Do CNAs chart?

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What it means

• Often yes, depending on setting. CNAs commonly document:
• ADLs completed
• Meal intake %
• I&O
• Vitals taken
• Safety checks and repositioning (if assigned)

Who sets it

• Employer policy and facility documentation system.

Practical documentation rules (high safety)

• Chart what you did, when you did it, and objective observations.
• Never chart before completing care.
• If you didn’t do it, don’t chart it-report barriers instead (refusal, unavailable supplies, etc.).

67) What should I do if I suspect abuse/neglect?

What it means

• CNAs are often mandatory reporters by policy and sometimes by law, depending on state.

Who sets it

• State laws and facility policy.

Practical steps (general)

1. Ensure resident safety immediately (if urgent danger, follow emergency protocols).
2. Report to your nurse/supervisor per policy.
3. Follow facility reporting chain and documentation rules.
4. Do not investigate on your own; report facts.

Verification

• Facility policy manual + state reporting guidelines.

68) What if I’m moving states soon?

What it means

• You need to plan for endorsement/reciprocity timing and potential added requirements.

Who sets it

• Receiving state NAR.

Practical planning steps

• Before moving:
• Print your current registry status
• Save training certificate, score report, and work verification
• After moving:
• Apply for endorsement ASAP
• Don’t start a job assuming endorsement is automatic

69) How do I keep proof of work hours?

What it means

• Renewal often requires proof of work activity; even if the state doesn’t ask every time, you should be able to prove it.

Practical proof system

• Maintain a renewal folder with:
• Paystubs (first + last of each month is often sufficient)
• HR verification letters
• W-2s (supporting, not always sufficient alone)
• Schedule snapshots (if available)

Verification

• State renewal page: what proof is required, if any.

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