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WOCNCB-CCCN exam Format | WOCNCB-CCCN Course Contents | WOCNCB-CCCN Course Outline | WOCNCB-CCCN exam Syllabus | WOCNCB-CCCN exam Objectives

Exam Code: WOCNCB-CCCN

Exam Name: WOCNCB-CCCN Certified Continence Care Nurse (CCCN)

Number of questions: The exam contains ~110 scored questions + ~10 unscored (pre-test) items.

Time allotted: 2 hours (120 minutes) for the exam.

Passing mark / score required: WOCNCB does not publish a fixed number of questions required to pass; they use a scaled-score criterion-referenced approach.



Domain I: Assessment

Task 1: Obtain patient health history through interviews, established medical records, and questionnaires to determine the patients current health and risk status.



- Principles of continence (e.g., normal micturition and defecation)

- Principles of patient-centered care (e.g., psychosocial, health literacy, cultural beliefs, informed consent)

- Etiologies and contributing factors (e.g., diet, fluid intake, obstruction, functional impairment, neurological factors, retention, muscle damage, urethral hypermobility, bladder irritants, infection)

- Pediatric voiding and bowel dysfunction (e.g., enuresis, encopresis, congenital anomalies)

- Available resources (e.g., support and advocacy, supply access, post-acute care)

- Evaluating the effectiveness of the current treatment plan (e.g., medication, voiding/bowel diaries, nutrition and fluid, surgical interventions, catheters/devices)

- Interpreting lab values and diagnostic test results (e.g., urodynamics, postvoid residual, anorectal manometry and defecography)



Task 2: Assess health-related quality of life of patients with voiding dysfunction, urinary incontinence, bowel dysfunction and fecal incontinence.



- Psychosocial factors affecting care (e.g., patient and caregiver ability to learn and perform care, economic implications, education, coping mechanisms)

- Special considerations (e.g., population, cultural beliefs, changes in body image, intimacy)

- Interpreting pain/coping using verbal and nonverbal tools





Task 3: Perform focused exams to determine continence status.



- Types of voiding dysfunction (e.g., stress, urge, reversible, mixed, reflex, functional, nocturnal enuresis)

- Types of bowel dysfunction (e.g., constipation, diarrhea, fecal impaction and incontinence, motility disorders)

- Behavioral strategies (e.g., biofeedback, bladder/bowel training, pelvic floor muscle exercise)

- Reversible causes of incontinence (e.g., delirium, infection, stool impaction)

- Causes of voiding and bowel dysfunction (e.g., motility disorders, trauma, malignancy)

- Assessment tools (e.g., Bristol stool chart, Urinary incontinence severity index, Timed up and Go)

- Conducting physical exams (e.g., digital exam, sensory awareness, pelvic exam, skin health)

- Identifying continence complications (e.g., fungal skin infection, UTI, IAD, ITD)





Domain II: Intervention

Task 1: Recommend and/or provide interventions to manage voiding dysfunction and urinary incontinence.



- Address reversible causes

- Recommend medications (e.g., anti-spasmodic, anti-cholinergic)

- Behavioral strategies (e.g., diet and fluid modification, bladder training, pelvic floor muscle exercise, timed voiding/scheduled toileting, double-voiding, “Knack”)

- Initiating voiding diaries

- Skin health and protection (e.g., skin barriers, cleansers)

- Pediatric voiding dysfunction (e.g., environmental and behavioral)





Task 2: Recommend and/or provide interventions to manage bowel dysfunction and fecal incontinence.



- Address reversible causes

- Recommend medications (e.g., anti-diarrheal, laxatives)

- Behavioral strategies (e.g., diet and fluid modification, bowel training, exercise)

- Initiating bowel diaries

- Skin health and protection (e.g., skin barriers, cleansers)

- Pediatric bowel dysfunction (e.g., environmental and behavioral)





Domain III: Treatment

Task 1: Manage voiding dysfunction and urinary incontinence.

- Protecting skin health (e.g., skin barriers, cleansers)

- Manage urinary retention (e.g., intermittent catheterization, prevention of infection)

- Manage containment modalities (e.g., absorbent pads, urethral inserts)

- Catheter/device management (e.g., external, indwelling, straight/CIC, pessary)

- Treating incontinence complications (e.g., fungal skin infection, MASD)



Task 2: Manage bowel dysfunction and fecal incontinence.

- Protecting skin health (e.g., skin barriers, cleansers)

- Manage containment modalities (e.g., absorbent pads, fecal diversion systems)

- Treating incontinence complications (e.g., fungal skin infection, MASD)

- Treating bowel dysfunction (e.g., medications, digital stimulation, exercise, bowel training, diet)





Domain IV: Care Planning

Task 1: Develop a patient-centered plan of care by using health history and exams to establish goals for the management of voiding and bowel dysfunction.



- Principles of patient-centered care (e.g., psychosocial, health literacy, access to care and supplies, cultural beliefs, coping mechanisms)

- Special considerations (e.g., populations, disabilities, changes in body image, intimacy)

- Identifying and supporting patient and caregiver goals (e.g., self-care, activity)



Task 2: Evaluate the patient-centered plan of care by using periodic exams to promote continence and prevention of complications.

- Evaluating the effectiveness of the current treatment plan

- Interpreting patient responses to interventions

- Modifying interventions based on revised patient needs and goals





Domain V: Education and Referral

Task 1: Educate patients and caregivers across the lifespan on care principles and techniques to encourage patient autonomy.



- Etiologies and contributing factors (e.g., diet, fluid intake, obstruction, functional impairment, neurological factors, retention, muscle damage, urethral hypermobility, bladder irritants, infection)

- Modifiable risk factors (e.g., tobacco cessation, exercise, safety awareness, diet)

- Healthy bladder/bowel habits (e.g., bowel and bladder training, skin care, preventing UTI)

- Maintaining voiding/bowel diaries

- Skin health and protection (e.g., skin barriers, cleansers)

- Behavioral strategies (e.g., bladder/bowel training, pelvic floor muscle exercise)

- Management techniques (e.g., continence devices, fluid management, digital stimulation, medication)

- Manage containment modalities (e.g., absorbent pads, urethral inserts)

- Catheter/device management (e.g., external, indwelling, straight/CIC, pessary, fecal diversion systems)

- Incontinence complications (e.g., fungal skin infection, MASD, urinary tract infection)

- Special considerations (e.g., populations, disabilities, cognition, changes in body image, intimacy, cultural beliefs, psychosocial factors)



Task 2: Educate other health care professionals on care principles and techniques to promote optimal management and prevent complications.

- Etiologies and contributing factors (e.g., diet, fluid intake, obstruction, functional impairment, neurological factors, retention, muscle damage, urethral hypermobility, bladder irritants, infection)

- Modifiable risk factors (e.g., tobacco cessation, exercise, safety awareness, diet)

- Healthy bladder/bowel habits (e.g., bowel and bladder training, skin care, preventing UTI)

- Maintaining voiding/bowel diaries

- Skin health and protection (e.g., skin barriers, cleansers)

- Behavioral strategies (e.g., bladder/bowel training, pelvic floor muscle exercise)

- Management techniques (e.g., continence devices, fluid management, digital stimulation, medication)

- Manage containment modalities (e.g., absorbent pads, urethral inserts)

- Catheter/device management (e.g., external, indwelling, straight/CIC, pessary, fecal diversion systems)

- Incontinence complications (e.g., fungal skin infection, MASD, urinary tract infection)

- Special considerations (e.g., populations, disabilities, cognition, changes in body image, intimacy, cultural beliefs, psychosocial factors)



Task 3: Multidisciplinary care collaboration and referrals to support patient-centered care.

- Available resources (e.g., support groups and advocacy, supply access, post-acute care)

- Referrals for diagnostic testing (e.g., urodynamics, anorectal manometry and defecography)

- Referrals for other services (e.g., rehabilitation/biofeedback/pelvic floor, nutrition, social services, mental health)

- Facilitate appropriate consultations (e.g., surgery, GI/GU, oncology, gynecology)

- Provide handoff communication across care settings

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