Are you looking forward to pursuing a career in the medical field? A North Carolina-based CNA could be the best option for you. It requires the terms that have been associated with the Nursing Home Reform Act are followed here, as the law requires. Also, it ensures that you are fully prepared and trained so that you can give high-quality care to residents and patients in the healthcare facility.
Step 1: Select the Correct Path
candidate has to pass through either of two levels to be a successful assistant,
i.e. Nurse Aide 1 and 2. You can choose the testing and training path for the first
level that leads you to the North Carolina-based Nursing Assistant
(Department of Health and Human Services) maintains the DHSR (Division of
Health Service Regulation) NC division. The division maintains the Health Care
Personnel Registry and approves the training program of level-1 Nurse Aide. If
you want to begin a nursing career, you must have your name added to this registry
in North Carolina. And, you should complete the Nurse Aide’s training and
evaluation program for competency. Here are some paths to become a Certified
NC-based Nurse Aide 1.
the required competency test and training program that is approved in the
a waiver of training and complete the test for competency at one of the
facilities that offer a program approved in the state.
the licensing requirements of the state, in case you are an LPN and RN.
Routes via CNA Training
eligible for the exam in the state, you should meet the requirement of any of
the routes discussed below:
Route E1: If you have successfully completed
the Nurse Aide I program in this state, you can take the CNA exam provided that
both are approved in the state.
Route E3: If you have completed the Nurse Aide 1
course at any of the North Carolina state-approved proprietary schools or
community colleges, you are eligible to give the exam.
Route E5: Those who are currently pursuing a
North Carolina approved education program of nursing to be a Licensed Practical
Nurse or Registered Nurse are also eligible. They can take this exam within a
2-year period of completing an NC approved nursing program.
there are certain rules for Route E1, E5, and E3:
must pass the parts within 3 attempts or two years after finishing the course.
the candidate does not clear the exam after 3 attempts and cannot appear for an
exam within a period of two years, he/she has to go through the training again
and give both exams.
Routes via Waiver
candidate has to submit the request NC DHHS for a waiver of training for the state’s
Nurse Aide 1 examination.
Route E8: EMTs or Emergency Medical
Technicians, nurses with inactive or expired registry listings, unlicensed
nursing graduates, and military medics.
Route E9: A person who underwent training in
the last 24 months from another state but not registered on the registry there.
comply with the eligibility for either of the routes, you have to take and
clear the CNA exam’s both portions within 2 years or three attempts. However, if
you cannot clear both portions after 3 attempts or 2 years, you must clear the NC-approved
program of training and take the exam again.
Step 2: Get Trained for Nurse Aide I
North Carolina teaches the students how to finish their certain CNA tasks as
Nurse Aide I employee. The curriculum changes according to program, but it
includes training of minimum hands-on skills and instructions, so you are able
to provide care to patients and residents.
program of this level of the Nurse Aide curriculum meets the requirements as
defined for the North Carolina state. It includes a minimum 75-hour of
laboratory, clinical instruction, and combined classroom. In these 75 hours, at
least 16-hour of laboratory training and combined clinical experience must be
comprises of the content that covers 23 modules, and every module provides
information on a specific area that a student of this Nurse Aide level should
know. It meets the federal requirements for workers in long-term care facilities
that are federally certified.
Clinical and Laboratory Training
and laboratory training includes various components, such as:
instructor demonstrating the skills
can practice the skills
student will need to perform at least 15 skills that are on the checklist of
performance skills summary in a program’s curriculum approved in the state.
These skills should be performed under the supervision of an instructor of
clinical training. After a student demonstrates proficiency in the lab, the
direct resident and patient care skills should be performed. The skills covered
Personal Care: It provides partial and complete bed
bath, perineal care, foot care, undressing or dressing, fingernail care, mouth
care, and denture care for an unconscious or conscious person.
Infection Control and Prevention: Provide hand hygiene, as well as take-off and
put on personal protective equipment, such as masks and gowns
Measurements: Record and measure vital signs like
weight and height.
Nutrition and Hydration: Assist the patient or resident with various
needs like feeding or dining when they are not able to eat themselves.
Elimination: Gather urine specimens, record and
measure urinary output, eliminate required urinals or bedpans, empty drainage
bags of urinary, and provide catheter care.
Mobility: Perform ROM (range of motion)
exercises, move to chair or wheelchair from bed, apply restrains, and
taking the competency exam again, the nursing assistant has to refresh his/her
skills. If you have a waiver of training but the expiration date of the
registry has passed, you will still need to finish the refresher course.
paramedics, office assistants of medical, and EMTs need to have some additional
skills so that they can clear a competency exam of level 1 Nurse Aide. They can
choose a refresher course instead of complete training.
refresher course cannot include clinical training.
Step 3: Clear the Exam
oral, and written exam part of the exam are administered by the Pearson VUE.
Apply for the Test: The registration process is online wherein you need to create an account, ID, and password under Pearson VUE. This is needed to complete the essential fields accurately.
Payment Method: Accepted payment methods include Master Card, American Express, Electronic voucher, and Visa. The exam fee is not refundable, and thus you must pay the fee again while re-scheduling if you are not able to take the exam on time.
Test Location: The testing locations are in-facility and regional testing sites. If a person has some disability, he/she can request for some special accommodation. Regional testing sites are located at multiple locations in the state, and any person can take a test there. The list is available with Pearson VUE and on the website of the NC Nurse Aide. If a person chooses route E3, E1, and E5, in-facility testing locations are made available.
Important Documents: It is essential to reach a minimum of half-hour before the test time. You have to carry a few things along with yourself.
Current identification forms that bear a signature and are official.
A non-laminated signed social security card issued by the U.S. government. If the applicant is serving the armed forces, he/she can use the U.S. Military I.D. instead.
Number 2 pencils (3, sharpened) and eraser
Alien registration card or (EAD) Authorization document
Watch that contains the second hand
Different Parts of the Exam: In North Carolina, skills evaluation and oral/written tests are the two parts of the examination. These parts are different because the first one is a hands-on skills demonstration, and the other is MCQ type questions.
Oral or Written Exam
written exam contains 70 MCQs that should be finished within 2 hours. But oral
exam offers Spanish and English options that cover 10 MCQs and 60 general MCQs to
test your English speaking ability, covering the words of a nurse aide as well.
checks the applicants if they are in a really caregiving situation or not.
Nurse Aide Evaluator administers the test and provides all the equipment. The
variety of skills can be asked for the demonstration, and in those, a few are
called critical element steps. With randomly selected skills, everyone can
perform the critical element steps to clear the test. A skill of measurement is
included in the randomly selected skills.
Results: After completion of this examination, the evaluator gives the evaluation results of the skills to the Pearson VUE and fax the answer sheets. Within 10 minutes, you will get the exam results. If the applicant passes the exam, they are on their way to get certified, but if not passed, a re-test is required.
the above guide can be helpful in achieving the goals of a rewarding medical
career in North Carolina. However, you may also need to know the renewal
process, once it expires. You have to maintain as a working Nurse Aide I for 8
hours per day for every two years. Your renewal will be for 24 months if you
last worked a year ago.