starting-your-cna-career

Starting Your CNA Career: What to Expect in Your First Year

Pearl Binka, RN
August 30, 2025•2 min read

Congratulations on taking the first step toward a rewarding career in healthcare! Becoming a Certified Nursing Assistant (CNA) opens doors to a profession where you can make a real difference in people's lives every single day.

What Does a CNA Do?

As a CNA, you'll be the backbone of patient care, working directly with patients to help them with daily activities and providing essential support to registered nurses and other healthcare professionals. Your responsibilities will include:

  • Assisting patients with activities of daily living (ADLs) like bathing, dressing, and eating

  • Taking vital signs and monitoring patient conditions

  • Helping patients move safely and comfortably

  • Providing emotional support and companionship

  • Maintaining accurate patient records

Your First Month: Getting Oriented

Your first month as a new CNA will be focused on orientation and getting comfortable with your new environment. Most healthcare facilities provide comprehensive orientation programs that include:

  • Facility policies and procedures

  • Safety protocols and infection control

  • Documentation systems

  • Team introductions and mentorship programs

Building Confidence: Months 2-6

As you settle into your role, you'll start building confidence in your skills and developing relationships with patients and colleagues. This period is crucial for:

  • Mastering routine care procedures

  • Learning to prioritize tasks effectively

  • Developing communication skills with patients and families

  • Understanding your facility's specific protocols

Career Growth: Your First Year and Beyond

By the end of your first year, you'll have gained valuable experience and may be ready to explore advancement opportunities. Many CNAs choose to:

  • Specialize in areas like geriatrics, pediatrics, or rehabilitation

  • Pursue additional certifications like CMA (Certified Medication Aide)

  • Consider furthering their education to become an LPN or RN

  • Take on leadership roles or mentoring responsibilities

Salary Expectations in Virginia

In Virginia, CNAs can expect to earn between $18-$25 per hour, with opportunities for overtime and shift differentials. Many facilities also offer excellent benefits including health insurance, retirement plans, and tuition assistance for continuing education.

Tips for Success

  • Stay compassionate: Remember that you're often caring for people during vulnerable times

  • Be reliable: Show up on time and be dependable

  • Keep learning: Healthcare is always evolving, so stay curious and open to new knowledge

  • Take care of yourself: Healthcare can be physically and emotionally demanding

  • Build relationships: Strong teamwork makes everyone's job easier

Career Guidance
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