Aspiring CNAs often have a lot of questions about what the job entails, or the educational requirements. Knowing this, we’ve put together some answers for commonly asked questions to help put your mind at ease.

First however, let’s answer perhaps the most critical question you’re probably interested in.

What is the CNA certification process in North Carolina?

The CNA certification process in North Carolina involves several steps. Here’s an overview of the process:

1. Complete a state-approved Nurse Aide I training program:
   • Programs must be at least 75 hours long
   • Training includes both classroom instruction and clinical practice
   • Programs are offered at community colleges, high schools, nursing homes, and other healthcare facilities
2. Pass the North Carolina Nurse Aide I Competency Evaluation:
   • Consists of two parts: a written (or oral) exam and a skills evaluation
   • The written exam has 70 multiple-choice questions
   • The skills evaluation tests five randomly selected nursing skills
3. Background check:
   • All applicants must undergo a criminal background check
4. Register with the North Carolina Nurse Aide I Registry:
   • After passing the exam, you’ll be listed on the registry
   • This listing is required to work as a CNA in North Carolina
5. Maintain certification:
   • Work at least 8 hours in a paid position as a nurse aide every 24 months
   • If you don’t meet this requirement, you’ll need to retake the competency evaluation

Additional notes:

• The initial certification is valid for 24 months
• North Carolina also offers a Nurse Aide II certification, which requires additional training and allows for an expanded scope of practice
• Some candidates may be eligible for reciprocity if they’re certified in another state

It’s important to check with the North Carolina Department of Health and Human Services for the most up-to-date information, as requirements can change.

Additional FAQs About CNAs

With that out of the way, let’s look at some more frequently asked questions.

What is the shortest time to become a CNA?

The shortest time to become a CNA is typically 4-12 weeks, depending on the program and state requirements. Some accelerated programs offer certification in as little as 3-4 weeks, while others may take up to 16 weeks. Keep in mind that faster isn’t always better – ensure the program meets state requirements and provides adequate training.

What’s the difference between a CNA and a medical assistant?

While both roles support healthcare teams, there are key differences:

• CNAs focus primarily on direct patient care, including assisting with daily living activities, monitoring vital signs, and reporting changes to nurses.
• Medical assistants have a broader scope, including both clinical and administrative duties. They may perform basic medical procedures, administer medications, and handle office tasks like scheduling appointments and managing medical records.

What does a nursing assistant do in a hospital?

In a hospital setting, a CNA’s duties may include:

• Assisting patients with personal hygiene and daily living activities
• Taking and recording vital signs
• Helping patients move or change positions
• Serving and collecting meals
• Changing bed linens and ensuring patient comfort
• Observing and reporting changes in patient condition
• Assisting with medical procedures under nurse supervision

What is the youngest age to be a CNA?

The minimum age to become a CNA varies by state, but it’s typically 16-18 years old. Some states allow 16-year-olds to work as CNAs with certain restrictions, while others require applicants to be at least 18. Check your state’s specific requirements for accurate information.

What is the highest paying CNA job?

The highest-paying CNA jobs are often found in specialized settings or locations with high demand. Some top-paying options include:

• Travel CNAs
• CNAs in government facilities
• Specialized units (e.g., ICU, Emergency Department)
• Home health agencies
• Private duty nursing

Salaries can vary widely based on location, experience, and employer.

Can a CNA remove an IV?

Generally, CNAs are not authorized to remove IVs. This task typically falls under the scope of practice for licensed nurses (LPNs/LVNs or RNs). However, specific duties can vary by state and facility policies. Always follow your employer’s guidelines and state regulations.

What’s the difference between CNA 1 and CNA 2?

The distinction between CNA 1 and CNA 2 varies by state, but generally:

• CNA 1 is the basic certification level, covering fundamental patient care skills.
• CNA 2 (or Advanced CNA) involves additional training and allows for a slightly expanded scope of practice, which may include tasks like catheterization, wound care, or administering certain medications.

Not all states recognize or offer CNA 2 certification, so check your local regulations.

Is it better to be a CNA or LVN?

The choice between becoming a CNA or Licensed Vocational Nurse (LVN) depends on your career goals, time commitment, and desired level of responsibility:

• CNAs require less training (weeks vs. 12-18 months for LVNs) and can enter the workforce quickly.
• LVNs have a broader scope of practice, more responsibility, and typically higher pay.
• CNA experience can be valuable if you plan to become an LVN or RN later.

Consider your long-term career goals when making this decision.

Do CNAs do more than nurses?

CNAs do not do more than nurses in terms of scope of practice or responsibility. Nurses (LPNs/LVNs and RNs) have a much broader scope of practice, including:

• Administering medications
• Performing complex medical procedures
• Developing and managing care plans
• Educating patients and families
• Supervising CNAs and other support staff

CNAs provide essential, hands-on patient care, but nurses have more extensive training, greater responsibility, and a wider range of duties.