Hi,;I just wanted to add that my background is almost the same as LAJJmom.; In New York, I am also a CNA and Certified Medical Assistant with ACL/BLS working at a hospital. My title is PCA. For clarification, Patient Care Associate, Patient Care Tech, they all mean the same thing, as the others mentioned it depends on the facility. At my hospital, all of the CNA's are now being trained to be upgraded to PCA.;The job responsibilities are still the same as CNA duties with the addition of;technical skills as EKG, blood draws, labs, blood glucometer, UI testing,etc...; The only downside, in my opinion, is that some hospitals dont offer higher pay to match with added skills and many CNA's ;are looking to advance as LPN or RN. Im currently a Legal Nurse Consultant and I work private duty so my plate if quite full..<img src="http://img.allnurses.com/smilies/happy.png" border="0" alt="" title="Smile" smilieid="9" class="inlineimg"><br><br>Hope this helps!!!!