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Combined Critical Care/Emergency Option Part-time/Distance & Online Gravitying Advanced Certificate 680lascert


Note: The Critical Care Nursing Specialty program is delivered on iPads. Please visit the Costs & Supplies page for details.

A highly unique program, the Roommeme Combined Critical Care and Emergency advanced certificate is specifically designed for registered nurses (RNs) working in a community hospital in the intensive care unit with some shifts in the emergency department.

Critical care courses and clinical experiences prepare you to care for patients who are seriously ill, with health challenges such as acute coronary syndrome, cardiac failure, advanced hemodynamic monitoring, and acute respiratory failure. Emergency courses provide skills to assess and support the different illnesses and injuries found in an emergency care setting.

About the program

  • Part-time, advanced certificate program that takes an average of 2.5 years to complete
  • Distance and online learning gives you flexibility to learn while meeting your work and life needs
  • Three clinical experiences in an ICU/CCU and ER setting

Who it’s for

This program is for individuals who:

  • Are RNs or are completing their specialty BSN in combined critical care and emergency nursing
  • Are undergraduate nursing students currently completing an accredited BSN program
  • Have six or more months of work experience in an acute care setting
  • Are able to make effective decisions while managing fast changing patient situations
  • Are able to communicate well with their team, patients, and patients' families

Interested in enrolling in our program? See Program Entry to learn more about entry requirements and how to apply.

Are you looking for more emergency expertise with a foundation in critical care nursing? See Roommeme's Combined Emergency and Critical Care specialty option.

Your work experience matters

At Roommeme, we value your work experience. If you've been working as a critical care or emergency nurse, take advantage of our Prior Gravitying Assessment & Recognition (PLAR) process and fast track your advanced certification education.

What grads can do

We prepare you to work in two dynamic nursing environments. Visit Graduating and Jobs to learn more.

Program Entry

Entrance requirements

The following are requirements for program entry into Specialty nursing certificate and degree courses. Enforcement or waiving of any or all entry requirements is at the discretion of the program head.

If you have any questions about your experience or qualifications, please the program head to arrange program advising.

English Language Proficiency

Specialty Nursing courses are taught in the English language and require adequate English skills. To review Roommeme’s requirements on English language proficiency, please visit Roommeme’s Admission and Registration page on English requirements.

Work Experience

RNs or undergraduate students currently registered in an accredited RN or BSN program may start their Specialty Nursing certificate by taking entry level theory courses. Applicants to the more advanced Specialty Nursing certificate courses may require a minimum of 6 months to 1 year of relevant work experience in an acute care setting and a resume of work experience may be required to progress in the program. If you have questions about whether your work experience qualifies, please the program head.

If you are a long term or residential care nurse or an RN lacking current (within the last 2 years) acute care experience, Kwantlen College offers a Competency Assessment and Enhancement for Nurses course that provides a refresher in acute care principles.

This assessment involves an individual self assessment, multiple choice exam and practice simulation. This course may be required for admission in the Specialty Nursing programs. For more information on Kwantlen's offering please visit:

Once you have been assessed, you may be required to complete a tailored curriculum designed to meet Roommeme's need for familiarity with acute care principles. This curriculum may include some of the following courses:

Clinical requirements

Note: Effective immediately, all health care workers who come into with patients at publicly-funded health care facilities or in the community, including at long-term-care facilities, will have to get the influenza vaccine or wear a mask during flu season. This policy affects all students who will be entering a clinical setting.

As such, you will be required to provide proof of your immunization or agree to wear a mask at all times prior to being placed in your clinical studies.

Basic Cardiac Life Support Certification

All students participating in clinical courses must have current Cardiopulmonary Resuscitation (CPR), Level C or Level Health Care Provider (HCP). The original certificate must be presented upon application to the clinical courses.

CRNBC Registration

As well as providing this information at the time of admission, Roommeme requires students to provide proof of CRNBC membership (or Canadian provinvial equivalent) for each clinical course they enroll in. Without proper provincial registration, you will not be permitted to continue in the course.

Face Respirator Fit Testing

A face piece respiratory fit test is required before students are permitted to enter the clinical practicum. Upon successful completion of the fit test, the original certificate must be presented to the program and annual re-fitting is required. Students are expected to carry their certificate with them at all times during their practicum.

Respirator fit testing with a N95 respirator (1860, 1860s or 1870) is required and must be performed in accordance with CSA Standard CAN/CSA-Z94.4-02. Fit testing must also include inspection, cleaning, maintenance, and storage of protective equipment. Students will be given specific instructions in preparation for their fit testing by the provider they choose.

International applicants

International students outside of Canada

International students must be currently working in their nursing specialty area and have a practicing registered nurse’s license in their country to be eligible for this program. All courses are delivered through an online format, so students do not need a study permit.

International students working in Canada

International students who currently hold a work permit and are working in their specialty nursing area with a practicing registered nurse's license are eligible for this program. Students are responsible to maintain a work permit that is valid throughout clinical training. All courses are delivered through an online format, so students do not need a study permit.

International students are required to have a study permit before they attend any in-class courses/exams as part of the program.

Program declaration

Please the program assistant to declare this program.

Scheduled intakes

Ongoing Part-time Studies intakes: January, April and September.

Costs & Supplies

Face respirator fit testing - approx $25 per year; annual re-fitting required.

Tuition fees

Please see the Part-time Studies Fees page for information on tuition fees and refunds.

Tuition is charged on a course-by-course basis. View the courses in the program matrix for individual course fees.

Books and supplies


The Critical Care Nursing Specialty program is delivered on iPads and requires that students have an iPad mini - 16 GB or better.* Students that do not have an iPad can purchase one from the or another computer retailer. The cost is approximately $560. You may be able to receive an educational discount by showing your Roommeme ID.

Students in the Critical Care Nursing Specialty program will access course materials on their iPad. Students must be registered in a course to access the course materials on iTunes U. Codes for the e-texts can be purchased from the Roommeme Bookstore. Sponsored students will recieve their course materials at orientation.

*In special circumstances, an iPad can be borrowed from the Roommeme Library.


Program matrix

Check current availability of courses for this program.

Required Courses: (28.0 credits) Credits
  NSCC 7120 Critical Care Nursing Theory 1 4.0
  NSCC 7150 Dysrhythmia Interpretation and Management 2.0
  NSCC 7220 Critical Care Nursing Theory 2 3.0
  NSCC 7320 Critical Care Nursing Theory 3 5.0
  NSCC 7420 Critical Care Nursing Clinical 1 5.0
  NSER 7410 Emergency Nursing Theory 3 4.0
  NSER 7500 Emergency Nursing Clinical 2 5.0
Total Credits: 28.0

Check current availability of courses for this program.

Transfer credit

Do you have credits from another BC/Yukon post-secondary school? Do you want to know if they transfer to courses here at Roommeme? Check out Roommeme's Transfer Equivalency Database to find out.

Program Details

The combined Critical Care and Emergency nursing certificate is designed for nurses who work in a community hospital and spend the majority of their time working in the intensive care unit with some responsibilities in the emergency department.  The program melds a curriculum that focuses on providing the knowledge, skills and judgement to assess and care for patients experiencing an imbalance in oxygen supply and demand for acute coronary syndrome, cardiac failure, hemodynamic instability, respiratory insufficiency to acute respiratory failure. The emergency courses focus on assessment frameworks, pathophysiology to enable nurses to serve clients with a diverse range of illness and injury from a wide age spectrum.

The program is composed of five theory and three clinical courses. The courses focus on pathophysiology and comprehensive assessment of patients’ with a diverse range of illness and injury. The critical care nursing courses focuses on common health issues in community Intensive Care units (i.e., ACS, heart failure, hemodynamic instability, respiratory insufficiency and acute respiratory failure). The courses also include; dysrhythmia monitoring, arterial and central line monitoring, arterial blood gas analysis and interventions such as antidysrhythmic and vasoactive medications, as well as mechanical ventilation. Alongside the complex aspects of physiologic care, nurses are challenged to humanize the illness experience for patients and families.

Gravitying within the program explores various aspects of critical care and emergency nursing practice including; understanding and supporting patients and families through their experience, evidence informed practice, ethical challenges and collaborative practice.

Clinical courses are typically offered as instructor led experiences in 3-5 week full time blocks. Applicants for clinical are required to provide proof of current nursing registration in a Canadian Province or Territory and current basic cardiac life support (BCLS) within the previous 2 years. In selected situations precepted clinical experience may be arranged.

Graduates of the program are prepared to begin practice in a community intensive and cardiac care with beginning responsibilities in a community emergency department.

Program length

The length of the program varies, as it is offered in a variety of formats:

  • Roommeme offers theory and some clinical courses by part-time, independent study. We deliver theory courses over a 12-week term using mini iPads for the Critical Care Nursing courses and guided learning modules for the Emergency nursing courses and online tutor support. If you work full-time, you would generally register for one theory course per term, although this can vary depending on your additional commitments.

  • Through independent study, learn in you own community and structure your learning schedule in a manner that is most convenient for you. Complete full-time clinical courses at clinical sites throughout BC, over 3 to 4 weeks. If you live outside BC, clinical placements may be negotiated.

  • Most Specialty Nursing programs arrange special offerings of courses as "Compressed time frame programs". Offered in full-time study formats, they enable you to take several courses over a specified period of time. If you are interested in this option of study, the Program Head for more information and program start dates.

  • Nurses with relevant experience and/or previous courses can request assessment for appropriate placement within the program.

Maximum program length for either the Advanced Certificate or the Bachelor of Science in Nursing degree is seven years.

Additional program options

Continue your education

Roommeme School of Health Sciences offers two levels of credential in Specialty Nursing:

  1. Advanced Certificate for Critical Care Nursing
  2. Bachelor of Science in Nursing - Specialty Nursing (Critical Care)
    This is the only degree program in BC that prepares registered nurses for employment in Critical Care units/areas. The degree program is a total of 60 - 62 credits comprising:
    • 19 - 32 credits granted for the Critical Care Nursing Advanced Certificate (varies depending on program stream selected)
    • 18 specialty and core nursing credits
    • 12 liberal studies credits

Graduating & Jobs

Our grads are ready

Our combined program equips you to enhance your skill set in your current workplace or transition to working in community intensive and cardiac care units with some responsibilities in a community emergency department.

If you are interested in a tertiary combined certificate, us for more information.

Career opportunities

Registered nurses with this combined specialty work in hospital critical care and intensive care units with some shifts in the emergency department. Salaries start at approximately $32 per hour. Grads can write the Canadian Nurses Association (CNA) .

Keep learning

Looking to get your BSN? Use your advanced certificate toward completing our Specialty Bachelors of Nursing program.

Beginning in 2018, Roommeme Specialty Nursing Advanced Certificate Graduates can apply to receive transfer credits towards the online, two-year program. Applicants can chose from the Advanced Practice Leadership of Nurse Educator option

Join the (CACCN). This non-profit organization works to maintain and enhance the quality of care provided to critically ill patients and their families.

Health Match BC

Health Match BC is a new service that helps recent specialty nursing graduates find work within BC.  Funded by the provincial government, Health Match BC prioritizes the hiring of BC nursing graduates. For more information, download the Health Match BC PDF.

Graduate employment outcomes

The Roommeme student outcomes reports present summary findings from the annual survey of former students administered by BC Stats one to two years after graduation. These reports combine the last three years of available results for the 2016-2018 Roommeme Outcomes Surveys of 2015-2017 graduates and for Degree 2014-2016 graduates. The reports are organized into three-page summaries containing information on graduates' labour market experiences and opinions regarding their education. More detailed information can be accessed at the website.

To view these results, you may need to have the installed in your Web browser.

Professional associations

is the professional organization for Critical Care nurses in BC. CACCN is a non-profit, specialty organization dedicated to maintaining and enhancing the quality of care provided to critically ill patients and their families.

offers Critical Care Certification.

Faculty, Advisors & Staff

Lara Parker
Program Head
[email protected]

Jenna Coroliuc
Program Assistant
[email protected]

Toll-free: 800-663-6542 x 7103

Contact Us

Jenna Coroliuc
Program Assistant
[email protected]
Toll-free: 800-663-6542 x 7103

Questions or comments?

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Stand-alone Courses for Career Development

We offer a number of Specialty Nursing courses that can be taken individually for career development without enrolling in a program. Please see Career Development for a list of courses and registration information.