Spokane NAC / CNA Classes

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The Spokane NAC / CNA classes and Nursing Assistant Certification program at Health Care Training Center is licensed by the Washington State Department of Social and Health Services and the Department of Aging and Disability Services in cooperation with the regulations set by the Washington State Department of Health Nursing Quality Care Assurance Commission.  Program approval is subject to bi-annual review. Our dedicated team of medical professionals will help you to master the skills you need to successfully pass the NAC / CNA certification exam.  Our intensive review and hands on skill building  curriculum coupled with live clinical training is designed with one goal in mind.  Your Success!  We help you get certified & get employed.



Health Care Training Center’s (HCTC) Nursing Assistant Program focuses on professionalism, quality of care, and a solid foundation of clinical skills. The nursing assistant program consists of 112 hours of classroom instruction and clinical experience. The first phase of the program, the preclinical phase, consists of classroom lecture and videos, clinical skills demonstration and practice and 7 hours of HIV/AIDS education. During this time, students will be required to pass a written exam, clinical skills test, HIV/AIDS education exam, and written test, and have completed all required courswork. Students must have successfully completed all written and practical exams before being allowed to move to the clinical experience phase of their training. The clinical experience phase of the program consists of 64 hours of patient care, 40 of which are performed on location at an approved clinical site. During the clinical experience phase of the training, students will be required to meet a list of clinical objectives for course completion. Students will be supervised at all times by a State approved Licensed Nurse employed by Health Care Training Center while at the clinical facility. Following successful completion of clinical experience, students will be issued a Health Care Training Center certificate of completion and will then be eligible for the Washington State Nursing Assistant Certification Examination.  HCTC can accommodate 12 students in each nursing assistant class with 1 Certified Nursing Assistant Program Nurse assigned to each 10 students during the clinical portion of the course.


The Nursing Assistant training program at Health Care Training Center is a 3-5 week training program designed to thoroughly prepare each student for the nursing assistant certification examination and prepare students for nursing assistant employment. The following objectives will be met in each course through lecture, clinical skills practice, and clinical experience:

  • Communication and interpersonal skills
  • Infection Control
  • Safety/emergency procedures.
  • Promoting residents independence
  • Understanding and Respecting residents’ rights
  • Basic nursing skills such as taking and recording vital signs and measuring height and weight
  • Caring for residents environment
  • Recognizing abnormal changes in body functioning and the importance of reporting such changes to a supervisor
  • Caring for a resident when death is imminent
  • Personal care skills, including but not limited to: Bathing, grooming, dressing, toileting, assisting with eating and hydration, proper feeding technique, skin care, transfers, positioning, and turning
  • Mental health and social service needs
  • Basic restorative service
  • 7 hours State Mandated HIV/AIDS training

For maps and directions to Health Care Training Centers administration building and training facility, click the button below.

Map & Directions

The Health Care Training Center Nursing Assistant Program does not require any prerequisite coursework apart from a valid CPR certificate and a TB test. Those who currently do not posses a current CPR certification may enroll in our CPR certification class separately. Students must also be able to read, write, understand and speak the English language. As communication is an important part of health care, all instruction is in English. Students must hold a high school diploma or GED for admission to the course. If the student does not posses a high school diploma or GED the may take an equivalency test called the “Ability to Benefit” test, validating the required competencies to enroll in our NAC / CNA programs. Students must be physically able to perform the duties of the Nursing Assistant. These duties include and are not limited to: lifting, moving and transporting of patients. If you believe you have a special physical limitation that may prevent you from meeting these requirements, please inform the Nursing Assistant instructor and/or Admissions Office immediately.


The 112 hour NAC / CNA courses hosted by Health Care Training Center costs $800 for tuition plus $150 for registration and course materials, for a total of $950. You may download and view the NAC enrollment agreement below. The course includes the 7 hour HIV/AIDS education required for state certification. We also provide various other professional and training resources for our students during and after program completion and graduation. Once becoming part of our growing family of medical professionals, students are always welcome to come back to us for help, employment opportunities, skills training etc.

Download Enrollment Agreement

Health Care Training Center is unable to accept previous training or credits for advanced placement into the Nursing Assistant Training Program.


Students will be evaluated on 8 points of program completion. Students must successfully pass each point to graduate from the Health Care Training Center Nursing Assistant Program. Student will be given a pass or fail grade based on meeting the criteria below. Student evaluation criteria are based upon HCTC’s program standards and Nursing Assistant Certification requirements:

1. ATTENDANCE: Attendance is mandatory. Students must attend all classes, including lecture and clinical experience to graduate from the course. See attendance policy for further information.

2. 7 HOUR HIV/AIDS EDUCATION: Students will be instructed on a 7 hour HIV/AIDS Education Course for Health Care Providers.

3. CLASS AND CLINICAL ASSIGNMENTS: All assignments must be thorough and complete as per the directions of their Program Instructor.  Students Failing to complete all assignments in their entirety will not graduate from their program of instruction. Students with 2 or more late assignments will be required to meet with the Assistant Director and may be subject to dismissal.

4. FINAL CLINICAL SKILLS PROFICIENCY EXAM: Students will be required to pass a clinical skills test by the National Nurses Aid Assessment Program. The skills that each student will be tested on will be randomly selected prior to the exam.

5. FINAL WRITTEN EXAM: Students must pass the final written exam with an 75% or higher to successfully graduate from the program. Students failing the exam will be required to complete remedial training with a course instructor and complete another final exam. Student must receive an 75% on the Final Retake Exam to graduate from the program.

6. CLINICAL EXPERIENCE OBJECTIVES: All Students are required to complete a clinical objective worksheet during the clinical experience portion of the course.  Students must complete at least 80% of the clinical experience objectives to graduate from the nursing assistant program.


Overview: Health Care Training Center requires students to be on time and attend all class, lab, and clinical experience days during the nursing assistant program. In order for students to receive credit for attendance during their training program, all students must stay the entire scheduled class hours. HCTC’s attendance policy is designed to protect the student and help insure their success.

Pre-clinical Phase: If a student is going to be absent during the pre-clinical phase of the program, the student must call the institute main number 1 hour prior to their scheduled class and advise the course instructor. Students failing to advise the institute of their absence will be dismissed from the program. Students who are absent during the pre-clinical instruction required for nursing assistant certification or absent 2 or more times, will be required to meet with Assistant Director, who will determine if the students is able to continue their program.

Clinical: Due to National and Washington State nursing assistant training program requirements, students must attend all scheduled clinical days during their program. If a student must be absent, they are required to contact their program instructor 1 hour prior to their scheduled clinical time. Students are then required to contact Health Care Training Center during normal business hours and discuss the reason for their absence. Clinical makeup will be considered on a case by case basis. If a student is unable to be scheduled for clinical makeup, students will be dismissed from the program and given the opportunity to repeat the course at a later date.


Health Care Training Center requires that all students maintain a professional appearance at all times. Medical scrubs must be worn by all students during the pre-clinical and clinical phase of their training.  The purchase of the nursing assistant uniform is not included in the cost of admissions into the program. Student uniforms must be clean, free of wrinkles, and professional in appearance. Students with an inappropriate uniform will be sent home and marked absent for the day.  Each student will be issued a Health Care Training Center identification badge at the commencement of their course. ID badges will be required to be worn with their uniforms at all times. Additionally, students are expected to adhere to the following dress code.


Shoes must be clean and in good repair. Shoes are to be athletic in type and not opened toe or backless.



Fingernails must be clean and clipped or filed short enough not to be injurious to patients. (A rule of thumb is to not have the nail extend past the tip of the finger) Nail polish must be of a conservative color and in good repair at all times (if worn). Artificial nails are not allowed. Hair must be clean and combed with conservative color. Long hair must be pulled back and secured. Beards, moustaches, and sideburns are permissible, if clean and neatly trimmed. No more than 2 earrings per ear are allowed, and they are not to dangle from the ear. No other visible body piercings are allowed. Any visible tattoos must be covered. No gum or tobacco is allowed. No perfume, cologne, aftershave or scented lotions are allowed. Grooming and Appearance standards will be strictly enforced at all times.


  • The nursing assistant provides services with respect for human dignity and the uniqueness of the   client, unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.
  • The nurse assistant safeguards the client’s right to privacy by judiciously protecting information of a confidential nature.
  • The nurse assistant acts to safeguard the client and the public when health care and safety are affected by the incompetent, unethical, or illegal practice of any person.
  • The nurse assistant assumes responsibility and accountability for individual nursing judgments and actions.
  • The nurse assistant maintains competence in nursing assistant care.

Health Care Training Center requires all students to conduct themselves professionally, with honesty and integrity at all times. Students must adhere to the following guidelines at all times during their nursing assistant program.   Students are expected to:

  1. Use their own knowledge and skill to complete examinations without referring to others’ answers, old examinations, class notes, or other references, unless specifically permitted by the instructor.
  2. Perform only those therapeutic procedures or clinical skills for which they are competent and for which they have been specifically trained. Students shall always consult with a Health Care Training Center Instructor if in doubt regarding a procedure or skill to be performed.
  3. Respect confidential information of any clients/patients at all times. Respect ALL confidential information regarding patients/clients, sharing only in the classroom or private areas in the clinical setting, and only in an objective manner. They shall refer to patients/clients by initials rather than by name on written reports used outside of the clinical facility. All information regarding clients is considered confidential and must be treated with the strictest care.
  4. Respect fellow students, instructors, and clients at all times. Students shall not insult, slur, or degrade instructors, other health professionals, or students. (This ethics statement does not infringe upon a student’s right to raise questions and request clarification, but does modify the manner in which the question or clarification is brought forth).
  5. Be thorough, correct, and honest on all documentation and refrain from altering records in any way.

The following conduct is unacceptable and will not be tolerated. Violations of the following conduct will result in immediate dismissal from the nursing assistant program:

  1. All forms of bias including race, ethnicity, gender, disability, national origin, and creed as demonstrated through verbal and/or written communication and/or physical acts.
  2. Sexual harassment including creating a hostile environment and coercing an individual to perform sexual favors in return for something.
  3. All types of proven dishonesty, including cheating, plagiarism, knowingly furnishing false information to the institution, forgery, and alteration or use of institution documents with intent to defraud.
  4. Intentional disruption or obstruction of teaching, administration, disciplinary proceedings, public meetings and programs, or other Institute activities.
  5. Theft or damage of property of the institute, clinical facility, or fellow students.
  6. Found to be under the influence of any drugs or alcohol during school hours.

Even though students may assume some responsibility for their assigned patients while in clinical experience time of their course, the facility never relinquishes total patient responsibility. Students are expected to follow the Health Care Training Center Code of Conduct in all learning environments during their nursing assistant program.   During the clinical experience time of the course, all of facilities rules, regulations, and disciplinary practices apply to Nursing Assistant students.


Students may be dismissed from the Institute for the following reasons:

  • Not adhering to the institute rules, regulation, policies, and code of conduct
  • Absent more than 3 times or missing from a core class or clinical experience training day of the program required for eligibility for Nursing Assistant Certification and examination.
  • Not meeting minimum grades of class or clinical written and skills examinations.
  • Not meeting institute financial responsibilities.

The Institute director will notify the student in writing should it become necessary to dismiss the student. The dismissal letter will contain the date and the reason for dismissal. Prepaid tuition will be refunded according to the school’s refund policy.


Students dismissed from the Institute who request re-entry must put the request in writing to the institute director. In cases where the student was dismissed for being absent, students must start the program from the beginning and will not receive credit for previous work. In cases where the student was dismissed due to failure to maintain the minimum grade point average, it may be possible for the student to receive private tutoring and then reenter the institute. In cases where the student was dismissed due to unacceptable conduct, the student may have to meet with the director before re-entering the institute. The decision of the director is final and the student will receive a letter within five business days stating the decision.


Students must prepare a written notification and submit it to the school director. This document must contain the student’s name, address, and date. All financial obligations on the part of the school and the student will be calculated using the last recorded date of attendance.


Students who have a complaint or who would like to appeal a dismissal must request in writing an appointment for an interview with the school director. The written request should include the following information:

  • Student’s full name and current address
  • A statement of the concern including dates, times, instructors, and if applicable, other students involved
  • Date of complaint letter and signature of the student
  • Three dates in which the student would be available for a meeting with the school director. These dates should be within 10 business days of the complaint.

The Institute Director will notify the student in writing of the appointment date in which the concerns or appeal will be addressed. Every effort will be made to bring an amicable closure to the concern. Should it be necessary, a panel of instructors will hear the concerns and will be asked to assist in bringing a resolution to concerns and/or appeal. The student will be notified in writing within five business days of the outcome of the meetings. Should the contract be canceled by either the student or the school the last date of attendance will be used as the date to calculate any refund in accordance with the school’s refund policy. Nothing in this policy prevents the student from contacting the Workforce Board (the state licensing agency) at 360-753-5662 at any time with a concern or a complaint.


For policies regarding tuition and tuition refunds, review Student Enrollment Agreement.


Financial assistance and student loans are available to qualified students. Several payment options are available as well as private loans. Health Care Training Center also accepts payment from state and federal financial assistance programs. To learn more about the financial assistance options that are available, vist our Financial Assistance page. Plans can be arraigned for students prior to the commencement of their course. Contact Admissions at Health Care Training Center for further information.

Certified Nursing Assistant Standards of Practice:

This class imparts the “Standards of Practice and Competencies of Nursing Assistants” to those seeking to acquire their NAC / CNA Certification. Competencies and standards of practice are statements of skills and knowledge, and are written as descriptions of observable, measurable behaviors. All competencies are performed under the direction and supervision of a licensed registered nurse or licensed practical nurse as required by Revised Code of Washington (RCW18.88A.030). The following competencies are considered standards of practice for both nursing assistant-certified and nursing assistant-registered:

(1) Basic technical skills.

A nursing assistant demonstrates basic technical skills which facilitate an optimal level of functioning for client or resident, recognizing individual, cultural, and religious diversity. A nursing assistant: (a) Demonstrates proficiency in cardiopulmonary resuscitation (CPR) and can perform CPR independently. (b) Takes and records vital signs. (c) Measures and records height and weight. (d) Measures and records fluid and food intake and output. (e) Recognizes normal body functions, deviations from normal body functions and the importance of reporting deviations in a timely manner to a supervising nurse. (f) Recognizes, responds to and reports client’s or resident’s emotional, social, cultural and mental health needs. (g) Recognizes, responds to and reports problems in client’s or resident’s environment to ensure safety and comfort of client. (h) Participates in care planning and nursing reporting process.

(2) Personal care skills.

A nursing assistant demonstrates basic personal care skills. A nursing assistant: (a) Assists client or resident with bathing, oral care, and skin care. (b) Assists client or resident with grooming and dressing. (c) Provides toileting assistance to client or resident. (d) Assists client or resident with eating and hydration. (e) Uses proper oral feeding techniques.

(3) Mental health and social service needs.

A nursing assistant demonstrates the ability to identify psychosocial needs of all clients or residents based upon awareness of the developmental and age specific processes. A nursing assistant: (a) Addresses individual behavioral needs of the client or resident. (b) Knows the developmental tasks associated with the developmental and age specific processes. (c) Allows the client or resident to make personal choices, but provides and reinforces behaviors consistent with the client’s or resident’s dignity. (d) Is sensitive and supportive and responds to the emotional needs of the clients or residents and their sources of emotional support.

(4) Care of cognitively impaired residents.

A nursing assistant demonstrates basic care of cognitively impaired clients or residents. A nursing assistant: (a) Uses techniques for addressing the unique needs and behaviors of individuals with cognitive impairment including Alzheimer’s, dementia, delirium, developmental disabilities, mental illnesses and other conditions. (b) Communicates with cognitively impaired clients or residents in a manner appropriate to their needs. (c) Demonstrates sensitivity to the behavior of cognitively impaired clients or residents. (d) Appropriately responds to the behavior of cognitively impaired clients or residents.

(5) Basic restorative services.

The nursing assistant incorporates principles and skills in providing restorative care. A nursing assistant: (a) Demonstrates knowledge and skill in using assistive devices in ambulation, transferring, eating, and dressing. (b) Demonstrates knowledge and skill in the maintenance of range of motion. (c) Demonstrates proper techniques for turning and positioning a client or resident in a bed and chair. (d) Demonstrates proper techniques for transferring and ambulating client or resident. (e) Demonstrates knowledge about methods for meeting the elimination needs of clients or residents. (f) Demonstrates knowledge and skill for the use and care of prosthetic devices by client or resident. (g) Uses basic restorative services by training the client or resident in self care according to the client’s or resident’s capabilities.

(6) Client or resident rights and promotion of independence.

A nursing assistant demonstrates behavior which maintains and respects client or resident rights and promotes independence, regardless of race, religion, life-style, sexual preference, disease process, or ability to pay. A nursing assistant: (a) Recognizes that client or resident has the right to participate in decisions about his or her care. (b) Recognizes and respects clients’ or residents’ need for privacy and confidentiality. (c) Promotes and respects the client or resident right to make personal choices to accommodate their needs. (d) Reports client or resident concerns. (e) Provides assistance to client or resident in getting to and participating in activities. (f) Respects the property of client or resident and employer and does not take equipment, material, property or medications for his, her or other’s use or benefit. A nursing assistant may not solicit, accept or borrow money, material or property from client or resident for his, her or other’s use or benefit. (g) Promotes client or resident right to be free from abuse, mistreatment, and neglect. (h) Intervenes appropriately on the client’s or resident’s behalf when abuse, mistreatment or neglect is observed. (i) Complies with mandatory reporting requirements by reporting to the department of health and the department of social and health services instances of neglect, abuse, exploitation or abandonment. (j) Participates in the plan of care with regard to the use of restraints in accordance with current professional standards.

(7) Communication and interpersonal skills.

A nursing assistant uses communication and interpersonal skills effectively to function as a member of the nursing team. A nursing assistant: (a) Reads, writes, speaks, and understands English at the level necessary for performing duties of the nursing assistant. (b) Listens and responds to verbal and nonverbal communication in an appropriate manner. (c) Recognizes how his or her own behavior influences client’s or resident’s behavior and uses resources for obtaining assistance in understanding the client’s or resident’s behavior. (d) Adjusts his or her own behavior to accommodate client’s or resident’s physical or mental limitations. (e) Uses terminology accepted in the health care setting to record and report observations and pertinent information. (f) Appropriately records and reports observations, actions, and information accurately and in a timely manner. (g) Is able to explain policies and procedures before and during care of the client or resident.

(8) Infection control.

A nursing assistant uses standard and transmission based precautions to prevent the spread of microorganisms. A nursing assistant: (a) Uses principles of medical asepsis and demonstrates infection control techniques and standard and transmission based precautions. (b) Explains how disease causing microorganisms are spread. (c) Is knowledgeable regarding transmission of bloodborne pathogens. (d) Demonstrates knowledge of cleaning agents and methods which destroy microorganisms on surfaces.

(9) Safety and emergency procedures.

A nursing assistant demonstrates the ability to identify and implement safety and emergency procedures. A nursing assistant: (a) Provides an environment with adequate ventilation, warmth, light, and quiet. (b) Promotes a clean, orderly, and safe environment including equipment for a client or resident. (c) Identifies and utilizes measures for accident prevention. (d) Demonstrates principles of good body mechanics for self and client or resident, using the safest and most efficient methods to lift and move clients, residents, or heavy items. (e) Demonstrates proper use of protective devices in care of clients or residents. (f) Demonstrates knowledge and follows fire and disaster procedures. (g) Identifies and demonstrates principles of health and sanitation in food service. (h) Demonstrates the proper use and storage of cleaning agents and other potentially hazardous materials.

(10) Rules and regulations knowledge.

A nursing assistant demonstrates knowledge of and can explain the practical implications of the laws and regulations which affect nursing assistant practice including but not limited to: (a) Mandatory reporting procedures related to client or resident abuse, neglect, abandonment, and exploitation. (b) Scope of practice. (c) Workers right to know. (d) The Uniform Disciplinary Act.

Further Questions Regarding NAC / CNA Classes

If you have any further questions regarding Health Care Training Center’s Spokane NAC / CNA training and certification classes, please contact us at your convenience via phone, email, or live chat.  We look forward to hearing from you and will happily address any questions you may have.


You may call (509) 850-0033 or have us connect to you by clicking on the widget below. Our office hours are Monday – Friday, 9am – 5pm. If you reach us outside of business hours, please leave a message and we will call you back the following business day.

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