Registration Pathway for Internationally-Educated Nurses to Become Licensed Practical Nurses in Manitoba

Presented by: Kathy Halligan and Sharon Demers

A Fair Approach

Each CLPNM applicant is unique.

While the CLPNM has a standardized process, it is not

“one size fits all.”

The CLPNM tries to be as fair as possible while still

upholding its mandate to serve and protect the public.

Presentation Overview

Credential assessment application process for internationally educated nurses (IENs) seeking registration as LPNs in Manitoba

Potential outcomes of paper-based credential assessment

Clinical Competence Assessment

Practical Nursing Qualification Recognition (PNQR) Program

Measurement Outcomes / Success Rates

PNQR Survey Results / Comments

National Nursing

Assessment Service (NNAS)

Open a file with CLPNM and pay application fee

Complete file by submitting required

documents

Receive letter of

assessment results and

follow directions

Complete jurisprudence

education session, and

then apply for GPN registration and to write the

CPNRE

Write and pass the CPNRE

Apply for initial enrolment and

active practicing registration

Confirm eligibility on NNAS website

and pay fee to open an application

Submit required documents, which

may include a language

proficiency test

Wait for NNAS evaluation

Receive Advisory Report

NNAS Process

CLPNM Process

Outcomes of the CLPNM Credential Assessment

Receive letter of assessment results and

follow directions

Successfully complete the Jurisprudence session for LPNs in Manitoba

Register as a Graduate Practical Nurse (GPN)

Write Canadian Practical Nursing Registration Exam (CPNRE)

Complete a Clinical Competence Assessment (CCA)

Complete a Diploma in Practical Nursing (DPN)

Po

ten

tia

l O

utc

om

es o

f th

e

CLP

NM

Asse

ssm

en

t P

roce

ss

Competencies are partially met.

Outcome: Competencies are Partially Met

You must complete a Clinical Competence Assessment (CCA) to further demonstrate your nursing competencies.

To complete the CCA:

You will receive a CCA referral letter from the CLPNM. Within 30 days of receipt, you must follow the instructions outlined within the letter.

Clinical Competence Assessment (CCA)

Objective: an IEN can demonstrate his/her nursing competencies, and the CLPNM can assess if an IEN has the competencies of an entry-level LPN in Manitoba. CCA Details:

• Format: Interview style and role-play (OSCE) assessment conducted in a lab setting

• Length: approximately 7-8 hours

• Topics: Demonstrate abilities to apply knowledge by holistically caring for the client/family relating to General Nursing, Maternal/Newborn Nursing, Child Health Nursing

Successfully complete the Jurisprudence session for LPNs in Manitoba

Register as a Graduate Practical Nurse (GPN)

Write Canadian Practical Nurse Registration Exam (CPNRE)

Complete some or all of the Practical Nursing Qualification Recognition (PNQR) Program. -or-

Complete the full PNQR Program and courses in the Practical Nursing Refresher (PNR) Program.

Complete a Diploma in Practical Nursing (DPN)

Po

ten

tia

l O

utc

om

es o

f th

e

Cli

nic

al

Co

mp

ete

nce

Asse

ssm

en

t

Competencies are partially demonstrated.

Practical Nursing Qualification Recognition (PNQR) Program

The PNQR Program consists of:

• Four 10-week courses Canadian Healthcare Culture & Communication Nursing Skills Review Pharmacology Review Physical Health Assessment

• Two mandatory practicums Long Term Care: 3 weeks (120 hours) Acute Care: 4 weeks (160 hours)

If you successfully complete each course and both practicums, you will be eligible to take the 3-day CPNRE Prep class.

Practical Nursing Refresher (PNR) Program

• The Practical Nursing Refresher (PNR) Program is offered online by Distance Education at Assiniboine Community College (ACC).

• This program was designed for people who intend to re-enter the practical nursing profession and must meet registration requirements.

• The PNR Program is not Government funded, and a referral is required by the CLPNM.

Program Outcomes

7%

13%

5%

2% 1%

10%

62%

Did not pass CPNRE

Former member

Not eligible to write exam

Withdrew from program

Passed exam, but notenrolled

Writing CPNRE in May2016

Active Practicing LPNs

n = 143

Areas of Employment

60% 15%

3%

3% 2%

1% 1%

1%

14%

Geriatric/Long Term Care

Medical/Surgical

Direct Care/Community

Home Care

Palliative

Rehabilitation

Teaching

Pediatric

Not listed

n = 96

EFT Positions

Full Time

Part Time

Casual

010

2030

4050

60

16%

27%

60%

n = 91

The program was an awesome and excellent refresher course, which filled the professional gaps I had in nursing, and made me fit into the nursing profession in Canada.

I think the employer trusted me more because of the PNQR program knowing that I had practicum in acute care and long term care [in Canada.]

It helped me gain enough confidence in providing safe and competent care.

The practicum gave me experiences in Canadian healthcare and made me confident to work as a nurse and communicate effectively with clients and colleagues.

It has helped me review my nursing knowledge and skills as well as learn more about the Canadian health care system.

I did my practicum in the hospital where I’m working now.

PNQR Survey Results / Comments

After completing the PNQR Pilot Program, did you feel the program helped you to find a job?

YES = 33 NO = 1

Aside from bringing back our confidence, this program really helped us gain more knowledge and improve our skills.

It was the best thing I have ever done in preparing back to my nursing career. Before I did it I was unsure as to whey we still need it, but I am now a believer. It was indeed a vital part of becoming a nurse in Manitoba. It does help you be prepared and at the same time be more confident that you will be successful in your career as a nurse.

It helped me both in passing the exam and in preparing me to work in health care as an LPN.

It helped me to familiarize Canadian nursing practice which is totally different from our nursing practice in our country.

I really intended to be part of the program and it helped me so much to adapt quickly and refreshed my knowledge and skills. I am very thankful with the practicum, lab skills and theories.

PNQR Survey Results / Comments

Overall, how satisfied were you with the PNQR Pilot Program?

Very Satisfied = 32 Somewhat Satisfied = 1 Somewhat Dissatisfied = 1

Funding Support for Pathway: CCA and PNQR Program

The College of Licensed Practical Nurses of Manitoba and Assiniboine Community College would like to thank our funders:

• Health Canada (HC)

HC’s Internationally Educated Health Professionals Initiative

• Manitoba Health, Healthy Living and Seniors

• Manitoba Education and Advanced Learning

Questions?

Contact Information

Kathy Halligan, Hons BA, CTESL, CACE

Consultant, Credential Assessment College of Licensed Practical Nurses of Manitoba

Phone: 204-663-1212 ext. 106 Email: khalligan@clpnlm.ca

Website: www.clpnm.ca

Sharon Demers, RN, BN, CAE

Instructor, Practical Nursing Qualification Recognition Program Assiniboine Community College, Winnipeg Training Centre

Phone: 204-694-7111 ext. 6256 Email: demerssm@assiniboine.net

Website: http://assiniboine.net