The student must be a Certified Nursing Assistant and to have worked a minimum of 1000 hours as a CNA in the past 2 years in order to take the QMA course. In regards to the Insulin course the student must of completed the QMA classroom and clinical portion and have taken and passed the QMA exam and be put on the QMA registry in order to take the insulin course. THe CNA, QMA and insulin licensure is then all linked together with the IDOH on the registry when they pass all three exams.