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Here's your quick checklist on how to hire stnas. Read on for more details.

This hire guide was edited by the ZipRecruiter editorial team and created in part with the OpenAI API.

How to hire Stna

Hiring the right State Tested Nursing Assistant (STNA) is crucial for any healthcare organization, especially those operating at medium to large scale. STNAs are the backbone of patient care, providing essential support to nursing staff and ensuring that patients receive the highest standard of attention and comfort. The impact of a skilled STNA goes far beyond basic care tasks; they influence patient satisfaction, operational efficiency, and even the reputation of your facility. In an industry where quality of care is closely scrutinized and regulatory compliance is mandatory, having a reliable and competent STNA team can be the difference between success and costly setbacks.

For business owners and HR professionals, the challenge is not just filling a vacancy, but finding candidates who are both technically proficient and aligned with your organization's values and culture. The right STNA will demonstrate empathy, resilience, and a strong work ethic, all while maintaining meticulous attention to safety and protocol. A poor hiring decision can lead to increased turnover, diminished team morale, and even legal liabilities due to lapses in patient care. Conversely, a well-chosen STNA can elevate team performance, reduce training costs, and foster a positive environment for both patients and staff.

As the healthcare landscape evolves, the demand for qualified STNAs continues to grow. This guide provides a comprehensive roadmap for hiring managers and HR leaders seeking to attract, evaluate, and retain top STNA talent. From defining the role and required certifications to leveraging the best recruitment channels and onboarding practices, this article will equip you with actionable insights to make informed hiring decisions. By following these best practices, your organization can build a robust STNA workforce that supports long-term business success and delivers exceptional patient care.

Clearly Define the Role and Responsibilities

  • Key Responsibilities: STNAs, or State Tested Nursing Assistants, play a vital role in healthcare facilities by providing direct patient care under the supervision of registered nurses (RNs) and licensed practical nurses (LPNs). Their daily duties include assisting patients with activities of daily living (ADLs) such as bathing, dressing, grooming, feeding, and mobility. STNAs are also responsible for monitoring vital signs, reporting changes in patient conditions, maintaining accurate records, and ensuring a clean and safe environment. In medium to large businesses, STNAs may also support patient transport, assist with medical equipment, and participate in interdisciplinary care team meetings to coordinate comprehensive care plans.
  • Experience Levels: The scope of responsibilities and autonomy for STNAs varies by experience level. Junior STNAs typically have 0-2 years of experience and require close supervision while they acclimate to facility protocols and patient care standards. Mid-level STNAs, with 2-5 years of experience, demonstrate greater independence, handle more complex patient needs, and may mentor new hires. Senior STNAs, with 5+ years of experience, often take on leadership roles within their teams, serve as liaisons between nursing staff and administration, and contribute to process improvement initiatives. Each level brings distinct value, and aligning experience with your organization's needs is key to effective staffing.
  • Company Fit: In medium-sized companies (50-500 employees), STNAs may be expected to handle a broader range of tasks due to smaller teams and more flexible role definitions. Adaptability and cross-training are often emphasized. In large organizations (500+ employees), STNAs may have more specialized roles, with clear delineations between patient care, documentation, and support functions. Larger facilities may also offer more opportunities for advancement and professional development, which can influence the type of candidate you seek. Understanding your organization's size and structure will help tailor job descriptions and attract candidates who are the best fit for your environment.

Certifications

Certification is a fundamental requirement for any STNA role, ensuring that candidates possess the knowledge and skills necessary to deliver safe and effective patient care. The primary certification for this role is the State Tested Nursing Assistant (STNA) credential, which is specific to Ohio but recognized as a gold standard in many healthcare settings. The STNA certification is issued by the Ohio Department of Health (ODH) and requires candidates to complete a state-approved training program, typically consisting of at least 75 hours of classroom and clinical instruction. After completing the training, candidates must pass a competency evaluation exam that includes both written and skills-based components.

Other states have equivalent certifications, such as the Certified Nursing Assistant (CNA) credential, which is recognized nationwide and administered by state health departments or designated testing agencies. While the titles may differ, the core competencies assessed are similar, including infection control, patient rights, communication, and emergency procedures. Employers should verify that candidates hold a current and valid STNA or equivalent certification, as this is legally required to work in most healthcare facilities.

In addition to the core STNA or CNA certification, some employers may value supplementary credentials. For example, Basic Life Support (BLS) certification, issued by organizations such as the American Heart Association, demonstrates proficiency in CPR and emergency response. Other relevant certifications include First Aid, Alzheimer's and Dementia Care, and specialized training in infection prevention. These additional credentials can enhance a candidate's value, especially in facilities serving high-acuity or specialized patient populations.

Employers should also consider the recertification process. STNAs must complete continuing education and renew their credentials every two years to remain in good standing. This ensures ongoing competency and compliance with evolving healthcare standards. When evaluating candidates, prioritize those who not only possess the required certifications but also demonstrate a commitment to professional development through ongoing education and training. This proactive approach reduces risk, supports regulatory compliance, and ensures your team is equipped to deliver the highest standard of care.

Leverage Multiple Recruitment Channels

  • ZipRecruiter: ZipRecruiter is an ideal platform for sourcing qualified STNAs due to its extensive reach, user-friendly interface, and healthcare-focused features. The platform allows employers to post job openings that are automatically distributed to hundreds of job boards, maximizing visibility among active and passive job seekers. ZipRecruiter's advanced matching technology screens candidate profiles and highlights those whose qualifications closely align with your job requirements, saving valuable time in the initial screening process. Employers can also utilize customizable screening questions and skills assessments to further refine their candidate pool. Real-world success rates show that healthcare employers using ZipRecruiter often fill STNA roles 30% faster than traditional methods, thanks to the platform's targeted approach and robust applicant tracking system. The ability to manage applications, schedule interviews, and communicate with candidates all in one place streamlines the recruitment workflow and ensures a positive experience for both employers and applicants.
  • Other Sources: While ZipRecruiter is a powerful tool, a comprehensive recruitment strategy should leverage multiple channels. Internal referrals are highly effective, as current employees often know individuals who are a strong cultural and technical fit. Professional networks, such as local nursing associations and alumni groups, can connect you with experienced STNAs seeking new opportunities. Industry associations frequently host job boards and career fairs tailored to healthcare roles, providing access to a pool of pre-vetted candidates. General job boards also remain a valuable resource, especially when combined with targeted outreach and employer branding efforts. By diversifying your recruitment channels, you increase your chances of finding top talent and reduce the risk of prolonged vacancies that can strain your existing staff.

Assess Technical Skills

  • Tools and Software: STNAs must be proficient with a variety of tools and technologies used in modern healthcare environments. Electronic Health Record (EHR) systems, such as Epic, Cerner, or PointClickCare, are commonly used to document patient information, track vital signs, and communicate with the broader care team. Familiarity with basic medical equipment, including blood pressure monitors, thermometers, and mobility aids, is essential. In larger facilities, STNAs may also use scheduling software, inventory management tools, and secure messaging platforms to coordinate care and manage workflow. Proficiency with these systems ensures accurate documentation, compliance with privacy regulations, and efficient patient care delivery.
  • Assessments: Evaluating technical proficiency requires a combination of written tests, practical demonstrations, and scenario-based assessments. Written tests can gauge knowledge of medical terminology, infection control protocols, and documentation standards. Practical evaluations, such as simulated patient care scenarios, allow candidates to demonstrate their ability to perform essential tasks under observation. Some organizations use online skills assessments or partner with third-party testing providers to validate EHR proficiency and equipment handling. Reference checks with previous employers can also provide insight into a candidate's technical capabilities and adaptability to new technologies. By implementing a structured assessment process, you can ensure that new hires are ready to contribute from day one and minimize the risk of costly errors.

Evaluate Soft Skills and Cultural Fit

  • Communication: Effective communication is a cornerstone of the STNA role. STNAs must interact with patients, families, nurses, physicians, and other support staff on a daily basis. They need to convey information clearly, listen actively, and document observations accurately. In cross-functional teams, STNAs often serve as the first point of contact for patient concerns and must relay critical information to the appropriate personnel. During interviews, assess candidates' ability to articulate their experiences, respond to situational questions, and demonstrate empathy. Strong communicators contribute to better patient outcomes, improved teamwork, and a positive workplace culture.
  • Problem-Solving: Healthcare environments are dynamic, and STNAs frequently encounter unexpected challenges. The best candidates exhibit resourcefulness, adaptability, and a proactive approach to problem-solving. Look for individuals who can describe specific examples of how they handled difficult situations, resolved conflicts, or adapted to changing patient needs. Behavioral interview questions, such as "Tell me about a time you had to think on your feet," can reveal a candidate's critical thinking skills and ability to remain calm under pressure. Prioritizing problem-solving abilities ensures your team can navigate complex care scenarios and maintain high standards of service.
  • Attention to Detail: Precision is essential in the STNA role, as small oversights can have significant consequences for patient safety and regulatory compliance. Assessing attention to detail can involve reviewing a candidate's documentation samples, administering tasks that require careful observation, or asking about processes they use to minimize errors. During reference checks, inquire about the candidate's reliability and consistency in following protocols. By emphasizing attention to detail in your hiring process, you reduce the risk of mistakes and foster a culture of accountability within your organization.

Conduct Thorough Background and Reference Checks

Conducting thorough background checks is a critical step in the STNA hiring process, ensuring that candidates meet your organization's standards for safety, reliability, and professionalism. Start by verifying the candidate's work history, including dates of employment, job titles, and specific responsibilities. Contact previous employers to confirm the accuracy of the information provided and to gain insight into the candidate's performance, attendance, and conduct. Reference checks should include direct supervisors who can speak to the candidate's technical skills, teamwork, and adherence to protocols.

Certification verification is equally important. Request copies of the candidate's STNA or equivalent credentials and confirm their validity with the issuing organization, such as the Ohio Department of Health or the relevant state agency. Many states maintain online registries where employers can check certification status and identify any disciplinary actions or expired licenses. For candidates with additional certifications, such as BLS or First Aid, verify that these are current and issued by recognized organizations.

In addition to employment and certification checks, conduct a comprehensive criminal background check in accordance with state and federal regulations. Healthcare workers are often subject to enhanced screening requirements, including fingerprinting and checks against abuse registries. This step is essential for protecting vulnerable patient populations and maintaining compliance with regulatory standards. Some organizations also require drug screening and health assessments to ensure candidates are fit for duty. By implementing a rigorous background check process, you safeguard your organization's reputation and create a safer environment for patients and staff alike.

Offer Competitive Compensation and Benefits

  • Market Rates: Compensation for STNAs varies based on experience, geographic location, and facility type. As of 2024, entry-level STNAs can expect to earn between $14 and $18 per hour, while those with 2-5 years of experience typically command $18 to $22 per hour. Senior STNAs or those working in high-demand markets may earn upwards of $24 per hour or more. Urban areas and large healthcare systems often offer higher wages to remain competitive, while rural or smaller facilities may provide additional incentives to attract talent. It is important to regularly benchmark your pay rates against local and national averages to ensure your offerings remain attractive to top candidates.
  • Benefits: In addition to competitive wages, a comprehensive benefits package is essential for recruiting and retaining skilled STNAs. Standard benefits include health, dental, and vision insurance, paid time off, and retirement savings plans. Many employers also offer tuition reimbursement, continuing education stipends, and opportunities for career advancement, which are highly valued by candidates seeking long-term growth. Flexible scheduling, shift differentials, and wellness programs can further enhance your value proposition. Some organizations provide employee assistance programs (EAPs), childcare support, and transportation subsidies to address common barriers faced by healthcare workers. By offering a robust benefits package, you demonstrate a commitment to employee well-being and position your organization as an employer of choice in a competitive labor market.

Provide Onboarding and Continuous Development

Effective onboarding is essential for integrating new STNAs into your organization and setting them up for long-term success. Begin by providing a structured orientation program that covers organizational policies, safety procedures, and an overview of the facility's culture and values. Introduce new hires to their team members, supervisors, and key support staff to foster a sense of belonging and facilitate communication. Assign a mentor or experienced STNA to guide the newcomer through their first weeks, answer questions, and provide real-time feedback on performance.

Hands-on training should include shadowing experienced staff, practicing essential skills in a supervised setting, and completing competency checklists for core tasks such as patient transfers, documentation, and infection control. Regular check-ins with supervisors during the initial 90 days help identify areas for improvement and provide opportunities for recognition and encouragement. Encourage open communication and solicit feedback from new hires to continuously improve your onboarding process.

Finally, provide access to ongoing education and professional development resources, such as in-service training, online courses, and certification renewal support. By investing in comprehensive onboarding and continuous learning, you reduce turnover, improve job satisfaction, and ensure your STNA team is equipped to deliver high-quality care from day one.

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