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A certified nursing assistant (CNA) plays an important role in the delivery of basic care at a variety of health care settings. Working on the frontlines of patient care,nursing assistants provide crucial support to nurses and other caregivers.

Nursing Assistant Education Requirements

Prerequisites for a nursing assistant program include a high school diploma or GED. You can fulfill nursing assistant education requirements at vocational schools, technical schools, nursing care facilities, and community colleges. Programs generally lead to a certificate or diploma as a certified nursing assistant.

Certified nursing assistant program requirements include:

  • Classroom Instruction: Formal education for nursing aides and assistants offers a broad foundation of knowledge to help you function effectively as a caregiver. Courses include anatomy, nutrition, body mechanics, physiology, and infection control.
  • Applied CNA Program Training: Formal training may include personal care skills; clinical procedures such as checking vital signs and updating patient records; and facility procedures such as maintaining proper medical hygiene.
  • On-the-Job Training: Most CNAs transition from formal education to clinical practice by training on the job with a licensed nurse or experienced aide.

The final step to becoming a certified nursing assistant is state certification. To become certified as a nursing assistant, you must complete a minimum of 75 hours of state-approved training and pass a test. Each state mandates its own certification requirements, so check with your state board for exact training and testing standards.

Nursing Assistant Training

The exact nature of your nursing assistant training depends on your career goals. For example, nursing aides at a long-term care facility develop skills in assisting patients with the activities of daily living, such as bathing, eating, and grooming. Psychiatric nursing aides learn specific procedures for dealing with mentally ill patients, such as monitoring patients for behavioral changes, organizing activities, and handling emergencies.

Most nursing assistants undergo training at a vocational school or community college that provides them with the general skills necessary to assist in a variety of health care settings. Then, during an informal apprenticeship, new nursing assistants are given the opportunity to learn the ropes of a particular facility or care specialty. These programs may last a few days or a few months, depending on the institution.

Though certification requirements vary by state, all nursing assistants must pass state certification. This usually includes a combination of formal training and the successful completion of a certification exam.

Nursing Assistant Programs

Certified nursing assistant schools provide students with basic clinical care skills that qualify them to serve the needs of elderly, ill, and disabled patients struggling to overcome life challenges. The following schools and organizations offer formal certificate or diploma training programs for nursing assistants:

  • The American Red Cross: This humanitarian organization offers classes that teach the skills necessary for passing most certification exams. Classes are taught by nursing professionals and use hands-on techniques.
  • Pensacola State College: This state college in Florida offers a vocational certificate for nursing assistants that prepares students for the technical and interpersonal aspects of the job.
  • City College of San Francisco: This community college offers an 18-week full-time program that qualifies students to sit for the Nurse Assistant Competency Examination to obtain state certification in California.
  • Midwestern Career College: This allied health college in Illinois offers a state-approved CNA program that prepares students for the basic skills necessary to be effective members of a health care team.
  • Madison Area Technical College: This Wisconsin-based technical college offers nursing assistant training programs at several of its campuses across the state, and portions of the program can also be completed online. It prepares students to to pass certification testing for nursing assistants.

Nursing Assistant Resources

Sources:

  1. The Bureau of Labor Statistics, Occupational Outlook Handbook, Certified Nursing Assistants, http://www.bls.gov/OOH/healthcare/nursing-assistants.htm
  2. The American Red Cross, http://www.redcross.org/take-a-class/cna-training
  3. City College of San Francisco, https://www.ccsf.edu/en/educational-programs/career-and-technical-education/student-resources/ProgramFAQs/home_health_aide-nurse_assistant_cna.html
  4. Madison Area Technical College, http://madisoncollege.edu/program-info/nursing-assistant
  5. Midwestern Career College, http://mccollege.edu/healthcare-certificate-programs/basic-nursing-assistant-program-cna/
  6. Pensacola State College, http://www.pensacolastate.edu/program_page.asp?DeptID=6745&ProgID=804

Metro Areas Sorted by Total Employment for:
Certified Nursing Assistants

Listed below are metro areas sorted by the total number of people employed in Certified Nursing Assistants jobs , as of 2015

Source: 2015 Occupational Employment Statistics and 2014-24 Employment Projections, Bureau of Labor Statistics, BLS.gov.

     
Metro Area (Alabama) Total Employment Annual Median Salary
Birmingham 5750 $21,850
Hoover 5750 $21,850
Huntsville 1900 $22,950
Mobile 1590 $21,120
Montgomery 1580 $21,670
Tuscaloosa 1320 $22,190
Dothan 950 $19,410
Fairhope 730 $22,040
Foley 730 $22,040
Daphne 730 $22,040
Gadsden 630 $21,330
Opelika 590 $19,670
Auburn 590 $19,670
Anniston 580 $22,640
Oxford 580 $22,640
Jacksonville 580 $22,640
Decatur 420 $21,220
Florence N/A $26,610
Muscle Shoals N/A $26,610
     
Metro Area (Alaska) Total Employment Annual Median Salary
Anchorage 860 $36,570
Fairbanks 190 $36,310
     
Metro Area (Arizona) Total Employment Annual Median Salary
Scottsdale 8730 $28,940
Mesa 8730 $28,940
Phoenix 8730 $28,940
Tucson 2370 $27,350
Yuma 510 $25,140
Prescott 470 $28,180
Lake Havasu City 270 $25,800
Kingman 270 $25,800
Flagstaff 260 $29,310
Douglas 100 $23,970
Sierra Vista 100 $23,970
     
Metro Area (Arkansas) Total Employment Annual Median Salary
Conway 4410 $23,240
North Little Rock 4410 $23,240
Little Rock 4410 $23,240
Jonesboro 840 $21,880
Pine Bluff 710 $20,100
Hot Springs 660 $22,180
     
Metro Area (California) Total Employment Annual Median Salary
Anaheim 37120 $28,620
Long Beach 37120 $28,620
Los Angeles 37120 $28,620
Oakland 12880 $34,560
Hayward 12880 $34,560
San Francisco 12880 $34,560
San Bernardino 8750 $27,750
Ontario 8750 $27,750
Riverside 8750 $27,750
Carlsbad 8640 $28,980
San Diego 8640 $28,980
San Jose 4260 $30,240
Sunnyvale 4260 $30,240
Santa Clara 4260 $30,240
Arcade 4110 $37,720
Sacramento 4110 $37,720
Roseville 4110 $37,720
Arden 4110 $37,720
Fresno 2900 $26,020
Stockton 1970 $30,120
Lodi 1970 $30,120
Modesto 1860 $27,580
Ventura 1590 $27,240
Thousand Oaks 1590 $27,240
Oxnard 1590 $27,240
Bakersfield 1510 $24,830
Visalia 1380 $24,120
Porterville 1380 $24,120
San Luis Obispo 1110 $26,730
Arroyo Grande 1110 $26,730
Paso Robles 1110 $26,730
Santa Barbara 1040 $33,810
Santa Maria 1040 $33,810
Santa Rosa 1020 $28,700
Chico 920 $26,890
Salinas 750 $31,280
Fairfield 740 $30,420
Vallejo 740 $30,420
Redding 550 $27,040
Yuba City 500 $24,350
Merced 480 $24,810
Napa 370 $35,300
Madera 320 $25,710
Hanford 240 $23,330
Corcoran 240 $23,330
El Centro 140 $27,650
Santa Cruz N/A $27,670
Watsonville N/A $27,670
     
Metro Area (Colorado) Total Employment Annual Median Salary
Aurora 9610 $30,480
Lakewood 9610 $30,480
Denver 9610 $30,480
Colorado Springs 2350 $25,570
Fort Collins 1300 $29,000
Pueblo 980 $32,170
Grand Junction 750 $25,680
Boulder 710 $27,820
Greeley 700 $25,940
     
Metro Area (Connecticut) Total Employment Annual Median Salary
Hartford 7530 $29,680
East Hartford 7530 $29,680
West Hartford 7530 $29,680
Bridgeport 5060 $32,710
Norwalk 5060 $32,710
Stamford 5060 $32,710
New Haven 4050 $32,930
Waterbury 1260 $30,260
Danbury 950 $30,510
     
Metro Area (Delaware) Total Employment Annual Median Salary
Dover 910 $27,960
     
Metro Area (Florida) Total Employment Annual Median Salary
West Palm Beach 23490 $23,230
Fort Lauderdale 23490 $23,230
Miami 23490 $23,230
Tampa 15410 $24,070
St. Petersburg 15410 $24,070
Clearwater 15410 $24,070
Kissimmee 7520 $24,010
Orlando 7520 $24,010
Sanford 7520 $24,010
Jacksonville 6860 $23,450
North Port 5290 $26,630
Bradenton 5290 $26,630
Sarasota 5290 $26,630
Cape Coral 3030 $26,610
Fort Myers 3030 $26,610
Lakeland 2780 $23,060
Winter Haven 2780 $23,060
Deltona 2660 $23,890
Daytona Beach 2660 $23,890
Ormond Beach 2660 $23,890
Palm Bay 2300 $23,880
Titusville 2300 $23,880
Melbourne 2300 $23,880
Ferry Pass 2200 $23,220
Pensacola 2200 $23,220
Brent 2200 $23,220
Gainesville 1950 $22,410
Port St. Lucie 1800 $23,910
Naples 1460 $25,610
Marco Island 1460 $25,610
Immokalee 1460 $25,610
Ocala 1430 $23,270
Tallahassee 1220 $22,710
Panama City 1110 $23,570
Punta Gorda 1030 $22,450
Vero Beach 810 $23,220
Sebastian 810 $23,220
Homosassa Springs 760 $25,470
Crestview 570 $22,890
Fort Walton Beach 570 $22,890
Destin 570 $22,890
Sebring 520 $21,990
The Villages 330 $22,440
     
Metro Area (Georgia) Total Employment Annual Median Salary
Roswell 16570 $22,980
Sandy Springs 16570 $22,980
Atlanta 16570 $22,980
Savannah 1850 $22,130
Macon 1490 $20,180
Warner Robins 770 $21,060
Gainesville 690 $23,110
Rome 600 $21,100
Albany 530 $19,420
Athens 430 $21,880
Clarke County 430 $21,880
Brunswick 390 $21,620
Dalton 370 $20,430
Valdosta 330 N/A
Hinesville 130 $21,890
     
Metro Area (Hawaii) Total Employment Annual Median Salary
Urban Honolulu 3730 $29,870
Lahaina 520 $32,310
Wailuku 520 $32,310
Kahului 520 $32,310
     
Metro Area (Idaho) Total Employment Annual Median Salary
Boise City 3140 $23,870
Coeur d'Alene 820 $25,810
Idaho Falls 450 $23,020
Pocatello 240 $22,460
     
Metro Area (Illinois) Total Employment Annual Median Salary
Peoria 2480 $23,210
Rockford 1920 $26,990
Springfield 1530 $23,770
Urbana 1060 $23,940
Champaign 1060 $23,940
Kankakee 1010 $24,860
Carbondale 870 $27,340
Marion 870 $27,340
Bloomington 730 $23,570
Decatur 690 $22,870
Danville 340 $31,940
     
Metro Area (Indiana) Total Employment Annual Median Salary
Anderson 7660 $24,600
Carmel 7660 $24,600
Indianapolis 7660 $24,600
Fort Wayne 2730 $22,970
Terre Haute 830 $23,040
Elkhart 760 $23,080
Goshen 760 $23,080
Lafayette 760 $23,850
West Lafayette 760 $23,850
Muncie 640 $22,210
Bloomington 590 $23,120
La Porte 430 $25,170
Michigan City 430 $25,170
Kokomo 370 $23,200
Columbus N/A $22,580
     
Metro Area (Iowa) Total Employment Annual Median Salary
West Des Moines 3360 $27,550
Des Moines 3360 $27,550
Cedar Rapids 1600 $24,420
Cedar Falls 1190 $26,100
Waterloo 1190 $26,100
Iowa City 1160 $27,560
Dubuque 910 $23,880
Ames 470 $28,370
     
Metro Area (Kansas) Total Employment Annual Median Salary
Wichita 4050 $23,310
Topeka 2250 $23,900
Lawrence 620 $23,930
Manhattan 430 $23,450
     
Metro Area (Kentucky) Total Employment Annual Median Salary
Lexington 2900 $26,490
Fayette 2900 $26,490
Bowling Green 870 $22,270
Fort Knox 680 $26,130
Elizabethtown 680 $26,130
Owensboro 570 $22,220
     
Metro Area (Louisiana) Total Employment Annual Median Salary
New Orleans 5090 $22,270
Metairie 5090 $22,270
Baton Rouge 4670 $21,080
Lafayette 2590 $18,760
Bossier City 2510 $20,640
Shreveport 2510 $20,640
Lake Charles 1220 $19,480
Alexandria 1150 $19,550
Monroe 990 $19,780
Thibodaux 670 $19,330
Houma 670 $19,330
Hammond 440 $23,110
     
Metro Area (Maine) Total Employment Annual Median Salary
South Portland 2140 $27,480
Portland 2140 $27,480
Bangor 970 $24,280
Auburn 800 $24,770
Lewiston 800 $24,770
     
Metro Area (Maryland) Total Employment Annual Median Salary
Baltimore 14930 $28,200
Towson 14930 $28,200
Columbia 14930 $28,200
Lexington Park 440 $26,570
California 440 $26,570
     
Metro Area (Massachusetts) Total Employment Annual Median Salary
Barnstable Town 1680 $27,660
New Bedford 1370 $27,920
Leominster 590 $27,190
Gardner 590 $27,190
Pittsfield 560 $28,780
     
Metro Area (Michigan) Total Employment Annual Median Salary
Warren 20370 $28,170
Detroit 20370 $28,170
Dearborn 20370 $28,170
Wyoming 6700 $27,630
Grand Rapids 6700 $27,630
Ann Arbor 3200 $29,700
East Lansing 1790 $29,000
Lansing 1790 $29,000
Flint 1600 $25,370
Battle Creek 1450 $28,470
Saginaw 1280 $27,080
Portage 1270 $27,360
Kalamazoo 1270 $27,360
Bay City 840 $25,840
Muskegon 840 $27,330
Jackson 740 $27,630
Benton Harbor 630 $27,930
Niles 630 $27,930
Monroe 580 $23,760
Midland 140 $27,610
     
Metro Area (Minnesota) Total Employment Annual Median Salary
Rochester 1590 $29,210
St. Cloud 1320 $28,270
North Mankato 650 $27,340
Mankato 650 $27,340
     
Metro Area (Mississippi) Total Employment Annual Median Salary
Jackson 2700 $21,130
Gulfport 1270 N/A
Pascagoula 1270 N/A
Biloxi 1270 N/A
Hattiesburg 810 $19,570
     
Metro Area (Missouri) Total Employment Annual Median Salary
Springfield 3520 $22,430
Jefferson City 1330 $25,620
Columbia 1030 $24,070
Joplin 820 $22,090
     
Metro Area (Montana) Total Employment Annual Median Salary
Billings 1050 $24,490
Missoula 720 $22,860
Great Falls 560 $24,760
     
Metro Area (Nebraska) Total Employment Annual Median Salary
Lincoln 1540 $24,650
Grand Island 740 $23,600
     
Metro Area (Nevada) Total Employment Annual Median Salary
Paradise 3760 $32,430
Henderson 3760 $32,430
Las Vegas 3760 $32,430
Reno 1070 $29,210
Carson City 290 $30,510
     
Metro Area (New Hampshire) Total Employment Annual Median Salary
Manchester 1800 $30,850
     
Metro Area (New Jersey) Total Employment Annual Median Salary
Trenton 2360 $27,270
Atlantic City 2130 $27,810
Hammonton 2130 $27,810
Vineland 860 $24,370
Bridgeton 860 $24,370
Ocean City 810 $27,580
     
Metro Area (New Mexico) Total Employment Annual Median Salary
Albuquerque 3320 $27,850
Santa Fe 500 $25,000
Las Cruces 460 $23,700
Farmington 450 $24,930
     
Metro Area (New York) Total Employment Annual Median Salary
Rochester 5720 $27,110
Troy 5530 $26,950
Albany 5530 $26,950
Schenectady 5530 $26,950
Cheektowaga 5380 $29,160
Buffalo 5380 $29,160
Niagara Falls 5380 $29,160
Syracuse 3060 $26,410
Utica 2330 $25,830
Rome 2330 $25,830
Binghamton 1220 $27,250
Kingston 760 $27,990
Watertown 740 $25,050
Fort Drum 740 $25,050
Glens Falls 730 $28,400
Elmira 590 $30,460
Ithaca 360 $25,630
     
Metro Area (North Carolina) Total Employment Annual Median Salary
Durham 4650 $25,030
Chapel Hill 4650 $25,030
Salem 4510 $23,020
Winston 4510 $23,020
Greensboro 4260 $22,610
High Point 4260 $22,610
Raleigh 4080 $23,340
Asheville 3460 $23,570
Morganton 3070 $24,860
Hickory 3070 $24,860
Lenoir 3070 $24,860
Fayetteville 2170 $21,990
Greenville 1710 $24,400
Wilmington 1630 $21,850
Rocky Mount 1120 $21,320
Burlington 930 $22,350
New Bern 520 $22,330
Goldsboro 390 $22,200
Jacksonville 190 N/A
     
Metro Area (North Dakota) Total Employment Annual Median Salary
Bismarck 1720 $29,140
     
Metro Area (Ohio) Total Employment Annual Median Salary
Elyria 12550 $25,100
Cleveland 12550 $25,100
Columbus 9550 $24,230
Dayton 5550 $25,930
Akron 3780 $24,090
Toledo 3470 $23,720
Canton 2740 $23,520
Massillon 2740 $23,520
Springfield 900 $23,320
Lima 710 $24,940
Mansfield 500 $22,200
     
Metro Area (Oklahoma) Total Employment Annual Median Salary
Oklahoma City 6100 $23,340
Tulsa 3790 $22,720
Lawton 400 $20,830
     
Metro Area (Oregon) Total Employment Annual Median Salary
Eugene 1460 $28,650
Salem 1370 $28,870
Medford 560 $29,500
Redmond 440 $27,490
Bend 440 $27,490
Albany 430 $28,180
Corvallis 270 $28,460
Grants Pass 270 $30,040
     
Metro Area (Pennsylvania) Total Employment Annual Median Salary
Pittsburgh 13630 $28,260
Barre 3870 $26,850
Scranton 3870 $26,850
Hazleton 3870 $26,850
Wilkes 3870 $26,850
Lancaster 3030 $27,420
Harrisburg 2540 $28,570
Carlisle 2540 $28,570
Reading 1790 $26,860
York 1790 $27,670
Hanover 1790 $27,670
Erie 1400 $26,030
Bloomsburg 1290 $27,400
Berwick 1290 $27,400
Altoona 970 $29,740
Lebanon 840 $28,580
Williamsport 800 $26,980
Johnstown 730 $26,090
Chambersburg 520 $31,660
Waynesboro 520 $31,660
Gettysburg 490 $28,890
East Stroudsburg 480 $26,950
State College 460 $27,240
     
Metro Area (Puerto Rico) Total Employment Annual Median Salary
Caguas 360 $19,090
Carolina 360 $19,090
San Juan 360 $19,090
Ponce 40 $18,130
Arecibo N/A $17,640
     
Metro Area (South Carolina) Total Employment Annual Median Salary
Anderson 3450 $23,050
Mauldin 3450 $23,050
Greenville 3450 $23,050
Columbia 3130 $23,120
Charleston 2830 $26,010
North Charleston 2830 $26,010
Florence 1570 $20,980
Spartanburg 1340 $22,110
Bluffton 530 $24,210
Beaufort 530 $24,210
Hilton Head Island 530 $24,210
Sumter 210 $19,160
     
Metro Area (South Dakota) Total Employment Annual Median Salary
Sioux Falls 2070 $23,930
Rapid City 840 $24,700
     
Metro Area (Tennessee) Total Employment Annual Median Salary
Murfreesboro 8340 $22,050
Franklin 8340 $22,050
Davidson 8340 $22,050
Nashville 8340 $22,050
Knoxville 3630 $23,270
Johnson City 1560 $22,430
Jackson 760 $21,270
Morristown 620 $20,960
Cleveland 480 $23,230
     
Metro Area (Texas) Total Employment Annual Median Salary
Arlington 19060 $24,020
Fort Worth 19060 $24,020
Dallas 19060 $24,020
The Woodlands 18150 $24,520
Sugar Land 18150 $24,520
Houston 18150 $24,520
New Braunfels 6740 $23,850
San Antonio 6740 $23,850
Austin 5000 $25,730
Round Rock 5000 $25,730
Edinburg 2590 $19,400
Mission 2590 $19,400
McAllen 2590 $19,400
El Paso 2170 $19,550
Harlingen 1830 $21,000
Brownsville 1830 $21,000
Temple 1770 $23,070
Killeen 1770 $23,070
Corpus Christi 1460 $23,190
Beaumont 1320 $22,260
Port Arthur 1320 $22,260
Lubbock 1260 $23,370
Tyler 1230 $20,280
Longview 1060 $22,520
Waco 1040 $25,020
Amarillo 1040 $26,360
Wichita Falls 940 $23,130
Abilene 870 $21,990
College Station 570 $21,700
Bryan 570 $21,700
San Angelo 560 $21,990
Sherman 560 $22,500
Denison 560 $22,500
Victoria 540 $20,640
Odessa 470 $28,610
Midland 350 $25,990
Laredo N/A $22,720
     
Metro Area (Utah) Total Employment Annual Median Salary
Salt Lake City 4500 $24,970
Clearfield 2330 $22,530
Ogden 2330 $22,530
Provo 1730 $22,740
Orem 1730 $22,740
St. George 810 $22,470
     
Metro Area (Vermont) Total Employment Annual Median Salary
South Burlington 1240 $28,350
Burlington 1240 $28,350
     
Metro Area (Virginia) Total Employment Annual Median Salary
Richmond 6100 $24,860
Roanoke 2410 $23,020
Lynchburg 1670 $21,760
Charlottesville 1320 $25,690
Harrisonburg 740 $25,850
Christiansburg 610 $23,210
Radford 610 $23,210
Blacksburg 610 $23,210
Waynesboro 560 $25,140
Staunton 560 $25,140
     
Metro Area (Washington) Total Employment Annual Median Salary
Tacoma 12260 $30,400
Seattle 12260 $30,400
Bellevue 12260 $30,400
Spokane 2580 $26,250
Spokane Valley 2580 $26,250
Bremerton 1210 $28,020
Silverdale 1210 $28,020
Tumwater 1030 $25,200
Olympia 1030 $25,200
Yakima 960 $24,550
Bellingham 780 $28,460
Kennewick 620 $27,100
Richland 620 $27,100
Walla Walla 510 $23,190
Mount Vernon 450 $27,760
Anacortes 450 $27,760
Wenatchee 450 $28,440
Longview 390 $24,110
     
Metro Area (West Virginia) Total Employment Annual Median Salary
Charleston 860 $23,340
Beckley 500 $22,860
Vienna 350 $20,990
Parkersburg 350 $20,990
Morgantown 110 $24,300
     
Metro Area (Wisconsin) Total Employment Annual Median Salary
Milwaukee 9190 $26,530
Waukesha 9190 $26,530
West Allis 9190 $26,530
Madison 3050 $28,920
Green Bay 1880 $25,810
Appleton 1170 $26,920
Eau Claire 1140 $28,330
Neenah 1110 $25,940
Oshkosh 1110 $25,940
Racine 1010 $26,210
Wausau 1000 $26,430
Janesville 770 $23,660
Beloit 770 $23,660
Sheboygan 600 $27,510
Fond du Lac 590 $27,210
     
Metro Area (Wyoming) Total Employment Annual Median Salary
Cheyenne 560 $26,600
Casper 560 $27,600
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