A: For certificate renewal, the CNA may count hours they spent performing CNA authorized duties for pay—they must either be supervised by a RN or LPN while performing those duties or be monitored by a RN who works for the same employer as the CNA.
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.