How to Become a CNA in Washington: Step-By-Step
Two distinct tracks define the path to CNA certification in Washington: the initial certification process for those entering the field, and the ongoing renewal process for current CNAs. While the first calls for training and hands-on testing, the second relies on continuing education and work experience. Whether you are starting fresh or keeping your credentials active, understanding each phase is essential.
Complete a State-Approved Training Program
Your first move is to enroll in a training program approved by the Washington State Department of Health (DOH). These programs cover classroom instruction, lab skills, and supervised clinical practice. Washington regulations typically require a minimum number of training hours, often around 85, though the exact figure can change, so check the DOH Nursing Assistant Program page for the most current requirement. Programs are available at community colleges, technical schools, and some healthcare facilities, including CNA classes in Tacoma WA and CNA classes in Bellevue WA. After finishing, you will receive a certificate of completion, which you need before scheduling your exam.
Pass the Competency Exam
Washington uses Prometric to administer the two-part competency exam: a written (or oral) knowledge test and a hands-on skills evaluation. Visit Prometric’s Washington CNA page to confirm scheduling procedures, fees, and what to bring on test day. The skills portion usually asks you to demonstrate a random set of tasks like handwashing, taking vital signs, or assisting with mobility, so hands-on practice is key. You must pass both components to earn your certification.
Submit Your Background Check and Application
Before you can work as a CNA, you must complete a state and federal background check, typically through fingerprinting. The DOH application process includes this step, and any disqualifying offenses may affect eligibility. Once cleared, your name is added to the Washington Nurse Aide Registry, and you can seek employment.
Maintain Your Certification
CNA certification in Washington is not permanent. Renewal generally happens every two years and requires proof of paid work as a CNA and completion of continuing education (CE) hours, commonly 10 to 12 hours, but verify current rules on the DOH website. If your certification lapses, you may need to retest or retrain, so staying on top of deadlines is crucial.
Monitor Regulatory Updates
Rules for CNAs can shift. For recent changes, especially any adopted in 2025 or 2026, check the Washington Health Care Association site or the DOH announcements section. These sources post updates on training hour adjustments, exam format changes, and new CE requirements. Staying informed helps you avoid surprises and maintain compliant status.