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The nurses and aides can bring it up with the doctor in charge if they suspect something. I'm sure they are trained to recognize the signs.
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Like JessieBelle said, there are signs and symptoms. If there's an infection the person will run a fever, possibly be lethargic, and the urine may smell abnormal.

But nurses and aides can't diagnose their patients. A Dr. will have to diagnose and prescribe the appropriate antibiotic.
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Tena make little diagnostic kits that go inside diapers. They're only a first line check but I (family caregiver, not professional) found they work pretty well.

Why do you ask, HillyDilly? What's happened?
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They should know what signs to look for and collect a sample for a test if it is needed. It might not be a bad idea to have routine checks on elders who are incontinent. I don't know how this is managed.
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CNA's cannot diagnose..it is beyond their scope of practice.
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