Acute Complex Care for Internationally Educated Nurses

Program: ACCA
Credential: Ontario College Graduate Certificate
Delivery: Full-time
Work Integrated Learning: 2 Clinical Placements
Length: 2 Semesters
Duration: 1 Year
Effective: Fall 2021
Location: Orangeville (Fall)


This program is designed to assist Internationally Educated Nurses (IENs) in developing themselves further as a nurse practicing in acute complex care and prepare them with the clinical skills to work in an acute complex care setting in Ontario. Emphasis is placed on the application and evaluation of advanced theories and practice in acute primary care, and guidance of others as part of the health care team. Students gain advanced theoretical and experiential knowledge in pharmacology, health assessment and emergency nursing through classroom instruction, simulation labs and practicum placements.

In order to provide quality practicum placements, students will be placed in a variety of agencies in the region serviced by the campus. Students are required to provide their own transportation.

Career Opportunities

Graduates may find employment opportunities in acute primary care settings within general hospitals, special hospitals, nursing homes, homes for the aged, clinics or community health services.

Program Learning Outcomes

The graduate has reliably demonstrated the ability to:

  1. contribute to an interprofessional team based approach in decision making and problem solving to promote optimal client care; 
  2. integrate patient information, theoretical, and clinical evidence based knowledge to prioritize and provide comprehensive care;
  3. assess acute complex conditions to anticipate changes and adapt interventions to promote optimal client care; 
  4. integrate strategies in self-evaluation that improve competencies and outcomes in the practice of specialty nursing and evidence based practice; 
  5. analyze research, emerging health information and technologies to support client care; 
  6. employ environmentally sustainable practices within the industry;
  7. implement culturally sensitive nursing care that honours human dignity, respects diversity and embraces different ways of being in a Canadian context.

External Recognition

Registration with the College of Nurses of Ontario is a legal requirement to practice nursing in Ontario and is subject to the regulations and restrictions of this governing body. Completion of this program does not guarantee College of Nurses of Ontario registration. Students who have completed nursing education outside of Canada and wish to practice in Ontario should visit the College of Nurses of Ontario website for information.

Program Progression

The following reflects the planned progression for full-time offerings of the program.

Fall Intake (Orangeville)

  • Sem 1: Fall 2021
  • Sem 2: Winter 2022

Admission Requirements

  • post-secondary degree in nursing from an accredited nursing education program;
  • current registration with the nursing regulatory body in their home province/state and or county; (i.e. letter, membership card, etc.); and
  • applicants must submit a current letter from an employer’s human resource department verifying employment as a nurse.

Criminal Reference/Vulnerable Sector Check

Placement agencies require an up-to-date clear criminal reference check and vulnerable sector check prior to going out on placement. Students should obtain their criminal reference three months prior to placement; checks conducted earlier may not be considered current. As some jurisdictions require longer lead-time for processing, please check with the program coordinator to ensure you allow for sufficient turn-around time. It is the student's responsibility to provide the completed document prior to placement start.

NOTE: Individuals who have been charged or convicted criminally and not pardoned will be prohibited from proceeding to a clinical or work placement.

Additional Information

Students must have up-to-date immunization records in compliance with the Public Hospitals Act. Students must also have a valid mask fit test and Level HCP CPR and Standard First Aid. Students are to use the Clinical Preparedness Permit to document completion of these clinical requirements.

Completion and submission of this permit is required in order to ensure placement in clinical and field placement facilities.

Students will be placed in a variety of agencies in the region serviced by the campus. Students are required to provide their own transportation to the placement site.

This program will prepare the IENs to work within scope of practice for Registered Nurses according to the Standards of Practice of the College of Nurses of Ontario in an acute primary care setting that may include hospitals and urgent care settings.

Graduation Requirements

8 Program Courses
1 Communications Course
2 Clinical Practice

Graduation Eligibility

To graduate from this program, a student must attain a minimum of 60% or a letter grade of P (Pass) or S (Satisfactory) in each course in each semester. The passing weighted average for promotion through each semester and to graduate is 60%.

Program Tracking

The following reflects the planned course sequence for full-time offerings of the Fall intake of the program. Where more  than one intake is offered  contact the program co-ordinator for the program tracking.

Plan of Study Grid
Semester 1Hours
Program Courses  
RNRS 1067 Advanced Health Assessment 56
RNRS 1068 Acute Complex Nursing Care in Canada 56
RNRS 1069 Advanced Pharmacology 42
RNRS 1071 Advanced Development of Self 42
Communications Course  
COMG 1000 Communications for the Healthcare Professional 42
Clinical Practice  
RNRS 1070 Acute Complex Care Skills Lab 96
Semester 2
Program Courses  
RNRS 1026 Emergency Nursing 1 70
RNRS 1027 Emergency Nursing 2 56
RNRS 1028 Emergency Nursing 3 42
RNRS 1072 Nursing Examination Preparation 28
Clinical Practice  
RNRS 1074 Advanced Clinical Practice 96
 Total Hours626

Graduation Window 

Students unable to adhere to the program duration of one year (as stated above) may take a maximum of two years to complete their credential. After this time, students must be re-admitted into the program, and follow the curriculum in place at the time of re-admission.

Disclaimer: The information in this document is correct at the time of publication. Academic content of programs and courses is revised on an ongoing basis to ensure relevance to changing educational objectives and employment market needs. 

Program outlines may be subject to change in response to emerging situations, in order to facilitate student achievement of the learning outcomes required for graduation. Components such as courses, progression, coop work terms, placements, internships and other requirements may be delivered differently than published.

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