Certified nurse aides, also known as certified nurse assistants (CNAs), provide most of the hands-on care for nursing home residents. Regulations govern the profession, mostly at the state level. They include curriculum requirements and criminal background checks.

18 States Without Continuing Education

There are 18 states that do not require continuing education for any member of the nursing community. They are: Arizona, Colorado, Connecticut, Georgia, Hawaii, Idaho, Indiana, Maine, Maryland, Mississippi, Missouri, Montana, Oklahoma, South Dakota, Vermont, Virginia, Washington state, and Wisconsin.

Other States With Minimum Requirements

Most states have a minimum requirement of continuing education for CNAs. For instance, in Nevada, the requirement is for 24 hours of continuing training within a licensing period. However, in Florida, only 12 hours of in-service training must be completed every calendar year. If the state in question is not one of the 18, contact the state nursing board.


Some states require different training in continuing education. For instance, in Florida, the training is set by the Council on Certified Nursing Assistants. The subjects include bio-terrorism, domestic violence, blood-borne pathogens, HIV, communicating with cognitively impaired residents, legal aspects of being a CNA, and diabetes.


Some states determine which organizations are qualified to provide continuing education. Usually, the state board of nursing in a particular area can answer the question. For instance, Nevada requires continuing education to take place in an academic institution, which must be associated with an organization such as the American Association of Critical Care Nurses, American Association of Nurse Anesthetists, American Nurse Credentialing Center Commission on Accreditation, National Association of Pediatric Nurse Associates and Practitioners, or the National League for Nursing

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