Bridging for Internationally Educated Nurses (BIEN)

 Are you an internationally educated nurse?  
 Do you want to practice nursing in Ontario?

If you are a dedicated, skilled nurse registered outside of Canada, the Bridging for Internationally Educated Nurses program has been approved by the College of Nurses of Ontario to bridge to Ontario nursing registration.  The program will provide you with the theory and clinical experience necessary to meet the College of Nurses of Ontario (CNO) evidence of practice requirements. 
The College acknowledges your skills and education as a nurse and as such the program is designed to integrate your skills with the Ontario standards and upgrade your practice requirements noted by the College of Nurses of Ontario.

Contact the College of Nurses of Ontario (CNO) at and request “Registering as a Nurse in Ontario” document and an application form.  The CNO will process your application and provide you with an assessment letter indicating required specific theory and clinical elements.

All applicants for whom English is a second language must provide results of language proficiency to the College which includes demonstrating that they can communicate and comprehend effectively, both orally and in writing.


Forward a cover letter along with:

  • Letter of Assessment from CNO
  • Resume outlining your nursing practice
  • Results of Canadian Language Benchmark (CLB)
  • Proof of Citizenship or Immigration status


Forward documents to:

    BIEN Program Consultant, Fanshawe College
    Attention: Anabela Ferreira
    1001 Fanshawe College Blvd
    London, ON N5Y 4S4

*Note:  Applicants must successfully complete their program of study within 2 years of admission.


Students must successfully complete the required theory courses prior to clinical and preceptorship placements.  An essential component of many College program is experiential learning through clinical or field practice relevant to the program. In order to ensure high standards and quality educational offerings which will permit students maximum opportunities to achieve learning objectives, Fanshawe College reserves the right to place students in an agency or combination of agencies it determines to be appropriate. While every effort is made to maximize the use of local gencies, there is sometimes a need to place students outside of the area for some programs or portions of programs.  Accordingly, an offer of admission is subject to the condition that the student must be prepared for the possibility of having to relocate, at the students own expense, for all or a portion of this experience.  Applicants are advised that clinical/field placement agencies require a Police Record Check and/or Vulnerable Sector Screen including a check of the Pardoned Sexual Offenders Database.  Certain criminal convictions for which pardons have not been received may or may not permit placement in these agencies.  In the latter cases, program completion will not be possible.

Note: For clinical placements student must provide evidence of good health, which will include a medical review, immunization and T.B. test, First Aid and CPR for health care providers, Police Record Check and Vulnerable Sector Screen and a mask fit test.


Nursing Pre-Readiness 1 & 2

Designed to help internationally educated nurses assess their nursing knowledge as it applies to Canadian health care practices. Students will have a better understanding of professional responsibility and accountability, the nurse-client relationship and the 7 Standards of Practice.  Both CNO standards and Quality Assurance Development will be explored. A focus on safe and effective medication administration and infection prevention & control while utilizing knowledge, technical skills and professional judgment will also be covered.

English as a Second Language – Every Day & Professional Situations

The depth of this course includes learning all major areas of the English language; speaking, comprehension, reading, writing, grammar, pronunciation, vocabulary and cultural awareness.

Communication in Nursing

Designed to strengthen English communication skills. Learners will demonstrate both theoretical and practical application exercises, reflective of communication activities nurses face in the context of the Canadian medical setting.

Nursing in Ontario

This course examines professional nursing from a broader perspective.  It provides an introduction to the theoretical and ethical foundation of nursing and examines current issues challenging the health care system, policy development, trends and the reform to the delivery of health care in Canada. Legal and ethical concepts are addressed as well as the role and influence of the registered nurse and registered practical nurse with regard to health care policy, political process, leadership and creating change in order to foster client and societal health.

Healing & Episodic Health Challenges

This course focuses on experiences with health and healing during episodic health challenges with individuals and families. Learners will discuss basic concepts of healing and illness and the impact of medical and surgical
interventions. Collaboration, critical thinking, problem solving, health teaching and health promotion will e emphasized as students learn about caring modalities.

Health and Transitions

This course has a focus on normal developmental transitions across the lifespan including concepts of chronicity, loss, grief, end of life care and holistic care. Meanings of health, family and community will be examined. The healthy childbearing family is examined. The experience of the individual with mental health challenges and illness will be addressed.

Laboratory Practice 1 & 2

This lab course provides the opportunity to learn assessment techniques and clinical skills in a simulated setting in preparation for clinical practice. Skills taught are correlated to nursing theory. Students will learn the principles and knowledge underlying nursing techniques in order to develop safe and effective practice styles when planning and carrying out care. Collaboration, critical thinking, problem solving and relevant health teaching will be emphasized.


An emphasis is placed on the study of medication, medication administration and drug actions in the human body.  The course will focus on nursing assessment, interventions, age-related considerations and patient education for each drug classification. Student will develop critical thinking skills in relation to drug therapy and in certain health conditions.

Nursing Informatics

This course provides an introduction to the Windows-based operating system, word processing, email and internet applications. Standards related to data security, privacy and confidentially are introduced. Students are also introduced to the concepts of electronic health information systems, Telehealth, nursing informatics and research.


Clinical placements give you hands-on practice and experience in different work environments. You will be placed on one or more supervised and preceptored affiliated clinical sites. Sites include acute and long term care facilities. Placement is individualized based on clinical availability. All courses in your program must be completed prior to attending clinical placements.


Preceptorship is an opportunity to work on areas of required growth and consolidation with the guidance of a clinical mentor/supervisor.  Apply knowledge, competencies and nursing skills acquired through academic studies in a supportive learning environment.  Learners will work with a preceptor in a selected area of practice, learning professional responsibility and developing their own individual style of practice.  Sites include acute and long term care facilities.  Placement is individualized and based on availability.