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CNA Class Attendance Rules: Why Missing Hours Can Cost You the Credential

Washington's 108-hour CNA minimum is a per-student floor, so every missed theory, lab, or clinical hour must be made up before a program can issue a Certificate of Completion. How attendance policies work and what to do when you must miss.

By Huduma CNA Programs Editorial Team · · Updated September 20, 2026 · 7 min read

Reviewed by Huduma CNA Programs Editorial Team on September 20, 2026

A CNA class attendance policy in Washington is strict because the state's training minimum is measured in hours per student, not in days enrolled. WAC 246-841A-440 requires at least 108 clock hours (35 theory, 33 skills lab, 40 clinical), and a program may not issue a Certificate of Completion, or report you as eligible for the state exam, until you personally have completed each block. That means a missed 8-hour clinical shift is not a lost lesson; it is an 8-hour deficit that must be made up before you can take the $100 skills test. In a 4-week program with almost no slack, one unplanned absence can push the exam date by a week or more, and for a Nursing Assistant-Registered (NAR) worker on the four-month clock, the delay can threaten the job.

Why the rules are strict

Three layers of regulation sit behind a program's attendance policy:

  1. The state hour minimum. Each of the three blocks has its own floor. A student who is over on theory hours cannot use the surplus to cover a lab absence.
  2. Federal pre-contact training. Federal nurse aide rules require training in communication, infection control, safety, resident rights, and promotion of independence before any direct contact with a resident. A student who misses those units cannot start clinical until they are made up.
  3. Program approval. The Washington State Board of Nursing (WABON) approves programs and audits their records. A program that certifies hours a student did not attend risks its approval, which is why programs keep sign-in sheets and refuse to round up.

The regulatory framework is explained in WAC 246-841A explained.

What a typical policy looks like

Policies differ by program, so treat the following as a typical pattern and read your own program's handbook. The table describes how absences are commonly handled in Washington programs, with Huduma CNA Programs' 4-week course as the example structure.

Situation Typical handling Effect on your timeline
Late arrival under 15 minutes Recorded; repeated lateness treated as an absence Usually none the first time
Missed theory session Make-up by attending the session with another cohort or a scheduled make-up block Days to weeks, depending on the next cohort
Missed lab session Make-up in a scheduled lab block; check-offs for that day's skills must still be completed Delays clinical start if the skills are prerequisites
Missed clinical shift Make-up shift added to the rotation or with a later cohort Often the largest delay, because facility dates are fixed
Absence on skills test day Reschedule to the next test date; each attempt is still $100 One to several weeks
Repeated absences Withdrawal and re-enrollment in a later cohort, per program policy Weeks, plus any re-enrollment cost

Theory, lab, and clinical are tracked separately

Programs log attendance by block because the state counts them separately:

  • Theory is the easiest to make up. If the program offers live online theory, a missed lecture may be retaken with a later cohort or through a program-approved make-up session. Recorded lectures without instructor interaction generally cannot substitute unless the program is approved for hybrid delivery.
  • Lab hours must be in person in the approved lab. There is no online make-up, and the instructor must be present for check-offs.
  • Clinical hours must be in a care facility with the instructor on site, at no more than 10 students per instructor. A make-up shift requires the facility, the instructor, and the ratio to line up, which is why clinical make-ups are the slowest to arrange.

How make-up hours usually work

Most programs follow a version of this sequence:

  1. Notify the program before the session starts, by phone or the method in the handbook. Same-day notice is expected; silent absences are treated more severely.
  2. The program records the missed hours by block.
  3. The instructor schedules the make-up. For theory and lab, this is often within the same week; for clinical, it may be with the next cohort.
  4. You complete the hours and any missed check-offs or quizzes.
  5. The program signs off the block, and only then can it issue the Certificate of Completion and schedule your skills test.

Some programs charge a make-up fee, particularly for clinical shifts that require an additional instructor day. Ask on day one whether a fee applies and how much, since it is not part of the tuition figure.

The four-month rule makes attendance a job issue

If a nursing facility has hired you as a NAR, you have 4 months from the hire date to complete training and pass the exam. Suppose you are hired on the first of the month and enroll in a 4-week course the same week. On paper you have roughly 12 weeks of margin after the course. One missed clinical shift that pushes you to the next cohort's clinical rotation can consume three or four of those weeks, and a failed skills attempt consumes more. The deadline is set by regulation and cannot be extended by the facility. The rule is explained in the NAR four-month rule in Washington.

Absences programs usually accommodate

Programs cannot waive hours, but they can be flexible about how you make them up. Situations that most programs handle with a scheduled make-up rather than withdrawal include:

  • Illness with a same-day notice, especially a contagious illness that would exclude you from the clinical site anyway.
  • A documented medical appointment that cannot be moved.
  • Court dates, jury duty, and military obligations.
  • Childcare failures, when reported promptly; see childcare, commuting, and CNA class schedules.
  • Pregnancy-related appointments, discussed in CNA training while pregnant.

The common thread is notice. A program that hears from you before the session can plan a make-up; a program that hears nothing has to assume you have withdrawn.

What can end your enrollment

Policies vary, but the following commonly lead to withdrawal:

  • Missing more than a stated number of days or hours in the course, for example two full days in a 4-week program.
  • Missing a clinical shift without notice.
  • Arriving at clinical without required items (scrubs, badge, cleared background check) more than once.
  • A safety violation at the clinical site, which is a conduct issue rather than an attendance one but has the same effect.

Withdrawal usually means re-enrolling in a later cohort. Whether hours already completed carry over depends on the program; ask before you assume.

Choosing a schedule you can keep

Because attendance is the most common reason students in short programs finish late, choose the schedule you can protect, not the fastest one:

  • A weekday day pattern suits students who can take four weeks off work.
  • A weekend pattern spreads the same 108 hours over more calendar weeks and suits students who work weekdays.
  • An evening pattern, where offered, fits around a day job but makes clinical scheduling harder, because facility clinicals are usually day shifts.

Huduma runs day and weekend patterns for the CNA Traditional course and a 5-weekday or roughly 2.5-weekend pattern for the 40-hour HCA-CNA Bridge; current dates are on the schedules page. A comparison of the formats is in weekend CNA classes in Washington.

Frequently asked questions

How many days can I miss in CNA class? There is no state allowance. Every hour of the 108 minimum must be completed, so any absence creates make-up hours, and programs set their own limit on how many absences they will accommodate.

Can I make up CNA hours online? Only theory hours, and only if the program delivers theory in an approved online or hybrid format. Lab and clinical hours must be made up in person.

Do I have to pay for make-up hours? Some programs charge for make-up sessions, especially clinical shifts. Ask before enrolling.

What if I am sick on skills test day? Tell the program immediately. You will be rescheduled to the next test date; the $100 fee applies per attempt, so ask how the program handles a fee already paid.

Does an absence affect my NAR credential? Not directly, but it can delay completion and the exam, which matters if a nursing facility hired you as a NAR and the four-month deadline is running.

For a realistic picture of the 4-week pace, read is CNA training hard: an honest look at the 4-week program, and see the CNA Traditional program page for the hour breakdown by block.

Which path may fit you?

Already an eligible HCA?

Review the HCA–CNA Bridge Program and confirm the active Washington HCA credential requirement before choosing a class.

Explore the HCA–CNA Bridge Program

Starting CNA training?

Review CNA Traditional, the complete training route for learners who are not entering through the HCA bridge route.

Explore the CNA Traditional Program