Certified Nurse Assistant (CNA)
CNA, CMT and Insulin Registry
CNA Challenge
The certified nurse assistant (CNA) training program is required
by the Omnibus Nursing Home Act and Section 198.082, RSMo, 1994.
The CNA training program prepares individuals for employment in
a long-term care facility. The program teaches skills in resident
care under the direct supervision of a licensed nurse.
The program consists of 75 classroom hours and 100 on-the-job
training hours. Some of the topics covered include: basic nursing
skills; fire safety; disaster training; resident safety and rights;
and social and psychological problems of residents and the methods
of caring for the mentally confused residents, such as those with
Alzheimer's disease.
CNA Challenge
Challenge means that individuals who meet special criteria are
not required to take the entire certified nurse assistant course
and will be allowed to take the final examination to become a CNA
in Missouri
- Individuals enrolled in an RN or LPN program and
who have successfully completed a Fundamentals of Nursing course
that included a clinical rotation within the last five years
(submit the following documentation: a copy of transcript) or;
- RN or LPN nursing licensure candidates who have
failed state licensure examination (submit the following documentation:
a copy of nursing program certification of completion and notice
of fail from Board of Nursing) or;
- Individuals who are listed as active on another
state's CNA register and who are in good standing on that register
(submit the following documentation: a copy of out-of-state certificate.
If active status is not tracked on your state's register you
must submit proof of employment beginning in October, 1993) or;
- Students who have completed a nursing program
outside the United State and who are awaiting licensure in this
country (submit the following documentation: a copy of out of
country license or certificate, copy of school transcript translated
to English and a copy of out of country criminal background check
translated to English) or;
- Individuals who were trained in a long-term care
unit of a hospital and who have been employed there for at
least twelve (12) months (submit the following documentation:
a copy of hospital training and a letter verifying dates of employment
and position held) or;
- Any other persons whose background, education
and training in gerontology and health occupations includes the
components of the approved training curriculum may challenge
the examination after taking those portions of the course as
determined to be necessary based on evaluation of their credentials
by the supervisor of Health Education, Division of Senior Services
and Regulation or;
- Individuals listed on the Missouri State Certified
Nurse Assistant Register on inactive status (submit the following
documentation: a copy of Missouri certificate) or;
- Individuals trained in acute care sections of
hospitals as nursing assistants or persons trained as psychiatric
aides may challenge the examination after
- completing the orientation module with special
emphasis on geriatric residents' needs and orientation
to the facility, and;
- completing the one hundred (100) hours of
on-the-job training in a long-term care facility or long-term
care unit of a hospital. (submit the following documentation:
a copy of hospital training and a letter verifying dates
of employment and position held and/or copy of psychiatric
certificate.)
Individuals meeting any of the above requirements must submit
a written request to the DHSS to this address.
Each request must include a clear copy of the individual's
social security card; return address, a daytime telephone number
and all additional documentation.
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