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North Dakota CNA and HHA Certification Requirements State of North Dakota (ND)

North Dakota CNA and HHA Certification Requirements State of North Dakota (ND)

by admin on July 3, 2019

Requirements for CNA and HHA Certification


HHAs do not have a clear path in the nursing hierarchy in North Dakota; in fact, they are barely mentioned anywhere in the ND certification requirements. It is however known that a non-medical home care agency will hire a non-certified aide who has at least one year’s professional (non-relative) experience for clients who require companionship and homemaking services.

ND’s Board of Nursing (part of the Department of Health) regulates the state’s certified nurse aide training and registry. CNAs get three chances to pass the manual or skills part of the test. If they fail all three, they have to sit for the entire exam again.

ND follows Federal guidelines for certification: 75 hours of classroom learning, including practical work. At the end of the course, students get some practical work with actual patients in long term care settings.

Note: Fed regulations require certified aides who work in Medicare or Medicaid-reimbursed facilities to accumulate 12 hours of continuing education per 12 month period.

We list the higher between Federal (Fed) and State requirements

Requirements CNA HHA
Work Eligibility Must be citizen, National, or someone eligible to work in the U.S., as per Fed & state regulations. same
Type of Certification You get listed on the State Nurse Aide Registry; The Registry gives out certificates; you have to renew your certificate every 24 months. No certification required until you are ready for the CNA exam (see above note).
Application Form A filled application form is required together with all supplemental information, such as training diploma, proof of eligibility to work as described above, and background check. N/A
Age No age minimum is imposed. same
Driver’s License Driver’s license not required. Up to Employers
Education Level You will not be required to have graduated high school. Some employers will require a high school diploma.
Training hours & where Must complete and pass a Board-approved training course of 75 hours of classes, including practical work (Fed standards). Up to employer
Competence Training Practical work is included with the above 75 hours. N/A
Experience No prior professional experience required. Most employers (non-medical home care agencies) will require you to have one year’s experience as a professional companion.
Health Immunizations A negative TB test taken within 6 months and proof of immunization. Employer requirements apply.
Fingerprints Aides must submit fingerprint cards together with state application. See “background checks”
Background checks Applicants for the state exam are given state and Fed background checks before they get certified. same
Other Requirements Photo ID and two photos. Each employer has their own requirements.
Licensed in another state? ND offers reciprocity. Aides coming from other states sit for the practical exam only if their license is current and in good standing. same
Exam It is the State-Certified Nursing Assistant Exam, in two parts, written and practical, in which you get licensed by the State Board of Nursing and added to their Registry. N/A until you are ready for the CNA exam


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