Louisiana CNA Certification and Licensing Requirements
What's required to pass the Louisiana CNA competency exam and keep your certification active? Louisiana has a clear process: pass the state exam, get listed on the Nurse Aide Registry, and meet a modest work requirement every two years to renew. Below, the steps and rules that matter.
The Prometric Competency Exam
To become a certified nurse aide in Louisiana, you must pass the National Aide Competency Evaluation Program (NACEP) administered by Prometric. The exam has two parts: a written (or oral) knowledge test and a hands-on skills demonstration. Expect 60 to 70 multiple-choice questions covering basic nursing procedures, infection control, resident rights, and safety. If you have difficulty reading, you can request an oral version. The passing score falls between 70 and 75 percent.
The skills test evaluates your ability to perform five randomly selected clinical tasks, such as handwashing, taking vital signs, or assisting with transfer techniques. You'll perform these in front of a trained evaluator. The exam fee is $125 for both sections. If you need a retake, the written portion costs $32 and the skills portion costs $69. Most training programs include a practice exam and skills lab to help you prepare.
The Louisiana Nurse Aide Registry
Once you pass both parts, your training program or the testing center notifies the Louisiana Department of Health (LDH), which adds your name to the Nurse Aide Registry. There is no separate application fee for the initial listing, it's typically included in your exam fee. You can verify your active status by visiting the CNA/DSW Search portal on the LDH website or by emailing [email protected]. The registry also handles updates like name changes or address updates; you can fax requests to 225-342-4549. Processing a new listing can take a few weeks after the exam results are posted.
Renewal: The 8-Hour Work Rule
Louisiana CNA certification lasts two years. To renew, you do not need to take continuing education courses. Instead, you must show proof that you performed at least eight hours of paid nursing or nursing-related services during the 24-month certification period. Qualifying settings include nursing homes, hospitals, home health agencies, and hospices. Private-duty sitting, where you are hired directly by a family and not through a licensed agency, does not count. If you fail to meet the work requirement, your certification lapses and you must retake the competency exam to regain active status. Your employer typically reports your hours to the registry, but it's wise to keep your own records.
Reciprocity for Out-of-State CNAs
If you hold an active CNA certification from another state, you can transfer to the Louisiana registry through reciprocity. You do not need to retake the exam. Contact the Louisiana Nurse Aide Registry for an application for reciprocity; you'll likely need to provide a copy of your current certification card and have your original state send verification directly to LDH. Once approved, you can start working without delay. This process is especially useful for CNAs moving to Louisiana for school or family.
What Disqualifies a Candidate
Not everyone who completes training and passes the exam can become certified. The LDH will check your background for certain criminal convictions, particularly those involving violence, theft, or abuse. Any substantiated finding of patient abuse, neglect, or misappropriation of property on a state nurse aide abuse registry will prevent certification or result in immediate revocation. If you have a record, contact the registry before enrolling in a program to understand how your specific situation may impact eligibility.