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CNAs must become certified based on respective states' requirements. Moving to a different state, however, would require recertification in the new state, unless both states use the NNAAP standard.

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Classes to study for these exams are provided by the American Red Cross as well as other providers.

The courses offered by the American Red Cross encompass all facets that are addressed in the state exams from communication to health terms to sensitivity.

Similar titles in the United Kingdom and elsewhere include healthcare assistant, healthcare support worker, or clinical support worker.

These providers usually work in hospitals or community settings under the guidance of a qualified healthcare professional.

Unlicensed assistive personnel (UAP) is a class of paraprofessionals who assist individuals with physical disabilities, mental impairments, and other health care needs with their activities of daily living (ADLs) and provide bedside care—including basic nursing procedures—all under the supervision of a registered nurse, licensed practical nurse or other health care professional.

UAPs must demonstrate their abilities and competencies before gaining any expanded responsibilities within the clinical setting.

They provide care for patients in hospitals, residents of nursing facilities, clients in private homes, and others in need of their services due to effects of old age or disability.

UAPs, by definition, do not hold a license or other mandatory professional requirements for practice, though many hold various certifications.

They are collectively categorized under the group "Personal care workers in health services" in the International Standard Classification of Occupations, 2008 revision.

The nursing assistant, nursing auxiliary, auxiliary nurse, patient care technician, home health aide/assistant, geriatric aide/assistant, psychiatric aide, nurse aide, or nurse tech are all common titles that are considered to be UAPs in many countries.

In the United States, the certified nursing assistant (CNA) typically works in a nursing home or hospital, and performs everyday living tasks for the elderly, chronically sick, or rehabilitation patients who cannot care for themselves.

There are some differences in scope of care across UAPs based on title and description. Once the above requirements are completed, the person will then be certified for that respective state.