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How to Become a Nursing Assistant for 2025

Imed Bouchrika, Phd

by Imed Bouchrika, Phd

Co-Founder and Chief Data Scientist

Amidst the ongoing demand for healthcare professionals, the role of a nursing assistant stands out as a cornerstone in providing essential support to patients and healthcare teams. With an aging population and evolving healthcare needs, the need for skilled and empathetic caregivers has never been more pronounced. This guide provides a comprehensive overview of the steps, qualifications, and skills necessary to become a nursing assistant.

What are the benefits of becoming a nursing assistant?

  • Healthcare is a growing field, and the demand for nursing assistants continues to rise, providing stable employment opportunities.
  • Compared to many healthcare professions, becoming a nursing assistant often requires less time in training and education, allowing for a quicker entry into the workforce.
  • Nursing assistants can work in various healthcare settings, such as hospitals, nursing homes, clinics, and home care.

Table of Contents

  1. What is a nursing assistant?
  2. How much do nursing assistants make?
  3. Where can I work as a nursing assistant?
  4. What are the educational requirements to become a nursing assistant?
  5. What courses are typically in a nursing assistant program?
  6. Do nursing assistant programs offer flexible schedules or online options?
  7. How do nursing assistant programs provide hands-on clinical experience?
  8. What is the process to obtain certification as a nursing assistant?
  9. Do different states have varying certification requirements for nursing assistants?
  10. What career paths are available for graduates of nursing assistant programs?
  11. What is the job market for graduates of nursing assistant programs?
  12. How can I transition from a medical assistant to a registered nurse?
  13. Can specialized certifications further advance a nursing assistant's career?
  14. How Do I Compare the Value of Online Nursing Programs?
  15. Is Professional Networking Essential for Nursing Assistants’ Career Growth?
  16. Are affordable LPN online programs a smart financial investment?
  17. How Online Nursing Programs Prepare Non-Nurses for Licensure Exams
  18. What are alternative healthcare roles nursing assistants can transition into?
  19. Can nursing assistants pursue specialized roles like travel nursing?
  20. Can ADN to MSN Bridge Programs Accelerate Your Nursing Career?
  21. What are the opportunities for career advancement after becoming a nursing assistant?
  22. Other Things You Should Know About Becoming a Nursing Assistant

What is a nursing assistant?

A nursing assistant, often referred to as a certified nursing assistant (CNA) or a nursing aide, is a healthcare professional who provides basic care to patients under the supervision of registered nurses (RNs) or licensed practical nurses (LPNs). Their responsibilities typically include assisting with daily activities such as bathing, dressing, feeding patients, taking vital signs, turning or repositioning patients in bed, and helping patients with mobility.

The responsibilities of a nursing assistant can vary based on the healthcare setting and the specific needs of the patients. However, some common responsibilities include the following:

  • Basic patient care: Assisting with activities of daily living (ADLs) such as bathing, dressing, grooming, and feeding patients who may need assistance.
  • Vital signs monitoring: Taking and recording vital signs like blood pressure, temperature, pulse rate, and respiration rate.
  • Mobility assistance: Helping patients move around, repositioning them in beds or wheelchairs, and assisting with exercises to maintain mobility.
  • Observation and reporting: Noting changes in a patient’s condition and reporting these observations to nurses or medical staff.
  • Assistance with medical procedures: Assisting nurses or doctors during medical procedures, such as preparing equipment or providing patient support.
  • Patient comfort: Ensuring patient comfort by providing a clean and safe environment, changing bed linens, and maintaining a hygienic space.
  • Emotional support: Offering patients emotional support and companionship and actively listening to their concerns.
  • Communication: Effectively communicating with patients, their families, and other healthcare professionals to ensure coordinated care.
  • Patient documentation: Documenting care provided, including observations, vital signs, and other pertinent information in patient records.
  • Following protocols: Adhering to healthcare protocols, safety standards, and legal regulations in patient care.

How much do nursing assistants make?

The median annual nursing assistant salary in the US can vary based on several factors, including location, years of experience, certifications earned, and healthcare settings. In 2022, nursing assistants in the country had a median annual wage of $35,760 [US Bureau of Labor Statistics (BLS), 2023]. Notably, the figure is much less than the estimated $53,616 median annual wage of all full-time wage and salary workers across the country in 2023, based on their $1,117 median weekly earnings that year (US BLS, 2024).

Fortunately, nursing is one of the best majors to make money. As healthcare workers move up the professional ladder, their income potential increases as well. In 2022, registered nurses (RNs) had a median annual wage of $81,220 (US BLS, 2023). Once you become an advanced practice registered nurse (APRN), your earning potential can go beyond six figures. In 2022, nurse midwives had a median annual wage of $120,880; nurse practitioners (NPs) had $121,610; and nurse anesthetists had $203,090 (US BLS, 2023).

The chart below visualizes the median annual wages of nursing professionals in the US in 2022, according to 2023 data from the US BLS.

Where can I work as a nursing assistant?

Nursing assistants have career opportunities in diverse work settings. They can provide healthcare services to patients across different stages of life and health conditions, given that they received the required education, training, and certification.

In 2022, 1.4 million nursing assistants were employed in the United States (US). Of those, 33% worked in nursing care facilities; another 33% were employed in state, local, and private hospitals; 11% worked in retirement and assisted living facilities; 6% worked in home healthcare services; and 4% were employed in the government (US BLS, 2023).

The chart below illustrates the employment distribution of nursing assistants in the US in 2022, according to data from the US BLS.

What are the educational requirements to become a nursing assistant?

The educational requirements to become a nursing assistant are structured to ensure that individuals acquire the necessary skills and knowledge to provide quality care to patients under the supervision of healthcare professionals. Based on recent data, the most common educational qualification among CNAs is a high school diploma, constituting 29% of individuals in this role (Zippia, 2023). Following this, the second most common educational level CNAs attain is an associate degree, accounting for 19% of the workforce.

As such, how to become a nursing assistant typically involves formal education, practical training, and certification. Here’s a general outline of these educational requirements:

  • High school diploma or equivalent. Most programs require a high school diploma or GED as a basic educational prerequisite.
  • Formal training program. Completion of a state-approved nursing assistant training program is essential. These certified nursing assistant programs are often offered by community colleges, vocational schools, technical institutes, affordable online colleges, and some healthcare facilities. They usually last a few weeks to a few months and combine classroom instruction with supervised clinical practice. These programs are akin to a 6 week medical assistant program.
  • Clinical experience. Practical training in a healthcare setting under the supervision of a registered nurse (RN) or a licensed practical nurse (LPN) is a fundamental part of the educational process. This hands-on experience allows students to apply their knowledge and skills in a real healthcare environment.
  • CNA certification. After completing the training program, individuals must pass a competency exam to become certified nursing assistants. This exam typically consists of written and practical components to evaluate theoretical knowledge and practical skills.
  • State registration or licensure. Once certified, nursing assistants must register with their state’s nursing board or meet specific licensing requirements to practice legally within that state.
CNA educational attainment

What courses are typically in a nursing assistant program?

Nursing assistant training programs cover various topics and skills to prepare students for their role in providing direct care to patients. Here are some common areas covered in these programs:

  • Basic nursing skills This focuses on fundamental skills such as taking vital signs (temperature, pulse, respiration, blood pressure), proper hand hygiene, and infection control measures.
  • Personal care skills This involves training on assisting patients with activities of daily living (ADLs) like bathing, dressing, grooming, toileting, and feeding.
  • Patient safety This educates students on patient safety measures, fall prevention techniques, and proper body mechanics for lifting and moving patients safely.
  • Medical terminology This introduces common medical terms and abbreviations used in healthcare settings.
  • Communication skills This teaches effective communication techniques when interacting with patients, families, and the healthcare team. This includes active listening, empathy, and appropriate language.
  • Ethics and professionalism This covers topics related to patient rights and ethical considerations so that nurses can maintain confidentiality and professionalism in the workplace.
  • Cognitive health support This helps students understand and assist patients with cognitive impairments, dementia, or Alzheimer’s disease.
  • Emergency procedures This offers training in responding to emergencies, such as cardiopulmonary resuscitation (CPR), first aid, and recognizing signs of distress.

Do these programs offer flexible schedules or online options?

Many CNA training programs offer flexible schedules and online options to accommodate individuals with various needs and commitments. Here’s an overview:

  • Flexible schedules. Some programs offer part-time or evening classes, allowing students to attend while balancing other responsibilities like work or family commitments. Full-time programs may also have varied schedules to accommodate different students.
  • Online options. There are online CNA programs that students can opt for. However, keep in mind that the clinical training component, which involves hands-on experience in a healthcare setting, must be done in person.
  • Hybrid programs. Some institutions offer hybrid programs that combine online coursework with in-person lab sessions or clinical training. This format allows students to complete a portion of the theoretical components online and attend practical sessions in person.
  • Self-paced learning. Certain online programs might offer self-paced learning, which allows students to progress through the coursework at their own pace within certain time frames.

How do nursing assistant programs provide hands-on clinical experience?

Nursing assistant programs typically incorporate hands-on clinical experience to provide students with practical, real-world training in a healthcare setting. Here is how they usually organize this component:

  • Clinical rotations. Students are placed in healthcare facilities such as hospitals, nursing homes, or clinics to complete supervised clinical rotations. These rotations allow them to work directly with patients under the guidance of experienced nurses or instructors.
  • Direct patient care. During clinical rotations, students assist with various aspects of patient care, including helping with daily activities (bathing, grooming, feeding), taking vital signs, repositioning patients, and providing emotional support.
  • Supervision and feedback. Qualified instructors or preceptors closely supervise students during their clinical experience. They offer guidance, answer questions, and provide feedback on the students’ performance to help them improve their skills.
  • Simulation labs. Some programs have simulation labs where students can practice hands-on skills in a controlled environment before working with actual patients. These labs often have lifelike mannequins and medical equipment to simulate realistic patient care scenarios.
  • Documentation practice. Students may learn how to document patient care accurately and appropriately during their clinical experience, a crucial skill for CNAs.

What is the process to obtain certification as a nursing assistant?

The process of obtaining certification as a nursing assistant typically involves several steps. First, aspiring CNAs must complete a state-approved CNA training program. This entails attending classes and gaining hands-on clinical experience. After finishing the program, they must pass a competency exam comprising a written test and a practical skills evaluation.

Once certified, CNAs can apply for listing on their state’s registry, which allows them to legally work in healthcare settings as nursing assistants. Continuing education requirements may also exist to maintain certification, necessitating completion of a certain number of in-service training hours annually or periodically, as mandated by the state’s regulations.

Do different states have varying certification requirements for nursing assistants?

Different states do have varying certification requirements for nursing assistants. While becoming a certified nursing assistant involves completing a state-approved training program and passing a competency exam, specific requirements can differ significantly. These variations might include the number of training hours needed, the content covered in the program, the format and content of the competency exam, and additional criteria for certification.

What career paths are available for graduates of nursing assistant programs?

Nursing assistants can use their knowledge, experience, and certifications as a foundation to venture into the preferred nurse majors or advanced roles in the healthcare industry. Some typical career progressions or related paths include the following:

  • Licensed practical nurse (LPN) or licensed vocational nurse (LVN). Many CNAs choose to further their education to become LPNs or LVNs. What are the requirements to be a LVN? Among others, it requires additional training and passing the NCLEX-PN exam to obtain licensure. As LPNs/LVNs, they take on more responsibilities in patient care, such as administering medication and performing certain medical procedures. Fortunately, for aspiring LPNs, you can apply for a 6 month LPN to RN program online for a quicker path to licensure.
  • Registered nurse (RN). Some CNAs pursue a nursing degree to become Registered Nurses. RNs have advanced responsibilities in patient care, including assessment, creating care plans, administering treatments, and leading healthcare teams.
  • Specialized care roles. CNAs can opt for specialized roles by obtaining additional certifications or training. Examples include becoming a certified medication aide, specializing in geriatric care, working in mental health facilities, or focusing on specific areas like pediatrics or critical care.
  • Healthcare administration or management. With experience, CNAs may transition to administrative roles, such as unit coordinators, medical office managers, or supervisors in healthcare facilities. They might take on responsibilities related to scheduling, staff management, or quality assurance.
  • Nurse educator or trainer. Some CNAs with extensive experience and further education pursue roles in education or training. They can become instructors in CNA training programs, healthcare educators, or trainers within healthcare organizations.
  • Advanced practice nursing. CNAs can also choose a nursing specialization to become APRNs, such as Nurse Practitioners (NPs) or Clinical Nurse Specialists (CNSs), after obtaining a graduate-level degree in the field and advanced certification.

Down the road, you might find a higher level of education opens more opportunities in your nursing career. For many, it starts when comparing an ASN vs BSN degree. Taking the higher degree path can set you up for any specialty role, like giving care to expectant mothers as a fertility or obgyn nurse. In that case, learning more about what is a obgyn should tell you more about this field.

What is the job market for graduates of nursing assistant programs?

The demand for access to quality healthcare services, particularly with an aging population, has significantly driven the need for nursing assistants. This trend is expected to continue in the coming years, potentially resulting in increased employment opportunities for CNAs across various healthcare settings, such as nursing homes, hospitals, assisted living facilities, and home healthcare.

Employment for nursing assistants in the US has been projected to increase by 4% between 2022 and 2032, which is as fast as the average job growth rate for all occupations across the country. On average, about 209,400 new positions for nursing assistants and orderlies are expected annually during the period (US BLS, 2023). The increase in openings can be due to professionals retiring or resigning to transition into another field.

Nursing assistant job outlook

How can I transition from a medical assistant to a registered nurse?

The step-by-step process for transitioning from a medical assistant to a registered nurse involves targeted educational pathways that build on existing clinical experience. Applicants should evaluate programs that offer intensive coursework, clinical rotations, and comprehensive exam preparation designed to meet RN licensure requirements. Selecting an accredited program with strong industry outcomes is essential for ensuring that each step of the transition is efficient and aligns with state-specific standards. For further guidance on streamlined educational pathways and program evaluations, refer to our MA to RN programs guide.

What are the typical working conditions for nursing assistants?

Understanding the working conditions for nursing assistants is essential for anyone considering this career path. Here’s what you can generally expect:

  • Work Environment: Nursing assistants typically work in various healthcare settings, including hospitals, nursing homes, assisted living facilities, and home healthcare services. Each environment has its unique dynamics and demands.
  • Shifts and Hours: Nursing assistants often work shifts that may include nights, weekends, and holidays. Many facilities operate 24/7, requiring staffing around the clock, which can lead to irregular hours and extended shifts.
  • Team Collaboration: Nursing assistants frequently collaborate with registered nurses (RNs), licensed practical nurses (LPNs), and other healthcare professionals. Strong communication skills are essential as they report patient conditions and assist in care planning.
  • Patient Interaction: Daily responsibilities involve direct patient care, including assisting with personal hygiene, feeding, mobility, and monitoring vital signs. This interaction can be emotionally rewarding but also requires compassion and patience.
  • Physical Demands: The job is physically demanding, as nursing assistants are often required to lift and move patients. Proper training and techniques are crucial to prevent injury to both themselves and their patients.
  • Emotional Challenges: Working with patients who may be ill, elderly, or disabled can be emotionally challenging. Nursing assistants need to develop resilience and coping strategies to handle the emotional weight of their responsibilities.

By considering these factors, aspiring nursing assistants can gain insight into what to expect in their day-to-day roles and prepare for the challenges and rewards of the profession.

Can specialized certifications further advance a nursing assistant's career?

Specialized certifications offer a pathway to deepen expertise and expand clinical roles without duplicating existing educational content. By pursuing advanced credentials in focused areas—such as specialty care, emergency response, or holistic healthcare practices—nursing assistants can refine their patient care skills and increase their marketability. For instance, obtaining a functional medicine certification can provide insights into integrative approaches, ultimately positioning professionals for specialized opportunities and leadership roles in diverse healthcare settings.

How Do I Compare the Value of Online Nursing Programs?

When assessing online nursing education, it is essential to verify that programs meet established accreditation standards, offer a robust curriculum, and ensure measurable student outcomes. Evaluating the integration of clinical practice with theoretical learning can help determine if the program effectively prepares students for real-world challenges while maintaining academic rigor.

Cost and return on investment often serve as crucial decision metrics. Prospective students should analyze tuition rates, available financial aid, and long-term earning potential. Comprehensive comparisons, such as those found in affordable online NP programs, can provide insights into maintaining quality while managing costs.

Is Professional Networking Essential for Nursing Assistants’ Career Growth?

Effective professional networking plays a vital role in advancing a nursing assistant’s career by providing access to mentorship, industry insights, and exclusive training opportunities. Engaging with professional associations and attending healthcare seminars facilitates connections with experienced practitioners, which can guide decisions on skill enhancement and specialization. In these networks, nursing assistants can discover reputable continuing education options and evaluate pathways for advancing their credentials, such as exploring an affordable DNP program online. Collaborating with peers and mentors helps refine clinical practices and aligns professional development with emerging trends in patient care and healthcare management.

Are affordable LPN online programs a smart financial investment?

Investing in an affordable LPN program offers a strategic balance between high-quality clinical training and manageable educational expenses. Evaluating tuition rates alongside accreditation and curriculum quality ensures that the program meets industry standards while providing practical skills for immediate entry into the healthcare workforce. Furthermore, comparing program costs—such as those outlined in the cheapest LPN online programs—can help determine long-term value and financial return. This assessment ultimately supports a faster career progression, minimized student debt, and enhanced opportunities for advanced professional roles.

How Online Nursing Programs Prepare Non-Nurses for Licensure Exams

Earning a nursing degree is just the first step; passing the National Council Licensure Examination for Registered Nurses (NCLEX-RN) is essential for non-nurses transitioning into the nursing profession. Online nursing programs for non-nurses are designed to provide comprehensive support and resources to help students prepare for this crucial exam.

1. Integrated NCLEX-RN Preparation

Many online programs incorporate NCLEX-focused coursework and assessments throughout the curriculum. These include:

  • Practice Questions and Simulated Exams: Programs offer NCLEX-style questions and full-length practice tests to familiarize students with the exam format.
  • Targeted Test Prep Modules: Online nursing programs often include dedicated modules that focus on key NCLEX content areas, such as patient care, pharmacology, and safety protocols.

2. Clinical Application of Knowledge

Through local clinical placements, students gain hands-on experience applying theoretical knowledge. This practical training reinforces core competencies like patient assessment, communication, and critical thinking—skills heavily tested on the NCLEX-RN.

3. Support from Expert Faculty

Online nursing programs often employ experienced nurse educators who guide students through complex topics and provide feedback on areas for improvement. Instructors may also host live review sessions or Q&A webinars to address common NCLEX challenges.

Graduates of online nursing programs, such as online BSN programs for non-nurses, report high pass rates on the NCLEX-RN. These programs combine rigorous academics with comprehensive exam preparation to ensure students are well-prepared to succeed.

What are alternative healthcare roles nursing assistants can transition into?

Nursing assistants often find that their role opens doors to various alternative healthcare professions, offering pathways to diversify their skillsets and increase earning potential. Transitioning into roles such as medical assistants, pharmacy technicians, or rehabilitation aides can leverage a nursing assistant's foundational knowledge while enabling specialization in healthcare areas. These positions often require additional certification or training, which can typically be completed within a short timeframe.

For those seeking higher responsibilities, becoming a home health aide or a patient care technician can provide opportunities for more focused patient interaction. Home health aides primarily work in private residences, offering personalized care to individuals, especially elderly or chronically ill patients. Meanwhile, patient care technicians take on advanced healthcare tasks, including performing EKGs or drawing blood, depending on the certifications obtained.

Exploring roles like surgical technologists or emergency medical technicians (EMTs) could also be viable options for those interested in operational or acute care settings. Both avenues demand additional training but promise an enriching career with substantial impact on patient outcomes.

Ultimately, nursing assistants can enrich their career by branching into these specialized roles while keeping broader goals in mind. To gain insights into pathways that lead to the highest paying nursing jobs, refer to this comprehensive guide on highest paying nursing jobs.

Can nursing assistants pursue specialized roles like travel nursing?

Nursing assistants can explore various career paths, including specialized roles that offer unique challenges and rewards. For instance, learning how to become a travel nurse can provide opportunities for professional growth, cultural immersion, and competitive compensation. Travel nursing involves working temporary assignments in diverse locations, often with the support of recruitment agencies. This career path requires flexibility, adaptability, and strong clinical skills, making it an attractive option for nursing assistants seeking new experiences and challenges. By pursuing specialized roles like travel nursing, nursing assistants can enhance their careers, expand their professional networks, and contribute to the healthcare industry in meaningful ways.

Can ADN to MSN Bridge Programs Accelerate Your Nursing Career?

Nursing assistants seeking a swift transition into advanced clinical roles can benefit from bridge programs that leverage prior experience. These programs streamline the educational path, allowing professionals to progress from an associate degree in nursing directly to a master’s level credential. By enrolling in ADN to MSN bridge programs, candidates can acquire advanced clinical knowledge and leadership skills that are essential in today’s competitive healthcare environment. The integration of comprehensive coursework with clinical rotations prepares graduates for complex patient care responsibilities and managerial roles, thereby enhancing both career prospects and earning potential.

What are the opportunities for career advancement after becoming a nursing assistant?

Becoming a nursing assistant (NA) is an important first step into the healthcare field, but it can also serve as a launching pad for further career advancement. Many nursing assistants choose to continue their education and training to pursue higher-level nursing positions, such as becoming a Licensed Practical Nurse (LPN) or Registered Nurse (RN). These transitions often involve additional coursework, clinical experience, and licensure exams, but the foundational experience as a nursing assistant provides valuable patient care skills that can make the transition smoother.

One of the fastest ways to move up the nursing career ladder is by pursuing the fastest way to become a nurse through accelerated LPN-to-RN or CNA-to-RN programs. These programs are designed to build on the experience and knowledge you already have, enabling you to become a registered nurse in a relatively short period compared to traditional nursing programs.

In addition to moving into nursing roles, nursing assistants can also advance into specialized healthcare positions such as medical assistants, surgical technologists, or health aides in more focused fields like geriatrics, pediatrics, or rehabilitation. Some nursing assistants may even transition into roles in healthcare administration or management, where they can oversee teams of healthcare professionals or contribute to hospital operations.

By continuing education, obtaining certifications in specialized areas (such as cardiopulmonary resuscitation or geriatric care), and seeking out leadership training, nursing assistants can significantly increase their earning potential and expand their career options within the healthcare sector.

Other Things You Should Know About Becoming a Nursing Assistant

How demanding or physically challenging is the work of a nursing assistant?

The work of a nursing assistant is undeniably demanding and physically challenging. They often find themselves on their feet for extended periods, assisting patients with mobility, personal care, and daily tasks. Lifting and moving patients require strength and proper technique to prevent injury, and the job demands emotional resilience as they interact closely with individuals in vulnerable states.

Additionally, nursing assistants frequently work long hours, including nights, weekends, and holidays, adding to the physical and mental toll. Despite these challenges, their dedication to patient care remains unwavering, making their role integral within healthcare settings.

Are there additional benefits or incentives commonly offered to nursing assistants?

Many healthcare facilities offer a range of benefits and incentives to nursing assistants to acknowledge their hard work and dedication. These can include healthcare benefits, such as medical, dental, and vision coverage, as well as retirement plans and paid time off. Some employers also provide educational assistance or tuition reimbursement for nursing assistants looking to advance their careers in healthcare.

What factors should I consider when choosing a training program?

Becoming a Nursing Assistant (NA) or Certified Nursing Assistant (CNA) is a rewarding yet comprehensive journey that demands careful consideration of several key factors. Delving into this profession requires a clear understanding of accreditation, the associated costs, and the time investment necessary to successfully complete training.

What’s the fastest you can become a CNA?

The fastest route to becoming a CNA typically involves completing a state-approved training program, which can last anywhere from 4 to 12 weeks. After completing the program, you will need to pass a competency evaluation exam, which consists of a written test and a practical skills assessment. Once you pass the exam, you can apply for CNA certification in your state, allowing you to start working as a CNA immediately thereafter.

What types of certification and training programs are available for aspiring nursing assistants?

Aspiring nursing assistants can choose from several certification and training programs, each varying in structure and focus. Certified Nursing Assistant (CNA) programs, typically offered by community colleges, vocational schools, and healthcare facilities, combine classroom instruction with hands-on clinical training. These programs usually last 4-12 weeks and cover essential skills such as patient care, vital signs monitoring, and infection control. Upon completion, students must pass a state competency exam to become certified. Some programs offer specialized training in areas like geriatrics or pediatrics, providing additional expertise. Online CNA programs are also available, offering flexibility for students balancing other commitments.

References

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