Occupation Profile for Nursing Aides, Orderlies, and Attendants

Provide basic patient care under direction of nursing staff. Perform duties, such as feed, bathe, dress, groom, or move patients, or change linens.

 
 

Significant Points

  • Numerous job openings and excellent job opportunities are expected.
  • Most jobs are in nursing and residential care facilities, hospitals, and home health care services.
  • This occupation is characterized by modest entry requirements, low pay, high physical and emotional demands, and limited advancement opportunities.

 

 
 
Overview
$22,180.00 Median Annual Wage 39,000 Average Job Openings Per Year
6.0 Average Unemployment Percentage 55.3 Percentage That Completed High School
1,000 Employment Numbers in 2006 37.3 Percentage That Had Some College
1,000 Employment Numbers in 2016 (est.) 7.4 Percentage That Went Beyond College Degree

Sample Job Titles
Assistant, Certified Nursing
Assistant, Nurse
Assistant, Nursing
Birth Attendant
Caregiver
Cart Attendant
Certified Medication Technician
Certified Nurse Aide (CNA)
Certified Nurse Assistant
Certified Nursing Aide
Certified Nursing Assistant (CNA)
Competency Evaluated Nurse Aide (CENA)
First Aid Attendant
First Aid Nurse
Gericare Aide
Health Aide
Health Care Aide
Health Care Assistant
Health Service Worker
Helper, Ward
Hospice Aide
Hospice Entrance Attendant
Hospital Aide
Hospital Attendant
Hospital Corpsman
Hospital Medical Assistant
Hospital Orderly
Infirmary Attendant
Institutional Aide
Licensed Nursing Assistant
Medical Aide
Medical Attendant
Medication Aide
New Patient Escort
Nurse Assistant
Nurse Sitter
Nurse's Aide
Nurse, Practical
Nursing Aid
Nursing Assistant
Nursing Home Aide
Operating Room Orderly
Orderly
Patient Care Assistant (PCA)
Patient Care Associate
Patient Care Technician
Patient Escort
Patient Sitter
Patient Transporter
Psychiatric Attendant
Resident Assistant
Restorative Aide
State Tested Nurses Assistant (STNA)
State Tested Nursing Assistant (STNA)
Student Nurse
Surgical Aide
Technician, Certified Medication
Technician, Nurse
Technician, Nursery
Ward Aide
Ward Attendant

Training
  • These occupations often involve using your knowledge and skills to help others. Examples include sheet metal workers, forest fire fighters, customer service representatives, pharmacy technicians, salespersons (retail), and tellers.
  • These occupations usually require a high school diploma and may require some vocational training or job-related course work. In some cases, an associate's or bachelor's degree could be needed.
  • Some previous work-related skill, knowledge, or experience may be helpful in these occupations, but usually is not needed. For example, a teller might benefit from experience working directly with the public, but an inexperienced person could still learn to be a teller with little difficulty.
  • Employees in these occupations need anywhere from a few months to one year of working with experienced employees.

In many cases, a high school diploma or equivalent is necessary for a job as a nursing or psychiatric aide. However, a high school diploma generally is not required for jobs as home health aides. Specific qualifications vary by occupation, State laws, and work setting. Advancement opportunities are limited.

Education and training. Nursing and psychiatric aide training is offered in high schools, vocational-technical centers, some nursing care facilities, and some community colleges. Courses cover body mechanics, nutrition, anatomy and physiology, infection control, communication skills, and resident rights. Personal care skills, such as how to help patients to bathe, eat, and groom themselves, also are taught. Hospitals may require previous experience as a nursing aide or home health aide. Some States also require psychiatric aides to complete a formal training program. However, most psychiatric aides learn their skills on the job from experienced workers.

Home health aides are generally not required to have a high school diploma. They usually are trained on the job by registered nurses, licensed practical nurses, or experienced aides. Also, clients may prefer that tasks are done a certain way, and make those suggestions to the home health aide. A competency evaluation may be required to ensure the aide can perform the required tasks.

Some employers provide classroom instruction for newly hired aides, while others rely exclusively on informal on-the-job instruction by a licensed nurse or an experienced aide. Such training may last from several days to a few months. Aides also may attend lectures, workshops, and in-service training.

Licensure and certification. The Federal Government has guidelines for home health aides whose employers receive reimbursement from Medicare. Federal law requires home health aides to pass a competency test covering a wide range of areas. A home health aide may receive training before taking the competency test. In addition, the National Association for Home Care and Hospice offers voluntary certification for home health aides. Some States also require aides to be licensed.

Similar Federal requirements exist for nurse aides who work in nursing care facilities. These aides must complete a minimum of 75 hours of state-approved training and pass a competency evaluation. Aides who complete the program are known as certified nurse assistants (CNAs) and are placed on the State registry of nurse aides.

Other qualifications. Aides must be in good health. A physical examination, including State-regulated tests such as those for tuberculosis, may be required. A criminal background check also is usually required for employment.

Applicants should be tactful, patient, understanding, emotionally stable, and dependable and should have a desire to help people. They also should be able to work as part of a team, have good communication skills, and be willing to perform repetitive, routine tasks. Home health aides should be honest and discreet because they work in private homes. They also will need access to a car or public transportation to reach patients’ homes.

Advancement. Opportunities for advancement within these occupations are limited. Aides generally need additional formal training or education to enter other health occupations. The most common health care occupations for former aides are licensed practical nurse, registered nurse, and medical assistant.

For some individuals, these occupations serve as entry-level jobs. For example, some high school and college students gain experience working in these occupations while attending school. In addition, experience as an aide can help individuals decide whether to pursue a career in health care.

Nature of Work

Nursing and psychiatric aides help care for physically or mentally ill, injured, disabled, or infirm individuals in hospitals, nursing care facilities, and mental health settings. Home health aides have duties that are similar, but they work in patients’ homes or residential care facilities. Nursing aides and home health aides are among the occupations commonly referred to as direct care workers, due to their role in working with patients who need long-term care. The specific care they give depends on their specialty.

Nursing aides also known as nurse aides, nursing assistants, certified nursing assistants, geriatric aides, unlicensed assistive personnel, orderlies, or hospital attendants provide hands-on care and perform routine tasks under the supervision of nursing and medical staff. Specific tasks vary, with aides handling many aspects of a patient’s care. They often help patients to eat, dress, and bathe. They also answer calls for help, deliver messages, serve meals, make beds, and tidy up rooms. Aides sometimes are responsible for taking a patient’s temperature, pulse rate, respiration rate, or blood pressure. They also may help provide care to patients by helping them get into and out of bed and walk, escorting them to operating and examining rooms, or providing skin care. Some aides help other medical staff by setting up equipment, storing and moving supplies, and assisting with some procedures. Aides also observe patients’ physical, mental, and emotional conditions and report any change to the nursing or medical staff.

Nurse aides employed in nursing care facilities often are the principal caregivers, having far more contact with residents than do other members of the staff. Because some residents may stay in a nursing care facility for months or even years, aides develop ongoing relationships with them and interact with them in a positive, caring way.

Home health aides help elderly, convalescent, or disabled persons live in their own homes instead of health care facilities. Under the direction of nursing or medical staff, they provide health-related services, such as administering oral medications. (Personal and home care aides, who provide mainly housekeeping and routine personal care services, are discussed elsewhere in the Handbook.) Like nursing aides, home health aides may check patients’ pulse rate, temperature, and respiration rate; help with simple prescribed exercises; and help patients to get in and out of bed, bathe, dress, and groom. Occasionally, they change nonsterile dressings, give massages and provide skin care, or assist with braces and artificial limbs. Experienced home health aides, with training, also may assist with medical equipment such as ventilators, which help patients breathe.

Most home health aides work with elderly or disabled persons who need more extensive care than family or friends can provide. Some help discharged hospital patients who have relatively short-term needs.

In home health agencies, a registered nurse, physical therapist, or social worker usually assigns specific duties to and supervises home health aides, who keep records of the services they perform and record each patient’s condition and progress. The aides report changes in a patient’s condition to the supervisor or case manager.

Psychiatric aides, also known as mental health assistants or psychiatric nursing assistants, care for mentally impaired or emotionally disturbed individuals. They work under a team that may include psychiatrists, psychologists, psychiatric nurses, social workers, and therapists. In addition to helping patients to dress, bathe, groom themselves, and eat, psychiatric aides socialize with them and lead them in educational and recreational activities. Psychiatric aides may play card games or other games with patients, watch television with them, or participate in group activities, such as playing sports or going on field trips. They observe patients and report any physical or behavioral signs that might be important for the professional staff to know. They accompany patients to and from therapy and treatment. Because they have such close contact with patients, psychiatric aides can have a great deal of influence on their outlook and treatment.

Work environment. Work as an aide can be physically demanding. Aides spend many hours standing and walking, and they often face heavy workloads. Aides must guard against back injury because they may have to move patients into and out of bed or help them to stand or walk. It is important for aides to be trained in and to follow the proper procedures for lifting and moving patients. Aides also may face hazards from minor infections and major diseases, such as hepatitis, but can avoid infections by following proper procedures.

Aides also perform tasks that some may consider unpleasant, such as emptying bedpans and changing soiled bed linens. The patients they care for may be disoriented, irritable, or uncooperative. Psychiatric aides must be prepared to care for patients whose illness may cause violent behavior. Although their work can be emotionally demanding, many aides gain satisfaction from assisting those in need.

Home health aides may go to the same patient’s home for months or even years. However, most aides work with a number of different patients, each job lasting a few hours, days, or weeks. Home health aides often visit multiple patients on the same day.

Home health aides generally work alone, with periodic visits from their supervisor. They receive detailed instructions explaining when to visit patients and what services to perform. Aides are individually responsible for getting to patients’ homes, and they may spend a good portion of the working day traveling from one patient to another. Because mechanical lifting devices available in institutional settings are not as frequently available in patients’ homes, home health aides must take extra care to avoid injuries resulting from overexertion when they assist patients.

Most full-time aides work about 40 hours per week, but because patients need care 24 hours a day, some aides work evenings, nights, weekends, and holidays. In 2006, 23 percent of aides worked part time compared with 15 percent of all workers.

Related Occupations

Sources: Career Guide to Industries (CGI), Occupational Information Network (O*Net), Occupation Outlook Handbook (OOH)
Earnings

Median hourly earnings of nursing aides, orderlies, and attendants were $10.67 in May 2006. The middle 50 percent earned between $9.09 and $12.80 an hour. The lowest 10 percent earned less than $7.78, and the highest 10 percent earned more than $14.99 an hour. Median hourly earnings in the industries employing the largest numbers of nursing aides, orderlies, and attendants in May 2006 were:

Local government $12.15
Employment services 11.47
General medical and surgical hospitals 11.06
Nursing care facilities 10.37
Community care facilities for the elderly 10.07

Nursing and psychiatric aides in hospitals generally receive at least 1 week of paid vacation after 1 year of service. Paid holidays and sick leave, hospital and medical benefits, extra pay for late-shift work, and pension plans also are available to many hospital employees and to some nursing care facility employees.

Median hourly earnings of home health aides were $9.34 in May 2006. The middle 50 percent earned between $7.99 and $10.90 an hour. The lowest 10 percent earned less than $7.06, and the highest 10 percent earned more than $13.00 an hour. Median hourly earnings in the industries employing the largest numbers of home health aides in May 2006 were:

Nursing care facilities $9.76
Residential mental retardation facilities 9.34
Services for the elderly and persons with disabilities 9.26
Home health care services 9.14
Community care facilities for the elderly 8.87

Home health aides receive slight pay increases with experience and added responsibility. Usually, they are paid only for the time worked in the home, not for travel time between jobs, and must pay for their travel costs from their earnings. Most employers hire only on-call hourly workers and provide no benefits.

Median hourly earnings of psychiatric aides were $11.49 in May 2006. The middle 50 percent earned between $9.20 and $14.46 an hour. The lowest 10 percent earned less than $7.75, and the highest 10 percent earned more than $17.32 an hour. Median hourly earnings in the industries employing the largest numbers of psychiatric aides in May 2006 were:

State government $13.27
General medical and surgical hospitals 12.31
Psychiatric and substance abuse hospitals 11.76
Residential mental health and substance abuse facilities 9.65
Residential mental retardation facilities 8.80

For the latest wage information:

The above wage data are from the Occupational Employment Statistics (OES) survey program, unless otherwise noted. For the latest National, State, and local earnings data, visit the following pages:

  • Home health aides
  • Nursing aides, orderlies, and attendants
  • Psychiatric aides
  • Job Outlook

    Excellent job opportunities for nursing, psychiatric, and home health aides will arise from a combination of rapid employment growth and the need to replace the many workers who leave the occupation each year.

    Employment change. Overall employment of nursing, psychiatric, and home health aides is projected to grow 28 percent between 2006 and 2016, much faster than the average for all occupations. However, growth will vary for the individual occupations. Home health aides are expected to gain jobs faster than other aides as a result of growing demand for home services from an aging population and efforts to contain costs by moving patients out of hospitals and nursing care facilities as quickly as possible. Consumer preference for care in the home and improvements in medical technologies for in-home treatment also will contribute to much-faster-than-average employment growth for home health aides.

    Nursing aide employment will not grow as fast as home health aide employment, largely because nursing aides are concentrated in relatively slower-growing industries. Employment of nursing aides is expected to grow faster than the average for all occupations through 2016, in response to the long-term care needs of an increasing elderly population. Financial pressures on hospitals to discharge patients as soon as possible should boost admissions to nursing care facilities. As a result, job openings will be more numerous in nursing and residential care facilities than in hospitals. Modern medical technology also will drive demand for nursing aides because as the technology saves and extends more lives, it increases the need for long-term care provided by aides.

    Little or no change is expected in employment of psychiatric aides—the smallest of the three occupations. Most psychiatric aides currently work in hospitals, but the industries most likely to see growth will be residential facilities for people with developmental disabilities, mental illness, and substance abuse problems. There is a long-term trend toward treating psychiatric patients outside of hospitals because it is more cost effective and allows patients to live more independent lives. Demand for psychiatric aides in residential facilities will rise in response to the increase in the number of older persons, many of whom will require mental health services. Growing demand for these workers also rests on an increasing number of mentally disabled adults who were formerly cared for by their elderly parents and who will continue to need care. Job growth also could be affected by changes in government funding of programs for the mentally ill.

    Job prospects. High replacement needs for nursing, psychiatric, and home health aides reflect modest entry requirements, low pay, high physical and emotional demands, and limited opportunities for advancement within the occupation. For these same reasons, the number of people looking to enter the occupation will be limited. Many aides leave the occupation to attend training programs for other health care occupations. Therefore, people who are interested in, and suited for, this work should have excellent job opportunities.

    Employment

    Nursing, psychiatric, and home health aides held about 2.3 million jobs in 2006. Nursing aides held the most jobs—approximately 1.4 million. Home health aides held roughly 787,000 jobs, and psychiatric aides held about 62,000 jobs. About 52 percent of nursing aides worked in nursing and residential care facilities and another 29 percent worked in hospitals. Home health aides were mainly employed by home health care services, nursing and residential care facilities and social assistance agencies. About 47 percent of all psychiatric aides worked in hospitals, primarily in psychiatric and substance abuse hospitals, although some also worked in the psychiatric units of general medical and surgical hospitals. Others were employed in State government agencies; residential mental retardation, mental health, and substance abuse facilities; and nursing and residential care facilities.

    Knowledge
    • Mathematics — Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.
    • Engineering and Technology — Knowledge of the practical application of engineering science and technology. This includes applying principles, techniques, procedures, and equipment to the design and production of various goods and services.
    • Sales and Marketing — Knowledge of principles and methods for showing, promoting, and selling products or services. This includes marketing strategy and tactics, product demonstration, sales techniques, and sales control systems.
    • Medicine and Dentistry — Knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures.
    • Physics — Knowledge and prediction of physical principles, laws, their interrelationships, and applications to understanding fluid, material, and atmospheric dynamics, and mechanical, electrical, atomic and sub- atomic structures and processes.
    Skills
    • Equipment Maintenance — Performing routine maintenance on equipment and determining when and what kind of maintenance is needed.
    • Coordination — Adjusting actions in relation to others' actions.
    • Active Learning — Understanding the implications of new information for both current and future problem-solving and decision-making.
    • Writing — Communicating effectively in writing as appropriate for the needs of the audience.
    • Troubleshooting — Determining causes of operating errors and deciding what to do about it.
    Abilities
    • Near Vision — The ability to see details at close range (within a few feet of the observer).
    • Stamina — The ability to exert yourself physically over long periods of time without getting winded or out of breath.
    • Explosive Strength — The ability to use short bursts of muscle force to propel oneself (as in jumping or sprinting), or to throw an object.
    • Oral Comprehension — The ability to listen to and understand information and ideas presented through spoken words and sentences.
    • Hearing Sensitivity — The ability to detect or tell the differences between sounds that vary in pitch and loudness.
    Tasks
    • Supplemental — Work as part of a medical team that examines and treats clinic outpatients.
    • Core — Collect specimens such as urine, feces, or sputum.
    • Supplemental — Set up equipment such as oxygen tents, portable x-ray machines, and overhead irrigation bottles.
    • Core — Prepare, serve, and collect food trays.
    • Core — Clean rooms and change linens.
    Activities
    • Monitoring and Controlling Resources — Monitoring and controlling resources and overseeing the spending of money.
    • Guiding, Directing, and Motivating Subordinates — Providing guidance and direction to subordinates, including setting performance standards and monitoring performance.
    • Assisting and Caring for Others — Providing personal assistance, medical attention, emotional support, or other personal care to others such as coworkers, customers, or patients.
    • Repairing and Maintaining Electronic Equipment — Servicing, repairing, calibrating, regulating, fine-tuning, or testing machines, devices, and equipment that operate primarily on the basis of electrical or electronic (not mechanical) principles.
    • Getting Information — Observing, receiving, and otherwise obtaining information from all relevant sources.
    Related College Curriculum
     
    Featured Online Colleges
     
    For more online colleges, click here.
     
    Colleges Offering Curriculum

    14 Nursing Aides, Orderlies, and Attendant Jobs Found


    Certified Nurse Assistant / CNA We are seeking an experienced and compassionate Certified Nurse Assistant / CNA to join our team in our assisted li...
    Cascade Valley Senior Living - WA - Arlington - posted 21 days ago
    Certified Nurse Assistant / CNA / Caregiver We are seeking an experienced and compassionate Certified Nurse Assistant / CNA / Caregiver to join our...
    Dorian Place Assisted Living - OR - Ontario - posted 29 days ago
    NO EXPERIENCE! WE WILL TRAIN! ALL SHIFTS Highland Estates is NOW HIRING CNA's, Caregivers and Medication Tech's As a Certified Nurse Assistant/CNA/...
    Highland Estates - ID - Burley - posted 9 days ago
    NO EXPERIENCE! WE WILL TRAIN! $10.00 - $11.00 DOE Flagstone Senior Living is NOW HIRING CNAs and Caregivers As a Certified Nurse Assistant/CNA/Care...
    Flagstone Senior Living - OR - The Dalles - posted 3 days ago
    Certified Nurse Assistant/CNA/Caregiver OPEN INTERVIEWS Harbour Pointe Senior Living is NOW HIRING CNAs and Caregivers As a Certified Nurse Assista...
    Harbour Pointe Senior Living - WA - Mukilteo - posted 7 days ago
    NO EXPERIENCE! WE WILL TRAIN! ALL SHIFTS $10.00 - $11.00 DOE The Quarry Senior Living is NOW HIRING CNAs and Caregivers. As a Certified Nurse Assis...
    The Quarry Senior Living - WA - Vancouver - posted 5 days ago
    NO EXPERIENCE! ***MUST BE ENROLLED IN A CNA CERTIFICATION PROGRAM TO BE CONSIDERED.*** ALL SHIFTS AVAILABLE Summit Senior Living is NOW HIRING CNAs...
    Summit Senior Living - UT - Salt Lake City - posted 6 days ago
    NOW HIRING EXPERIENCED CNA'S with med experience DAY AND NIGHT SHIFTS AVAILABLE Maple Leaf Assisted Living and Memory Care is NOW HIRING CNAs As a ...
    Maple Leaf Assisted Living & Memory Care - WA - Seattle - posted 21 days ago
    FULL TIME AND PART TIME AVAILABLE 11:00 a.m. - 7:00 p.m. Caregiver We are seeking compassionate and experienced full-time Caregivers to join our te...
    Pheasant Ridge Senior Living - VA - Roanoke - posted 29 days ago
    Medicalodges is looking for Housekeepers with the primary responsibility of keeping the facility in a clean, safe, and orderly manner using accepte...
    Medicalodges, Inc. - KS - Wichita - posted 6 days ago

    More Nursing Aides, Orderlies, and Attendant Job Results...
     
     
     
     
     
     

    JOB SEARCH