CCA components
The assessment is made up these components:
- Written diagnostic exam
- Clinical Judgment Scenarios (CJS)
- Chart review and development of a nursing care plan
- Objective Structured Clinical Examination (OSCE)
- Self-assessment
The University of Manitoba campuses are located on original lands of Anishinaabeg, Cree, Oji-Cree, Dakota, and Dene peoples, and on the homeland of the Métis Nation. More
University of Manitoba
Winnipeg, Manitoba Canada, R3T 2N2
The Clinical Competence Assessment (CCA) is an examination that assesses nursing knowledge and practice. It evaluates your practice against the Entry-Level Competencies for Registered Nurses in Manitoba. These are the minimum level of competencies required for entry-level registered nurses in a variety of practice settings.
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The CCA is an opportunity for you to demonstrate how your knowledge and practice matches what is expected of registered nurses to deliver safe and competent care. All registered nurses must demonstrate that they can meet the entry-level competencies.
The assessment is made up these components:
The CCA looks at entry-level competencies; it does not look at expert levels of nursing practice.
Even if you have practiced in a highly specialized area, your knowledge and practice is being compared to entry-level competencies. You will likely need to refresh your entry-level knowledge before you take the CCA.
You may be asked to complete assessments in any or all of the following areas:
If you are an internationally educated nurse looking to be a registered nurse in Canada, you begin your application through the National Nursing Assessment Service. After the NNA has received all required documents from you and has reviewed your file, they forward it to the College of Registered Nurses of Manitoba. The CRNM reviews the file and determines which components of the CCA you must complete.
If you are a nurse educated in Canada, the College of Registered Nurses of Manitoba identifies the need for a CCA and sends the referral form to the Assessment Centre. The CRNM determines which components of the assessment you must complete.
The Authorized Prescriber (AP) Clinical Competence Assessment (CCA) provides nurses the opportunity to demonstrate their prescribing knowledge, skills and judgement in practice. It is an examination used to assess an individual’s practice for gaps in their ability to meet the Competencies for Nursing Authorized Prescribers in Manitoba.
The assessment is made up these components:
Additional information is available on this site and on the College of Registered Nurses and College of Registered Psychiatric Nurses websites:
You will be assessed for competencies grouped under the following headings:
You will be assessed for competencies grouped under the following headings:
For more information, view the sample OSCE video.
The RN Clinical Competency Assessment Exams and the AP Clinical Competency Assessment Exam are computer-based written examinations.
You will find them online within the University of Manitoba Learning Management System which is called UM Learn (also called Brightspace or D2L).
Exams are written at home, in a quiet private space. If you do not have a quiet private space in your home, you may choose a different location. However, you must be alone at all times while writing your exam(s).
Exams are monitored and recorded using a webcam and a program called Respondus Monitor, which will note any abnormal movements or talking. Also remember the contents of all exams are confidential and therefore nobody else can see your computer screen while you are writing.
In your exam room you may have:
To pass the written exam you must achieve a minimum score of 65%.
You will require:
If you do not have a computer with these specifications, you may borrow a laptop from the College of Nursing with Respondus Monitor already loaded. You may pick up the laptop the day prior to your exam(s) and return it the day following completion. A $100 refundable deposit is required.
Upon booking an AP CCA, candidates will be asked to read and sign a confidentiality agreement stating that they will not disseminate or reveal any content of the CCA. Breaches include, but are not limited to:
NOTE: Any breach in confidentiality of AP CCA material may lead to disciplinary and legal measures, including invalidating your results. CRNM or CRPNM will be notified of any breaches.
Please review the information below, then complete and submit the online form.
Go to the following link to make your payment.
Select the option for your exam.
Select which method of payment you will use. Please note there is an extra $1.00 charge if using a Debit Card.
Enter the information for the candidate that will be taking the Clinical Competency Assessment (CCA). Please ensure you provide the same information as what was provided to CRNM or CRPNM.
Enter the information for the card holder that is making the payment. If this is the same information as Step 3, please select the “Same as above” option at the top of this section.
Click the submit button and you will be taken to the payment page. You will be sent a confirmation email once this information has been submitted, but you will need to complete the payment page (Step 5) for your fee to be fully processed. Not completing Step 5 will result in an incomplete payment.
Enter the card details on this page and submit payment. You will receive another email confirming that your payment has been processed.
Please be advised that replacement receipts are not provided by the CCA Centre. It is the responsibility of the candidate to ensure they keep their original receipt.
Payment can be made online using the link you will be emailed when you book your appointment. Payments can only be made online.
Payment must be recieved at least two weeks prior to the CCA or your appointment will be cancelled.
In the event you have to cancel, a non-refundable cancellation fee will be charged which must be paid in full prior re-booking your CCA.
Cancellation fees are as follows:
These videos demonstrate how to perform common nursing skills. The skills depicted are based on current evidence-based practice research and guidelines as well as policy and procedures specific to the region. Site specific policies may vary.
For more information about the Clinical Competence Assessment, please contact:
Kimberly Workum
kimberly.workum@umanitoba.ca
College of Nursing
Helen Glass Centre for Nursing
89 Curry Place
University of Manitoba (Fort Garry Campus)
Winnipeg, MB R3T 2N2 Canada