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Aya delivers:

  • The most jobs in the industry. We have the largest and most reliable job database, which means the jobs you see are open, updated in real time and ready for you!
  • Competitive advantage over other agencies. Front-of-the-line access through our direct facility relationships — many with quick (even same-day) offers, giving you the best chance of securing your ideal opportunity.
  • Expedited licensing and streamlined compliance. An industry-leading on-time start rate and strong relationships with boards of nursing across the country to accelerate the process in all 50 states.
  • Expert career guidance. A dedicated recruiter to help you achieve your dream career. Travel, per diem, permanent — we have the reach and access to get you the jobs you want, and the expertise to help you realize your long-term goals.
  • A best-in-class support system and an exceptional experience. Enjoy accurate, weekly pay, and an entire team dedicated to your happiness on assignment, 24/7.

Plus, you get everything you expect from the largest healthcare staffing company in the industry:

  • Exceptional benefits, including premium medical, dental, vision and life insurance beginning day one of your assignment. Want to take time off? Keep insurance coverage for up to 24 days between assignments.
  • A generous 401(k) match.
  • Paid company housing (we'll help you bring your pets along, too!) or a generous housing stipend.
  • Paid sick time in accordance with all applicable state, federal, and local laws. Aya's general sick leave policy is that employees accrue one hour of paid sick leave for every 30 hours worked. However, to the extent any provisions of the statement above conflict with any applicable paid sick leave laws, the applicable paid sick leave laws are controlling.
  • The industry's only clinical ladder program for RNs on assignment.
  • Access to unlimited continuing education units online.
  • Licensure, relocation and other reimbursements, when applicable.
  • Pay listed above includes taxable wages and tax-free expense reimbursements.

For all employees and employee applicants, Aya is an Equal Employment Opportunity ("EEO") Employer, including Disability/Vets, and welcomes all to apply. Please click here for our EEO policy.

  • Bi-weekly weekend travel home.
  • A rental car and paid housing.

With Aya Locums you get:

  • Access to top hospitals and healthcare systems in diverse care settings.
  • Highly competitive, transparent locum tenens pay.
  • Dedicated application and assignment support.
  • In-house credentialing and licensing teams.
  • Full coverage of licensing costs.
  • Travel and lodging coverage.
  • Easy timekeeping and streamlined management of documents.
  • Malpractice coverage and risk management support.
  • Premium medical, dental, vision and life insurance beginning day one of your assignment.
  • Paid sick time. Aya provides paid sick leave in accordance with all applicable state, federal, and local laws. Aya's general sick leave policy is that employees accrue one hour of paid sick leave for every 30 hours worked. However, to the extent any provisions of the statement above conflict with any applicable paid sick leave laws, the applicable paid sick leave laws are controlling.
  • Generous 401k match.
  • Aya may provide other benefits where required by applicable law, including but not limited to reimbursements.
  • Aya coordinates all travel and lodging accommodations.
  • Travel information is received the evening prior to your scheduled departure.
  • Airfare is covered and, if driving to the assignment, reimbursement is available.
  • Once notice is received, communication from our team is sent via email and text to ensure you are kept in the loop as soon as information becomes available.
  • Your safety is Aya's top priority. We work closely with the facility to ensure additional security measures are taken onsite so you can focus on what really matters: patient care.
  • Licensure, relocation and other reimbursements.

Experience the Aya difference today

  • A dedicated recruiter who advocates for you every step of the way.
  • We'll ensure the hiring manager prioritizes your interest and schedules an interview quickly.
  • A streamlined hiring process means offers are often presented within 24-48 hours after an interview with a hiring leader.
  • Flexible start dates that work around your availability.
  • We make it simple with one point of contact the entire time.
  • University of Washington (UW) offers a wide range of benefits as part of your total compensation package. Choose from top medical and dental insurance programs; plan for your future with tax-deferred investing through the UW retirement options; enjoy generous vacation and sick leave policies; and protect yourself and your family with life and long-term disability insurance. For more information, follow the links shown below or explore the Benefits website at http://hr.uw.edu/benefits/

With Aya, you get:

  • Higher compensation - we negotiate on your behalf.
  • Work-life balance - contracts are up to 40 hours per week, with workdays ending mid-late afternoon and weekends off!
  • An employee advocate - our team ensures you have the support needed to be successful in your role.
  • Options post contract - extend, convert to a permanent employee or find a new job.
  • Paid company housing (pets are welcome to tag along) or a generous housing stipend.
  • If qualified, continued insurance coverage over the summer.
  • A generous 401k match.
  • A robust team to support you every step of the way.
  • A credentialing specialist to streamline the entire compliance process.
  • Freedom and flexibility around your current schedule.
  • The easy-to-use Shifts app. Select shifts anytime, anywhere.
  • Premium medical, dental, vision and life insurance.
  • Front-of-the-line access to exclusive jobs at thousands of healthcare facilities nationwide.
  • A robust team to support you every step of the way to ensure you start on time, have accurate payroll and an exceptional experience.
  • Certification and other reimbursements, when applicable.

Privacy Overview

Registered Congenital Cardiac Sonographer (RCCS)

travel pediatric cardiac sonographer

The Registered Congenital Cardiac Sonographer (RCCS) examination is for professionals working in the area of pediatric and adult congenital cardiac ultrasound.

This computer-based exam is administered at Pearson Professional Centers year-round based on availability at the test centers. To locate a test center  click here .

The fee for the RCCS examination is $365 USD. All exam fees include a $100 USD non-refundable fee for the staff resources required to review and process applications.

TESTING TIME

The Registered Congenital Cardiac Sonographer (RCCS) exam is a three-hour, computer-based exam that contains 170 questions .

travel pediatric cardiac sonographer

  • Qualification Requirements
  • Apply for Exam
  • Exam Preparation
  • Approved Test Taker

Maintaining Credentials

Registered congenital cardiac sonographer (rccs) qualification requirements.

Applicants are required to meet the following criteria:

  • Have a high school diploma or general education diploma at the time of application.
  • Fulfill one (1) of the qualifications of the exam for which you are applying. See the qualifications listed in the tables below.
  • Provide typed documentation to support the qualification under which you are applying. Required documentation for each qualification is listed below. CCI reserves the right to request additional information.

Qualification Pathway Tool

To determine your eligibility, use the questionnaire tool below. The qualification pathway tool will help you determine if you are eligible. It does not guarantee eligibility but serves as a guide in helping you apply for the exam.

Are you currently enrolled as a student or are you a graduate of a programmatically accredited program in adult congenital or pediatric cardiac ultrasound?

Download Resources

RCCS1 Qualification Pathway

Two years of full-time or full-time equivalent work experience in cardiac ultrasound at the time of application. The applicant must have performed a minimum of 600 cardiac ultrasound studies at the time of application. (It is anticipated, but NOT required, that the successful candidate will have performed a minimum of 150 adult congenital/pediatric studies per year in the two years prior to submission of the application.)

In the verification letter, the medical director(s) must confirm the number of studies performed during the applicant’s employment.

Effective June 30, 2023, the RCCS1 qualification prerequisite has been sunset. First-time RCCS applicants applying on or after July 1, 2023 must select from the qualification prerequisites listed below.

RCCS1 Supporting Documents

Employment Verification Letter (must confirm the number of studies performed during the applicant’s employment)

RCCS235 Qualification Pathway

A graduate of a diploma, associate, or baccalaureate academic program in health science (including, but not limited to, cardiovascular technology, ultrasound, radiologic technology, respiratory therapy, or nursing) AND One year of full-time or full-time equivalent work experience in cardiac ultrasound at the time of application. AND Performance of a minimum of 600 cardiac ultrasound studies in the applicant’s career, which is defined as work experience and/or clinical experience gained during a formal educational program. (It is anticipated, but NOT required that the successful candidate will have performed a minimum of 150 adult congenital/pediatric studies per year in the two years prior to submission of the application.)

In the verification letter(s) the medical director(s) and/or program director(s) must confirm the number of studies performed during the applicant’s employment and/or during the academic program.

RCCS235 Supporting Documents

Completion certificate and/or educational transcripts AND Employment Verification Letter AND/OR Clinical Experience Letter (only required for applicants submitting verification of the number of studies completed during a formal educational program)

RCCS4 Qualification Pathway

A graduate of a programmatically accredited program* in adult congenital or pediatric cardiac ultrasound.

RCCS4 Supporting Documents

Completion certificate and/or educational transcripts AND Student Verification Letter

Students applying to take examination prior to graduation will be required to submit this documentation.

RCCS5 Qualification Pathway

A graduate of a NON-programmatically accredited program in adult congenital or pediatric cardiac ultrasound (echocardiography) which has a minimum of one year of specialty training and includes a minimum of 800 clinical hours in the specialty in which the examination is being requested.

IMPORTANT: If an individual’s clinical hours were completed after graduation or if the hours are not a requirement for their educational program, then those hours WOULD NOT count toward the 800-hour minimum under qualification RCCS5. All clinical hours must be earned in a setting in which patients are being tested or medically treated.

RCCS5 Supporting Documents

Completion certificate and/or educational transcripts AND Student Verification Letter AND Clinical Experience Letter

RCCS6 Qualification Pathway

Active ultrasound credential holders with six (6) months of full-time or full-time equivalent work experience in adult congenital or pediatric cardiac ultrasound. The applicant must have participated in a minimum of 100 adult congenital or pediatric ultrasound studies at the time of application.

RCCS6 Supporting Documents

Copy of wallet card showing date earned and active through date of ultrasound registry credential AND Employment Verification Letter (must confirm the number of studies performed during the applicant’s employment).

AND/OR Clinical Experience Letter (only required for applicants submitting verification of the number of studies completed during a formal educational program)

* An accredited program is accredited by an agency recognized by the Council for Higher Education Accreditation (CHEA), United States Department of Education (USDOE), or Canadian Medical Association (CMA), that specifically conducts programmatic accreditation for cardiovascular technology, diagnostic cardiac sonography, or vascular technology.

Apply for the Registered Congenital Cardiac Sonographer (RCCS) Exam

Applying for the exam will take place through your CCI online account.

To prepare, create an online profile by clicking either “CREATE AN ACCOUNT” at the top of this website or if you already have an existing profile, click “SIGN IN.”

Before starting the online submission review each of the tabs in this section and collect the following information which may be needed to complete the application.

  • Personal contact information
  • Training program(s) contact information
  • Supporting documents from your training program(s) in PDF format
  • Employer contact information
  • Supporting documentation from your employer(s) in PDF format
  • Payment information

Once submitted, processing a complete application requires a minimum of 15-20 business days.

Helpful Resources

Pre-application policy pertaining to criminal ma tters.

If you have been convicted, pled guilty, or pleaded no contest for an offense that is classified as a misdemeanor or felony, or if you have questions regarding personal criminal matters you may request a pre-application of criminal matters to determine whether you qualify for the CCI credentialing process.

Pre-Application requests must be made by the applicant. Pre-Application requests will not be accepted from any third party, including but not limited to educational programs.

A $50.00 USD fee is required at the time of Pre-Application and this fee is non-refundable.

CCI reserves the right to deny an application, revoke the eligibility of a candidate, or take action against any registrant who has been convicted, pled guilty, or pled nolo contendere (no contest) to an offense that is classified as a misdemeanor or felony which is directly or indirectly related to patient care or public health. Crimes that may directly or indirectly relate to patient care or public health include, but are not limited to: murder; attempted murder; manslaughter; rape; attempted rape; sexual assault; sexual abuse; assault; driving while intoxicated or impaired; controlled substance abuse; and fraudulently altering medical documentation, insurance claims, and medical prescriptions.

Requests for Special Accommodations

CCI will provide, upon approved request, reasonable accommodations including auxiliary aids and services necessary to afford an individual with a documented disability an equal opportunity to participate in all services, programs, and activities. To request special accommodations, please provide  an original letter signed by the applicant and an evaluator  (qualified psychologist, physician, or other health care professional) who specializes in the stated disability. This letter should include the following:

  • The specific diagnosed disability
  • The specific functional limitations
  • Impact of the functional limitations on the individual’s ability to participate in the testing activity
  • What accommodations or assistive devices, if any, would cancel or ease the impact of the disability on the candidate’s ability to participate in the examination process

Additional documentation required for accommodations requests:

  • Verification of the evaluator, psychologist, physician, or health care professional credentials and specialty in the diagnosis of the stated disability.
  • Examples, when possible, of where special accommodations have been requested and granted. If no prior accommodations have been provided, the evaluator, psychologist, physician, or health care professional should include a detailed explanation as to why no accommodations were given in the past and why accommodations are needed now.

REQUESTS FOR SPECIAL ACCOMMODATIONS AND THE REQUIRED SUPPORTING DOCUMENTATION MUST BE SUBMITTED WITH EACH APPLICATION, INCLUDING RE-EXAMINATIONS. CCI reserves the right to request additional documentation.

Registered Congenital Cardiac Sonographer (RCCS) Exam Preparation

The RCCS examination is designed to assess knowledge and skills in current practice. CCI provides an overview of the examination content including knowledge and task list.

The examination content is based on the findings of a Job Task Analysis (JTA), which describes the overall tasks that an RCCS is expected to perform on the job and general areas of knowledge that are needed to perform the tasks. A JTA is performed every 5 years for all nine of the examinations that CCI offers in order to keep exams relevant to current practices in the field.  Examination content was developed by subject matter experts in the cardiovascular profession and ongoing statistical analyses were provided by testing professionals with a doctorate in Industrial and Organizational Psychology.

The lists below describe general areas of knowledge that are needed in order to perform the tasks identified. The task listing illustrates the relative weight or emphasis given to the main content areas on the examination.

Knowledge List

  • Abbreviations and acronyms
  • ASE guidelines and standards
  • Basic and hemodynamic calculations (e.g. volumes, gradient, ejection fraction)
  • Basic pharmacology
  • Cardiac interventions, complications, and sequelae
  • Cardiac rhythms
  • Cardiovascular anatomy and physiology
  • Cardiovascular pathophysiology
  • Congenital heart disease
  • Contraindications
  • General anatomy and physiology
  • JCAHO requirements
  • Medical ethics
  • Medical terminology
  • Normal, abnormal, and critical clinical values
  • Patient assessment
  • Pediatric-acquired heart disease
  • QA procedures
  • Syndromes with associated cardiac lesions
  • Ultrasound physics and instrumentation

Examination Matrix and Task List for Exams Administered BEFORE January 1, 2024

Duties and Tasks

Approx. % of Exam

A. Providing Patient Care

  • Triage Incoming Orders
  • Review Indications and Appropriateness of Exam
  • Review Patient History
  • Verify Patient Identity
  • Perform Pre-Procedural Activities
  • Ensure Continuous Quality Improvement

B. Acquiring Cardiac Images and Associated Lesions

  • Prepare for Test
  • Optimize Images
  • Acquire Left Parasternal Images
  • Acquire Apical Images
  • Acquire Subcostal Images
  • Acquire Suprasternal Images
  • Acquire Right Parasternal Images
  • Adapt Patient Examination

C. Characterizing Cardiac Abnormalities

  • Perform Disease Specific Protocol
  • Identify Commonly Associated Lesions
  • Identify Less Commonly Associated Lesions
  • Assist with TEE
  • Perform Stress Echo
  • Perform Contrast-Enhanced Echo
  • Perform Agitated Saline Echo
  • Perform 3D Echo

D. Processing and Communicating Preliminary Reports

  • Perform Calculations and Post-Processing Analysis
  • List Findings
  • Communicate Critical Results
  • Perform Post Examination Communication

Examination Matrix and Task List for Exams Administered AFTER January 1, 2024

B. Acquiring Cardiac Images

  • Acquire subcostal images
  • Acquire left parasternal images
  • Apply Ultrasound Physics

C. Performing Disease Specific Examinations

  • Identify Cardiac Lesions
  • Acquire Post-Surgical/Interventional Images (e.g. congenital heart disease repair/palliation, post-cath intervention)

D. Acquiring Additional Echocardiographic Images

  • Perform Ultrasound Enhanced Agent Echo
  • Acquire Strain Images
  • Assist with Structural Heart Procedures (e.g. cath lab, BAS, devices, valves)

E. Processing and Communicating Preliminary Reports

  • Perform calculations and post-processing analysis
  • Communicate critical results
  • Perform post examination communication (e.g., summary of findings)

Self-Assessment Exams

There are several options that can assist your preparation, including  CCI’s Self-Assessment Examinations  which can be found  here .

We have prepared online self-assessment exams to help gauge your knowledge of the content areas on the exam and help determine which areas may have strengths and weaknesses. The self-assessment exam contains sample items covering the approximate proportion of subject matter to match the CCI exam matrix.

Self-assessment exams do not provide a report of missed items or specific information or feedback on incorrect responses. Once the self-assessment is complete, you will receive a performance profile that displays the percentage of correct responses in the content areas that make up the examination.

It is important to note that the results of the self-assessment exam do not guarantee or indicate individual success on the exam, nor should the self-assessment serve as the only means for preparing for the examination.

Examination Details

The RCCS examination is a three-hour (3-hour) computer-based test.

Question Types

Question types consist of 130 questions (110 scored and 20 unscored), that contain a mix of traditional and innovative item types.

  • Traditional multiple-choice  – Only one of four possible answers is correct (e.g. A, B, C or D).
  • Innovative multiple responses  – Two or three answers are correct from a list of four to six possible answers.  The test taker will be instructed to select a certain number of correct answers (e.g. “ Select two correct responses. ”)
  • Innovative hot spot  – The test taker will be instructed to click on one specific area of an image to answer the question.  Only one answer (click) is necessary, but it must be in the correct location.
  • Innovative drag and place  – The test taker will be instructed to drag a collection of labels (tokens) into specific boxes or areas on an image.  The correct tokens will need to be placed in the correct boxes in order to get the question right. It’s possible that all tokens may not be used.

The 20 unscored questions are not identified and are randomly distributed throughout the exam to gather performance data. A candidate’s exam score is based on the responses to the 110-scored questions. One hour and fifty (50) minutes are allotted for answering the exam questions and ten (10) minutes for a pre-exam tutorial and post-exam survey.

The textbooks listed below are intended as recommended resources when preparing for the examination. You may have previous or later editions of these or other references available that also present acceptable coverage of the subject matter. Any general text in cardiovascular techniques and evaluation, and cardiac patient care and management may be used. It is not necessary to use all of the texts identified. They are provided as suggestions only. CCI does not endorse or recommend any third-party review course or material.

  • Publications and Reports of the American Society of Echocardiography  (ASE), Raleigh, NC. All new ASE Guidelines published on www.asecho.org/Guidelines.
  • Anderson, Bonita.  A Sonographer’s Guide to Assessment of Heart Disease . Echotext Pty Ltd, Australia.
  • Armstrong, William F. and Ryan, Thomas.  Feigenbaum’s Echocardiography . Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
  • Kremkau, Frederick W.  Sonography Principles and Instruments.  St. Louis, Mo.: Elsevier/Saunders.
  • Cane, Garvan C., Oh, Jae K., Seward, J. B., and Tajik, A. Jamil.  The Echo Manual . Philadelphia: Wolters Kluwer.
  • Otto, Catherine M.  Textbook of Clinical Echocardiography.  Philadelphia, PA: Saunders/Elsevier.

Once Approved to Take the RCCS Exam Your 90-day Window Begins!

You will be sent, via email, an Authorization to Test (ATT) within 2 business days after your application has been approved. Consider your  90-day eligibility window  to take the examination, now open. The ATT provides instructions and details for scheduling your test date and location.

NEXT STEPS:

  • Once you have received an Authorization to Test (ATT) from CCI, then you may contact Pearson VUE to schedule your exam. Available sites may be viewed at  www.pearsonvue.com/cci .
  • CCI’s credentialing examinations are administered year-round at over 230 Pearson Professional Centers (PPC) in the United States and US territories and over 3,000 Pearson VUE Authorized Test Centers (PVTC) internationally. Examination site availability is provided when scheduling your examination with Pearson VUE.

Learn more about our  exam process steps  here!

If you need to reschedule your examination :

  • Contact Pearson VUE at least  two full working days in advance  of your scheduled appointment. Call (800) 869-4102, 7:00 am to 7:00 pm, Central Standard Time, Monday – Friday. Outside the U.S.: (952) 681-3789) or  www.pearsonvue.com/cci
  • If you do not contact Pearson VUE two working days in advance of your scheduled appointment you cannot reschedule the examination.
  • Click here to review  CCI’s exam cancellation/refund policy .

To request an extension or refund:

  • Candidates may request one extension to their originally issued Authorization to Test (ATT). The extension will be for a period of 90 days.
  • To request an extension or refund, sign into your CCI account.
  • Select Cancel Exam.
  • Select which exam to cancel.
  • Select the type of cancellation (extension or refund), enter the cancellation reason, and submit the cancellation for review.

If the exam is not taken by the end of the extension period, the testing fee will be forfeited, and the applicant will need to reapply to take the test. If the applicant has made an appointment with Pearson prior to requesting the extension, the appointment must be canceled before CCI is contacted for an extension or refund.

If you experience the death of an immediate family member, suffer a serious illness or injury which requires hospitalization, or experience another event causing emotional distress, and such events conflict with the administration of your examination, then you may be permitted to reschedule your examination authorization window without penalty, upon approval from CCI. All such instances must be documented in writing and sent to CCI headquarters within three (3) days of the initially scheduled examination date.

Exam Day is Here!

A few tips for our test-takers:.

  • Be well-rested, hydrated and be sure to eat a meal or snack
  • Give yourself enough time to get to the test center, and park
  • Bring the proper IDs with you, details below
  • Read all test instructions and candidate rules thoroughly
  • Take your time and read exam questions carefully

Important to note, the only people admitted into the examination room are:

  • Test Administrators
  • Authorized Candidates

Identification (ID) Requirements

  • The first and last name that the candidate uses to register must match exactly the first and last name on both of the IDs that are presented on test day.
  • All IDs required must be issued by the country in which the candidate is testing. If the candidate does not have a qualifying primary ID issued from the country they are testing in, an International Travel Passport from their country of citizenship is required, along with a secondary ID.
  • Candidates are required to present two forms of original (no photocopies), valid (unexpired) IDs; one form as a primary ID (government issued with name, recent recognizable photo, and signature) and one form as a secondary ID (with at least a name and signature, or name and recent recognizable photo).

Primary ID:

  • International Travel Passport
  • Driver’s license
  • Military ID (including spouse & dependents)
  • Identification card (national/state/province identity card)
  • Alien registration card (green card, permanent resident, visa)
  • Local language ID (not in Roman characters) – accepted only if issued from the Country the Candidate is testing in

Secondary ID:

  • Any ID containing at least name and signature, or name and recent recognizable photo that meets the above ID requirements

Click here to view Pearson VUE ID Policy

Exam Questions, Comments, and Scoring

The RCCS examination is a  three-hour, computer-based exam that contains 170 questions  (150 scored and 20 unscored). Two (2) hours and fifty (50) minutes are allotted for answering the exam questions and ten (10) minutes are allotted for a tutorial and post-exam survey.

A candidate’s exam score is based on the responses to the 150-scored questions. The time you have been allotted to take the examination has been determined by taking into consideration the number of scored and un-scored items.

Each question is shown with four possible answers, only one of which is the correct or best answer. Unscored questions are not identified and are randomly distributed throughout the exam. This is standard practice and enables CCI to evaluate questions that may be used in future examinations.

Each CCI examination, including individual items, contains an option where a candidate is allowed to make comments pertaining to the exam item and/or the examination as a whole. These comments are reviewed by the appropriate examination committee throughout the year. While responses to comments are not provided back to you, your comments will be used to help ensure the maintenance of CCI’s high-quality examinations.

Interpreting Results

Here’s what you can expect after taking the exam

  • Exam takers will receive an unofficial score report onsite at the Pearson VUE testing center. This will provide a total score, pass/fail status, and a breakdown report of the percentage of questions answered correctly in each content area.
  • Total scores are reported on a scale that ranges from  0 to 900 . Keep in mind that CCI total scaled scores do not equal the number or percentage of questions answered correctly.
  • A total scaled score of  650 is required to pass an exam , and the number of correct answers required to achieve a score of 650 was determined through a standard-setting (or passing score) study. CCI and panels of experts from each specialty periodically review the passing score to assure its validity.
  • You will receive an official results letter, certificate, and wallet card from CCI headquarters approximately 15 business days after taking an exam.

Score Verification

If you would like a score verification, there is a processing fee of $50 USD.

Score verification ensures that the computer counted the correct and incorrect answers appropriately but does not review the questions and answers. In deciding whether to have your score verified, please consider that CCI examinations are scored electronically with a high degree of accuracy. It is therefore unlikely that verification will alter your original score.

  • You must submit a written request for score verification.
  • Please print or type all information and include a check, money order, or credit card processing fee in the amount of $50 USD.
  • Send your request to: CCI at 3739 National Drive, Suite 202, Raleigh, NC 27612

A credential is active for 9-12 months after passing a CCI exam. After that period credential holders have two types of renewal with CCI:

  • First renewal
  • Second renewal/first triennial

First Renewal Requirements

New credential holders are required to pay their first renewal before the first day of the same quarter that the credential was earned but in the following year. SEE THE CHART BELOW.

For example, if the credential is earned between April 1st and June 30th, your first renewal would be due on or before March 31st of the following year.

After completing the first renewal, credentials are renewed every three years .

For the first renewal, there are no Continuing Education Unit (CEU) requirements, only a renewal fee, currently $165.00 USD, and a signature of compliance with the Code of Ethics must be submitted. Your date of renewal will be noted on your initial wallet card, which will be sent in your welcome packet.

Second Renewal/First Triennial Requirements

Maintaining an “active status” as a CCI credential holder requires the following three steps. Until all three are fulfilled, your credential will not be renewed.

  • Submit your triennial renewal fees (currently $165.00 USD)
  • Sign in compliance with the CCI Code of Ethics, which can be downloaded through the button above.
  • The total number of CEUs required in a triennial cycle for a Certificate-Level (CCT and CRAT) is sixteen (16) CEUs.
  • The total number of CEUs required in a triennial cycle for an Advanced-Level (ACS) is thirty-six (36) CEUs.
  • The total number of CEUs required in a triennial cycle for a Registry-Level (CES, RCIS, RCS, RCCS, RPhS, and RVS) is thirty-six (36) CEUs.

For the advanced and registry levels,  thirty (30) of these CEUs must be cardiovascular-related . The remaining 6 or fewer CEUs can be on any topic as long as it is from one of the  approved providers . 

Wallet cards are provided to successful exam candidates and expire on the date of the first renewal. Triennial wallet cards are provided upon the second renewal of credentials.

When Credential is Earned*

First Renewal End Date**

Second Renewal Cycle (when CEUs are due)

January 1 to March 31, current year

December 31, current year

December 31, three years after first renewal

April 1 to June 30, current year

March 31, following year

March 31, three years after first renewal

July 1 to September 30, current year

June 30, following year

June 30, three years after first renewal

October 1 to December 31, current year

September 30, following year

September 30, three years after first renewal

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Now accepting applicants to explore the Inteleos Verified Credential Program Customer Pilot. Learn how you can become part of the pilot !

travel pediatric cardiac sonographer

Pediatric Echocardiography (PE)

The PS application is now open and closes on March 19, 2024. You can now take your examination online from home. Learn more!

The Pediatric Echocardiography (PE) examination tests the requisite pediatric echocardiography knowledge, skills and abilities essential to Sonography Professionals. If you are a physician interested in applying for the RDCS credential with an PE specialty, please visit the website​  for ARDMS’s physician-centric companion Council, the Alliance for Physician Certification & Advancement (APCA).

To earn a Registered Diagnostic Cardiac Sonographer (RDCS) credential with a PE specialty, you must pass the Sonography Principles and Instrumentation (SPI) examination and the PE examination within five years . After passing the SPI examination, you can earn additional credentials without having to retake the SPI examination, provided you maintain active status.

You must wait until the next administration to retake the PE examination if you do not pass the examination.

  • Prerequisites

PE EXAMINATION OVERVIEW

The PE examination assesses the knowledge, skills, and abilities in the areas of normal and abnormal cardiac anatomy, physiology, pathology and hemodynamics as appropriate in the pediatric patient.

Applicants may pursue the PE specialty under the RDCS credential. Once the PE examination is passed under the selected credential, it cannot be switched.

As a windowed examination, scores for the PE examination will be available approximately 60 days after the close of the administration. For more information, review the “Scoring” tab.

We periodically conduct a PE Job Task Analysis (JTA) and update the PE examination to reflect the frequency and importance of PE tasks being performed by Sonography Professionals.

The latest PE Practice Analysis was conducted in 2024. Click to view the 2024 PE Practice Analysis results.

All questions on the Pediatric Echocardiography (PE) examination will fall under the domains and subdomains listed in the PE content outline. It is essential that you review the PE content outline to understand what will be covered in the examination.

Attention test takers: there is a new content outline going live October 1, 2024

Content Outline for exams delivered prior to October 1, 2024 .

Content Outline for exams delivered on October 1, 2024 or after .

QUESTION FORMAT & DURATION

The PE examination is three hours and contains 145 multiple-choice questions, which include hotspot questions. The hotspot questions are Advanced Item Type questions  that assess and measure your practical sonography skills.

To earn a Registered Diagnostic Cardiac Sonographer (RDCS) credential with an PE specialty, you must pass the Sonography Principles and Instrumentation (SPI) examination and the PE examination within five years .

After passing the SPI examination, you can earn additional credentials without having to retake the SPI examination, provided you maintain active status.

Note:  The PE Examination is a windowed examination. Therefore, it is only offered during select periods of the year. Please refer to the “Schedule” tab for upcoming dates.

IMPARTIALITY

ARDMS functions under policies intended to demonstrate impartiality, high ethical standards and validity of its certification assessments. ARDMS does not restrict Applicants, Candidates or becoming a Registrant based on limiting conditions, such as membership of an association or professional society of any organization. ARDMS will not unfairly impede or inhibit access to its certification to Applicants, Candidates or Registrants who meet our stated policies regarding qualification requirements, renewal requirements and/or passing ARDMS’ psychometrically sound certification assessments.

FIVE-YEAR RULE

To earn an RDMS, RDCS, RVT or RMSKS credential, you must pass the SPI examination and a corresponding specialty examination within five years , regardless of sequence. This five-year rule does not apply if you are seeking additional specialties under a credential already earned or if you have already earned a credential with the SPI examination. If you do not complete both examinations within the five-year period, you must retake the examination previously passed.

The five-year rule is based on the calendar year (January 1 through December 31). The five-year period begins the day you pass the first examination, and it includes any time that remains in that year plus the next five years . For example, a candidate who passed the first ARDMS examination on June 6, 2010, is required to pass the second examination by December 31, 2015.

RE-APPLICANT

Pe prerequisites.

To sit for the PE examination and earn the RDCS credential, First-Time Applicants must select a prerequisite that best meets your education and clinical experience.

Physicians can now apply under the new ARDMS physician prerequisite . Learn more!

Click to view the ARDMS General Prerequisites

Prerequisite Prep Tool

To earn an ARDMS credential, Applicants must choose and meet the requirements of a prerequisite. Review the Prerequisite Prep tool to help guide you through the prerequisite selection process and to select a prerequisite that best meets your education and clinical ultrasound experience.

Re-Applicant – A re-applicant is a Candidate or Registrant who has previously applied and been approved by ARDMS to take or has taken an ARDMS examination and who is applying to take another examination; this does not include an individual who has only been approved for MSKS, MW examinations and approval of the Sonography Principles & Instrumentation (SPI) examination under the SPI Examination Requirement Pathway. Re-applicants should apply as such and thus this guide isn’t necessary for you.

Re-Applicant Information

Pe examination fees.

The PE examination fee is $275 USD, which includes a $100 USD non-refundable processing fee.

If you take an ARDMS examination at an international test center (outside the U.S., Canada and Mexico), you will be charged an additional non-refundable $50 USD fee when you schedule your examination. This fee is subject to change without notice.

Reimbursement Information for U.S. Armed Forces Veterans: 

APPLICATION PROCESS

The PE Examination is a windowed examination. Therefore, it is only offered during select periods of the year. Please refer to the “Schedule” tab for upcoming dates.

Once you are ready to apply for an ARDMS examination, follow the steps below:

  • Log in to  MY ARDMS  and choose the “Apply Online” option.
  • Complete the online application form and submit payment. If you are a first-time applicant, you are required to choose a general prerequisite under which to apply.
  • Gather your supporting documentation and submit at time of application
  • To upload your documentation to your MY ARDMS account, click the “My Resources” tab, then “Upload Documents”. For “File Type” select “Application Documents”

For more details, please visit the ARDMS How to Apply Guide .

Once we have reviewed your information, we will email you with either an Examination Confirmation Letter (ECL) or a request for additional documentation. When you receive the ECL, you may contact Pearson VUE to schedule an examination appointment during your eligibility period.

If you are found ineligible to take the examination, your application will be partially refunded (less the $100 USD processing fee per examination).

Document Requirements

​Based on your prerequisite or requirement selection , you must submit the necessary supporting documentation at the time of your online application submission.

Please note:  We do not retain application documentation received prior to receipt and payment of the online application. Any documentation received prior to the completed online application will be discarded.

Application Letter Requirements

When applying for the PE examination, if your prerequisite selection requires documentation of clinical experience, please note that application letter(s) must:

• Be an original, official letter with the address and telephone number indicated • Include the current date (mm/dd/yyyy) • State actual dates of employment or program • Contain original signatures (stamped and/or computer generated signatures are not acceptable); letters cannot be signed by a relative of the applicant • Provide a physician’s medical license number or chief sonographer’s/technologist’s ARDMS number (hand signed; stamped or computer generated signatures will not be accepted)

Employment letters must indicate full-time or part-time training/experience AND must include the total number of paid clinical hours.

Program completion letters must include the total number of hours in the program and state individually, the number of didactic and clinical hours in the program.

Sample Letters

​Provided are some sample letters that may correspond with your prerequisite requirements:

Sonographer-level Sample Letters •  Prerequisite 2 Sample Letter •  Student Prerequisite 3B Sample Letter •  Graduate Prerequisite 3B Sample Letter •  Employer Sample Letter •  Program Completion Sample Letter •  Residency Fellowship Completion Sample Letter ​

New 2020 ARDMS Physician Prerequisite Sample Letters – Effective January 6, 2020. •  P rogram Completion Letter •  Physician in Practice Sample Letter

Patient Log • Patient Log

REPORT A COMPLIANCE VIOLATION

Do you have an unreported compliance violation? The examination application will ask you to attest to being compliant with the ARDMS Compliance Policies. If you are unsure if you have a compliance violation or if you have a violation to report, please take a moment to watch the short informational video for guidance. For additional assistance please contact [email protected] .

INTERNATIONAL DEGREES

​Degrees earned internationally must be evaluated prior to selecting a prerequisite. We require a course by course evaluation. Click for a complete list of  Evaluation Agencies for International Degrees .

Applicants that have passed all three parts of the Educational Commission for Foreign Medical Graduates (ECFMG®) certification may submit a copy of the ECFMG® certificate with a copy of an active MD or DO license from the U.S. or Canada in lieu of the evaluation.

APPLICATION CHECKLIST

The application checklist is a helpful, online tool that lets you track the status of your submitted application. To view it, log into  MY ARDMS  and select “Application Checklist” from the “Application Center” drop down menu.

Once we have reviewed your documentation, you can find out what documentation we accepted and what additional documentation we may still need by selecting “View Checklist.” If “View Checklist” is not available, it simply means we have not yet reviewed your documentation.

You can also use the following checklist to ensure that you are submitting all the required documentation: • ARDMS General Application Checklist

EXAMINATION CONFIRMATION LETTER

​If you are found eligible to take an examination, we will email you an Examination Confirmation Letter (ECL) within one to two days of application approval and you will be able to schedule your appointment at that time. The ECL will also be posted to your  MY ARDMS   account and will include your eligibility period to schedule and take your examination.

TESTING ACCOMMODATIONS

If you need special accommodations, please select “Yes” for “Special Accommodations” in the application and submit the following along with your completed application:

• An original copy of a letter dated within the past five years and typed on official letterhead from a qualified physician or health care provider who specializes in the disability. This letter must document the disability and its severity, describe the applicant’s limitation due to the disability and state exactly what accommodations are recommended. The letter must contain an original signature and the physician’s or provider’s credentials. • An original copy of a comprehensive medical evaluation/report of the diagnosed disability from the physician or health care provider, dated within the past five years . • A completed Americans with Disabilities Act ADA Special Accomodations Questionnaire , which must be submitted each time you apply for an examination.

For more information, visit  Americans with Disabilities Act .

SCHEDULE AN EXAMINATION

The PE examination is only offered during select periods of the year. See schedule below.

*NOTE: Application window closes at midnight EST.

Once your PE application has been approved, an Examination Confirmation Letter (ECL) will be emailed to you so that you can schedule an appointment with Pearson VUE – ARDMS’ official testing vendor. The ECL will include your eligibility period based on the set administration dates and you are encouraged to schedule promptly to ensure availability.

If you have not done so already, visit  Pearson VUE  to: • Create a Pearson VUE account • Search for seat availability • Locate a test center • Schedule an examination • Contact Pearson VUE Customer Service

If you are taking the examination at an international test center (outside the U.S., Canada and Mexico), a $100 USD non-refundable fee and Value Added Tax (VAT) will be charged by Pearson VUE. All international scheduling fees and associated VAT will be charged at the time the examination is scheduled. The fees and associated VAT are subject to change without notice, and they are non-refundable.

RESCHEDULE AN EXAMINATION

​To reschedule the date and time of your examination during your eligibility period, you must contact  Pearson VUE  (1-877-258-9220) at least 96 hours prior to the scheduled examination date and time.

Please note:  This is a windowed examination and extensions are not available.  You can reschedule your appointment for another time within your stated eligibility period.  However, if you cannot take it within your stated eligibility period, please follow the cancellation procedure.

CANCEL AN EXAMINATION

​To cancel an examination appointment, you must contact  Pearson VUE  (1-877-258-9220) and cancel the scheduled appointment no later than 96 hours prior to the scheduled examination appointment time. You will receive a cancellation email from Pearson VUE.

To request a partial refund, you must wait 24 hours after canceling the appointment with Pearson VUE and then submit a cancellation/partial refund request no later than 96 hours prior to the last date of the eligibility period.

To submit this request:

  • Log in to your  MY ARDMS  account
  • Visit “My Examination/Application Status” under “Application Center.”
  • Select the examination you wish to request a partial refund for. ​​
  • Complete and submit the form

We will refund your examination fee, less the $100 USD processing fee per examination, unless we receive your request too late, you never schedule your examination or you do not keep your scheduled examination appointment. Then, the entire examination and processing fees are forfeited.

ADMISSION TO TEST CENTERS

When you arrive at a test center, be prepared to:

• Check in with a Test Center Administrator • Present one valid photo identification (ID); see  Test Center Identification Requirements • Provide a digital signature • Have your palm vein scanned • Take a test-day photograph

Note:  The only thing that you can bring into the testing room is you. The test centers have lockers you can use to store personal belongings. Study materials, as well as food and drink, are prohibited in the test center. No visitors, guests, pets or children are allowed.

Important : Review ARDMS’ Examination Admission Compliance Policies to ensure you are not refused admission at the test center and do not conduct unauthorized examination behavior.

Test centers will provide whiteboards for notes during the examination upon request. If you need special accommodations, please select “Yes” for “Special Accommodations” in the application when you apply.

ABOUT THE PE PRACTICE TEST

Taking a practice test or two is a great way to prepare for your actual examination. We offer a Pediatric Echocardiography (PE) Practice Test that simulates the computer interface used in the actual test center environment. The PE practice test review is comprised of 30 sample questions and is 30 minutes long.

After you complete a practice test, you will be emailed a report that shows the number of questions you answered correctly. While the report is an indication of your knowledge, the practice tests results should not be used to predict how well you will perform on the actual examination at the test center.

See  FAQs  for additional information.

REGISTER FOR A PE PRACTICE TEST

Each practice test costs $45 USD.

You can now register for a PE practice test by signing into your  MY ARDMS  account and clicking the Sign Up/View Practice Test option in the Application Center tab. You can also view the computer system requirements in your MY ARDMS portal. For any general questions or technical problems regarding the practice tests, please call ARDMS at (800) 541-9754 option 1 or email  [email protected] .

Before you start your test you should review the test tutorial. Please note you will not get a chance to review the test tutorial during the actual practice test, so please prepare accordingly. Once your session begins, you have 30 minutes to complete the practice test.

Register  for a PE practice test, by signing in your  MY ARDMS  account.

REVIEW THE PE CONTENT OUTLINE

The PE examination covers the following content areas. All percentages are an approximate distribution of the questions across the content areas.

Your score report will display and include performance feedback for these content areas.

REVIEW OUR TIPS FOR EXAMINATION DAY SUCCESS

After all of your diligent preparation and hours spent studying, here are a few valuable tips to help make your examination day a success:

• Double check that you know where the test center is before examination day and give yourself plenty of time to get there. Remember, you MUST arrive and register at least 30 minutes before the examination begins. • Get a good night’s sleep before you take your examination. Being well rested and relaxed when you take your examination will help you concentrate. • Bring one form of current and valid identification that complies with the test center identification requirements . • Travel light. The only thing you can bring into the testing room is you. You can store your personal belongings — your car keys, watch, smartphone, purse, backpack, etc. — in lockers at the test center. The following items are not allowed in test centers: study materials, food, drink, visitors/guests, pets and children. • Request a white board if you plan to jot down notes during the examination. Test centers are using white boards (rather than paper) in an effort to “go green.” • Be advised that the use of a calculator for this examination is prohibited.  However, you may utilize the White Board provided at the test center or the digital White Board provided for online proctoring examinations for manual calculations.

USE STUDY MATERIALS

​Even though we offer practice examinations and sample questions, we do not offer study materials for our examinations – but our sister organizations do. You can find materials at:

•  Society of Diagnostic Medical Sonography •  American Institute of Ultrasound in Medicine  •  Society for Vascular Ultrasound •  American Society of Echocardiography

LEARN ABOUT ADVANCED ITEM TYPE PREPARATION QUESTIONS

​The PE examination features  Advanced Item Type questions , which assess and measure your practical sonography skills. They include hotspot questions in which you will receive questions about individual images. You will use the cursor to mark the correct answer directly on the image.

Watch ARDMS Presents:  How to Answer a Hotspot Question .

HOW IS THE PE EXAMINATION SCORED?

The PE examination evaluates the knowledge and skills you must demonstrate as a PE Sonography Professional. The primary test result is a PASS or FAIL decision. In addition, you will receive a scaled score, ranging from 300 to 700. A scaled score of 555 is required to pass all ARDMS examinations.

The scaled score is not a percentage of correct answers, nor is it built on a “curve” where a certain percentage of scores would pass and a certain percentage would fail. To learn more, visit  Notification of Results and Scoring .

HOW DO I GET MY PE SCORE REPORT?

​Examination results and a full score report will be available approximately 60 days after the close of the examination administration. At that time, an email will be sent to you with instructions on how to access your score report in  MY ARDMS .

Candidates receiving a confirmed passing score on all required examinations and meeting all other requirements will be awarded a certification. For information on the ARDMS’ scoring methods, visit  Notification of Results and Scoring .

Candidates who do not pass are invited to re-apply.

SCHOOL REPORT

​When submitting your ARDMS application, you consent to us releasing your examination results to your educational program.

Program Directors can receive a School Report for current programs and programs completed in the past three years. To learn more, visit  School Reports .

SCORE VERIFICATION

You can request a score verification for a $35 USD fee, payable by check, money order or credit card. Score verification ensures that the computer counted the correct and incorrect answers appropriately, but it does not review the questions and answers.

You must submit the completed  Exam Score Verification Form within 30 days of having taken the examination in question. The Exam Score Verification Form will be returned if incomplete, unsigned or unpaid.

When deciding whether to have your score verified, please consider that ARDMS examinations are scored electronically with a high degree of accuracy, and it is unlikely that verification will alter your original score.

ARDMS certification examinations are developed to assess the knowledge and skills necessary to practice the specialty safely and competently.

Please find below pass rates for previous Pediatric Echocardiography (PE) examination administrations: ​

2022: First-time takers: 78% Overall: 71%

2021: First-time takers: 74% Overall: 64%

2020: First-time takers: 80% Overall: 75%

2019: First-time takers: 72% Overall: 68%

2018: First-time takers: 74% Overall: 65%

2017: First-time takers: 72% Overall: 64%​

2016 : First-time takers: 67% Overall: 58%​​

2015: First-time takers: 63% Overall: 55%

2014: First-time takers: 68% Overall: 66%

2013: First-time takers: 71% Overall: 65%​

Pediatric Cardiac Sonographer Salary in the United States

Pediatric cardiac sonographer salary.

How much does a Pediatric Cardiac Sonographer make in the United States? The average Pediatric Cardiac Sonographer salary in the United States is $268,723 as of February 26, 2024, but the salary range typically falls between $223,796 and $342,099 . Salary ranges can vary widely depending on many important factors, including education , certifications, additional skills, the number of years you have spent in your profession. With more online, real-time compensation data than any other website, Salary.com helps you determine your exact pay target.

Cardiac Sonographer - Pediatric

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WeCare Staffing Solutions - Houston, TX

Palm Bridge Solutions - Houston, TX

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What is a Pediatric Cardiac Sonographer ?

A sonographer is a healthcare professional who specialises in the use of ultrasonic imaging devices to produce diagnostic images, scans, videos or 3D volumes of anatomy and diagnostic data, frequently a radiographer but may be any healthcare professional with the appropriate training. The requirements for clinical practice vary greatly by country. Sonography requires specialised education and skills to acquire, view, analyze as well as optimizing information in the image. Due to the high levels of decisional latitude and diagnostic input, sonographers have a high degree of responsibility in th...

Source: Wikipedia (as of 04/18/2019). Read more from Wikipedia

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