Texas is the largest state in the United States and has a population of nearly 27 million. The state is known for its arid land and scruffy pine trees interspersed with huge cities, such as Austin, Houston and San Antonio. Texas is proud of its heritage of freedom and conservative government. Points of interest include the Space Center in Houston and the Rio Grande River running along its southern border. CNAs here are a vital part of the health care team, providing much of the hands-on care to the 11 percent of the population over the age of 65. CNAs work at many of the state’s 424 hospitals and 135,000 nursing homes.
– Capital: Austin
– Minimum Wage: $7.25
– Number of Hospitals: 424
– Number of Nursing Homes: 135,350
– Total Population: 26,956,958
– Population (ages 45-64): 6,434,039
– Population (ages 65+): 3,099,081
– Population (ages 85+): 361,502
– Rice University
– University of Texas, Austin
– Trinity University
The Texas Department of Aging and Disability Services regulates and oversees the state’s CNA training programs. To be eligible to sit for the state’s competency examination, students must attend a state-approved program that has at least 100 hours of training. At least 40 of these hours must be spent practicing CNA skills in a local health care setting under a licensed nurse’s supervision.
Students who have completed a CNA program in another state that gave them at least 100 hours of instruction may be eligible to waive Texas-based training if the program was completed in the past 24 months. In addition, nursing students and graduate nurses may waive training if they have taken and passed basic nursing classes within the past 24 months. Finally, military-trained health care personnel may waive training and instead sit for the competency examination immediately.
Potential CNA students in Texas should be at least 18 years old and hold a high school diploma or GED. They must have a spotless criminal background check, which is performed using fingerprints. Those who have been convicted of a criminal offense are ineligible for training. Students must be physically fit and must be able to perform the duties of a CNA, such as spending long hours on the feet and lifting at least 40 pounds. This should be proved by a recent doctor’s physical. Students will need up-to-date immunizations and recent negative tuberculosis screenings. Finally, students will need to hold CPR cards prior to enrollment.
Texas uses the National Nurse Aide Assessment Program through Pearson VUE for its CNA competency evaluations. Pearson VUE uses a two-part test designed to test both CNA theory as well as skills. Students will need to complete both parts on the same day.
The first section is called the knowledge test; it can be taken in either a written or an oral format. The oral format is designed for Spanish speakers as well as for anyone who has a documented problem reading English. It uses an MP3 player. The written option has 70 multiple-choice questions while the oral option has 60 multiple-choice questions plus ten basic reading comprehension questions. This section must be completed in two hours or less.
During the skills test, students must demonstrate five CNA skills in front of a Nurse Aide Evaluator using a volunteer acting as a weakened patient. One skill will always be hand washing. The other four skills are randomly chosen on test day although at least one will be taking a measurement, such as a urine output. Students will have 30 minutes to complete this section.
The fee to take both sections is $85.50. Students will learn their scores while at the testing center. Those who fail will need to retake the section that they have failed. Students may have up to three attempts at each section and up to 24 months from the end of training to complete the examination before they are required to retrain.
CNAs moving to Texas from another state can request reciprocity to get onto the Texas Nurse Aide Registry without having to retrain or retest. To be eligible for Texas reciprocity, CNAs must have active certifications and must be in good standing with their prior states without any allegations of patient abuse or neglect. They will also need to submit to a new criminal background check. CNAs will need to fill out Texas’s reciprocity application and send in a copy of their prior certifications to their previous state for verification. They may need to wait up to four weeks for approval. Reciprocity is free except for those who are required to pay a verification fee to their prior states.
Texas CNAs must renew their certifications every two years to remain active. To renew, CNAs must prove that they have worked for pay performing nursing-related duties during the past 24 months and will need to submit an employment history. In addition, CNAs must complete 12 hours of in-services or continuing education every year. Some of these hours must relate to geriatric and dementia care. Renewal fees may vary depending on location in Texas but are approximately $40. CNAs who have not worked for pay in the past 24 months or who have not completed the required continuing education will be required to take both the knowledge and skills tests to become active again. The fees for these tests are $85.50.
|Houston Methodist Hospital||6565 Fannin Street||Houston||TX||77030||713-790-3311||Website|
|Baylor St. Luke'S Medical Center||6720 Bertner Avenue||Houston||TX||77030||832-355-1000||Website|
|Baylor University Medical Center||3500 Gaston Avenue||Dallas||TX||75246||214-820-0111||Website|
|Memorial Hermann-Texas Medical Center||6411 Fannin Street||Houston||TX||77030||713-704-4000||Website|
|Ut Southwestern Medical Center||5323 Harry Hines Boulevard||Dallas||TX||75390||214-645-5555||Website|
|University Hospital||4502 Medical Drive||San Antonio||TX||78229||210-358-4000||Website|
|Seton Medical Center||1201 West 38th Street||Austin||TX||78705||512-324-1000||Website|
|Houston Methodist Willowbrook Hospital||18220 Tomball Parkway||Houston||TX||77070||281-477-1000||Website|
|Texas Health Presbyterian Hospital Dallas||8200 Walnut Hill Lane||Dallas||TX||75231||214-345-6789||Website|
|Medical City Dallas Hospital||7777 Forest Lane||Dallas||TX||75230||972-566-7000||Website|
|Memorial Hermann Northwest Complex||1635 North Loop West||Houston||TX||77008||713-867-2000||Website|
|St. David'S Medical Center||919 East 32nd Street||Austin||TX||78705||512-476-7111||Website|
|Christus St. Michael Hospital||2600 St Michael Drive||Texarkana||TX||75503||903-614-1000||Website|
|Clear Lake Regional Medical Center||500 Medical Center Boulevard||Webster||TX||77598||281-332-2511||Website|
|Plaza Medical Center||900 Eighth Avenue||Fort Worth||TX||76104||817-336-2100||Website|
|Texas Health Harris Methodist Hospital Fort Worth||1301 Pennsylvania Avenue||Fort Worth||TX||76104||817-250-2000||Website|
|Baylor Regional Medical Center||1650 West College Street||Grapevine||TX||76051||817-481-1588||Website|
|Doctors Hospital At Renaissance||5501 South McColl Road||Edinburg||TX||78539||956-362-7360||Website|
|Edinburg Regional Medical Center||1102 West Trenton Road||Edinburg||TX||78539||956-388-6000||Website|
|Memorial Hermann Memorial City Medical Center||921 Gessner Road||Houston||TX||77024||713-242-3000||Website|