A: Hours spent performing CNA1 or CNA2 authorized duties for pay under supervision of a RN or LPN, or under monitoring by an RN who works for the same employer as the CNA, may be used toward renewal.
Monitored supervision means that the RN assesses and plans for care of the client, assigns duties to the nursing assistant according to the nursing care plan, and evaluates client outcomes as an indicator of the CNA's competency. Hours worked under the direction of a physician would not count as CNA hours.
A: It depends.
The CNA must work under the direction of a nurse who works for the same employer as the CNA. That nurse must be seeing the clients to assess their needs and contributing to the care plan that guides the CNA's work. If there is no nurse employed by the facility, the CNA would not be able to count hours worked there for renewal.
