A certified nursing assistant (CNA) completes a state-approved training program (typically 75+ hours) and passes a competency exam to earn certification. Requirements vary by state but always include supervised clinical practice.
All programs cover basic nursing skills, patient care fundamentals, and infection control. The U.S. Bureau of Labor Statistics notes most programs require 4-16 weeks of full-time study. Clinical rotations average 30 hours in real healthcare settings.
Programs teach important signs measurement, mobility assistance, and communication techniques. My first clinical rotation involved assisting with morning care routines at a local nursing home - a hands-on introduction to patient interaction.
| State | Minimum Hours | Exam Provider |
|---|---|---|
| California | 100 | Pearson Vue |
| Texas | 75 | D&S Diversified Technologies |
| New York | 100 | Prometric |
Most states require CPR certification as a prerequisite. Some accept high school diplomas while others require GEDs. ISO standards often influence program accreditation processes.
Another myth is that online-only programs satisfy all requirements. Most states mandate in-person clinical hours. The National Council of State Boards of Nursing reports 95% of programs include hands-on components.
After completing training, candidates must pass written and skills exams. Many states require background checks and immunizations before certification. Renewal periods typically range from 1-2 years.
Some employers offer tuition reimbursement for CNA training. Medicare-funded programs often provide free training to address workforce shortages in long-term care facilities.