I took a 10 week refresher course last fall. I was out for four years when I took the course. It cost $1300. Personally, I was disappointed. We did our clinicals on a rehab floor. I took the course because I wanted to do home health nursing, and I did not have much bedside experience. I worked in psych nursing. The extent of my bedside experience was working geri psych, and we really shipped them out when there were medical issues. We were strictly a psych facility. However, in my clinical refresher, I did not learn any new skills.
As far as online courses, you are responsible for finding your own clinicals. I believe the only place that would let you do a clinical rotation would be if you were willing to commit a certain amouont of time working for them. I had a hard time when seeking a place for clinicals. I did not want to make any committments. The woman that had the courses said that it was usuually nursing homes that would agree to the clinicals, if you were willing to work there for an agreed amount of time.
On the upside of my refresher course, it did help on my resume. However, in my situation I have decided that I do not want that type of nursing after all. Actually, it is just that my body won't permit it. I have been on disability going on five years now. I tried a nursing home and thought only three days a week would be okay. Even just three days wiped me out. After all of that I am looking to work in drs. office. I do not have enough of experience to work home health. And, find that I get more tired getting in and out of the car, so that rules out home health.
It really depends on your situation about the refresher course. How long have you been out of nursing? Perhaps all you need is the online course without the clinicals. All the nurses in my class, said that it felt like they never left, when it came to skills.