Nursing Assistants and Orderlies

Career, Salary and Education Information

What They Do: Nursing assistants help provide basic care for patients in hospitals and residents of long-term care facilities.

Work Environment: Nursing assistants and orderlies work in nursing and residential care facilities and in hospitals. They are frequently physically active and may need to help lift or move patients.

How to Become One: Nursing assistants must complete a state-approved education program and must pass their state’s competency exam to become certified. Orderlies generally have at least a high school diploma.

Salary: The median annual wage for nursing assistants is $29,660. The median annual wage for orderlies is $28,980.

Job Outlook: Overall employment of nursing assistants and orderlies is projected to grow 8 percent over the next ten years, much faster than the average for all occupations. As the baby-boom population ages, nursing assistants and orderlies will be needed to help care for an increasing number of older patients.

Related Careers: Compare the job duties, education, job growth, and pay of nursing assistants and orderlies with similar occupations.

Following is everything you need to know about a career as a nursing assistant or orderly with lots of details. As a first step, take a look at some of the following jobs, which are real jobs with real employers. You will be able to see the very real job career requirements for employers who are actively hiring. The link will open in a new tab so that you can come back to this page to continue reading about the career:

Top 3 Nursing Assistant Jobs

  • Certified Nursing Assistant- IMCU/ Telemetry - CHRISTUS Health - San Antonio, TX

    Under the direct supervision of a Registered Nurse /licensed Nurse , this position will assist with routine and repetitive patient care activities on a nursing unit. This position also performs ...

  • CNA, Certified Nursing Assistant - Float Pool - CHRISTUS Health - Shreveport, LA

    The Certified Nursing Assistant is qualified to attend to the needs of the Patient area, performing duties as indicated by the responsibilities checked above under direct supervision of the unit ...

  • CNA- Assisted Living - Masonic Homes - Union City, CA

    The Certified Nursing Assistant position is a Full Time position reporting to the RCFE Health Services Manager. * Provide personal care assistance to residents as directed: (bathing, grooming ...

See all Nursing Assistant jobs

Top 3 Nursing Aide Jobs

  • Nurse Aide - Almost Family Medlink - Akron, OH

    The PRN CNA - STNA - HHA is responsible for providing patients with in-home personal care aide and designated health related aide services to maintain the patient's physical and emotional well being ...

  • State Tested Nursing Aide / STNA | Sylvania Facility | $15+ - INTERIM HEALTHCARE - Toledo, OH

    Our State Tested Nursing Aides (STNAs) fill critical vacancies in skilled nursing and long-term care facilities, clinics, schools, and more, to ensure that each patient and family receives the care ...

  • Hiring Nursing Aide / CNA - Fast Hire - $17-22/HR - ShiftMed - White, PA

    Pick from over 100 open shifts at local nursing homes, assisted living, hospitals, and skilled nursing facilities that all pay up to 20% more than the local Certified Nursing Assistant (CNA) rates

See all Nursing Aide jobs

What Nursing Assistants and Orderlies Do[About this section] [To Top]

Nursing assistants, sometimes called nursing aides, help provide basic care for patients in hospitals and residents of long-term care facilities, such as nursing homes. Orderlies transport patients and clean treatment areas.

Duties of Nursing Assistants and Orderlies

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

  • Clean and bathe patients or residents
  • 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

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

In nursing homes and residential care facilities, nursing assistants are often the principal caregivers. They have more contact with residents than other members of the staff. Nursing assistants often develop close relationships with their patients because some residents stay in a nursing home for months or years.

Orderlies typically do the following:

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

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

Work Environment for Nursing Assistants and Orderlies[About this section] [To Top]

Nursing assistants hold about 1.5 million jobs. The largest employers of nursing assistants are as follows:

Nursing care facilities (skilled nursing facilities) 37%
Hospitals; state, local, and private 27%
Continuing care retirement communities and assisted living facilities for the elderly 11%
Home healthcare services 5%
Government 4%

Orderlies hold about 50,600 jobs. The largest employers of orderlies are as follows:

Hospitals; state, local, and private 78%
Ambulatory healthcare services 5%
Government 2%

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 for Nursing Assistants and Orderlies

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.

Nursing Assistant and Orderly 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.

How to Become a Nursing Assistant or Orderly[About this section] [To Top]

Get the education you need: Find schools for Nursing Assistants and Orderlies near you!

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

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Education and Training for Nursing Assistants and Orderlies

Nursing assistants must complete a state-approved education program in which they learn the basic principles of nursing and complete supervised clinical work. These programs are found 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 and receive a short period of on-the-job training.

Licenses, Certifications, and Registrations for Nursing Assistants and Orderlies

After completing a state-approved education program, nursing assistants take a competency exam. Passing this exam allows them to use state-specific titles. In some states, a nursing assistant or aide is called a Certified Nursing Assistant (CNA), but titles vary from state to 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 boards of nursing or health for more information.

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

Orderlies do not need a license, however, many jobs require a basic life support (BLS) certification, which shows they are trained to provide cardiopulmonary resuscitation (CPR).

Important Qualities for Nursing Assistants and Orderlies

Communication skills. Nursing assistants and orderlies must communicate effectively to address patients' or residents' concerns. They also need to relay important information to other healthcare workers.

Compassion. Nursing assistants and orderlies assist and care for the sick, injured, and elderly. Doing so requires a compassionate and empathetic attitude.

Patience. The routine tasks of cleaning, feeding, and bathing patients or residents can be stressful. Nursing assistants and orderlies must have patience to complete these tasks.

Physical stamina. Nursing assistants and orderlies spend much of their time on their feet. They should be comfortable performing physical tasks, such as lifting or moving patients.

Nursing Assistant and Orderly Salaries[About this section] [More salary/earnings info] [To Top]

The median annual wage for nursing assistants is $29,660. The median wage is the wage at which half the workers in an occupation earned more than that amount and half earned less. The lowest 10 percent earned less than $21,960, and the highest 10 percent earned more than $40,620.

The median annual wage for orderlies is $28,980. The lowest 10 percent earned less than $21,590, and the highest 10 percent earned more than $42,860.

The median annual wages for nursing assistants in the top industries in which they work are as follows:

Government $35,500
Hospitals; state, local, and private $31,120
Nursing care facilities (skilled nursing facilities) $28,910
Home healthcare services $28,600
Continuing care retirement communities and assisted living facilities for the elderly $28,590

The median annual wages for orderlies in the top industries in which they work are as follows:

Ambulatory healthcare services $31,950
Government $30,740
Hospitals; state, local, and private $29,050
Continuing care retirement communities and assisted living facilities for the elderly $28,350
Nursing care facilities (skilled nursing facilities) $24,300

Most nursing assistants and orderlies work full time. Because nursing homes and hospitals provide care at all hours, nursing aides and orderlies may need to work nights, weekends, and holidays.

Job Outlook for Nursing Assistants and Orderlies[About this section] [To Top]

Employment of nursing assistants is projected to grow 8 percent over the next ten years, much faster than the average for all occupations. Employment of orderlies is projected to grow 5 percent over the next ten years, faster than the average for all occupations.

As the baby-boom population ages, nursing assistants and orderlies will be needed to assist and care for elderly patients in long-term care facilities, such as nursing homes. Older people are more likely than younger people to have disorders such as dementia, or to live with chronic diseases, such as heart disease and diabetes. More nursing assistants will be needed to care for patients with these conditions.

Demand for nursing assistants may be constrained by the fact that many nursing homes rely on government funding. Cuts to programs, such as Medicare and Medicaid, may affect patients' ability to pay for nursing home care. In addition, patient preferences and shifts in federal and state funding are increasing the demand for home and community-based long-term care, which should lead to increased opportunities for nursing assistants working in home health and community rehabilitation services.

See all nursing jobs.

Job Prospects for Nursing Assistants and Orderlies

About 174,000 openings for nursing assistants and 5,600 openings for 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 leave the occupations, often because of their low pay and high emotional and physical demands.

Employment projections data for Nursing Assistants and Orderlies, 2019-29
Occupational Title Employment, 2019 Projected Employment, 2029 Change, 2019-29
Percent Numeric
Nursing assistants and orderlies 1,579,100 1,698,600 8 119,500
  Nursing assistants 1,528,500 1,645,500 8 116,900
  Orderlies 50,600 53,100 5 2,500


A portion of the information on this page is used by permission of the U.S. Department of Labor.


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