SPEP: Are you an internationally educated nurse (IEN) looking to become a Registered Nurse (RN) in Ontario, Canada? The Supervised Practice Experience Partnership (SPEP) might be your pathway to registration. This FAQ guide answers your most common questions in a clear, friendly, and detailed way.
âś… What is the SPEP RN Program?
SPEP is a partnership program between the College of Nurses of Ontario (CNO) and Ontario Health, which allows IENs to demonstrate their nursing skills in a supervised clinical setting. It helps nurses meet the Evidence of Practice and Competency requirements for registration as an RN or RPN in Ontario.
🔍 Frequently Asked Questions (FAQs)
1. Who is eligible for the SPEP program?
You’re eligible if:
- You’ve applied to the CNO as an RN or RPN.
- You received a letter from CNO saying you lack recent practice or need to demonstrate competency.
- You’re legally eligible to work in Ontario (i.e., have a work permit, PR, or citizenship).
2. Is SPEP required for every IEN?
No. SPEP is only needed if your application has gaps in recent safe practice or competency that need to be demonstrated.
3. Is there any fee to participate in SPEP?
The program itself is free, but you may incur minor personal expenses for immunizations, background checks, or uniforms depending on your employer.
4. How do I apply for SPEP?
Once deemed eligible by the CNO, you will receive an invitation. You’ll complete a matching form through Ontario Health, which then places you in a clinical setting.
5. Do I have to find a placement myself?
No. Ontario Health coordinates placements for SPEP. You don’t need to search for a hospital or facility yourself.
6. How long does it take to get matched for SPEP?
Matching usually takes 4–12 weeks after your documents are submitted, but it may vary depending on the number of applicants and placement availability.
7. Can I work during the SPEP?
You may work in a supervised support or extern role, but you cannot work independently as an RN or RPN until after registration.
8. Is the SPEP paid?
Some placements are paid, such as those through Clinical Extern Programs, but many are unpaid. You will be informed before placement.
9. How many hours does SPEP require?
The CNO usually requires between 140 and 400 hours, depending on what requirements you need to fulfill.
10. What kind of work will I be doing during SPEP?
You’ll perform supervised RN/RPN duties, depending on your scope of practice. You may administer medications, document care, participate in assessments, and more—all under supervision.
11. Can I complete SPEP part-time?
Yes. Many IENs choose part-time placements to manage personal or work commitments. Discuss this option with your assigned facility.
12. Can I choose my placement location?
You can indicate preferences, but Ontario Health will assign you based on your availability, language proficiency, and site capacity. Relocation may be necessary.
13. Can I do SPEP in a long-term care (LTC) facility?
Yes. Placements may be in hospitals, LTC homes, or community settings.
14. Do I need language test results to start SPEP?
Yes, if the CNO has asked you for language proficiency proof. Acceptable tests include IELTS Academic or CELBAN.
15. What documents are required for SPEP onboarding?
You’ll typically need:
- Government-issued ID
- Immunization records
- Police record check (vulnerable sector)
- Work eligibility documents (if on work/study permit)
- Resume
16. Can I complete SPEP in another province?
No. SPEP is specific to Ontario and only recognized by the CNO.
17. Can I get a job at my SPEP site after completing the program?
Yes! Many nurses are hired at the same facility after finishing SPEP and becoming registered.
18. What happens after I finish my SPEP?
Your supervisor completes an evaluation and sends it to CNO. If successful, CNO will update your file and notify you that you’ve met the requirement.
19. Will I receive a certificate?
No separate certificate is provided. The report from your placement is sent directly to CNO as proof.
20. What if I fail the evaluation?
You may have to repeat the SPEP or take other steps based on CNO’s decision. You’ll be notified with options.
21. Can I volunteer for SPEP hours?
No. The SPEP requires structured supervised practice, and casual volunteering does not meet CNO’s requirement.
22. Is malpractice insurance needed?
If you are not employed as a nurse, coverage may be provided by the organization. Confirm this during orientation.
23. Is SPEP different for RPNs and RNs?
Yes. The scope of practice and number of hours differ slightly. RN roles require broader critical thinking and leadership tasks.
24. Is it possible to fail the SPEP?
Yes, if you do not demonstrate the required competencies, but most IENs pass with adequate preparation and guidance.
25. Can I bring a union representative during the evaluation?
No, evaluations are strictly between you, your preceptor, and the organization’s educator based on performance.
26. Does SPEP count toward Express Entry or PR?
While SPEP itself does not directly add points, completing SPEP → RN license → full-time RN job significantly boosts your OINP or Express Entry profile.
27. Can I update my preferences for location after submission?
Yes, but contact Ontario Health immediately. Changes may delay matching.
28. What happens if I miss my scheduled placement?
Missing placements without valid reasons can disqualify you. Always communicate with Ontario Health if you have issues.
29. Is there any support during SPEP?
Yes. You’ll have a preceptor, an educator, and access to clinical teams for questions and feedback.
30. What if I want to complete my SPEP sooner?
You can request full-time placement and mention willingness to relocate, which may speed up the process.
31. Can I use private agencies for help?
While some agencies may offer coaching or resume services, the actual SPEP placement is only through CNO and Ontario Health.
SPEP-RN: CNO approved organizations 2024 – brandednurses
đź“ť Final Words
The SPEP RN program is a great opportunity for IENs to gain hands-on experience, meet Canadian nursing standards, and move closer to becoming fully registered nurses in Ontario.
Stay prepared, keep your documents ready, and embrace the learning experience.