Learn more about the CNA life and get details about how to enroll in NextStep’s training-to-placement CNA program.
Updated November 17, 2021
NextStep's training-to-placement program prepares learners to work as certified nursing assistants (CNAs). Our goal is to fill long-term care providers' critical staffing needs and provide learners the opportunity to begin a rewarding career in health care.
NextStep training materials are available through our app online or via mobile device. By delivering a digital curriculum, we ensure learner progress is monitored, saved and available for review. To enroll in our course, learners must have access to a computer, tablet or smartphone that can be connected to the internet with a minimum of 30MB of storage.
All course components are provided in English only at this time. Learners must be able to read, write, comprehend, and speak English fluently.
No experience is required to enroll. To enroll in the Washington CNA course, learners must meet the following requirements:
At least 18 years old
Legally eligible to work in the United States
Have a valid state driver's license or government-issued photo ID card
Washington state resident
Have a GED or high school diploma
Not have a disqualifying offense
All learners applying to the NextStep CNA program must complete a background check that reviews criminal activity in all U.S. states. Learners who have a felony, pending charges, or an active warrant, may not register or continue with the Course. NextStep learners must meet the high standards of our employer partners to be eligible for our CNA Training and Placement program. Learners are disqualified from participating in the NextStep Training and Placement Program if they have any of the following disqualifying offenses on their background screening:
Any felony convictions
Any crimes involving abuse, neglect or exploitation of another person
Violence toward another person, including domestic violence
Crimes of a sexual nature, including offenses requiring registration as a sex offender
The sale, possession, distribution or transfer of narcotics or controlled substances
Theft in the past seven years
More than two misdemeanors in the last 24 months
Operating a vehicle while under the influence of drugs or alcohol more than once in seven years
Crimes involving the U.S. Treasury, Office of Foreign Assets Control (OFAC) or Specially Designated Nationals (SDN)
Crimes involving the Health and Human Services/Office of Inspector General List of Excluded Individuals/Entities or the GSA List of Parties Excluded from Federal Programs
NextStep does not and shall not discriminate against any learner on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status, in any of its activities or operations.
NextStep acknowledges that information pertaining to a learner’s disability is voluntary and confidential. To be qualified for an accommodation, the learner must be able to perform the following caregiving tasks with or without reasonable accommodation: ability to lift at least 30 lbs., squat, sit, bend at waist level and reach overhead. All inquiries about accommodations should be made in writing to email@example.com.
Registered nurse (RN) and Licensed Practical Nurse (LPN) instructors must have a minimum of one year's experience within the past three years in caring for the elderly or chronically ill of any age, have completed a course in adult instruction or have experience teaching adult courses, and be approved by the WA Nursing Care Quality Assurance Commission.
The NextStep WA CNA Course can be completed in an average of eight weeks, coursework must be completed in no more than twelve weeks from the date of registration. The speed of course completion is dependent on learners’ self-motivated progress. The coursework includes:
Total theory (app) portion of the program =
Total lab portion of the program =
Total clinical portion of the program =
Hartman’s Nursing Assistant Care: The Basics, Fifth Edition by Hartman Publishing, Inc. with Jetta Fuzzy, RN, MS
Required readings are listed on the Course Outline tab above.
Learners must complete the following to successfully complete the course and be eligible to sit for the state CNA exam:
Education credential: Upon completion of the NextStep program, the learner will receive a certificate of completion.
state CNA exam: NextStep assists with scheduling the certified nursing assistant (CNA) exam. This is a two-part examination consisting of a written or oral examination and a skills evaluation.
Absenteeism and make-up time will be allowed on a case-by-case basis by the Instructor. All make-up assignments must contain the same content as the original approved assignment. Make-up work will comply with regulatory requirements and be provided according to the approved training.
Theory: The theory portion of the NextStep CNA program is completed in the app at whichever time best fits the learner’s schedule. We advise completing 3-4 skills per day to stay on track with the agreed upon graduation deadline.
Practice lab: If a learner is more than 15 minutes late to practice lab, they are not permitted to attend the practice lab and must reschedule. Learners are expected to stay for each of the entire four-hour labs. If a learner needs to leave early due to an emergency, the instructor will provide a plan for making up this time.
Clinical: All clinical hours and the mandatory clinical preparation orientation scheduled at the beginning of the clinical rotation must be completed to pass the course.
15 minutes or less tardy from the start of the clinical: the learner will make up equivalent time after clinical end time equivalent to the number of minutes late with the instructor. Learners can have one episode of tardiness up to 15 minutes late.
More than 15 minutes tardy from the start of the clinical: the learner is considered absent and will have to make up the entire clinical.
General Requirement: Learners are expected to behave in an appropriate and professional manner during all interactions with other Learners, individuals receiving care, and NextStep staff including instructors, mentors, and Clinical site staff.
Unprofessional and inappropriate behavior is not tolerated and could result in dismissal from Lab or Clinical for the day and/or disenrollment from the Course. This includes violating any part of the NextStep End User Licensing Agreement and/or NextStep Learner Policies. In addition, unprofessional and/or inappropriate behavior includes, but is not limited to, the examples below:
Dress Code Requirements for Lab and Clinical
All clinical interactions with individuals receiving care and simulation lab practice sessions involving learners, including video recordings, are considered confidential. Learners are expected to uphold all requirements of the Health Insurance Portability and Accountability Act (HIPAA) and any other federal or state laws requiring confidentiality. Learners should report any violations to the program coordinator or instructors.
NextStep learners are expected to maintain academic progress and conduct themselves in a professional manner while completing coursework and during their lab/clinical experience.
Learner Course Participation
Learners may be dismissed if they:
Learner Performance in Practice Lab
Learners may be asked to leave practice lab if they:
Learners may be dismissed from the program and/or determined ineligible for job placement if they:
Learner Performance in Clinical
Learners may be dismissed from clinical if they:
Fail to attend and participate in at least
hours of clinical
Learner Immediate Dismissal
Learners may be immediately dismissed if they:
Learners are placed in a CNA position with one of our NextStep-approved employers once they pass their CNA exam.
NextStep learners participate in the NextStep training and job placement program.
Costs Covered by NextStep
NextStep grades using a pass/fail method.
There are fifteen questions per skill and thirty questions per skill set. Learners must achieve a minimum score of 60% on the skill set evaluation to pass. Learners’ progress through the program is indicated by their accumulation of digital skill badges or percent of progress.
Total of 3 Tries to Pass the Final Exam
The RN instructor ensures that learners are trained and found proficient in all skills on each performance-based assessment. If a learner fails a critical step (based on
’s identification), they fail the assessment. Learners receive a practice lab skills checklist to track progress and successful skill demonstration.
The RN instructor ensures that learners demonstrate proficiency in all skills. The clinical skills checklist displays learner progress and skill competency.
Knowledge-based assessment questions demonstrate understanding and comprehension of a skill.
Performance-based video evaluation provides step-by-step performance ratings in addition to personalized feedback and hands-on skill demonstration. Learners receive feedback and guidance from RN instructors during practice lab and video skill evaluations with a pass or fail grade. Evaluations in the practice lab assess the learner's level of competency when performing all skills. Learners must achieve an 85% or higher to pass each skill. Failing or performing bolded steps results in an automatic failure of the skill even if all other steps have been performed correctly. The learner receives a pass/fail performance-based video evaluation based on successful skill demonstration of bold steps (Critical Element Steps) outlined in the Skill Rubric to be deemed competent in each designated skill. The learner can repeat the skill for a total of three times before being placed on a student-specific academic plan.
Skills are demonstrated hands-on.
NextStep accommodates some learner-initiated time away from the program with advance notice. A learner may begin completing the skills again where they left off if they voluntarily disenroll during self-paced app work. Re-entry alerts the mentor, who will contact the learner regarding plans for progress.
Learners must complete the NextStep course in no more than 12 weeks from the date of enrollment. Planned absences, for up to two-weeks, are reviewed and approved on an individual basis by the Program Director. Those learners who have an approved planned absence during the program must still adhere to completing the course within 12 weeks from the date of enrollment.
Learners may not re-enter the course if dismissed due to ineligibility due to conduct, issues, criminal background offenses, or not meeting requirements, such as not having a high school diploma or being under the age of 18. Questions or concerns regarding eligibility may be directed to the manager of customer success.
Learners who have a complaint or concern can request an appointment with their RN instructor, the program coordinator or the appropriate designee. The request should include the learner’s full name and a statement of concern, including dates, times and names of those involved.
The program coordinator or appropriate designee will notify the learner of the appointment date on which the concerns will be addressed. Every effort will be made to bring an amicable resolution. If necessary, a panel of instructors and/or appropriate NextStep staff will hear the concerns and be asked to assist in bringing a resolution. The learner will be notified within five business days of the outcome.
NextStep utilizes electronic documents and gathers and stores minimal hard copies (paper or printed) of documentation. Retention and disposal of electronic and/or paper documents that validate completion and competency of skills will insure information is adequately protected and digitally maintained and discarded at the designated time. Upon graduation, each student may request a copy of his or her transcript.
The following holidays will be observed (lab and clinical classes will not be held on these days):
Mentors are available via app chat, email, text or phone, Monday through Friday from 8:00 a.m. until 8:00 p.m. and Saturday and Sunday from 10:00 a.m. until 4:00 p.m. PST.
The NextStep Practice lab allows learners to learn aspects of caregiving through demonstration and hands-on practice under the direction and supervision of an approved
Instructor. The maximum class size is 10, and the student/teacher ratio is 10:1. The practice lab is equipped with mannequins, hospital beds and medical equipment to practice skills prior to the clinical rotation.The practice lab has a break area for learners with a sink, tables and chairs. Both male and female lavatories are available. Parking is available in a well-lit parking lot. The facility is located in close proximity to public transit. The practice lab is an ADA-accessible facility with handicapped ramps and lavatories; reasonable accommodation will be provided at the request of the learner.
Mountlake Practice Lab:
6505 218th Ave SW, Ste 15, Mountlake Terrace, WA 98043
Spokane Practice Lab:
Sullivan Park Care Center
14820 East 4th Ave, Spokane Valley, WA 99216
Tukwila Practice Lab:
12832 Interurban Ave S Tukwila, WA 98168
Contact Us: firstname.lastname@example.org
Inquires or complaints regarding this private vocational school may be made to:
Nursing Care Quality Assurance Commission
Washington State Department of Health
P.O. Box 47877
Olympia, WA 98504-7877
Worker & Community Right to Know Act - Washington law establishing comprehensive program for disclosing information about hazardous substances in the workplace or community
Uniform Disciplinary Act - Laws governing licensure and disciplinary procedures for health professionals, such as CNAs.
Washington Scope of Practice - Observable and measurable behaviors all people holding a nursing assistant-certified or nursing assistant- registered in the state of Washington must follow.
Hartman’s Nursing Assistant Care: The Basics, Fifth Edition
by Hartman Publishing, Inc. with Jetta Fuzzy, RN, MS
Read: Hartman's Nursing Assistant Care: The Basics, 5th Edition: Chapter 1, pp 1-10; Chapter 2, p 59
Read: Hartman's Nursing Assistant Care: The Basics, 5th Edition: Chapter 2, pp 21-30
Read: Hartman's Nursing Assistant Care: The Basics, 5th Edition: Chapter 1, pp 10-18; Chapter 3, pp 62-65
Read: Hartman's Nursing Assistant Care: The Basics, 5th Edition: Chapter 3, pp 68-69; Chapter 7, pp 188-190, pp 201- 202
Read: Hartman's Nursing Assistant Care: The Basics, 5th Edition: Chapter 2, pp 45-59
Read: Hartman's Nursing Assistant Care: The Basics, 5th Edition: Chapter 6, pp 124-125; Chapter 7, pp 200-202; pp 250-261
Read: Hartman's Nursing Assistant Care: The Basics, 5th Edition: Chapter 2, pp 29-37; Chapter 6, p 163
Read: Hartman's Nursing Assistant Care: The Basics, 5th Edition: Chapter 2, pp 33-45
Read: Hartman's Nursing Assistant Care: The Basics, 5th Edition: Chapter 6, pp 157-168, Chapter 9, pp 232-233
May attend Lab 1: Mahoney- After completing SS9: Reposition & Move
Read: Hartman's Nursing Assistant Care: The Basics, 5th Edition: Hartman Chapter 6, pp 163-168
Read: Hartman's Nursing Assistant Care: The Basics, 5th Edition: Chapter 7, pp 173-188, pp 190-192
May attend Lab 2: Seacole- After completing SS11: Basic Care
Read: Hartman's Nursing Assistant Care: The Basics, 5th Edition: Chapter 2, pp 26-27; Chapter 6, p 144-146; Chapter 9, pp 229-233
Read: Hartman's Nursing Assistant Care: The Basics, 5th Edition: Chapter 6, pp 129-152; Chapter 7, pp 203-208
Read: Hartman's Nursing Assistant Care: The Basics, 5th Edition: Chapter 6, pp 129-134; pp 143-146; Chapter 7, pp 199-200
May attend Lab 3: Taylor- After completing SS14: Personal Care
Read: Hartman's Nursing Assistant Care: The Basics, 5th Edition: Chapter 6, pp 125-128; Chapter 9, pp 234-240
May attend Lab 4: Staupers- After completing SS15: Restorative Care
Read: Hartman's Nursing Assistant Care: The Basics, 5th Edition: Chapter 6, pp 152-157
Read: Hartman's Nursing Assistant Care: The Basics, 5th Edition: Chapter 4, pp 97-101; Chapter 7, pp 196-199
May attend Lab 5: Barton- After completing SS17: Special Procedures
Read: Hartman's Nursing Assistant Care: The Basics, 5th Edition: Chapter 8, pp 209-226
Read: Hartman's Nursing Assistant Care: The Basics, 5th Edition: Chapter 2, pp 28-29; Chapter 3, pp 70-72; Chapter 4, pp 85-96; Chapter 5, pp 114-123
Read: Hartman's Nursing Assistant Care: The Basics, 5th Edition: Chapter 3, pp 72-84
May attend Lab 6: Nightingale- After completing SS20: Diseases & Conditions