Clinical Competence Assessment (CCA) Centre for Nursing
We provide Clinical Competence Assessments (CCAs) for Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Authorized Prescribers (APs). These assessments offer a thorough evaluation of your nursing knowledge, skills, and judgment in real-world settings, ensuring you meet entry-level competencies. In addition to assessments, we offer professional development courses to support you at every stage of your nursing career. Our services are open to both domestic and international nurses, giving you the tools you need to grow and succeed in your profession.
On this page
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- The clinical competency assessment process
- Registered Nurses
- How to apply
- Authorized prescribers
- Written exam details (registered nurses and authorized prescribers)
- Resources
- Nursing professional development series (professional development courses)
- Contact us
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
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Internationally educated nurses
If you’re an internationally educated nurse looking to register in Canada, your journey starts with the National Nursing Assessment Service (NNA). After you submit all the required documents and your file is reviewed, the NNA will send your information to the College of Registered Nurses of Manitoba (CRNM). The CRNM will then evaluate your file and determine which parts of the Clinical Competency Assessment (CCA) you need to complete.
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Canadian educated nurses
If you’ve been educated in Canada, the process begins with the College of Registered Nurses of Manitoba (CRNM). They will decide if a Clinical Competency Assessment (CCA) is necessary and will send a referral form to the Assessment Centre. The CRNM will then review your case and outline the specific components of the assessment you need to complete.
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:
- College of Registered Nurses of Manitoba Authorized Prescriber Information
- College of Registered Psychiatric Nurses of Manitoba Authorized Prescriber Information
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:
- 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
- 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
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Nursing skills videos
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.
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Canadian Nurses Association
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College of Registered Nurses of Manitoba
Additional resources for authorized prescribers
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- AAFP – Provision of Contraception – Key Recommendations from the CDC
- Cancer Prevention and Screening for Healthcare Providers: CervixCheck
- CATIE – HIV & Hepatitis C
- International Consortium for Emergency Contraception – Medical & Service Delivery Guidance
- College of Registered Nurses of Manitoba
- College of Registered Psychiatric Nurses of Manitoba
- PHAC STBBI Guides for Health Professionals
- PHAC – Canadian Immunization Guide
- SOGC - HPV Information
- SOGC Clinical Practice Guideline – Vulvovaginitis
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- SOGC Clinical Practice Guideline – Canadian Contraception Consensus
- WHO Medical Eligibility Criteria for Contraceptive Use
- WHO – Family Planning
- Manitoba Health – Immunization
- Manitoba Health STBBI– Communicable Disease Control
- WHO Postpartum Family Planning Compendium
- WRHA – Regional Immunization Manual
- WRHA Healthy Sexuality & Harm Reduction
- U.S. Medical Eligibility Criteria for Contraceptive Use
Courses Nursing professional development series
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
Contact us
For inquiries, please contact us at the following emails:
- Registered Nurse / Licensed Practical Nurse CCA — nurscomp@umanitoba.ca
- Authorized Prescriber CCA — apnurscomp@umanitoba.ca
- Professional Development Series — nursing.pd@umanitoba.ca
College of Nursing
Helen Glass Centre for Nursing
89 Curry Place
University of Manitoba (Fort Garry Campus)
Winnipeg, MB R3T 2N2 Canada