Coming to Canada as a Nurse – The Process

Permanent Resident Card (2002-2007)
Permanent Resident Card (2002-2007) (Photo credit: Wikipedia)
In our last edition, CIC News explained how Canada has opened its doors to welcome internationally educated nurses. This article will focus on the different ways a nurse can come to Canada to work and live. As the demand for nurses continues to grow, nurses are presented with the opportunity to seek either permanent or temporary residency in Canada.
A registered nurse or licensed practical nurse seeking permanent residency in Canada is invited to discover the benefits of the Quebec Skilled Worker (QSW) immigration program. Nurses with international credentials may also seek temporary residency in Canada if they obtain a valid job offer and subsequent work permit. Once working in Canada on a temporary basis, permanent residency options may later present themselves through alternate immigration programs.
Permanent Residency: The Quebec Option:
The Province of Quebec has implemented an immigration policy that reflects its high demand for nurses. With high salaries, available jobs and a rapidly expanding healthcare system, Quebec seeks to bring the best international nursing professionals to its cities and towns. The QSW program, the province’s most popular program for permanent residency, has been set up in a way that benefits qualified nurses.
The QSW program offers internationally educated nurses an opportunity to seek permanent residency in Canada without the need to secure a job offer. The QSW program is a points-based selection system and points are awarded for various factors which include age, education, area of training, work experience, language ability etc. If an applicant scores enough points to reach the pass-mark, he or she will generally qualify for a Quebec Selection Certificate, which ultimately leads to a Canadian permanent resident visa, in the absence of health and/or security issues.
The QSW selection criteria awards a significant number of points for French language ability. However, under this program many nurses are able to score enough points to reach the pass mark without obtaining any points for French language ability. This is because nurses are able to earn very high points for the “area of training” selection factor as well as high points for their education.
To find out more about the QSW program and its selection factors, please click here.
Temporary Residency: The Work Permit Option:
As the Canadian Nurses Association (CNA) is predicting a continued shortage of nurses in the future, nursing jobs in the country are more plentiful than ever. Internationally educated nurses may apply to work temporarily in Canada. Temporary residency for foreign trained nurses may be achieved if the applicant secures a valid job offer and subsequently, a work permit.
To begin this process, an applicant with a nursing degree from outside Canada must have their educational credentials assessed. Since educational credentials can be assessed from both inside and outside Canada, applicants are given the option to remain in their country of residence during the assessment process.
After educational credentials have been assessed, applicants must register as a nurse in Canada. When this has been completed, an applicant may initiate the process of obtaining a job offer and work permit in Canada. To facilitate the process of finding a job offer, some individual provinces have implemented services helping connect internationally educated nurses to employment opportunities in healthcare communities.
Once working in Canada on temporary basis, an applicant looking for permanent residency may then explore their immigration options through programs such as the Canadian Experience Class or Provincial Nominee programs.
How to register as a nurse in Canada:
Any nurse planning to work in Canada must be deemed as qualified to practice as a Registered Nurse (RN) or Licensed/Registered Practical Nurse (LPN/RPN). To qualify, an applicant must register with either the Canadian Nurses Association (CAN) or the Canadian Council for Practical Nurse Regulators (CCPNR).
In Canada registration requirements are established by individual provinces and territories. To register with the CNA or CCPNR, nurses must first apply to the nursing regulatory body of the province or territory where they wish to work:

In general, in order to be eligible to register as an RN or LPN, an applicant will need to demonstrate competency to practice. To demonstrate this, an applicant will need to have their education credentials assessed. Once education credentials are deemed equivalent to nursing education programs in Canada, the nursing regulatory body will then address whether other application requirements are met. Additional application requirements generally include criteria such as work experience, good character, language proficiency, screening for criminal history and registration in the jurisdiction where the applicant currently practices.
Once a positive assessment of the application requirements has been met, Canadian provinces and territories, with the exception of Quebec, require that nurses write the Canadian Registered Nurse Examination (CRNE) or Canadian Practical Nurse Registration Exam (CPNRE) as part of the registration or licensure process (the province of Quebec maintains its own registration examination). At present, these exams can only be written in Canada. Once an applicant has successfully completed the required examination, the applicant may be eligible to work as a nurse in Canada.
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Medical Laboratory Technologist in Canada.

English: MLS in his work environment.
English: MLS in his work environment. (Photo credit: Wikipedia)
The profession of medical laboratory technologist is a regulated one in the provinces of Alberta, Manitoba, New Brunswick, Newfoundland and Labrador, Nova Scotia, Ontario, Quebec and Saskatchewan. The profession is not regulated in the provinces of British Columbia, Prince Edward Island, Newfoundland and Labrador, and the Territories.
Appropriate provincial and territorial regulatory bodies set the rules and regulations for entry into the profession and issue licenses to those who meet the qualifications.By law, you are not allowed to work as a medical laboratory technologist in any province where it is regulated, if you haven’t been issued a license by the regulatory body there.
The Canadian Society for Medical Laboratory Science(CSMLS) is the national certifying body and professional association for medical laboratory technologists and medical laboratory assistants. The CSMLS conduct examinations for general medical laboratory technology, diagnostic cytology, clinical genetics and medical laboratory assistants. It works in partnership with provincial regulatory bodies, does advocacy work and certifies people in the profession. Its certification is accepted across Canada and required by the provinces and territories that do not have yet an individual regulatory body.
To improve your chances of success to practice your profession in your future country, there are many steps that you can take before immigrating to Canada:
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Many international students still waiting for visas to study in Canada

The Strathcona Music Building, formerly Royal ...
The Strathcona Music Building, formerly Royal Victoria College. (Photo credit: Wikipedia)
The Macdonald-Stewart Library Building houses ...
The Macdonald-Stewart Library Building houses the Schulich Library of Science and Engineering. (Photo credit: Wikipedia)
English: International Students
English: International Students (Photo credit: Wikipedia)

Just days before thousands of students around the world are set to leave home to begin earning a Canadian education, some still don’t know whether they will be allowed into Canada in time to start school.
An ongoing strike by the Professional Association of Foreign Service Officers (PAFSO) has caused a backlog in processing visas of all types, including those required for international students landing at Canadian colleges and universities. The rate of visa approvals has dropped by 15 per cent, and there has been a 5 per cent decline in requests for visas, a PAFSO representative said.
The hold-ups are bad timing for Canadian schools making a co-ordinated push to raise the country’s profile as a destination for top foreign students. A federally commissioned panel has set the goal of doubling Canada’s international enrolments by 2022, but higher education officials fear the headaches over visa delays are doing harm to Canada’s reputation, and that could have lasting consequences. Each international student kept out of Canada represents a dent in a school’s bottom line. Foreign undergraduates bring important revenue to universities, paying an average of $18,641 in tuition and fees annually, and international students spent an estimated $7.7-billion in 2012.
“It is potentially a very serious issue,” said Gail Bowkett, director of international relations for the Association of Universities and Colleges of Canada. “Perception is key, and if a perception starts spreading that Canada’s difficult to get into, then that really could damage our brand.”
After being admitted to McGill University, Sara Awad, 18, put in her visa application in mid-July through an agent in her hometown of Cairo, Egypt. She was stunned to learn it would take six to seven weeks – she was supposed to be on campus by then.
“My friends who are going to the U.S., they got their visa in three days, or even people going to France, they got it in 10 days,” despite the political turmoil that has engulfed Egypt, she said. “It was a bit difficult.”
Ms. Awad worried she might not make it to McGill in time, and considered the American University in Cairo as a backup plan. Luckily, her father had a contact in Cairo’s Canadian embassy whom he pressed for help, securing her a visa just last week. She is relieved, but will still arrive late in Montreal, and “will miss some parts of the orientation week,” she said.
Many higher education officials had predicted the backlog would be much worse. “So far, it’s not as bad as I thought,” said Ysaac Rodriguez, manager of international student services at Saint Mary’s University, where 26 per cent of students come from abroad – the highest proportion of any Canadian university.
Most colleges and universities are hearing from small numbers of students whose visas are yet to be processed, and who are starting to worry. Mr. Rodriguez has had a few such conversations, and wouldn’t be surprised if he winds up 50 students short at the school’s September orientation. At the University of Waterloo, about 15 students have voiced concerns, while about 20 others have told the University of Calgary they are anxiously awaiting visas.
“We think [the number of affected students is] a bit bigger than that 20, but until a little closer to September, when they’re needing to get on the airplane, we’re not entirely sure,” U of C registrar David Johnston said.
The Association of Canadian Community Colleges (ACCC) was one of several groups to huddle with government and foreign-service union officials, making their concern known. “As we get closer and closer, if [a student] hasn’t received word from Canada about a visa and they’ve got an acceptance to another country – an Australia or a Germany or so forth – then they may go for that option,” ACCC spokesman Shawn Dearn said.
However, the ACCC was assured student requests have been prioritized where possible. Students fearing they won’t get their visa in time “may also submit a letter from an educational institution indicating that the institution would accept a late arrival, specifying until when,” Citizen and Immigration Canada spokesperson Julie Lafortune said in an e-mail.
In response, most schools have given international students a grace period – often until the first week of classes finishes in mid-September – through which they will hold spaces and residence rooms. “We are expecting late arrivals,” said Virginia Macchiavello, director of international development at Centennial College in Toronto, which had 5,000 international students last year. “We will provide support services to catch them up.”
For those who can’t make it soon enough, schools are recommending deferrals until next semester, or even next fall, and crossing their fingers the students don’t go elsewhere instead.
“The worst thing that could happen is that they arrive [too late] and then fall behind,” Mr. Johnston said.
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