Nursing Assistant

Nursing Assistant




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Nursing Assistant

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RegisteredNursing.org Staff Writers | Updated/Verified: Oct 11, 2022
Certified Nursing Assistants (CNAs) are healthcare professionals who provide intimate, hands-on healthcare to patients in medical settings under the supervision of a Registered Nurse ( RN ), or Licensed Practical Nurse ( LPN ). CNAs assist patients with bathing, dressing and any other basic activities involved in daily life.
Dissimilar from other professionals in the nursing field, certified nursing assistants (CNAs) are not required to hold a college degree. However, training is required, resulting in a postsecondary non-degree certificate or diploma. CNA credentials are issued by state , so prospective nursing assistants just need to enroll in a state-sanctioned training program and then pass a state certification exam.
When becoming a CNA, individuals are required to have obtained a high school diploma or GED, plus nursing assistant training. You can find these programs at community colleges, trade schools, and medical facilities. Before enrolling, prospective CNAs should be sure the program they're looking into is approved by their state’s nursing board and by the National League for Nursing Accredited Commission ( NLNAC ).
Upon successful completion of CNA training, individuals will subsequently be required to pass a CNA certification examination. This exam consists of two parts – a written part and a practical part. The written exam will be taken in a group setting and typically consists of a number of multiple choice-style questions. Test takers have 90 minutes to answer. The second portion, the clinical skills exam, is administered one at a time with a single test proctor/observer. Individuals will be tested on four randomly selected clinical skills to demonstrate their competency. They will have 30 minutes to complete this section of the exam.
Each state may have different requirements for becoming a CNA. Click to find out about each state's specific requirements.
The Commission on Collegiate Nursing Education ( CCNE ) evaluates and monitors nursing education programs at all levels. Although the federal government does not involve itself at the accreditation level per se, the U.S. Department of Education does provide oversight of the accreditation process, and it also maintains a database of accredited schools; read more about CNA training .
There are a wide variety of environments in which CNAs can find themselves working. However, data from the U.S. Bureau of Labor Statistics shows that a significant portion of nursing assistants are working in places like hospitals, nursing care facilities and/or assisted living facilities for geriatric patients. Other settings they can be employed in include private doctors’ offices, urgent care centers, and community clinics. Additionally, CNAs can also work as home health aides or in hospice, helping care for patients in the comfort of their own homes.
Certified nursing assistants work under the supervision of licensed nursing professionals. They care for patients who are infirm, ill, injured, disabled, and otherwise unable to care for themselves. In many settings, CNAs are the health professionals whom patients encounter most often. A CNA performs a variety of basic duties that are important for the patient's comfort and recovery. These tasks vary depending on the employment setting.
The roles and duties of CNAs can include the following:
Rules and standards for renewing expired CNA certifications will vary from state to state. In California, for example, if your certification is more than two years expired, or it is more than two years since you have worked as a Certified Nurse Assistant, you are required to have 24 hours of continuing education as well as sit for a Competency Evaluation. Check with your state’s governing board for the requirements on renewals.
Many nursing students find value in working as a Certified Nurse Assistant (CNA) during nursing school to add to their basic care and time-management skills. Most employers will allow nursing students to bypass the requirement of being certified, but check the job announcements for these allowances. Many states will allow those with nursing education and background to sit for the examination without taking an official CNA course. Check with your local state certifying board for details.
Enrollment in an accredited BSN program and completion of foundational nursing skills coursework may qualify the student for certification as a CNA. Depending on the state-specific Board of Nursing regulations, BSN students may apply for CNA certification and listing on the state Nurse Aide Registry. Some states require that students sit for a CNA registry exam regardless of enrollment in an accredited nursing program, while other states accept completion of nursing courses as verification of skills testing.
As the baby boomer population ages, there will be an increased demand for preventive medical care. The growth rate over the next decade for a certified nursing assistant shows an estimate of 9% according to the United States Bureau of Labor Statistics (BLS) , and 2018 showed a surge of over one million jobs in this field.
According to the BLS, the median average annual salary for certified nursing assistants in 2018 was $28,530. It is important to note that this does vary depending on the setting. See our insights into a CNA salary .
For increased salary and employment growth options consider a CNA to RN program .
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To protect and promote the welfare of the public by ensuring that each person holding a nursing license or certificate is competent to practice safely.
Note: As of July 1, 2016, Arizona offers two types of nursing assistant credentials in Arizona:
The “NEW” CNA: Although there were CNAs before July 1, 2016, the current CNA, also known as “Registry CNA”, is a new type of credential, effective July 1, 2016. Registry CNAs have fewer requirements for certification and less oversight by the Board. Registry CNA applicants need only meet the minimum federal requirements for CNA certification, and will be issued a certificate after completing an approved CNA program and passing the CNA tests. Registry CNAs are required to practice 8 hours every two years to renew their license/certificate. A criminal background check is NOT required, and certification is free.
The LNA: In contrast, the current LNA has requirements that are almost identical to the “old” CNA. The LNA must complete a criminal background check, has a higher level of oversight by the Board prior to and after issuance of the LNA license. LNAs are required to practice a minimum of 160 hours within the past two years to renew their license.
IMPORTANT - “Undeclared CNAs”: During the transition period from the “old CNA” to the new, “Registry CNA” and LNA, some nursing assistants who hold an “old” CNA certificate, issued prior to July 1, 2016, have not “declared” whether they wish to convert to either an LNA or Registry CNA (individuals cannot hold both credential simultaneously). These “old” CNA certificates are called “Undeclared CNAs”, or “UCNAs”. Upon renewal, holders of the UCNAs will be required to declare If they want to convert to a Registry CNA or LNA. In the meantime, they are treated as LNA-equivalents, because the requirements that were in place for the UCNA certificates at the time they were issued, were equivalent to the current LNA requirements.
**While there are still UCNA credentials that have not been converted to (new) CNA or LNA; the designator “UCNA” will be used in the Board’s license verification system.
+++ IMPORTANT: SEARCH BY NAME, NOT NUMBER, FOR NURSING ASSISTANTS +++
Due to recent changes in state law, nursing assistant certification and licensing numbers have changed. For accurate results, search for nursing assistants by name rather than credential number. This way, all credential types held with the Board will be visible. If you wish to search by license/certificate number and the number you are using does not display results, you may need to try searching the different credential types and conduct your search using UCNA, CNA, and LNA preceding the numerical digits.
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Statement of locations where all notices of the meetings of the Arizona State Board of Nursing will be posted.
Pursuant to A.R.S. §38-431.02(A)(1)(a), the Arizona State Board of Nursing will post all notices of the meetings of the Arizona State Board of Nursing Meetings and any of its committees and subcommittees on the Board's website at www.azbn.gov . Notices will indicate the date, time, and place of the meeting and will include an agenda or information concerning the manner in which the public may obtain an agenda for the meeting.

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