Hawaii CNA Certification and Licensing Requirements
Hawaii’s CNA certification requirements reflect a strong emphasis on clinical readiness, with the state mandating 70 clinical hours out of a total 100-hour training program. Whether you are a new student or an experienced aide moving from another state, the process moves through a clear sequence: training, exam, background check, and registry placement.
Training Requirements
To become a CNA in Hawaii, you must complete a state-approved nurse aide training program totaling a minimum of 100 hours. The Hawaii Department of Commerce and Consumer Affairs (DCCA) sets a clear split: at least 30 hours must be classroom instruction, covering essential topics like infection control, communication, and resident rights. The remaining 70 hours are dedicated to supervised clinical training, where you practice skills directly with patients in a nursing home, hospital, or long-term care facility. This heavy clinical emphasis ensures new CNAs are comfortable with hands-on care before entering the workforce.
Prometric Competency Exam
Once your training is complete, the next step is passing the Hawaii Nurse Aide Competency Evaluation, administered by Prometric. The exam has two parts: a written knowledge test (or an oral version in English or your preferred language) and a skills demonstration. For the skills test, you will be asked to perform five randomly selected nurse aide tasks in front of an evaluator. You must pass both components to be placed on the registry.
The written test typically consists of 60 multiple-choice questions, and you need a score of 80% or higher to pass. If you opt for the oral version, the passing threshold remains the same, but the questions are read aloud. On the skills side, your performance is judged against a checklist of critical steps; missing a key step can result in failure. Prometric allows three attempts to pass each section. If you fail a part, you can retest after scheduling a new appointment, though additional fees apply.
Hawaii offers Prometric test sites on four islands: Oahu, Maui, Hawaii Island, and Kauai, making it convenient for students across the state. Scheduling is handled through Prometric’s online portal, and it’s wise to book early, as slots can fill up weeks in advance. Detailed information on current fees and site addresses is available on the Prometric Hawaii nurse aide page.
Application and Background Check
Before you can take the exam or work as a CNA, you must apply to the Hawaii Nurse Aide Registry through the DCCA. Required documents typically include proof of completed training, a government-issued photo ID, and a completed application form. All applicants must also undergo a criminal background check, which includes fingerprinting. The background check looks for any disqualifying convictions; if something appears, the DCCA reviews it on a case-by-case basis.
Application fees vary, but expect to pay around $25 to $50 for the registry application, plus separate exam fees (around $120 to $150 total for both parts). Processing times can take two to four weeks, so plan accordingly. You cannot be employed as a CNA in a licensed facility until your name appears on the registry.
Reciprocity for Out-of-State CNAs
If you are already a certified nurse aide in another state, you can transfer your certification to Hawaii through a reciprocity process also handled by Prometric. You’ll need to submit proof of your active, unencumbered certification from your current state, along with verification of employment as a CNA within the last 24 months. If your out-of-state training did not meet Hawaii’s 100-hour minimum, you may be required to complete additional training. There is no additional exam if your certification is in good standing, but you still must pass the Hawaii background check and pay applicable fees. The processing timeline for reciprocity can be longer, up to six weeks, so start early if you’re planning a move.
Maintaining Your Certification
Once listed on the Hawaii Nurse Aide Registry, your certification is valid for two years. To renew, you must complete 24 hours of continuing education, maintain CPR and first aid certification, and demonstrate that you have performed at least eight hours of paid nursing or nursing-related work within the past 24 months. Facilities often require an annual performance review as well. Staying on top of these renewal requirements ensures your active status and ability to keep working as a CNA in Hawaii.