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How to Become a Certified Nursing Assistant in the United States

How to Become a Certified Nursing Assistant in the United States


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A certified nursing assistant is a person certified to assist individuals with healthcare needs under the supervision of a registered nurse or licensed practical nurse. The terminology and requirements, including testing procedures, varies from country to country. In the United States, you may encounter names such as Nursing Assistant Certified (NAC), State Tested Nurse Aid (STNA) or Nursing Assistant-Registered (NA/R).

In the United States, you become a certified nursing assistant by successfully completing a state-approved training program. The federal nurse aide training regulations are mandated in the Omnibus Budget Reconciliation Act of 1987 (OBRA 1987). A training program for prospective certified nursing assistance cannot be state approved if it does not consist of at least 50 hours of theory and 100 hours of supervised clinical training.

After successful completion of the training program, you will be entered in the State registry of nursing aides. To keep your certification you must complete 48 hours of continuing education every 24 months.

When you are enrolled in a state-approved training program for prospective certified nursing assistants, you will learn basic skills needed to properly care for patients in care facilities and in home settings.

Can I work in any state once I have my certificate?

If you want a state to accept your approval from another state, you need to put in a formal request. The process is called "requesting reciprocity".

Remember that you can loose your approval in a certain state if you do not work as a certified nursing assistant for 24 months. If you wish to keep your approval in two or more states, you must therefore find a way of working the required amount of hours in these states. A common minimum requirement is 48 hours of work every 24 month. A pay stub or verification letter from your employer can be used as proof of work.

Since state laws for certified nursing assistants vary, your new state might ask you to attend additional classes before recognizing your certificate.

You start the process of requesting reciprocity by obtaining an "Application for Enrollment by Reciprocity" from the Nurse Aide Registry in the state where you are currently a certified nursing assistant. Since state procedures vary, you need to ask the Registry if you should send the completed application form to them or to the other state.

The next step is to contact the other state and ask them about their requirements and procedures. Will you need to take additional classes? Which type of documentation do they require? Do they want you to fill out any forms? Some states want you to send the paperwork to your current state, while others want you to fax it to them. At least one state will ask you to get a job first and let your employer handle the request for reciprocity.





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