National Clearinghouse on the Direct Care Workforce logo
About the ClearinghouseLibraryBest PracticesState ActivitiesNews & ResourcesDirect Caregiver Information CenterVoices from the Frontline
Overview

Job Duties and Training Requirements

Looking for Work

Wages and Benefits
En Espanol

Overview

JOB DUTIES AND TRAINING REQUIREMENTS: Nursing Assistants


Nursing assistants usually work in nursing homes. They are usually known as certified nursing assistants or certified nurse aides (CNAs), but a few states use other terms. For example they are called licensed nurse aides (LNAs) in New Hampshire and state-tested nurse aides (STNAs) in Ohio. Under the direction of a licensed nurse, nursing asistants provide the majority of hands-on care, helping residents perform activities of daily living (ADLs) such as eating, dressing, bathing and toileting; repositioning those who can't move on their own; and performing clinical tasks such as range of motion exercises and blood pressure readings. In some states, nursing assistants can receive additional certification that allows them to administer medications.

Training and Registry Requirements

The federal government requires that nursing assistants who work in nursing homes receive a minimum of 75 hours of training, pass a standardized exam in their state, and be listed on a state registry. The 75 hours of training covers topics such as: communication and interpersonal skills, basic infection control procedures, promoting patient rights, and basic nursing skills. Sixteen of the 75 training hours is devoted to hands-on practice of clinical tasks under the instruction of a registered nurse.

About half of the states have additional training requirements. To check the training requirements in a particular state, click here.

To find pre-certification training classes, check with your local Red Cross. If your community has a community college or vocational-technical school, they may also offer classes, and some nursing homes do their own training.

Nursing assistants who pay for their training and certification are entitled to have those costs reimbursed by their employers if they are hired by a nursing home within 12 months of becoming certified.

Moving to Another State

Certified nursing assistants who want to work in another state need to request reciprocity, which means asking the new state to recognize the old state's license. In some cases, you may be required to take additional classes or to retake the certification test. Click here to find detailed information about where to call for this information.

Click here to find your state laws and regulations for becoming a nursing assistant.

For information from the U.S. Department of Labor about nursing assistant career paths, click here.

Click here for a list of the state agencies in charge of nurse aide training and testing.

partners & sponsors

PHI Logo