Nursing Assistants

This is a sub-career of Nursing Assistant or Orderly

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Job Outlook:
As fast as average
Education: Postsecondary nondegree award
Salary
High: $45,940.00
Average: $36,220.00
Hourly
Average: $17.41

What they do:

Provide or assist with basic care or support under the direction of onsite licensed nursing staff. Perform duties such as monitoring of health status, feeding, bathing, dressing, grooming, toileting, or ambulation of patients in a health or nursing facility. May include medication administration and other health-related tasks. Includes nursing care attendants, nursing aides, and nursing attendants.

On the job, you would:

  • Turn or reposition bedridden patients.
  • Answer patient call signals, signal lights, bells, or intercom systems to determine patients' needs.
  • Feed patients or assist patients to eat or drink.

Important Qualities

Communication skills. Nursing assistants and orderlies must listen and respond to patients’ concerns. They also need to share information with other healthcare workers.

Compassion. Nursing assistants and orderlies help and care for people who are sick, injured, or need aid for other reasons. They need an empathetic attitude to do their work.

Patience. The routine tasks of cleaning, feeding, and bathing patients may be stressful. Nursing assistants and orderlies must be able to complete these tasks with professionalism.

Physical stamina. Nursing assistants and orderlies spend much of their time on their feet. They must be able to perform tasks such as lifting or moving patients.

Personality

A3 Your Strengths Importance

Characteristics of this Career

93% Concern for Others  -  Job requires being sensitive to others' needs and feelings and being understanding and helpful on the job.
90% Dependability  -  Job requires being reliable, responsible, and dependable, and fulfilling obligations.
90% Self-Control  -  Job requires maintaining composure, keeping emotions in check, controlling anger, and avoiding aggressive behavior, even in very difficult situations.
87% Integrity  -  Job requires being honest and ethical.
87% Attention to Detail  -  Job requires being careful about detail and thorough in completing work tasks.
86% Stress Tolerance  -  Job requires accepting criticism and dealing calmly and effectively with high-stress situations.
86% Cooperation  -  Job requires being pleasant with others on the job and displaying a good-natured, cooperative attitude.
86% Adaptability/Flexibility  -  Job requires being open to change (positive or negative) and to considerable variety in the workplace.
83% Social Orientation  -  Job requires preferring to work with others rather than alone, and being personally connected with others on the job.
81% Initiative  -  Job requires a willingness to take on responsibilities and challenges.
80% Independence  -  Job requires developing one's own ways of doing things, guiding oneself with little or no supervision, and depending on oneself to get things done.
77% Persistence  -  Job requires persistence in the face of obstacles.
74% Leadership  -  Job requires a willingness to lead, take charge, and offer opinions and direction.
74% Achievement/Effort  -  Job requires establishing and maintaining personally challenging achievement goals and exerting effort toward mastering tasks.
70% Innovation  -  Job requires creativity and alternative thinking to develop new ideas for and answers to work-related problems.
69% Analytical Thinking  -  Job requires analyzing information and using logic to address work-related issues and problems.
A3 Your Strengths Importance

Strengths

95% Social  -  Work involves helping, teaching, advising, assisting, or providing service to others. Social occupations are often associated with social, health care, personal service, teaching/education, or religious activities.
78% Conventional  -  Work involves following procedures and regulations to organize information or data, typically in a business setting. Conventional occupations are often associated with office work, accounting, mathematics/statistics, information technology, finance, or human resources.
A3 Your Strengths Importance

Values of the Work Environment

78% Relationships  -  Occupations that satisfy this work value allow employees to provide service to others and work with co-workers in a friendly non-competitive environment. Corresponding needs are Co-workers, Moral Values and Social Service.
61% Support  -  Occupations that satisfy this work value offer supportive management that stands behind employees. Corresponding needs are Company Policies, Supervision: Human Relations and Supervision: Technical.

Aptitude

A3 Your Strengths Importance

Abilities | Cognitive, Physical, Personality

72% Oral Comprehension  -  The ability to listen to and understand information and ideas presented through spoken words and sentences.
72% Problem Sensitivity  -  The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing that there is a problem.
69% Oral Expression  -  The ability to communicate information and ideas in speaking so others will understand.
69% Near Vision  -  The ability to see details at close range (within a few feet of the observer).

Job Details

Responsibilities
Give medications or immunizations.
Administer basic health care or medical treatments.
Apply bandages, dressings, or splints.
Operate medical equipment.
Assist practitioners to perform medical procedures.
Clean patient rooms or patient treatment rooms.
Clean patient rooms or patient treatment rooms.
Collect biological specimens from patients.
Interview patients to gather medical information.
Monitor patients to detect health problems.
Record vital statistics or other health information.
Feed patients.
Collect medical information from patients, family members, or other medical professionals.
Record vital statistics or other health information.
Assess physical conditions of patients to aid in diagnosis or treatment.
Hold patients to ensure proper positioning or safety.
Adjust positions of patients on beds or tables.
Feed patients.
Assist patients with daily activities.
Record vital statistics or other health information.
Record vital statistics or other health information.
Assist patients with daily activities.
Stock medical or patient care supplies.
Analyze patient data to determine patient needs or treatment goals.
Prepare medical instruments or equipment for use.
Stock medical or patient care supplies.
Dispose of biomedical waste in accordance with standards.
Move patients to or from treatment areas.
Adjust positions of patients on beds or tables.
Assist patients with daily activities.
Assist patients with daily activities.
Administer therapy treatments to patients using hands or physical treatment aids.
Explain technical medical information to patients.
Adjust positions of patients on beds or tables.
Provide basic information to guests, visitors, or clients.
Transport biological or other medical materials.
A3 Your Strengths Importance

Attributes & Percentage of Time Spent

96% Contact With Others  -  How much does this job require the worker to be in contact with others (face-to-face, by telephone, or otherwise) in order to perform it?
92% Work With Work Group or Team  -  How important is it to work with others in a group or team in this job?
89% Importance of Being Exact or Accurate  -  How important is being very exact or highly accurate in performing this job?
89% Spend Time Walking and Running  -  How much does this job require walking and running?
85% Spend Time Standing  -  How much does this job require standing?
85% Responsible for Others' Health and Safety  -  How much responsibility is there for the health and safety of others in this job?
84% Wear Common Protective or Safety Equipment such as Safety Shoes, Glasses, Gloves, Hearing Protection, Hard Hats, or Life Jackets  -  How much does this job require wearing common protective or safety equipment such as safety shoes, glasses, gloves, hard hats or life jackets?
84% Physical Proximity  -  To what extent does this job require the worker to perform job tasks in close physical proximity to other people?
81% Exposed to Disease or Infections  -  How often does this job require exposure to disease/infections?
79% Coordinate or Lead Others  -  How important is it to coordinate or lead others in accomplishing work activities in this job?
76% Deal With Unpleasant or Angry People  -  How frequently does the worker have to deal with unpleasant, angry, or discourteous individuals as part of the job requirements?
74% Indoors, Environmentally Controlled  -  How often does this job require working indoors in environmentally controlled conditions?
72% Responsibility for Outcomes and Results  -  How responsible is the worker for work outcomes and results of other workers?
71% Face-to-Face Discussions  -  How often do you have to have face-to-face discussions with individuals or teams in this job?
68% Impact of Decisions on Co-workers or Company Results  -  What results do your decisions usually have on other people or the image or reputation or financial resources of your employer?
68% Time Pressure  -  How often does this job require the worker to meet strict deadlines?
67% Frequency of Decision Making  -  How frequently is the worker required to make decisions that affect other people, the financial resources, and/or the image and reputation of the organization?
67% Deal With External Customers  -  How important is it to work with external customers or the public in this job?
66% Structured versus Unstructured Work  -  To what extent is this job structured for the worker, rather than allowing the worker to determine tasks, priorities, and goals?
A3 Your Strengths Importance

Tasks & Values

89% Assisting and Caring for Others  -  Providing personal assistance, medical attention, emotional support, or other personal care to others such as coworkers, customers, or patients.
79% Getting Information  -  Observing, receiving, and otherwise obtaining information from all relevant sources.
78% Communicating with Supervisors, Peers, or Subordinates  -  Providing information to supervisors, co-workers, and subordinates by telephone, in written form, e-mail, or in person.
76% Documenting/Recording Information  -  Entering, transcribing, recording, storing, or maintaining information in written or electronic/magnetic form.
73% Establishing and Maintaining Interpersonal Relationships  -  Developing constructive and cooperative working relationships with others, and maintaining them over time.
70% Performing General Physical Activities  -  Performing physical activities that require considerable use of your arms and legs and moving your whole body, such as climbing, lifting, balancing, walking, stooping, and handling materials.
69% Monitoring Processes, Materials, or Surroundings  -  Monitoring and reviewing information from materials, events, or the environment, to detect or assess problems.
68% Identifying Objects, Actions, and Events  -  Identifying information by categorizing, estimating, recognizing differences or similarities, and detecting changes in circumstances or events.
66% Making Decisions and Solving Problems  -  Analyzing information and evaluating results to choose the best solution and solve problems.

What Nursing Assistants and Orderlies Do

Nursing aides, orderlies, and attendants
Nursing assistants help patients with activities of daily living like eating and bathing.

Nursing assistants, sometimes called nursing aides, provide basic care and help patients with activities of daily living. Orderlies transport patients and clean treatment areas.

Duties

Nursing assistants and orderlies work as part of a healthcare team under the supervision of licensed practical or licensed vocational nurses and registered nurses.

Nursing assistants provide basic care and help with activities of daily living. They typically do the following:

  • Clean and bathe patients
  • Help patients use the toilet and dress
  • Turn, reposition, and transfer patients between beds and wheelchairs
  • Listen to and record patients’ health concerns and report that information to nurses
  • Measure patients’ vital signs, such as blood pressure and temperature
  • Serve meals and help patients eat

Depending on their training level and the state in which they work, nursing assistants also may dispense medication.

Nursing assistants are often the principal caregivers in nursing and residential care facilities. Nursing assistants often develop relationships with their patients because some patients stay in these facilities for months or years.

Orderlies typically do the following:

  • Help patients to move around the facility, such as by pushing their wheelchairs
  • Clean equipment and facilities
  • Change linens
  • Stock supplies

Work Environment

Nursing assistants held about 1.4 million jobs in 2022. The largest employers of nursing assistants were as follows:

Nursing care facilities (skilled nursing facilities) 33%
Hospitals; state, local, and private 33
Continuing care retirement communities and assisted living facilities for the elderly 11
Home healthcare services 6
Government 4

Orderlies held about 45,500 jobs in 2022. The largest employers of orderlies were as follows:

Hospitals; state, local, and private 85%
Ambulatory healthcare services 6
Government 1

The work of nursing assistants and orderlies may be strenuous. They spend much of their time on their feet as they care for patients.

Injuries and Illnesses

Nursing assistants and orderlies have one of the highest rates of injuries and illnesses of all occupations. These workers frequently move patients and have other physically demanding tasks. They typically get training in how to properly lift people, which can reduce the risk of injuries.

Work Schedules

Although most nursing assistants and orderlies work full time, some work part time. Because nursing and residential care facilities and hospitals provide care at all hours, nursing assistants and orderlies may need to work nights, weekends, and holidays.

Getting Started

Education:
39%
High School Diploma - or the equivalent (for example, GED)
24%
Post-Secondary Certificate - awarded for training completed after high school (for example, in agriculture or natural resources, computer services, personal or culinary services, engineering technologies, healthcare, construction trades, mechanic and repair technologies, or precision production)

How to Become a Nursing Assistant or Orderly

Nursing aides, orderlies, and attendants
Nursing assistants must be able to communicate effectively to address patients’ or residents’ concerns.

Nursing assistants typically must complete a state-approved education program and pass their state’s competency exam. Orderlies typically have at least a high school diploma or equivalent.

Education and Training

Nursing assistants often need to complete a state-approved education program that includes both instruction on the principles of nursing and supervised clinical work. These programs are available in high schools, community colleges, vocational and technical schools, hospitals, and nursing homes.

In addition, nursing assistants typically complete a brief period of on-the-job training to learn about their specific employer’s policies and procedures.

Orderlies typically have at least a high school diploma or equivalent and receive a short period of on-the-job training.

Licenses, Certifications, and Registrations

Specific requirements for nursing assistants vary by state. Nursing assistants often need a state-issued license or certification. After completing an approved education program, nursing assistants often must pass a competency exam, which allows them to use state-specific titles. In some states, a nursing assistant is called a Certified Nursing Assistant (CNA), but titles vary by state.

Nursing assistants who have passed the competency exam are placed on a state registry. They must be on the state registry to work in a nursing home.

Some states have other requirements as well, such as continuing education and a criminal background check. Check with state certifying agencies for more information.

In some states, nursing assistants may earn additional credentials, such as Certified Medication Assistant (CMA). As a CMA, they may dispense medications.

Orderlies do not need a license; however, jobs might require certification in cardiopulmonary resuscitation (CPR) or basic life support (BLS).

Job Outlook

Overall employment of nursing assistants and orderlies is projected to grow 4 percent from 2022 to 2032, about as fast as the average for all occupations.

About 209,400 openings for nursing assistants and orderlies are projected each year, on average, over the decade. Many of those openings are expected to result from the need to replace workers who transfer to different occupations or exit the labor force, such as to retire.

Employment

As the baby-boom population ages, nursing assistants and orderlies will be needed to help care for an increasing number of older people who have chronic or progressive diseases, such as heart disease and diabetes.

Demand for nursing assistants may be constrained by financial pressures on nursing homes, which might lead some facilities to close or reduce staff. However, increased opportunities are expected in home- and community-based settings as patient preferences and shifts in federal and state funding generate demand for care in these settings.

Contacts for More Information

For information about healthcare assistants, visit

National Association of Health Care Assistants (NAHCA)

For more information about state requirements, visit

National Council of State Boards of Nursing

Occupational Requirements Survey

For a profile highlighting selected BLS data on occupational requirements, see

Nursing assistants (PDF)

Similar Occupations

This table shows a list of occupations with job duties that are similar to those of nursing assistants and orderlies.

Occupation Job Duties Entry-Level Education Median Annual Pay, May 2022
home health aides image Home Health and Personal Care Aides

Home health and personal care aides monitor the condition of people with disabilities or chronic illnesses and help them with daily living activities.

High school diploma or equivalent $30,180
Licensed practical and licensed vocational nurses Licensed Practical and Licensed Vocational Nurses

Licensed practical nurses (LPNs) and licensed vocational nurses (LVNs) provide basic medical care.

Postsecondary nondegree award $54,620
Medical assistants Medical Assistants

Medical assistants complete administrative and clinical tasks, such as scheduling appointments and taking patients’ vital signs.

Postsecondary nondegree award $38,270
Occupational therapy assistants and aides Occupational Therapy Assistants and Aides

Occupational therapy assistants and aides help patients develop, recover, improve, as well as maintain the skills needed for daily living and working.

See How to Become One $63,450
Psychiatric technicians and aides Psychiatric Technicians and Aides

Psychiatric technicians and aides care for people who have mental conditions or developmental disabilities.

See How to Become One $37,330
Physical therapist assistants and aides Physical Therapist Assistants and Aides

Physical therapist assistants and aides are supervised by physical therapists to help patients regain movement and manage pain after injuries and illnesses.

See How to Become One $57,240
Registered nurses Registered Nurses

Registered nurses (RNs) provide and coordinate patient care and educate patients and the public about various health conditions.

Bachelor's degree $81,220
Dental assistants Dental Assistants

Dental assistants provide patient care, take x rays, keep records, and schedule appointments.

Postsecondary nondegree award $44,820
Veterinary assistants and laboratory animal caretakers Veterinary Assistants and Laboratory Animal Caretakers

Veterinary assistants and laboratory animal caretakers handle routine animal care and help scientists, veterinarians, and others with their daily tasks.

High school diploma or equivalent $34,740

Information provided by CareerFitter, LLC and other sources.

Sections of this page includes information from the O*NET 27.3 Database by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA). Used under the CC BY 4.0 license.

CareerFitter, LLC has modified all or some of this information. USDOL/ETA has not approved, endorsed, or tested these modifications.