What Comes After CNA?

By Athena KanUpdated
A thoughtful man in scrubs beside a flowchart from CNA to LPN to RN to APRN, with other paths Medical Assistant, Phlebotomy, and Patient Care Tech, with the text What Comes After CNA?

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After your CNA, the most common next step up is a licensed practical nurse (LPN), then a registered nurse (RN), the two rungs that add the most responsibility and pay. The ladder isn't the only direction, though. You can move sideways into shorter allied-health roles like medical assistant, phlebotomist, or patient care technician, or, at the top, train for advanced practice nursing. CNAs earn a median of about $42,260 a year, and every step here pays more, from $64,400 as an LPN to $97,550 as an RN. The right move depends on whether you want the fastest pay bump, the biggest long-term ceiling, or a change of pace.

What is a step higher than a CNA?

The next step up is a licensed practical nurse (LPN), called an LVN in some states. It takes about 12 to 18 months of training and lets you give medications and perform more clinical tasks than a CNA, with a median wage of $64,400 a year versus about $42,260 for a CNA.

What are the levels of nursing after CNA?

The clinical ladder runs CNA, then LPN or LVN, then registered nurse (RN), and finally advanced practice registered nurse (APRN). Each step adds training, responsibility, and pay, from an LPN certificate up to a master's or doctoral degree for APRN roles like nurse practitioner.

What is the highest level of nursing?

Advanced practice registered nurses sit at the top, and they require a master's or doctoral degree. Among them, certified registered nurse anesthetists earn the most, with a median near $223,210 a year. Nurse practitioners are the most common advanced practice role, with a median of $132,300 a year.

What can you do with a CNA license besides nursing?

Plenty. CNA experience leads into medical assisting, phlebotomy, patient care technician, EKG technician, and medication aide roles, most of which take only a few months to certify. These lateral moves keep you in hands-on care and often pay a step above CNA without requiring nursing school.

Which path is best after CNA?

It depends on your goal. Choose RN for the highest long-term pay and the most options, LPN for the fastest route into licensed nursing, or a short allied-health certificate for a quick specialty change. If you're unsure, a lateral certificate adds income and skills while you decide on nursing.

Building Your Healthcare Career After CNA

Becoming a CNA is rarely the finish line; for most people it's the first rung. The clearest moves up are LPN and then RN, where the pay and options grow the most, while medical assisting, phlebotomy, and patient care tech offer faster, sideways steps that still build on your bedside experience. The credential you already hold counts in your favor for nearly all of them.

The best next step is the one that matches your goals for pay, speed, and the kind of work you want to do. When you are ready, Dreambound can help you compare programs for whichever path you choose and start where it makes sense for you.

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Athena Kan
Written by
Athena Kan

Athena Kan is the CEO and co-founder of Dreambound, which makes people irreplaceable in a post-AI world by training people in healthcare, trades, and AI-powered knowledge work. Dreambound is backed by Union Square Ventures and Arrive, a Roc Nation company.

Before founding Dreambound, she was an investor at 8VC ($6B AUM), a software engineer on Uber's self-driving car team. She also founded Coding it Forward, a nonprofit that recruits top technical talent to modernize the federal government - work that earned her a medallion from the Chief Technology Officer of the U.S. She graduated from Harvard College and was recognized as a Forbes 30 Under 30 honoree.

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What Comes After CNA?