COHN
COHN - Certified Occupational Health Nurse (American Board for Occupational Health Nurses, Inc.)
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ExploreAbout this exam
The Certified Occupational Health Nurse (COHN) credential is awarded by the American Board for Occupational Health Nurses, Inc. (ABOHN), an organization whose examinations are accredited by the National Commission for Certifying Agencies (NCCA) and which holds membership in the American Board of Nursing Specialties (ABNS). The COHN is a board certification for registered nurses who deliver direct occupational health care to workers - assessment, treatment, case management, health surveillance and worker education - as distinct from the COHN-S, which ABOHN offers for nurses in broader safety and management roles. ABOHN also publishes a "Which Exam Should You Take - COHN or COHN-S?" guide and separate eligibility handbooks for each credential. Certification is maintained on a five-year cycle: renewal forms are submitted in cycle years 1 through 4, with recertification occurring in cycle year 5. Examination content is derived from a practice analysis, and ABOHN offers Certification Self Assessment Tests (CSATs) and a continuing education series as preparation tools. Candidates should begin with the current handbook, confirm eligibility (including the work-hour alternative), and then build a study plan around the published practice analysis domains. This page is independent study material and is not affiliated with, endorsed by, or sponsored by ABOHN; always verify requirements against ABOHN's own published handbooks and applications.
What you'll study
About COHN preparation
Should I sit for the COHN or the COHN-S?
ABOHN publishes a dedicated guide titled "Which Exam Should You Take - COHN or COHN-S?" and maintains a separate eligibility handbook, application, fee page and self-assessment test for each credential. Start there rather than assuming the two are interchangeable, then confirm you meet the work-hour requirement for the specific exam you choose.
How do I confirm I am eligible to test?
Review the COHN/COHN-S Eligibility Handbook and the certification application on ABOHN's site. ABOHN also lists an "Alternative to Work Hours" pathway for candidates who cannot document hours in the standard way. Eligibility criteria are set by ABOHN, so verify against the current handbook rather than secondhand summaries.
How long does the certification last, and what is required to keep it?
Certification runs on a five-year cycle. ABOHN's maintenance structure requires renewal forms in cycle years 1 through 4, with recertification in cycle year 5. Plan continuing education and documentation from year one so the year-5 recertification does not become a scramble. Full requirements are in ABOHN's maintenance and recertification handbooks.
Is the exam accredited, and who administers it?
Yes. ABOHN states that its examinations are accredited by the National Commission for Certifying Agencies (NCCA), the certifying body of the Institute for Credentialing Excellence, and ABOHN is a member of the American Board of Nursing Specialties. ABOHN's testing partner is ASC. ABOHN also publishes a process for questions and appeals about exam items.
How hard is the exam, and what trips candidates up?
ABOHN does not publish a pass rate in the material reviewed here, so difficulty cannot be quoted numerically. The most common structural mistake is studying from older commercial outlines instead of the current practice analysis and handbook, which define what is actually tested. Build your plan from ABOHN's published outline and use the self-assessment test to find weak domains early.
How should I sequence my preparation?
Read the current COHN handbook and practice analysis first to map the tested domains. Take the Certification Self Assessment Test to identify gaps, then allocate study time in proportion to your weakest domains rather than evenly. ABOHN's continuing education sessions and newsletters can supplement, but they do not replace the practice analysis as your study blueprint.
What does the exam cost, and how long is the appointment?
ABOHN lists a COHN Exam Fee on a dedicated fees page, along with fees and payment information; the amount is not reproduced here because it changes and must be confirmed at the source. Neither the appointment length nor the item count is stated in the material reviewed, so check the current handbook before scheduling.
What happens if I fail - can I retake it?
The retake and reapplication policy is not stated in the ABOHN pages reviewed for this summary, so it cannot be quoted here. Retake rules, waiting periods and any additional fees are governed by ABOHN's handbook and application terms. Confirm directly with ABOHN before you register so your timeline and budget account for it.
I am a nurse outside the United States. Can I still apply?
ABOHN maintains a Reciprocity - Canada section and a separate International Candidates page, which indicates pathways exist for nurses outside the U.S. Requirements, documentation and any jurisdictional differences are set out there. Read both pages and the applicable handbook before submitting an application.
How do I verify someone's credential?
ABOHN provides a verification resource on its site for confirming board certification status. Employers and candidates should use that channel rather than relying on a resume claim or a certificate image. ABOHN also publishes guidance on misuse of credentials and a code of ethics for certificants.