TNCC vs PALS

Trauma Nursing Core Course vs Pediatric Advanced Life Support — a side-by-side comparison of exam costs, prerequisites, salary impact, CE requirements, and which certification is best for your career path.

TNCC

High Demand

Trauma Nursing Core Course · Emergency Nurses Association (ENA)

TNCC equips nurses with a standardized systematic approach to trauma patient assessment and intervention. Required at many Level I and II trauma centers.

Exam Cost$350
Valid For48 months
Salary Impact+6%

PALS

High Demand

Pediatric Advanced Life Support · American Heart Association

PALS focuses on recognition and treatment of cardiopulmonary emergencies in infants and children. Required in pediatric ED, PICU, and NICU settings.

Exam Cost$175
Valid For24 months
Salary Impact+3.5%

Side-by-Side Comparison

AttributeTNCCPALS
Full NameTrauma Nursing Core CoursePediatric Advanced Life Support
Issuing BodyEmergency Nurses Association (ENA)American Heart Association
CategoryEmergency NursingEmergency & Life Support
Exam Cost$350$175
Validity48 months24 months
CE Credits RequiredN/AN/A
Salary Impact+6.00%+3.50%
PrerequisitesCurrent RN licenseCurrent BLS certification
Demand Levelhighhigh

Which should I get — TNCC or PALS?

Choose TNCC if…

  • • You work in Emergency Nursing settings
  • • Your employer requires or prefers TNCC
  • • You have met the prerequisites: Current RN license
  • • You want a ~6% salary boost

Choose PALS if…

  • • You work in Emergency & Life Support settings
  • • Your employer requires or prefers PALS
  • • You have met the prerequisites: Current BLS certification
  • • You want a ~3.5% salary boost

FAQ — TNCC vs PALS

Is TNCC or PALS harder?

Both TNCC and PALS require preparation and hands-on practice. TNCC covers emergency nursing scenarios; PALS covers emergency & life support scenarios. Difficulty depends on your clinical background.

Can I get both TNCC and PALS?

Yes. Many healthcare professionals hold both certifications, especially in settings that overlap (e.g., ICU nurses often have both CCRN and ACLS). Each is independently issued and maintained.

Which pays more — TNCC or PALS?

TNCC certification is associated with approximately a 6% salary increase; PALS approximately 3.5%. See the full salary data for your specialty and state.