This is so called because the bed constructed in this type of foundation is called grillage. This type of construction avoids deep excavation and provides the necessary area at the base of the structure to reduce the intensity of pressure within the safe bearing capacity of the soil.
The U.S. federal government requires a minimum of 75 hours of state-approved training for nursing assistants who work in nursing care facilities, according to the BLS. They also must pass a written competency evaluation, after which, successful candidates are awarded certification and become CNAs.
Most programs which confer an Associate Degree in Medical Assisting take longer, usually requiring between 60 to 100+ credit hours of study and training before students are deemed eligible to take the medical assistant certification exam.