I Have been a CNA in Ca since 1994. I have not heard of any difference in cna 1 and 2. I have worked in SNF's. I think most cna's get thier start there. I now work in a hospital. Primarily Med-Surg. Here is what I did: I took a class thru the Red Cross on acute care. No I did not learn anything new there. It did, however, let me do clinicals in hospitals. So I could say I had a limited amout of exp working in that environment. I WENT INTO the hospitals I was interested in and SPOKE to someone in the Human Resources department. Picked up applications. When submitting the application I attached a professional resume. Then I waited. Here's the thing, do not apply at a hospital with less than 2 years experience. Make certain your employment history is as perfect as you can get it. Don't bounce from place to place, atendance is good ect,you know this stuff. Take as many classes as you can to stay informed about your field of work. More education makes you more marketable. If you get an interview: Look professional. you are more likely to get a return call if you look professional. CNA's do the same work in Acute care as SNF's. It's all about being able to provide the best patient care possible.