subspecialty certification for nurse anesthetists in Nonsurgical Pain Management. The NSPM credential program measures the knowledge, skills, and abilities of NBCRNA-certified registered nurse anesthetists for practice in the NSPM field.

NSPM is defined by the NBCRNA as the administration of neural or neuraxial blockade, physiological, pharmacological, and psychological techniques and modalities for the management of acute and chronic pain outside the obstetrical and operating room areas. This may include the assessment, planning, implementation, and evaluation of multimodal approaches in providing patient care. NSPM subspecialty certification requires advanced, subspecialty knowledge beyond that required for initial certification of nurse anesthetists. 

The NSPM certification exam is a four-hour, computer-based assessment, featuring 150 mulitple-choice questions and three clinical scenario items. It is typically offered twice per year at Castle test centers in the U.S.

Those who meet the criteria for the NSPM subspecialty certification (see criteria link below) and wishing to pursue the certification, can apply to take the exam during the window dates below.
 

Application Window for NSPM Exam: 2017
If you are planning to take the NSPM Examination, contact NBCRNA at
NSPM@nbcrna.com​ or (855) 285-4658 to have an application activated.

​In 2017, the NBCRNA will offer the NSPM Examination on the following times:

Applications for Exam Accepted

Test Dates

4/17/2017 - 5/12/2017

6/12/2017 - 6/26/2017

10/2/2017 - 10/27/2017 ​​11/27/2017 - 12/11/2017


Total Number of NSPM certificants
Since inception of the NSPM program in 2015, through January 2017, 15 CRNAs now hold the NSPM-C credential. There have been a total of 17 exam attempts. For both FY 2015 (9/1/14-8/31/15) and FY 2016 (9/1/15-8/31/16), seven CRNAs passed the NSPM exam and one failed, for a pass rate of 88%. The next exam window is in June 2017 -- see above table. ​

What is the NSPM subspecialty certification?
NSPM subspecialty certification requires advanced, subspecialty knowledge beyond that required for initial certification of nurse anesthetists.

NSPM is defined by the NBCRNA as the administration of neural or neuraxial blockade, physiological, pharmacological, and psychological techniques and modalities for the management of acute and chronic pain outside the obstetrical and operating room areas. This may include the assessment, planning, implementation, and evaluation of multimodal approaches in providing patient care.

Nurse anesthetists who are currently certified by the NBCRNA and meet other specified criteria, are eligible to apply for NSPM certification. NSPM certification is time-limited and must be renewed.


Learn more about the criteria for the NSPM subspecialty certification.