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About The clinical competency assessment process

Watch this brief video for more information (3:43 minutes)

CLINICAL COMPETENCE ASSESSMENT Registered nurses

This assessment 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.

Components

The assessment is currently made up these components:

  • Written diagnostic exams
  • Clinical Judgment Scenarios (CJS)
  • Objective Structured Clinical Examination (OSCE)
  • safeMedicate learning modules and pharmacology calculation exam

Preparing for the assessment

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.

We have created a candidate guide to assist nurses as they prepare for assessment. Please ensure that you read the guide carefully before starting your application:

Assessment 

You may be asked to complete assessments in any or all of the following areas:

  • Ambulatory care
  • Community health
  • Emergency care
  • Geriatrics
  • Medical
  • Mental health
  • Obstetrics
  • Palliative care
  • Pediatric and adolescent health
  • Surgical

NOTE: A remote delivery/virtual option is available for candidates outside of Winnipeg that have equipment meeting the minimum technical requirements.

How to apply

CLINICAL COMPETENCE ASSESSMENT Authorized prescribers

This assessment allows nurses to demonstrate their prescribing knowledge, skills, and judgment in practical settings. It is designed to evaluate your practice and identify any gaps in meeting the Competencies for Nursing Authorized Prescribers in Manitoba.

Components

The assessment includes several key components:

  • Written diagnostic exams
  • Clinical Judgment Scenarios (CJS)
  • Objective-Structured Clinical Examinations (OSCE)
  • SafeMedicate learning modules and pharmacology calculation exam

For more details, you can explore the following links:

NOTE: A remote delivery option for all components of the CCA is currently in development.

Preparing for the assessment

To help you get ready, we’ve provided a range of resources to refresh your knowledge. Please visit the resources section for more information.

Assessment focus
The assessments evaluate clinical competence in two main areas:

  1. Authorized Prescriber Reproductive Health, Sexually Transmitted Infections, and Blood-Borne Pathogens:
    Competencies are assessed under these headings:
    • Assessment and diagnosis of client health/illness status
    • Pharmacotherapeutics and other therapeutic interventions in client care
    • Professional responsibilities and accountabilities
  2. Authorized Prescriber Diabetes Health:
    Competencies are assessed similarly, focusing on:
    • Assessment and diagnosis of client health/illness status
    • Pharmacotherapeutics and other therapeutic interventions in client care
    • Professional responsibilities and accountabilities

These assessments provide a thorough evaluation of your competencies in both reproductive health and diabetes health.

Registered nurses and Authorized prescribers Written exam details

Whether you are pursuing authorization as a registered nurse or an authorized prescriber, the written exams serve as crucial assessments of your nursing knowledge and proficiency.

Overview

The RN Clinical Competency Assessment Exams and the AP Clinical Competency Assessment Exam are conducted online as computer-based written tests. You can access these exams through the University of Manitoba’s Learning Management System, known as UM Learn (or Brightspace/D2L).

You’ll need to complete the exams at home in a quiet, private space. If you can’t find a suitable spot at home, you can choose an alternative location, but it’s crucial that you are alone for the entire duration of the exam.

The exams are monitored and recorded using a webcam and Respondus Monitor, which tracks any unusual movements or sounds. Please remember that exam content is confidential, and no one else should be able to see your computer screen during the exam.

In your designated exam area, you’re allowed to have:

  • A calculator
  • A clear bottle of water
  • Pencils
  • One sheet of scrap paper

To pass the exam, you need to achieve a minimum score of 65%.

Technical requirements

You will need:

  • A laptop or desktop computer
  • A web camera (internal or external)
  • A reliable broadband internet connection
  • An operating system: Windows 10, 8, 7, or Mac OS X 10.12 or higher

If you don’t have a computer that meets these requirements, you can borrow a laptop from the College of Nursing. The borrowed laptop will come with Respondus Monitor pre-installed. You can pick it up the day before your exam and return it the day after you complete your exam. Please note that a $100 refundable deposit is required.

Confidentiality and conduct

When you book an AP Clinical Competency Assessment (CCA), you’ll need to read and sign a confidentiality agreement. This agreement ensures that you do not share or reveal any content from the CCA. Breaches of confidentiality include, but are not limited to:

  • Comparing your responses with those of colleagues
  • Sharing exam content
  • Posting case information or exam questions online
  • Engaging in cheating or dishonest behavior during the exams

NOTE: Any breach of confidentiality may lead to disciplinary and legal actions, including the invalidation of your results. The CRNM or CRPNM will be notified of any breaches.

Resources

Additional resources for authorized prescribers

Courses Nursing professional development series

We understand that today’s nursing professionals have diverse needs and busy schedules, which is why our Nursing Professional Development Series offers a flexible learning approach. 

You can choose from synchronous (real-time) and asynchronous (on-your-own-time) methods, allowing you to access essential learning opportunities no matter where you are or how tight your schedule is. Whether you want to dive into a single course or take all three to enhance your skills comprehensively, this series is designed to support your professional growth.

The Professional Development Series caters to nurses at different stages of their careers, including:

  • Internationally Educated Nurses (IENs)
  • Newcomers to Manitoba
  • Professionals returning after a break
  • Those looking to refresh their knowledge

The series includes three short courses:

  • Nursing in Manitoba
  • Communication in Nursing
  • Principles of Basic Medication Administration and Psychomotor Skills

Course descriptions

Nursing in Manitoba

Nursing in Manitoba is designed specifically for health-care professionals who are new to Manitoba, new to the Canadian health-care system, or returning to nursing practice after a break. This course provides an in-depth look at the unique aspects of nursing within Manitoba’s health-care landscape, covering topics from the foundational elements of the Manitoba health-care system to specific practices and challenges faced by nurses in the region.

The course emphasizes the importance of interprofessional collaboration and teamwork in delivering effective patient care, as well as the legal, ethical, and professional standards governing nursing in Manitoba.

Course highlights include:

  • Roles of health-care team members: Explore the roles and responsibilities of various team members, including health-care aides, physiotherapists, occupational health professionals, medical practitioners, physician assistants, pharmacists, and social workers. Learn about their unique contributions to patient care in Manitoba.
  • Interprofessional team collaboration: Understand the dynamics of working in interprofessional teams, including effective communication, mutual respect, and the importance of different professional roles in health-care settings.
  • Nurse as advocate: Focus on how nurses can advocate for patients by understanding their rights and promoting equitable access to health-care services.
  • Canadian health-care system: Gain insights into the Canadian health-care system, with a special focus on Manitoba’s structure, function, and regional variations.
  • Scope of practice, practice standards, and ethics: Learn about the legal, ethical, and professional standards that define and regulate nursing practice in Manitoba, including ethical decision-making in complex care situations.
  • Entry-level competencies for registered nurses: Review the necessary competencies for entry-level registered nurses in Manitoba, focusing on clinical skills, critical thinking, patient safety, and evidence-based practice.
  • Utilization of community resources: Discover how to effectively identify and use community resources to enhance patient care in Manitoba’s diverse health-care settings.
  • Culturally competent care for Indigenous clients: Develop cultural competence in nursing care, particularly in understanding and addressing the health needs and cultural sensitivities of Indigenous communities in Manitoba.
  • PHIA/FIPPA and social media guidelines: Learn about the principles and regulations related to personal health information, freedom of information, and responsible social media use in the context of nursing and patient confidentiality.

Course structure:
This course includes asynchronous lectures, practical workshops, and simulation exercises designed to apply communication theories and techniques to real-world scenarios.

Who should enroll:
This course is ideal for any health-care professional looking to pursue nursing in Manitoba. It provides a comprehensive understanding of nursing practices in the region, preparing you to deliver safe and effective patient care.

Duration:
This flexible eight-week course is designed to fit into the busy schedules of health-care professionals.

How to register:
To register for this course, please email nursing.pd@umanitoba.ca.

Communication in Nursing

Communication in Nursing is part of our Nursing Professional Development Series, designed to help nurses enhance their communication skills in the Manitoba health-care environment. This course is perfect for those planning to work in clinical settings where clear and empathetic communication is essential for effective patient care and teamwork.

Course highlights include:

  • The role of communication: Learn the impact of effective communication on patient outcomes and team efficiency. Explore communication theory, including verbal, non-verbal, and written communication, through real-world case studies. Understand how clear communication can prevent errors, improve patient satisfaction, and support interprofessional collaboration.
  • Empathy and listening skills: Deepen your empathy and active listening abilities through exercises and role-playing. Gain techniques to show understanding and compassion, even in high-stress situations. Practice listening to patient concerns and responding in ways that validate their experiences and foster a strong nurse-patient relationship.
  • Patient participation: Discover strategies to encourage patient involvement in their care, including motivational interviewing and shared decision-making. Learn to simplify medical jargon and use teach-back methods to ensure patients are engaged and informed partners in their health journey.
  • Team collaboration: Explore the dynamics of health-care teams and how effective communication can enhance teamwork. This module covers conflict resolution, delegation, and feedback within interprofessional teams, with team-building activities and simulations to practice mutual respect and open communication.
  • ISBARR framework: Get comprehensive training on the ISBARR (identify, situation, background, assessment, recommendation, repeat) communication tool. Learn to use ISBARR for handovers, emergency situations, and routine updates to improve information exchange and reduce miscommunication.
  • Challenging interactions: Equip yourself with strategies for handling difficult conversations with patients and families, such as delivering bad news or managing emotional responses. Practice these skills through role-playing, guided reflection, and scenario analysis to maintain professionalism and respect.
  • Ethical and legal considerations: Understand the ethical and legal aspects of communication in nursing, including confidentiality, informed consent, and professional boundaries. Discuss ethical dilemmas and case law to ensure respect for patient rights and autonomy.
  • Awareness of personal biases: Recognize and manage personal biases that can affect communication and decision-making. Engage in self-reflection and cultural competence training to minimize biases and promote inclusive and respectful care.
  • Interviewing techniques: Improve your interviewing skills for gathering patient histories and understanding health concerns. Practice various interviewing styles, emphasizing open-ended questions, empathy, and active listening, with feedback to refine your approach.
  • Documentation: Learn best practices for clinical documentation, including SOAPIE (subjective, objective, assessment, plan, interventions, evaluation) and DA(R)P (data, assessment (and response), plan) methods. Understand the legal significance of documentation and strategies to avoid common pitfalls, ensuring clear, concise, and timely records.

Course structure:
This course includes asynchronous lectures, practical workshops, and simulation exercises to apply communication theories and techniques in real-world scenarios.

Who should enroll:
Ideal for health-care professionals looking to enhance their communication skills, especially those aiming to improve patient interactions, teamwork, and overall effectiveness in health-care settings.

Duration:
This eight-week course is designed to be flexible and fit into the busy schedules of health-care professionals.

How to register:
To register, please email nursing.pd@umanitoba.ca.

Principles of Basic Medication Administration and Psychomotor Skills

The Principles of Basic Medication Administration and Psychomotor Skills course is part of the Nursing Professional Development Series. It is designed to equip nurses with essential skills in medication administration and psychomotor abilities. This course is intended for nurses new to Manitoba, those returning to the field after a break, and practicing nurses looking to refine their medication administration, assessment, and psychomotor skills.

Course highlights include:

  • OPQRSTU investigations: Learn to use the OPQRSTU (onset, provocation, quality, region, severity, time) method through interactive scenarios and simulations. This skill helps obtain a comprehensive understanding of a patient’s pain, crucial for accurate diagnosis and effective pain management.
  • Comprehensive health history interviews: Develop techniques to elicit detailed health histories from patients. Create a comfortable environment for sharing sensitive information, use open-ended questions to gather comprehensive data, and apply strategies for thorough health exploration. This module emphasizes cultural competence and empathy in patient interactions.
  • Vital signs measurement and interpretation: Review techniques for measuring and interpreting vital signs such as temperature, pulse, respiration, blood pressure, and oxygen saturation. Learn to use various instruments, understand normal ranges, and recognize signs of patient distress. Case studies reinforce the importance of vital signs in assessing health status and responding to emergencies.
  • Physical assessments: Perform comprehensive physical examinations using a systematic approach to assess each body system. Develop skills in inspection, palpation, percussion, and auscultation, and focus on differentiating between normal and abnormal findings. Special attention is given to focused assessments for specific health issues.
  • Medication administration rights: Review the rights of medication administration and accurately interpret and transcribe physician orders. Learn about different types of orders, common abbreviations, and the importance of clarifying unclear orders to prevent medication errors. Topics also include understanding drug monographs, using Electronic Medical Records (EMR), and operating Pyxis systems for safe medication management.
  • High-alert medications: Focus on the safe handling and administration of high-alert medications that pose a higher risk of causing significant harm if used in error. Learn strategies to minimize risks, including double-checking processes, special storage considerations, and patient education on potential side effects.
  • Medication administration routes: Gain hands-on experience with administering medications via various routes, including oral, drops (otic, ophthalmic, nasal), intramuscular, subcutaneous, and intravenous. The module covers techniques, advantages, and considerations for each route, with practice opportunities using simulation models.
  • IV pump operations: Practice operating IV infusion pumps, including setting up the pump, programming infusion rates, troubleshooting alarms, and ensuring patient safety through accurate calculations and monitoring.
  • Catheter and sterile wound care: Develop proficiency in catheter care, including insertion, maintenance, and removal, as well as managing sterile wound dressings. Emphasize infection control practices, patient comfort, and techniques to prevent complications like urinary tract infections and pressure ulcers.
  • Infection prevention: Discuss infection prevention and control principles, including personal protective equipment, isolation precautions, and strategies to prevent the transmission of infectious diseases. Scenarios and simulations reinforce best practices in various clinical situations.
  • Oxygenation principles: Learn about the physiological principles of oxygenation and how to assess and support patients requiring oxygen therapy. Training includes interpreting arterial blood gases, understanding hypoxia, and managing patients with various oxygen delivery systems to maintain optimal oxygenation levels.
  • Respiratory care equipment: Discuss indications for and the application of respiratory equipment, including nasal prongs, rebreather masks, and suction devices.

Program delivery:
This course is delivered through a virtual platform (UM Learn), combining synchronous and asynchronous content to fit the diverse schedules of nursing professionals. It includes lectures, hands-on practice sessions, and simulation exercises for practical understanding of medication administration and psychomotor skills.

Who should enroll:
This course is ideal for:

  • Nurses new to Manitoba seeking to understand local health-care practices.
  • Practicing nurses aiming to update or refresh their medication administration and psychomotor skills.
  • Nurses re-entering the profession and needing a comprehensive refresher course to align with current standards.

Course structure:
This eight-week short course is designed to be flexible and accessible, fitting into the busy schedules of health-care professionals.

How to register:
To register, please email nursing.pd@umanitoba.ca.

Contact us

For inquiries, please contact us at the following emails:

College of Nursing
Helen Glass Centre for Nursing
89 Curry Place
University of Manitoba (Fort Garry Campus) 
Winnipeg, MB R3T 2N2 Canada

204-474-7452
204-474-7682