Registered Practical Nurse Refresher - 884

Ontario College Graduate Certificate
Mix of classroom and online
nursing students reviewing a skeleton spine

This program is currently under review. At this time, we are not accepting new students. Email cehealth [at] for more information.

Are you a Registered Practical Nurse in Ontario who has been out of active practice for more than 3 years? Update your skills prior to returning to active nursing.

Combining theory and hands on practice, review digital health informatics, professional accountability and responsibilities as a nurse, ethical and legal concepts to nursing practices, medical and surgical theory, communication skills, and much more to prepare you for re-entry into the nursing field.

You must hold a Certificate of Registration or have a Reinstatement Letter from the College of Nurses of Ontario (CNO) and not have been out of practice for more than 10 years. Upon completion of all required courses you will receive a certificate.

Requirements to begin this program are outlined on the Admissions & Registration tab.

Contact Continuing Education

Continuing Education Nursing

We are no longer accepting students into this program.

The program of studies displayed below applies to students starting the program in the 2018/19 academic year

Students currently in progress should contact bien [at] (BIEN) regarding a strategy for completion

Your program of study is individualized and forwarded to you upon admission. For prerequisites and co-requisites, please refer to your program of study.

All courses MUST be completed prior to attending clinical experience. Clinical placements are scheduled taking into consideration your individual independent learning needs and the availability of clinical sites. Medical clearance, Mask Fit and BCLS are required prior to clinical.

You must complete the full program within 3 years from admission.

Click on the course title for a course description.

Mandatory Courses

Register Course number Course title Course Hours
Course description: Benefit from 168 hours of hands-on in different supervised acute care clinical sites.
Credits: 4
Prerequisites: NRSG10113 and HLTH10201 and NRSG10089 and NRSG10109 and NRSG10110 and NRSG10114 or HLTH10201 and COMM10099 and NRSG10089 and NRSG10109 and NRSG10110 and NRSG10111 and NRSG10113 and NRSG10114 or HLTH10201 and NRSG10089 and NRSG10109 and NRSG10110 and NRSG10111 and NRSG10112 and NRSG10113 and NRSG10114
Course description: Gain an additional 280 hours of hands-on practice in different preceptored practice settings. Prior to attendance you must have completed all program courses and non-academic requirements, including Professional Practice Acute and Professional Practice Varied clinicals.
Credits: 7
Prerequisites: CLIN10076
Course description:
Course description: Demonstrate proficiency in nursing skills following CNO standards of practice in a simulated laboratory setting.
Credits: 3
Course description: 1. Demonstrate and examine professional accountability and responsibility as a nurse in the Canadian Health Care System. 2. Examine and identify leadership concepts that are essential for personal and professional growth in nursing practice. 3. Demonstrate and apply knowledge of ethical and legal concepts to nursing practice in Ontario. 4. Examine the Canadian Health Care System.
Credits: 3
Course description: Update nursing management skills for acute and chronically ill adults. Focus on nursing assessment, diagnosis and intervention implementation and evaluation, using evidence-based practice.
Credits: 3
Course description: This course is designed to integrate the student's knowledge of development theories throughout the human life span. Emphasis on maternal/child and pediatric populations. Health promotion strategies and trends related to the variety of clients will be explored with emphasis on the integration of systems which affect these clients. It will also enhance the student's knowledge of mental health issues and current treatment trends.
Credits: 3
Course description: This service learning course will provide an opportunity for the Bridging for Internationally Educated Nurses (BIEN) and Refresher Nursing students to experience and interact with various health care professionals and clients within a Canadian community context. Through interactions with various clients/communities and service professionals the BIEN/Refresher student will have the opportunity to experience community health care, while linking these lived experiences to the Social Determinants of Health, within a Canadian context.
Credits: 2
Course description: Administration of Medication for Nurses: Based on current practice standards from CNO, nurses will discuss accountability, professional responsibilities and competency requirements for administering medication.
Credits: 3
Course description: Nursing students will be able to conduct a comprehensive health assessment on a healthy adult, according to the parameters of their nursing designation i.e. RN or RPN. Conduct a health history, interview an adult client using appropriate communication strategies including cultural aspects and demonstrate: evidence based critical thinking to focus assessment and interpret data, physical assessment techniques Neuro, Resp, cardio, abdominal, MSK systems, knowledge of EENT, Breast & Axilla, and pain assessment.
Credits: 3

Learning Outcomes

  • Prioritize and organize nursing and health care
  • Participate effectively as a team member to support clients' achievement of their expected health outcomes
  • Complete assessment in a holistic, comprehensive, and analytical manner
  • Integrate theory, principles and concepts into competent nursing practice
  • Apply principles of teaching-learning to promote clients' health and wellness
  • Practice in a professional manner within a legislative and ethical framework
  • Communicate effectively with clients, health care team members, and others
  • Implement and evaluate nursing interventions competently
  • Use a variety of technological tools to support clients' achievement of their expected health outcomes
  • Develop and sustain therapeutic relationships with clients

Essential Employability Skills

All graduates with the following Ontario College credentials, Ontario College Certificate, Ontario College Diploma and Ontario College Advanced Diploma, must be able to reliably demonstrate Essential Employability Skills in the following 6 key areas:

  • Critical Thinking and Problem Solving
  • Information Management
  • Communication
  • Interpersonal
  • Personal
  • Numeracy

Career Opportunities

Industries of Employment:

  • Hospitals, Physicians' Offices, Retirement Homes, Community Agencies, Nursing Homes and Long Term Care Homes
  • Business and Industry

Occupational Categories:

  • Registered Practical Nurse