Certified Nursing Assistant (CNA) in Hawaii
This guide provides a step-by-step approach to becoming a Certified Nursing Assistant (CNA) in Hawaii. It covers the entire process from meeting prerequisites to finding employment, with a total path duration typically ranging from 8-12 weeks. Key steps include verifying prerequisites, completing state-approved training, passing the competency exam, and obtaining state certification.
Photo by JESHOOTS.COM on Unsplash
The Certified Nursing Assistant (CNA) career in Hawaii offers a stable and rewarding opportunity for those interested in the healthcare field. With an aging population and an increasing demand for healthcare services, the need for CNAs in Hawaii has seen significant growth. According to recent data, the average salary for CNAs in Hawaii stands at approximately $33,000 per year, with job market projections indicating a growth rate of about 9% over the next decade. This growth is driven by an expanding healthcare sector and the essential role CNAs play in providing care, making it a promising career path.
Hawaii presents a unique environment for CNAs due to its distinct healthcare regulations and geographical factors that influence medical services. The state enforces specific requirements for CNA certification that include both coursework and hands-on clinical experience. Hawaii's major healthcare employers include both private and public facilities, such as The Queen's Health Systems and Kaiser Permanente, which offer numerous employment opportunities but may also face challenges related to remote and rural service delivery. The islands' diverse population and isolated location further emphasize the need for adaptable and resilient healthcare professionals.
This guide aims to provide a detailed roadmap for becoming a Certified Nursing Assistant in Hawaii. Readers will learn about the licensing requirements, including the necessary educational courses and the certification process overseen by the Hawaii Department of Commerce and Consumer Affairs. Additionally, the guide will cover salary expectations across different regions within the state, insights into the job market, and tips for finding employment. By laying out these steps and providing targeted information, this guide serves as a practical resource for anyone looking to pursue a career as a CNA in Hawaii.
Licensing Authority
Hawaii Department of Commerce and Consumer Affairs, Professional and Vocational Licensing
In Hawaii, Certified Nursing Assistants must complete state-approved training, pass a competency exam, and undergo a background check. Licenses must be renewed every two years with continuing education and work requirements.
Official Resources
Hawaii Requirements
Training Requirements
- Education
- High school diploma or equivalent
- Total Training Hours
- 100 hours
- Classroom Hours
- 30 hours
- Clinical Hours
- 70 hours
- Minimum Age
- 18 years old
Additional Requirements
- Background check (Federal and state) with fingerprinting
- Completion of a physical exam, including TB test and immunizations
Certification Exam
- Exam
- Prometric CNA Exam
- Components
- Written, Skills demonstration
- Fee
- $200
How to Become a Certified Nursing Assistant in Hawaii
tuition $500-$2,000, exam fee $200, background check $50, application fee $25, textbooks/supplies $25, scrubs $0-$200
Fastest Path
4-6 weeks
Typical Timeline
8-12 weeks
Estimated Cost
$800–$2,500
Verify You Meet Hawaii's Prerequisites
Before beginning your journey to become a CNA in Hawaii, ensure you meet the state's prerequisites. These include being at least 18 years old, having a high school diploma or GED, and being in good physical health. Visit the Hawaii Department of Commerce and Consumer Affairs (DCCA) website to download the latest guidelines and checklist. Common delays often involve obtaining transcripts or GED verification, so start this process early.
Tip
Order your high school transcript online through Parchment.com ($15) to avoid a 2-week mail delay from your school's registrar office.
Complete Background Check and Health Screenings
Schedule a fingerprinting session for a background check through the Hawaii Criminal Justice Data Center. This can be done online via the eCrim website. You will also need a recent TB test and possibly a physical examination, depending on program requirements. Background checks can take up to 4 weeks to process, so initiate this step early to avoid delays. Check for any disqualifying criminal offenses and consider applying for a waiver if necessary.
Tip
Schedule your fingerprinting appointment early in the process as slots fill up quickly.
Research and Choose an Approved Training Program
Select a state-approved CNA training program in Hawaii. These programs meet specific standards set by the state, including 100 total hours of training with 30 hours in the classroom and 70 hours in clinical settings. Visit the Department of Commerce and Consumer Affairs website to view a list of approved programs. Attending a non-approved program will result in ineligibility to sit for the state exam, thus wasting time and money.
Tip
Verify the program's approval status directly on the DCCA website to ensure eligibility for the state exam.
Enroll in and Complete Training
Once you have chosen an approved program, enroll and complete the required 100 hours of training, which includes 30 hours of classroom instruction and 70 hours of clinical practice. Ensure you attend all sessions as missing hours can delay your certification process. Upon completion, the training program will issue a certificate of completion necessary for exam registration.
Tip
Keep a record of all training hours and ensure they align with state requirements to avoid issues during exam registration.
Prepare for the Competency Exam
Begin preparing for the Hawaii Nurse Aide Competency Examination, which is administered by Prometric. The exam consists of two parts: a written or oral test comprising 60 multiple-choice questions and a skills evaluation. You can find study materials and practice exams on Prometric's website. Allocate at least 2-3 weeks for thorough preparation to increase your chances of passing on the first attempt.
Tip
Utilize free practice exams available on Prometric's website to familiarize yourself with the exam format and question types.
Register for and Schedule the Exam
Register for the Hawaii Nurse Aide Competency Examination through Prometric's website. You will need to provide your training completion certificate and pay the exam fee. Choose a test date and location that are convenient for you. Registration should be done at least 3-4 weeks before your desired test date to ensure availability.
Tip
Check for available test dates while you are still in training so you can plan accordingly and avoid waiting periods.
Take and Pass the Exam
On the day of the exam, arrive early with two forms of ID and your confirmation number. The written test has 60 questions, and you will perform several hands-on skills under observation. If you fail, you can reschedule the exam by paying a retest fee. Results are typically available within a few days, and passing both sections is required to apply for certification.
Tip
Arrive at least 30 minutes early to the testing center to allow ample time for check-in procedures and to settle any nerves.
Apply for State Certification/Registry
After passing the exam, apply for your CNA certification with the Hawaii Nurse Aide Registry. Submit your exam results, a completed application form, and any required fees. The process can take 2-4 weeks. Once approved, your name will be listed in the state registry, which is necessary for employment as a CNA in Hawaii.
Tip
Ensure all sections of the application are filled out correctly to avoid delays in processing.
Receive Your Certification and Verify on State Registry
Once your application is processed, you will receive your CNA certification by mail. Verify your status on the Hawaii Nurse Aide Registry online to ensure your information is correct and up-to-date. This verification is often required by employers before you can begin working.
Tip
Regularly check the mail for your certification and keep it in a safe place once received.
Find Your First Job
With your certification in hand, start your job search. Utilize online job boards like Indeed, network with contacts from your training program, and apply directly at local healthcare facilities. Be prepared to discuss your training experience and how it has prepared you for a CNA role during interviews. Negotiate your salary based on the going rates in your area, which can be researched online.
Tip
Tailor your resume to highlight specific skills and experiences that align with the job descriptions of positions you are applying for.
Alternative Training Paths
Employer-Sponsored Training at Nursing Homes
Some nursing homes in Hawaii offer employer-sponsored CNA training programs. These are often provided at no cost to the employee in exchange for a commitment to work at the facility for a specified period after certification. This path can be a cost-effective way to receive training and secure employment simultaneously.
Best for: Individuals looking for a direct path to employment with minimal upfront costs
Common Mistakes to Avoid
- •Attending a training program not on the Hawaii Board of Nursing approved list. You will complete the program but be unable to sit for the state competency exam, wasting both your time and tuition money.
What to Expect on Exam Day
NNAAP Written and Skills Examination administered by Prometric
Written Test
Questions: 60
Time Limit: 90 minutes
Format: Multiple choice
Passing Score: 70%
- • Physical Care Skills (35%)
- • Psychosocial Care Skills (15%)
- • Role of the Nurse Aide (50%)
Skills Test
Skills Tested: 5
Time Per Skill: 25-30 minutes total
Candidates demonstrate skills on a mannequin or with a fellow candidate acting as a patient under the supervision of a nurse evaluator.
What to Bring
- ✓ Two forms of identification with your name and signature (one must be photo ID)
- ✓ Confirmation letter or email from Prometric
- ✓ Three No. 2 pencils and an eraser
Do Not Bring
- ✗ Personal items such as bags, books, or electronic devices
- ✗ Food or drink inside the testing room
- ✗ Hats or hoods (except for religious purposes)
Day-of Timeline
Arrive 30 minutes early. Check in takes 15 minutes. Written test is 1.5 hours. Break for 10 minutes. Skills test is approximately 30 minutes.
Getting Your Results
Results are provided at the test center immediately after the exam. Official results and certification are mailed within 10 days.
If You Don't Pass
You can retake the exam up to three times within one year of the initial test date. Each retake requires a new fee. Fees vary by component: written or skills.
Exam Strategies
- 1. Read each question carefully, especially the wording, to avoid confusion.
- 2. During the skills test, verbalize each step of the procedure as you perform it to ensure clarity and completeness.
- 3. Manage your time efficiently, especially on the skills test, by practicing timed skills at home.
- 4. Familiarize yourself with the format and typical procedures of the skills test to reduce anxiety and improve performance.
Document Checklist
Every document you need from start to finish
1Before Training
High School Diploma or GED
From previous educational institutions or GED testing service · Varies · Varies
Proof of completion is mandatory for CNA training enrollment.
Government Issued Photo ID
State DMV or Passport office · Varies · Varies
Needed for identity verification during enrollment and exams.
Social Security Card
Social Security Administration · 10-14 days
Required for background checks and employment verification.
TB Test Results
Local clinics or healthcare providers · $20-$50 · 48-72 hours
Must be obtained within 6 months prior to training.
Physical Examination Record
Healthcare provider · $75-$200 · 1-2 weeks
Confirms physical ability to perform nursing duties.
Proof of Immunizations
Healthcare provider or previous medical records · Varies · 1-2 weeks
Required immunizations include MMR, Hepatitis B, Varicella, and Influenza.
CPR Certification
American Red Cross, American Heart Association, or other approved providers · $45-$100 · Varies
Must be a healthcare provider level certification.
2During Training
Enrollment Agreement
CNA training program · At time of enrollment
Document outlining the training program terms and conditions.
Attendance Record
CNA training program · Throughout training
Used to track mandatory attendance and participation.
Training Completion Certificate
CNA training program · Included in training fees · Upon completion of the program
Required to sit for the state certification exam.
3For the Exam
Exam Application Form
Hawaii Nurse Aide Registry or approved testing service · Varies
Must be submitted to schedule the certification exam.
Exam Fee
Payable to the testing service · $200-$275
Fee must be paid prior to exam registration.
2x2 Passport-Sized Photo
Photo centers or via online services · $10-$15
Required for exam admission ticket.
4For Certification
Background Check Authorization
Hawaii Nurse Aide Registry or designated testing service · $35-$50
Mandatory for state certification.
Certification Fee
Payable to the Hawaii Nurse Aide Registry · $25-$50
Required to issue the official CNA certificate.
Fingerprinting
Approved fingerprinting locations · $40-$70
Necessary for criminal history check.
After You're Certified: What's Next
Immediately after passing your CNA exam in Hawaii, verify your status on the Hawaii Nurse Aide Registry. Ensure your details are correct and request your official certificate. Start compiling a list of required documents for job applications, including your CNA certificate, CPR certification, and any health clearances.
Finding Your First Job
Where to Look
- • Hawaii Health Career Navigator
- • Indeed.com with location set to Hawaii
- • Hawaii Pacific Health careers page
- • Kaiser Permanente Hawaii careers portal
- • Local hospital and nursing home websites
Best Employers for New Grads
- • Hospitals: Offer diverse experiences with various patient care, higher pay but more demanding shifts.
- • Nursing homes: More consistent schedules, opportunity to form long-term relationships with patients, but can be emotionally taxing.
- • Home health agencies: Flexible schedules, one-on-one patient interaction, travel within the community required.
Resume Tip: Include your CNA certification, any clinical externships, CPR certification, and specific skills such as patient hygiene assistance, vital signs monitoring, and documentation. Highlight soft skills like communication, empathy, and reliability.
Interview Tip: Prepare to discuss why you chose a career in healthcare, your experiences during training, how you handle stressful situations, and a time you provided excellent patient care. Be ready to demonstrate knowledge of basic healthcare practices.
Expected First-Year Salary
In Hawaii, starting salaries for CNAs range from $30,000 to $37,000 annually, depending on the employer and location within the state.
Career Advancement Path
LPN (Licensed Practical Nurse)
Complete an accredited LPN program, which typically lasts 1 to 2 years.
Challenges to Prepare For
- • Physical demands: Handling the physical tasks and long hours can be challenging. Maintain physical fitness and practice proper lifting techniques.
- • Emotional stress: Dealing with sick or elderly patients can be emotionally draining. Seek support from peers or supervisors and consider professional counseling if needed.
- • Workplace dynamics: Navigating relationships with other healthcare staff can be complex. Communicate clearly and professionally, and address conflicts directly and respectfully.
Certified Nursing Assistant Salary in Hawaii
In Hawaii, Certified Nursing Assistants (CNAs) earn a median annual salary of $35,000, which is slightly higher than the national average. Hourly wages average at $16.83.
Entry Level
$31,000
0-1 years experience
Median Salary
$35,000
$16.83/hr · Bureau of Labor Statistics
Experienced
$42,000
5+ years experience
Compared to National Median
$33,000 national · +6.06% in Hawaii
Salary by Metro Area
Highest concentration of CNAs
Lower than Honolulu but competitive
Salary by Employer Type
While the CNA salary in Hawaii is above the national average, the state's high cost of living can offset these earnings.
Benefits & Compensation
Common benefits include health insurance, paid time off, and retirement plans. Some employers may offer tuition assistance.
Salary Growth Outlook
Growth in CNA salaries is expected to align with national healthcare demands and local cost of living adjustments.
Salary Negotiation Tips
- •Highlight relevant certifications and experience.
- •Discuss the high cost of living in Hawaii.
Job Market in Hawaii
Hawaii's job market for Certified Nursing Assistants (CNAs) is currently robust, driven by an aging population and increased healthcare needs. According to the Bureau of Labor Statistics, the employment rate for CNAs shows a steady increase. The unique geographical and demographic challenges of Hawaii, such as remote locations and an aging demographic, further amplify the demand for healthcare services, including CNAs.
Top Hiring Areas
Major hospitals and healthcare centers
Growing healthcare needs and retirement communities
Top Hiring Industries
Best time to apply: Early spring or late fall, aligning with budget cycles of major healthcare providers
Opportunities
- Expansion of telehealth and remote care services
- Partnerships with educational institutions for targeted training programs
Challenges
- High cost of living affecting workforce retention
- Limited training and educational facilities for CNAs
Training Programs in Hawaii
Hawaii offers several paths for Certified Nursing Assistant training, including community colleges, vocational schools, and employer-sponsored programs.
Program Types Comparison
| Type | Duration | Cost | Format | Pros / Cons |
|---|---|---|---|---|
| Community College | 4 to 12 weeks | $800 to $1,500 | In-person/Hybrid |
|
| Vocational/Trade School | 6 to 12 weeks | $1,000 to $2,000 | In-person |
|
| Employer-Sponsored | Variable | Free | On-the-job |
|
Top Programs
Honolulu, Hawaii
High NCLEX pass rates and strong local reputation
Honolulu, Hawaii
Intensive hands-on training
Online & Hybrid Options
Hybrid options are available where theoretical parts are online but practical training requires presence.
How to Choose a Program
- •Check state approval status and NCLEX pass rates for graduates.
Financial Aid & Free Training
Get free Certified Nursing Assistant program info for Hawaii
Renewal Requirements
Renewal Period
Every 2 years
Renewal Fee
$25
CE Hours
24 hours
Work requirement: Minimum of 8 hours of paid employment as a CNA within the renewal period
CE Topics: Patient care, Infection control
Out-of-State Reciprocity
Hawaii offers reciprocity for CNAs from other states, provided they meet Hawaii's requirements and their certification is in good standing.
Requirements for Reciprocity
- Verification of current, active certification
- Proof of work as a CNA in the last 2 years
State Agreements
Hawaii recognizes CNA certifications from all states provided that the certification is active and in good standing.
Additional Exams
No additional exams required for candidates with active certification
Application Process
Submit an application for licensure by endorsement, complete with all required documentation and fees.
Fees
$25
Processing Time: 4-6 weeks
Licensing Tips
Ensure all documents submitted for licensing or reciprocity are complete and accurate to avoid delays.
Maintain continuous employment as a CNA to simplify renewal processes.
Recommended Resources
CNA Exam Preparation
This guide includes practice questions and answers with detailed explanations, covering all aspects of the CNA exam in Hawaii.
CNA Study Guide
Offers comprehensive review material, practice tests, and strategies for passing the CNA exam.
Hartman's Nursing Assistant Care: Long-Term Care and Home Health, 4th Edition
Textbook provides essential information on long-term care and home health, aligning with CNA responsibilities and state regulations in Hawaii.
Mosby's Textbook for Nursing Assistants, 10th Edition
Detailed textbook with step-by-step procedures for skills required by CNAs, including safety techniques and patient rights.
Blood Pressure Cuff and Stethoscope
Used for vital signs training, a fundamental skill for CNAs.
Medical Scrubs
Required attire for clinical training, promoting hygiene and professionalism.
As an Amazon Associate, CredentialGuide earns from qualifying purchases.
Stay Updated
Get notified when Certified Nursing Assistant (CNA) requirements change in your state.
No spam. Unsubscribe anytime.
Find Certified Nursing Assistant Programs in Hawaii
Get free program information sent to your inbox
No spam. Unsubscribe anytime.
Frequently Asked Questions
Want to Talk to a Career Counselor?
Get personalized guidance on training programs, licensing requirements, and career opportunities in Hawaii.
Are You a Training Provider?
List your programs on CredentialGuide and connect with students actively researching training options in your area.
Sources
- Bureau of Labor StatisticsAccessed 2026-02-13
- Hawaii Licensing BoardAccessed 2026-02-13
- CareerOneStopAccessed 2026-02-13