How to Become a CNA

A complete step-by-step guide to becoming a Certified Nursing Assistant. From training programs to certification, start your healthcare career in as little as 4-12 weeks.

Timeline: 4-12 weeks
Total Cost: $200-$2,000
6
Steps to Complete
4-12
Weeks to Certify
1.4M
CNAs in the US
$36K
Median Salary
1

Meet Basic Requirements

Immediate

Before enrolling in a CNA training program, ensure you meet these prerequisites.

Requirements:

  • Be at least 16-18 years old (varies by state)
  • Have a high school diploma or GED (some states waive this)
  • Pass a criminal background check
  • Be able to pass a drug screening
  • Have proof of immunizations (TB test, Hepatitis B)
  • Be physically able to perform patient care duties
Pro Tip: Start gathering your documents early. Getting immunizations and TB tests can take a few weeks.
2

Complete a State-Approved CNA Training Program

4-12 weeks

Enroll in a training program that meets your state requirements.

Community College

6-12 weeks

Comprehensive programs with flexible schedules. Often the most affordable option.

Vocational School

4-8 weeks

Accelerated programs focused on getting you certified quickly.

Healthcare Facility

2-6 weeks

Free training programs offered by nursing homes and hospitals in exchange for work commitment.

Training Hour Requirements:

Federal Minimum
75 hours minimum
Most States
100-175 hours
Clinical Hours
16+ hours supervised
Pro Tip: Many nursing homes and hospitals offer free CNA training in exchange for a commitment to work there after certification. This can save you $500-$2,000 in training costs.
3

Complete Clinical Training Hours

Included in program

Gain hands-on experience providing patient care under supervision.

Skills You Will Learn:

Taking vital signs (blood pressure, pulse, temperature)
Bathing and grooming patients
Assisting with mobility and transfers
Feeding patients and monitoring intake
Measuring and recording output
Basic infection control procedures
Communication and documentation
Emergency response procedures
Pro Tip: Clinical hours are your opportunity to practice skills before the exam. Ask questions and get comfortable with each skill.
4

Pass the Competency Exam

2-4 hours

The nurse aide competency exam has two parts that you must pass.

Written or Oral Test

Questions
60-100 multiple choice questions
Time Limit
90 minutes
Topics Covered
Patient care, safety, infection control, communication, legal/ethical issues

Skills Evaluation

Tasks
3-5 randomly selected skills
Time Limit
25-40 minutes
Format
Demonstrate skills on a volunteer or mannequin while evaluator observes

Commonly Tested Skills:

Hand hygiene
Taking blood pressure
Positioning patient in bed
Range of motion exercises
Making an occupied bed
Measuring urinary output
Pro Tip: Practice the skills test format, not just the skills themselves. You must complete each skill in the correct order while narrating your actions.
5

Apply for State Certification

1-4 weeks

After passing your exam, apply to be added to your state nurse aide registry.

Requirements:

  • Completed application form
  • Proof of passing competency exam
  • Background check results
  • Application fee ($10-$100 depending on state)
Pro Tip: Some states automatically add you to the registry when you pass. Others require a separate application. Check your state requirements.
6

Start Your CNA Career

Ongoing

Begin working and consider your long-term career goals.

Where CNAs Work:

Nursing homes and long-term care facilities
Hospitals
Home health agencies
Assisted living facilities
Rehabilitation centers
Hospice care

Career Development:

  • Gain experience in different care settings
  • Pursue specialized certifications (geriatric, phlebotomy, EKG)
  • Consider advancing to LPN/LVN or RN
  • Maintain your certification with required work hours
Pro Tip: CNA experience is valuable for nursing school applications. Many RNs started as CNAs.

Requirements Vary by State

Each state sets its own CNA training requirements, exam procedures, and registry rules. Training hours range from 75 to 180 depending on your state.

Get Paid While Training

Many healthcare facilities offer free CNA training programs. In exchange for a commitment to work at the facility after certification (usually 6-12 months), they cover all training costs and may even pay you during the program.

$0
Training Cost
2-6
Weeks to Certify
Job
Guaranteed After

Search for "CNA training" at nursing homes, hospitals, and long-term care facilities in your area. Many post these opportunities on job boards like Indeed.