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Understanding the Roles: PCA vs. CNA

At Trained to Care, we believe knowledge is power—especially when choosing your career path. That’s why we’re here to break down the difference between two of the most essential caregiving roles in healthcare: the Personal Care Aide (PCA) and the Certified Nurse Aide (CNA).

Nurse with Patient

Personal Care Aide (PCA)

A Personal Care Aide provides essential support to individuals who need help with daily living activities—like bathing, dressing, cooking, and light housekeeping. PCAs work in private homes, assisted living facilities, and community-based programs.

  • Training: Most PCA roles require a 40 hour training through the Department of Medical Assistant Services and on-the-job instruction. In Virginia, PCA training often includes a basic health screening, CPR certification, and hands-on care techniques.

  • Scope: PCAs do not perform clinical or medical tasks. Their focus is on non-medical personal care and companionship.

  • Workplace: Home care agencies, private residences, senior living communities.

Certified Nurse Aide (CNA)

A Certified Nurse Aide is trained to provide both personal care and basic medical care under the supervision of a Registered Nurse or Licensed Practical Nurse. CNAs play a vital role in hospitals, nursing homes, and rehabilitation centers.

  • Training: CNAs complete a state-approved training program, typically 4–12 weeks, including classroom instruction and clinical practice. Afterward, they must pass a state certification exam.

  • Scope: CNAs assist with medical tasks such as taking vital signs, documenting care, assisting with mobility, and reporting changes in health conditions.

  • Workplace: Hospitals, skilled nursing facilities, long-term care centers.

Nurse checking blood pressure

Choosing Your Path

​Whether you're drawn to the compassionate support of a PCA role or the clinical foundation of a CNA career, Trained to Care is here to support your journey with scholarships, guidance, and encouragement every step of the way.

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