The Dorothy L. Lougee Nursing Assistant I Refresher Program

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Course Description

The Nursing Assistant I Refresher course is a 48 hour (non-clinical) state approved course designed to update individuals who have been listed within the past two years on the North Carolina Nurse Aide I Registry but let their certification lapse. This course is also a refresher for Nursing Assistants registered in another state (current or lapsed within the previous two years) who are seeking certification as a Nursing Assistant in North Carolina. Students are prepared to take the North Carolina Nurse Aide Competency Examination, a requirement for listing on the NC Nurse Aide I Registry. Upon successful completion of the exam, the candidate will be considered a Certified Nursing Assistant I (CNA I). Note: This course does not have a clinical component.

Nursing Assistant I Refresher Classes


Enrollment Process

  • Step 1: Candidates must bring documentation of one of the following to the Health Education Department:
    • NC Nursing Assistant I listing (certification has lapsed in the past 2 years) or
    • Nursing Assistant registry from another state (certification has lapsed in the past 2 years) or
    • Nursing Assistant registry from another state (current)


  • Step 2: Students must also meet the following requirements:
    1. Successful completion of Math and Reading placement tests (or equivalent approved by Health Education department)
      Test Reading Score Math Score
      TABE 10 6
      ACCUPLACER Minimum 80 Minimum 55
      SAT Minimum 480 Minimum 530
      COMPASS Minimum 81 Minimum 45
      ACT 1 Minimum 22 Minimum 22
      ASSET Minimum 41 Minimum 41
      College Courses ENG 1002
      DRE 090 or Higher³
      MAT 100 level2
      MAT 040 or Higher2
      MAT 040 or Higher3
      NCDAP ENG 111
      (80 or higher)
      MAT 111
      (80 or higher)
    2. 1Scores for the reading test are accepted, not for English.
      2Grade of “C” or better
      3Grade of “P” or “EP”
    3. TABE Testing Locations and Times (no cost to take the test):
      • West Campus Schedule: – testing is by appointment each Wednesday at 9:30 a.m., 12:30 p.m., or 5:00 p.m. Students can call 336-734-7831 to make an appointment.
      • Stokes County Center: 1165 Dodgetown Road, Walnut Cove,
        Call 336.593.5402 ext. 1703 or ext. 1101 for more information.
        By appointment only every Friday at 10 am.
    4. High School Diploma/High School Transcript/GED or College Diploma/College Transcript
      (showing graduation date)
    5. Picture ID and Social Security card (with matching names)
    6. Note: No absences or tardies allowed
    7. 80% required on Final Test
    8. Must obtain course materials before class to review the first chapter to be ready for the first day of class.


    Registration Fee

    Registration: $150.00 (Campus Access, Parking and Security (CAPS) Fee included $5.00)

    Fees not included*

    • Book (not included in registration fee)
      • Nursing Assistants – A Basic Study Guide (9th Edition)
      • Contact the bookstore (336.734.7754) for current textbook prices
    • Not Included: State Certification Exam ($120.00)

    * All prices subject to change


    Occupation Description

    The Nursing Assistant Level 1 (NA1) plays an important role in patient care. As the front line care provider, NA1’s spend more time in direct contact with the patient than any other member of the health care team. Under supervision of registered and practical nurses, the Nursing Assistant provides basic nursing skills and personal care activities such as measuring vital signs and assisting patients with activities of daily living (feeding, bathing, moving, or grooming patients), and maintaining a safe environment for the resident/patient.


    Careers Available (Employment Opportunities)

    Nursing Assistants (NA1) are employed in Hospitals, Long Term Care Facilities, Clinics, Hospices, Rehabilitation Centers, Psychiatric Centers, and Home Care. There is a high demand for NA1s, especially in long term care and home health.


    Entry-Level Salary (Low-High)

    Earnings for NA1s vary depending on experience, shift and length of service. Entry level pay may begin at $8.70 for the new NA1, but range from $9.15 – $14.00 with experience and location.


    Recommended Courses and Skills (Technical Skills)

    Nursing Assistant 1 candidates must have a high school diploma or GED and successfully complete a placement test with reading at a 10th grade level and math at a 6th grade level. Completion of a state approved NA1 course is recommended. For State Certification, graduates must also pass a state examination.


    Helpful Personal Attributes (Soft Skills)

    Human resource skills are essential for work in health care. Such skills include professionalism, teamwork, customer services, and communication skills. They also need to be organized and self-starters. Safety is key and all precautions must be taken to prevent the transmission of infectious diseases.


    Curriculum and Non-Credit Student Disclosures

    Students attempting to enroll in a Health Technologies program at Forsyth Tech or other credit granting program at another institution must ensure to select a Health Education program that does not overlap with their existing schedule of courses. Furthermore, Forsyth Tech students must refer to their program’s Minimum Admission Review (MAR) packet to ensure all deadlines are properly verified and recorded.

    The Health Education Department of Forsyth Tech cannot be held responsible for students who fail to meet the Medical Training Certification requirement. It is the responsibility of the student to ensure all courses and certifications are taken within an appropriate time frame. If the Health Education Department does not have a Nursing Assistant I or II course available for enrollment, students will have to find one from the list of approved programs provided in the MAR packet.

    Due to regulatory standards established by the NC Department of Health Service Regulation (DHSR) and the NC Board of Nursing, once a class is full no additional students will be allowed to enroll into it and a different class from the available listing options will need to be selected. If a class is cancelled, every effort will be made to discuss with the student of alternate class dates and times.


    Sponsored Student Disclosure

    Students being sponsored by a third party and/or workforce partner can request to have a seat reserved for a class up to 2 weeks prior to the start date of the class, at which point the hold will be uplifted to allow other students to enroll and for the class to meet its maximum capacity. If a hold is uplifted, the student will be required to select an alternate date and time to begin the desired course of study. Extenuating circumstances will be reviewed on a case by case basis.


    Program Contacts

    For more information please contact the Customer Service Department at 336.734.7023.

    The EWD Health Education Department can be reached at 336.734.7734.