Career guide

How to become an Advanced CNA or Patient Care Technician

An advanced CNA role for hospitals and clinics that adds skills like EKGs and specimen collection on top of basic nursing assistant care.

Training time
Often a short add-on course after basic CNA training
Certification
Program certificate; some employers ask for NHA's CPCT/A
Median pay
$42,260 per year
BLS, May 2025 · nursing assistants
Where you'll work
Hospitals, dialysis centers, clinics, rehab units
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What a Advanced CNA (PCT) does

  • Everything a CNA does, in a hospital setting
  • Run basic EKGs and monitor readings
  • Collect specimens and assist with procedures
  • Support nurses on busy acute-care units

Steps to get started

  1. Pick a state-approved or accredited program. Check your state's requirements first; they differ.
  2. Complete classroom (often online) and hands-on training.
  3. Pass the certification exam: Program certificate; some employers ask for NHA's CPCT/A.
  4. Apply for jobs. Many employers hire right out of training.

See requirements by state.

Where it can lead

PCT experience is a strong foundation for nursing school and hospital careers.

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Frequently asked questions

What's the difference between a CNA and a PCT?

A PCT does everything a CNA does plus added skills such as EKGs and specimen collection, and usually works in hospitals.

Do I need to be a CNA first?

Many PCT programs require or strongly recommend completing basic CNA training first.

Is there a state exam for PCTs?

Most states don't have one. You receive a program certificate, and some employers also ask for a national credential such as the CPCT/A.

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