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A CNA handles the hands-on work of a shift. Bathing, transfers, meals, vital signs, and the call light are the job. The nurse still owns the assessment and any change to the ordered treatment. Hospitals, nursing homes, and home health agencies all use that split.

A CNA handles the hands-on work of a shift. Bathing, transfers, meals, vital signs, and the call light are the job. The nurse still owns the assessment and any change to the ordered treatment. Hospitals, nursing homes, and home health agencies all use that split.

These pages say CNA because that is the name on the badge. The wage is the BLS nursing-assistant series, and there is not a separate CNA dollar figure. When you read the table, you are reading that series.

Nursing homes that bill Medicare or Medicaid have to use aides who finished a state-approved program and are on the state registry. The federal floor is 75 clock hours, with at least 16 of those hours supervised by an RN or LPN. States may require more. Hospitals and home health can hire on a different rule, so read the state note before you treat the federal floor as the whole rule.

The work

A typical round is bathing, transfers, feeding, vital signs, and a note about what you actually saw. The call light does not wait for the round to finish. You report what changed in the person. You do not write the nursing assessment.

In a nursing home the same people are there tomorrow, so a missed change becomes the next shift's problem. In home health the tasks are the same ones, in the person's house, one visit at a time. The nurse still decides what the visit was for.

The work is physical, and it is also a record. A transfer that went badly has to be said out loud and written down. An aide who only looks busy will not last on a unit that already knows its residents.

License and training

Nursing homes in Medicare or Medicaid use aides from a state-approved program who are on the state registry. The federal floor is at least 75 clock hours, with at least 16 of those hours supervised by an RN or LPN. States may require more hours than that floor. Hospitals and home health can use a different rule, so read the state registry before you rely on the federal floor.

Questions

What does a CNA do on a shift?

The hands-on round is bathing, transfers, meals, vital signs, and call lights. The aide reports what changed. The nursing assessment stays with the nurse, and so does any change to the ordered treatment.

Why does the wage say nursing assistant?

The dollar figures are the BLS nursing-assistant series, SOC 31-1131. CNA is the name people use on the floor. The table is that series, not a separate CNA wage. A posting that says CNA and quotes some other occupation is not using this page.

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