The state requires students to complete 175 hours of training altogether, among the highest requirements in the nation. The applicant must submit verification of hospital training and a letter proving the individuals dates of employment and position held or a psychiatric certificate.The Missouri Department of Health and Senior Services regulates the state’s CNA training programs and competency testing. These individuals may take the exam after completing the orientation module with special emphasis on geriatric residents' needs and orientation to the facility, and completing the 100 hours of on-the-job training in a long-term care facility or long-term care unit of a hospital. Individuals who have been trained in acute care units in hospitals as nursing assistants or who have trained as psychiatric aides.Individuals who are listed on the CNA registry as 'inactive.'.Individuals whose education and training in gerontology and health occupations includes the components of the approved training curriculum may challenge the examination after completing the parts of the training program deemed to be necessary based on evaluation of their credentials by the supervisor of Health Education, Division of Senior Services and Regulation.These individuals need to submit proof of hospital training and a letter confirming dates of employment and the position that the individual held there.
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