How much does a CNA earn?

Being a certified nursing assistant nowadays can be demanding both physically and mentally. Aside from intangible knowledge about the human body and how to make it come in a calm state despite the illnesses, as a CNA this job can also be financially rewarding one. However, with the fast paced like we have sometimes you might think is the earning of CNA enough? This is a question that might have been roaming around the minds of newly employed CNAs. An earning from one employer can be enough if you have minimal needs.

An average pay of a CNA in an 8 hour job could be between $10.50 to $12.10 per hour for a private agency such as private nursing homes. Others may even opt to have short term employment from nursing care homes so that they can maximize their time – that means they work from two to three employers making them earn triple when staying with a single employer.

Earning financially as a CNA may actually depend upon numerous factors. Annually a certain CNA may earn between $30,000 to $50,000 and that depends on the creativity of the person to earn such amount. Here are some determinants of the potential pay a CNA can have:

1. Type of employment – an employment might be under a private or public sector. A private agency may offer the CNA an ample amount of pay monthly. Such private institutions can be private nursing homes or geriatric care homes. For government owned institutions this may include hospitals or mental institutions that my offer minimal pays but the benefits and stability of work is guaranteed over the years.

2. Location of the employment – The pay of the CNA may actually depend upon the location of the employment. Farther assignments may also entitle you to have other allowances such as trip allowance that is separate from the take home pay.

3. Facilities – Different types of facilities can also demand a varied work load for CNAs. From hospitals to private patient care many options are actually available for each personality of the CNA. There are times that the CNA wants to work with a team, so he or she can choose working on a hospital setting. Others may opt working alone or with less supervision which can be found for those who want to work with a patient or long-term care.

Thinking through about CNA earnings, the word “enough” can be really subjective. A CNA can actually claim that he or she is earning enough to cover his or her expenses and rent. Some may say it is not enough since he or she has a growing family. With the advancements in health care, CNAs gain popularity in terms of being an important part of the health care team. So earning of CNAs can be actually unlimited. It only depends on how resourceful a CNA can actually.

Client Rights That Every CNA Should Know

Cna and LPN

Clients are entitled to receiving services that will make their hospice or hospital stay worthwhile. Otherwise termed as ‘Bill of Rights,’ the list of privileges focuses on the dealings between the patient and physician in addition to the patient’s personal responsibility to participate in his treatment and make sound decisions. As main personnel in providing health care, certified nursing assistants should know these things.

The core value in providing health care services is focusing on the key person – the CLIENT. Hence, service providers should be aware of the rights their patients are entitled to. In most cases, people are not aware of the rights they are privileged with at the time of their care. These rights include the following:

Right to be Respected and Treated with Dignity

Regardless of the race, religious belief or social status that person belongs to, each client are expected to be treated with respect and dignity. Explanation of procedures, carrying-out interventions, and performing bedside care should be initiated by explaining the procedure first and asking for client’s permission.

Right to Privacy  and Confidentiality

Confidentiality means non-disclosure of patient’s medical and personal information that the health personnel discovered while caring for the patient. Disclosure may only be done with the client’s permission. The main goal of this ethical practice is for patients to open up information comfortably and freely. However, certain situations may require disclosure of patient information if personal safety or well-being is at stake.

Right to Know the Progress of Treatment

Clients should be updated with the progress of his condition. In doing so, he is privileged of obtaining the needed information in his convenience. In addition, he should be informed of alternative therapies that will alleviate the discomfort of his disease.

Right to Autonomy

The client  may choose not to undergo certain procedures that will help his or her condition. He has the freedom to decide as long as he is of sound mind and is 18 years old older. Refusal to be examined and treated is a client choice that should be respected by CNAs. In the same way, when approach by students conduct research, the client has all the right to refuse participation in the said activity.

Right to Choose an Advocate

Hiring someone or asking someone to act on the client’s behalf in any transactions is another privilege that some patients are not aware of.

Reciprocity: Transferring Your CNA License to Another State

When you want to be a Certified Nursing Assistant, you are required to take a state accredited examination. If you could pass this examination, that is the only time that you could able to receive your certificate. You could then work in any healthcare setting that you want, be it in a hospital, hospice care, or healthcare facility. However, you need to remember that you could work in any place as long as it is within the state that you have applied for. You cannot work for any state that you want unless you have taken their examination. This is because each state has their own rules and regulations regarding the examination that they would give. This is where they would base if you are qualified to be included on their own roll or not.

However, if you are in the process of transferring to another state and you want to be able to work there as a certified nursing assistant, you still can. That is, after you meet whatever the state required. This is called Reciprocity.

What is it then?

Reciprocity is a process where you request the state where you are transferring to accept the approval that your former state has grant you. This is for you to be able to practice your course on your new state once they would be able to recognize the certificate that you are holding. How to apply in another state, you may ask? You may start by asking your Nurse Aide Registry on your former state and request an application for enrollment by reciprocity. You should not forget to ask them also if you would send it back to them and they would be the one to send it to your new state or you would be the one to do it. After that, you also call and inquire the Nurse Aide Registry of your new state and ask if they required that you personally send the application or if it needs to pass your former Nurse Aide Registry first. They may ask you also to send some credentials such as a copy of your Social Security Card, driver’s license, your former state approval, documents that state that you have worked in nursing homes or the likes in the past two years, and other relevant documents that the new state requires. This is where they would base if they would accept your application.

Here’s what the booklet says if you’re transferring to California.

Reciprocity Applicants

With implementation of the Omnibus Budget Reconciliation Act (OBRA) for nurse assistant training requirements in April 1992, California was instructed by the Health Care Financing Administration to offer nurse assistant certification to anyone who is listed on any state’s nurse assistant registry as:

  • In “good standing” (having no findings of abuse, neglect, or misappropriation of residents’ property) and
  • “Active” (maintained on the State Nurse Assistant Registry as having met the OBRA training requirements and having provided nursing services at least one day, for pay, in the previous 24 months).

Reciprocity applicants, who have been verified by the prospective employer with the respective state’s registry (see page 20) as meeting federal requirements in the United States, should submit the following to ATCS:

  • A completed HS-283B application form (;
  • A copy of their state-issued certificate (this is not mandatory but they must indicate the state in which they are certified);
  • Proof they have worked providing nursing services at least one day for pay in the last two years (this is only required if they received their certificate more than two years ago);
  • A copy of the completed BCII 8016 live scan form, (see page 19). You must wait until you move to California to obtain fingerprints through this method. Fingerprint cards are not acceptable.

Reciprocity applicants may work as CNAs (unless they receive a letter of denial from ATCS) if the facility:

  • Has verified the applicant is on the respective state’s registry in good standing and has active status. Some states do not provide information regarding “status.” In those states, as long as the name is listed, the CNA is considered “active.”
  • Has proof that the applicant has worked at least one day for pay providing nursing services in the last 24 months.
  • Has proof that the CNA has applied to ATCS for certification.

Reciprocity applicants may notwork as CNAs if:

  • They do not have “active” status on their respective states’ registries and are unable to get their certificates or registry status reactivated in their previous state.
  • Their certificates or registry status have been expired or inactive for less than two years. These applicants may be allowed to take the competency evaluation in California without having to retrain by following the “equivalency applicant” instructions on page 6. (After these applicants have passed the competency evaluation, they may work unless they receive a denial letter from ATCS.)
  • Their certificates or registry status have been inactive for more than two years in their respective states. These applicants must retrain and successfully complete the competency evaluation to receive a California nurse assistant certificate. (After these applicants have passed the competency evaluation, they may work pending receipt of a certificate or denial letter.)

Through the process of reciprocity, you could expand all your possibility and be able to work in another state of your choice.

What is a CNA (Certified Nursing Assistant)?

CNAAn abbreviation of CNA nowadays can instantly be correlated to Certified Nursing Assistant. These people are trained to assist the elderly or the incapacitated to perform daily activities of living. CNAs came into existence as the population of countries came to a point that there more elderly than before. The aging population may need help or assistance from the younger generation, and this includes the CNAs.

Certified Nursing Assistants primarily are responsible in bedside care. When registered nurses have a wider scope of practices, CNAs are there to help them in giving bedside care. Most of the CNAs activity may include the following:

  1. Changing the linens
  2.  Bathing the patients
  3. Assisting the patients in using the toilet
  4. Transferring the patients in to a bed or out of the bed
  5. Assisting the patients in mobilization or going around
  6. Assisting the patients in taking their food
  7. Monitoring the vital signs of patients

A special program is prepared for CNA to accomplish before they get certified. These programs are readily available in the internet with a minimal fee. Some of the lessons or trainings are in DVD or video format. A practicum is then set in order to help the CNA see what they are about to work on. The CNA program may also even include volunteer clinical exposure in order to train these CNAs to meet the demands of actual working set-up.

As CNAs work closely with patients, it is very important for the CNA to treat their job with dignity and respect. It is therefore their role to protect the name of CNAs. By being honest and providing a professional gap between the patient and the CNA, a special bond will then take place. Gaining the trust of patients is the goal of the CNAs so that they can perform well during bedside care.

Being a CNA may mean being sensitive to legal issues involved in taking care of patients. Most of the patients may be in a long-term care facility and with this issue, CNAs must take in mind to work ethically despite the numerous pressures around their work.

Aside from being able to work closely with different types of people, CNAs can gain a lot of experience as well as financially they are rewarded. With the popularity of this type of job, CNAs can earn annually from $30,000 to $50,000. CNAs must actually be open to the type of work environment they are working. Some may enjoy working in a hospital while others may want to work closely with one patient only. With the varied choices a CNA can make, one important thing that must be taken into consideration is that the role of the Certified Nursing Assistant in the health care team is unique as its name in short CNA.