most new grads are hired after working as CAs in the system...into a new grad academy (through the hospital system). I've worked acute care for 5 years as an RD and rarely see a clinical assistant (essentially a ward clerk who can perform certain CNA tasks) who isn't an RN. I am in my 1st year of nursing school, and also worry about the new grad stuff. another consideration for you may be the proximity to KBay....Castle (private) hospital is the closest, but there are assisted care facilities and community clinics also on that side. if you've never been here, 7 miles on a map may not look far, but driving to and from kaneohe with traffic can turn into a trek on this small island!!