A certified nursing assistant trains to have the ability to assist individuals in a variety of ways. This assistance is required for those who are incapable of caring for themselves because of physical or mental conditions. A nurse assistant can assist an individual with daily maintenance in a long term care facility, nursing home, hospital or even in the home of the individual. It is recommended that you build a work history that reflects the ability to perform patient care in a variety of settings. Different settings will require the use of certain skills more often even though the duties might be the same. In addition, this working in a variety of settings will give you an idea of which environment they are most comfortable and productive in. As a certified nursing assistant becomes more familiar with the medical field, working in different settings will help him/her gain more experience in a variety of settings. This can be used a reference for deciding which areas he/she may want to specialize in later during the medical career.

Being a CNA is a job that will provide the fundamentals for nursing care. Many registered nurses begin their careers this way. In fact, many registered nurses cite their previous experience in the field as very valuable to their ability to be a good nurse. Working as a nursing aid provides a basic foundation for patient care, and this is very important for caring for people in any facility and under any specialty. Those medical professionals that begin their careers as such are more likely to have a better understanding of what is required to care for an individual basis. The foundation that is provided by working as a nursing assistant is priceless.

After obtaining the certification to work in the field, individuals should focus on increasing their skill sets. Acquiring additional certifications and obtaining more schooling will be very beneficial regardless of the path you decide to take. The development of new skills will allow you to obtain more responsibility and more pay. Many agencies also recommend that their clients continue their education; some places of employment are even willing to pay for continuing education. Many practicing CNA professionals continue working as they go to school to become practical (LPN) or registered nurses (RN’s). The foundation provided by working in the field proves to be very valuable when pursuing higher levels of education for a more advanced nursing career.

There are a variety of ways in which a certified nursing assistant can expand his/her skill set. One method is to obtain additional certifications. In conjunction with the certification as a nursing assistant, there are a number of other certifications that allow a CNA to work in a variety of settings and perform more advanced functions.

A certified nursing assistant can obtain certification to work in long term care facilities working with the elderly as a geriatric nursing assistant (GNA). A certified nursing assistant can also obtain certification to work in a home health agency as a home health aide (HHA). Most home health aides either travel to the home of a patient or live in the patient’s home and provide extensive daily care. There are also medicine aide certifications. To become a certified medicine aide in most states you must be employed as a certified nursing assistant for at least a year and have completed a state approved medicine aide course. These additional certifications provide the CNA with the ability to increase his or her skill set and perform more complicated technical skills and to obtain more responsibility.

There are a number of ways in which certified nursing assistants can expand their skills. Many will take the initiative to complete the additional certifications on their own. These certifications can be obtained by contacting the State Board of Nursing. The State of Board of Nursing can provide the certified nursing assistant with the information needed to complete and prerequisites such as taking additional training courses prior to testing for the certifications.

In some cases, a CNA’s employer may be willing to pay for additional certifications. There are times when employers, such as a long term care facility or a home health agency, may be willing to pay for additional certifications. This is done when the employer has the need for qualified applicants with more advanced skill sets. The employer will pay for the certified nursing assistant to complete the additional training and will provide a pay raise for gaining the additional certification. In circumstances such as these the employer will ask the certified nursing assistant to agree to remain employed at their facility for a specified amount of time. This option to gain additional skills should be taken advantage of if offered by an employer.

Expanding one’s skill set as a certified nursing assistant is very advantageous. The CNA with a number of certifications is highly sought after by many organizations. The more skills certified nursing assistants acquire the more responsibility and the more pay they are likely to earn.

CNA training can be completed in as little as two weeks through a hospital or nursing home, slightly longer through the Red Cross CNA training, or through a community college training program in just a few months. Once training and licensing is completed, a Certified Nursing Assistant can  see an average starting salary between $11/hour and $14/hour.

Exactly how much a Certified Nursing Assistant earns will vary somewhat, depending on geographic location, workplace, experience, and other factors. A CNA working in a hospital in New York, for instance, will earn approximately 8% more than a similar position in  Arizona. Generally speaking, salaries follow COA’s or “Cost Of Living” indexes. The more expensive area’s such as the Northeastern US generally pay higher wages than the mid-West.

The type of position will have a bearing on earnings as well. Hospitals are usually the highest salary, followed by nursing homes, then patient homes. Even within a hospital, pay will vary by department: a nurse assistant working in ICU – the Intensive Care Unit – will often receive a slightly higher wage than a nurse assistant in a lower-stress department.

A working CNA can also expect their pay scale to go up with experience. As a profession, nursing – and Certified Nursing Assistants in particular – have a fairly high ‘burn-out’ rate. As the job often carries with it a great deal of physical and emotional stress and exhaustion, some people find they don’t want to stay in the field. One result is that the numbers of CNA’s with experience diminishes. Another result is that there are plenty of jobs in the field available.

In addition to base pay, most nurse assistant and medical assistant positions offer benefits, such as health coverage and retirement savings plans. While some nursing positions are filled through agencies, and those typically do not have the same types of benefits, most medical facilities and institutions such as hospitals, nursing homes, medical clinics, and such do offer excellent benefits packages to their employees.

The medical and health care fields are virtually recession-proof. Even in the toughest economic times, a properly licensed Certified Nursing Assistant rarely has difficulty finding a good-paying job. There were estimated to be over 500,000 individuals employed as nursing assistants, medical assistants, etc. in 2008.  As a profession, nursing assistants are ranked well above average in the field for job growth, job sustainability, and potential. It is expected to remain one of the market’s fastest-growing jobs for years to come.

According to the U.S. Bureau of Labor Statistics Office of Occupational Statistics and Employment Projection, the projected growth rate for nurses aides and nursing assistants is expected to grow by a combined 28 percent. This is even faster than the medical health care field in general, far outpacing the expected 14 percent growth of LPNs (Licensed Practical Nurse) between the years 2006 and 2016.

By becoming a Certified Nursing Assistant, you take the first steps towards a rewarding and fulfilling career, unlike any other. As a medical professional, you will earn respect, personal satisfaction, job security, and financial safety.

CNA’s, nurse assistants, nursing aids, etc., are all charged with one primary responsibility: patient monitoring and care. Working under a licensed nurse, you are the general caregivers and assist patients in helping them with daily living activities such as bathing, eating, dressing, walking, and other procedures such as taking vital signs, intake admissions and release, other activities as well as specialized and routine care and other activities during a 24/7 shift rotation. They also give patients emotional and social support along with telling the nurse in charge about each of their assigned patients and other vital important information on a patient’s condition.

A certified nursing assistant working in a continuing care or nursing home facility must take care of the elderly or geriatric patients, as well as the disabled. Nursing home patients are there for a long time and the certified nursing assistants are their primary care giver. As a team member, you get to know your patients and develop an ongoing relationship with them in a positive and caring attitude.

The duties of a CNA in a hospital may be very different. In a hospital setting, it may involve everything from taking vital signs and recording them, to helping feed, clothe, and bathe patients, moving them between departments, and providing general monitoring and recording of their condition.

Certified nursing assistants must have to have a good bedside manner, communicate well with people and patients, act accordingly in an emergency, keen observation skills, stay calm in difficult or stressful situations and able to work with people, patients and co-workers.

A CNA must be observant and report any changes on a patient’s condition, be able to move patients and turn patients, report and to respond according to an emergency, be able have communication skills, patient and compassionate to people and to their patients.

As a certified nursing assistant you generally work a 40-hour a week, working holidays and weekends. A certified nursing assistant requires no previous experience as you are trained on the job, need a high school diploma or GED, and pass a state nursing assistant exam to become certified. A nursing assistant must complete a minimum of 75 hours state-approved training and pass a competency test and some states require a nursing assistant to be licensed.

Certified nursing assistant is not an easy field and you must be able to work with people and to give care to patients. Because nursing is such a demanding field there is a high turnaround but with experience and confidence, you find that taking care of patients in need is a very rewarding job.

The duties of a certified nursing assistant carry great responsibility, but offer great rewards as well. In terms of careers, it is one of the most rewarding things a person can do. You are a professional, in great demand, receiving good pay for your skills and services, and at the end of the day, you know you are engaged in a profession that helps others and truly makes a difference in people’s lives.

Board members include one in all fifty states, Washington, D.C., and all U.S. territories. Founded in 1978, organizers recognized the need to regulate nurses apart from organizations representing professional nurses.

One of the responsibilities of the NCSBN is to inform and enforce a set of nursing standards, and keeping the Nursing Assistive Personnel Registry up-to-date. Licensees in this database include Certified Nursing Assistant I (CNA), Certified Nursing Assistant II (CNA-II), and Medication Assistant-Certified (MA-C). The NCSBN operates as a national watchdog, coordinating issues of discipline, education, and certification. Information, such as disciplinary action taken against a nurse by a state board is shared with the NCSBN, which compiles this information, providing background resources for discipline issues and actions taken.

Once a complaint is filed against a Certified Nursing Assistant, he or she may become subject to investigation, which may lead to an informal conference and when necessary a formal hearing. Actions addressing the issue of complaint might include simply the re-educating the nurse or restricting their practice – each one carrying certain probationary conditions. When necessary, a nurse can have their license revoked. All disciplinary actions become public record. Additionally, any nurse holding a criminal conviction substantially related to the functions of their work is obligated to report this to the board. The board will then determine if the offender’s license warrants revocation. In most cases, applicants convicted of a criminal offense are not eligible for certification. The NCSBN requires that all 60 Member Boards update their listings of licensees in the registry on a biennial basis.

In addition to the NCSBN’s database of nurse licensees, Federal regulations are also in place to help combat fraud and abuse both in the health insurance industry and the health care delivery system. In 1996, the Health Insurance Portability and Accountability Act, which led to the creation of the HIPDB (Healthcare Integrity and Protection Data Bank) – a Federal tracking system providing information, such as employment history, affiliation, certification, or licensure decisions was put into law. The NCSBN now uses the Nursys® database, which keeps track of all nurse disciplinary actions.

According to the NCSBN’s 8.4 Standards for Assistive Personnel, Certified Nursing Assistants I are bound by law to conform to the following standards:

• Performs nursing tasks and functions within the range of functions authorized in the Nurse Practice Act and rules governing nursing.
• Demonstrates honesty and integrity in performing nursing tasks/functions/activities
• Bases nursing tasks/functions/activities on education, training and the direction of the supervising nurse.
• Accepts accountability for one’s behavior and actions while assisting the nurse and providing services to patients.
• Performs delegated aspects patient’s nursing care.
• Assists in observing patients and identifying patient needs.
• Communicates progress toward completing delegated nursing tasks/functions/abilities, as well as any problems or changes in a patient’s status.
• Seeks clarification if unsure of expectations.
• Uses educational and training opportunities as available.
• Takes preventive measures to protect client, others and self.
• Respects client’s rights, concerns, decisions and dignity.
• Functions as a member of the health care team, contributing to the implementation of an integrated health care plan.
• Respects client property and the property of others.
• Protects confidential information unless obligated by law to disclose the information.

Furthermore, employers that deliberately or irresponsibly ignore board protocol and standards, such as expanding the range of functions of a Certified Nursing Assistant are subject to disciplinary action. As with disciplinary actions against individual nurses, institution violations are recorded into the various public health databases, such as the HIPDB.

Certified nursing assistants are essentially the people who make sure that nursing home residents are properly cared for in the basic but most essential of ways. A CNA is responsible for giving residents baths and ensuring that residents are clean and dry to prevent irritation to the skin and more serious conditions related to improper cleanliness such as infection and bedsores. Other likely CNA duties:  brushing teeth, brushing and maintaining hair and completing many other daily hygienic chores that you would do for yourself for people who are unable to do so for themselves.

In addition, some of residents in nursing homes require feeding by certified nursing assistants specifically if they have suffered an illness such as a stroke that caused the loss of fine motor skills needed to feed oneself. Thus, a certified nursing assistant is paramount in maintaining a high standard of living each and everyday for nursing home residents.

In addition to providing basic care, CNAs also provide nursing home residents with help in maintaining flexibility and mobility. Certified nursing assistants are trained use provide range of motion exercises on nursing home residents. Range of motion exercises are used to keep joints and limbs flexible. These exercises involve moving a specific body part such as an arm, wrist or ankle around in different directions in a normal fashion. Many people who are bedridden or afflicted with arthritis depend on these exercises to keep their joints from becoming inflamed or stiff which can make a person immobile. Certified nursing assistants take the time each day to complete these exercises with their patients to ensure healthy limbs and joints.

Finally, CNA jobs always have a component personal interaction, and the duties of a Certified Nursing Assistant in nursing homes are no exception. Certified nursing assistants often have the role of companion as part of their job description. Many residents in nursing homes are very lonely. Some of them don’t receive many visitors and this can lead to loneliness and depression. CNAs not only provide physical care but emotional care and companionship that many residents would not receive if it were not for the daily interaction they have with their assigned CNA. Thus, it is very important that CNAs have a high level of compassion and understanding of the residents and their varied needs in a nursing home environment.