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Nursing Assistants and Orderlies

SOC: 31-1131 • Data from U.S. Bureau of Labor Statistics & O*NET

Key Insights

Nursing Assistants and Orderlies are a dynamic career within the sector, offering a unique blend of opportunities and challenges for professionals seeking meaningful work.

The median annual salary for this occupation is $39,430, which is below the typical salary for this field. Over the next decade, employment is projected to grow by 2.0%, reflecting modest demand and new opportunities . The automation risk for this occupation is 48.0%. This suggests a high degree of job security, as automation is less likely to impact this role in the near future. Work-life balance is rated as 6.0, which can be an important factor for job satisfaction and overall well-being.

Individuals with Social, Conventional, or Investigative personality traits tend to thrive in this career. Key skills for success include Communication skills, Compassion, Patience, Physical stamina. Developing and refining these abilities can set you apart from other candidates and help you excel in your role. Notable strengths for this occupation are High Demand, Flexible Work, Continuous Learning. Leveraging these strengths can lead to greater job satisfaction and career advancement. Some common challenges professionals may encounter include Burnout Risk, Rapid Technological Change. Being aware of these potential obstacles can help you prepare and develop strategies to overcome them.

The highest employment levels for this occupation are found in California, offering strong job prospects in that region. The leading industry for this role is Government, excluding state and local education and hospitals, which may provide additional opportunities for specialization and growth.

Whether you are just starting your career journey or looking to make a change, Nursing Assistants and Orderlies offers a compelling mix of salary potential, job outlook, and personal fit. By understanding the key factors that influence success in this field, you can make informed decisions and position yourself for long-term achievement.

What They Do

Nursing Assistants and Orderlies provide basic patient care and support to nurses and healthcare staff. They assist patients with daily activities, monitor vital signs, and ensure comfort and safety. Their work is critical in hospitals, long-term care facilities, and other healthcare settings.

This career is well suited for individuals who enjoy healthcare, patient interaction, and providing hands-on care.

What Do Nursing Assistants and Orderlies Do?

These professionals help patients with daily living activities, observe health conditions, and support nursing staff in delivering care.

Common responsibilities include:

  • Assisting patients with bathing, dressing, grooming, and mobility
  • Taking and recording vital signs, weight, and other health indicators
  • Helping patients eat, drink, and take medications as directed
  • Turning, positioning, and transporting patients safely
  • Maintaining cleanliness and sanitary conditions in patient rooms
  • Reporting changes in patients’ conditions to nurses or healthcare providers
  • Supporting medical procedures and providing comfort to patients

Key Areas of Nursing Assistance

Nursing assistants and orderlies may focus on specific patient populations or care settings:

  • Long-Term Care: Assisting elderly or disabled patients in nursing homes or assisted living
  • Hospital Support: Providing care to inpatients, post-surgical patients, or critical care
  • Patient Mobility and Daily Activities: Helping with movement, hygiene, and basic needs
  • Monitoring and Observation: Tracking patient health and reporting concerns
  • Sanitation and Safety: Ensuring clean, safe, and comfortable patient environments

Skills and Abilities Needed

Nursing assistants and orderlies combine caregiving, observation, and interpersonal skills.

Core Professional Skills

- Patient care and assistance with daily activities - Monitoring and recording vital signs - Safe patient handling and mobility support - Infection control and sanitation practices - Communication with patients and healthcare staff - Support for medical procedures and comfort measures

Personal Qualities That Matter

- Empathy and compassion - Patience and physical stamina - Attention to detail and observation skills - Strong communication and interpersonal abilities - Reliability and responsibility - Adaptability in fast-paced healthcare environments

Education and Career Pathway

This role typically requires formal training and certification:

  • Postsecondary Certificate or Training Program: Nursing assistant or patient care programs
  • State Certification: Required to practice as a certified nursing assistant (CNA) in most states
  • On-the-Job Training: Learning patient care routines, safety procedures, and healthcare protocols
  • Continuing Education: Staying current with healthcare standards, patient safety, and clinical procedures
  • Specialty Training (optional): Geriatric care, critical care support, or rehabilitation assistance

Where Do Nursing Assistants and Orderlies Work?

They are employed in organizations that provide healthcare and patient support:

  • Hospitals and Acute Care Facilities
  • Long-Term Care and Nursing Homes
  • Rehabilitation and Assisted Living Centers
  • Home Healthcare Services
  • Hospice and Community Health Programs

Work environments include patient rooms, hospital wards, rehabilitation facilities, and patient homes.

Is This Career Difficult?

This career requires physical stamina, emotional resilience, and interpersonal skills. Nursing assistants and orderlies must handle patient needs, support healthcare staff, and maintain safety standards.

Who Should Consider This Career?

This career may be a strong fit if you:

  • Enjoy helping patients with daily activities and healthcare needs
  • Are patient, empathetic, and caring
  • Can work in fast-paced and physically demanding environments
  • Have strong communication and observation skills
  • Want a career supporting patient care and improving quality of life

How to Prepare Early

  • Take courses in health sciences, biology, and anatomy
  • Volunteer or intern in hospitals, clinics, or long-term care facilities
  • Develop communication, empathy, and patient care skills
  • Explore accredited nursing assistant training programs
  • Gain hands-on experience through clinical practice or supervised internships

Nursing assistants and orderlies provide essential support to patients and healthcare staff, promoting comfort, safety, and quality care in various healthcare settings.

Career Video

Video from CareerOneStop, sponsored by U.S. Department of Labor

Key facts

Median: $39,430
Employment: 1,495,400
Growth (2024–2034): +2.0%

Top Skills

Communication skills Compassion Patience Physical stamina

StartRight Career Intelligence Metrics

Job Growth Outlook

+2.0%
Modest growth: Some new jobs will be created, but growth is slower than average.

Automation Risk Assessment

Medium Risk
48.0% probability of being automated in the next 10-20 years. This job has some routine elements but still requires human judgment and interaction.

Work-Life Balance Score

6.0/10
Good work-life balance based on typical work schedules, stress levels, and time demands.

Personality Fit (RIASEC Profile)

5.8
Realistic
6.0
Investigative
4.4
Artistic
8.4
Social
4.6
Enterprising
7.4
Conventional
Powered by O*NET Career Profiling

Personality Match: The higher the score (out of 10), the better this career matches that personality type. People with similar interests and work styles tend to be most satisfied in careers that match their personality profile.

O*NET Official Logo Official assessment tool by the U.S. Department of Labor

Strengths

  • High Demand
  • Flexible Work
  • Continuous Learning

Challenges

  • Burnout Risk
  • Rapid Technological Change

Median Salary Comparison

Employment projection (2024–2034)

Geographic Employment & Wage Analysis

BLS OEWS Data Updated 2024-05
View Interactive BLS Maps

States with Highest Employment

  • California 102,380
  • Florida 91,280
  • Texas 87,050
  • New York 85,310
  • Pennsylvania 65,410
  • Illinois 64,660
  • Ohio 62,360
  • North Carolina 61,280
  • Virginia 42,760
  • Georgia 42,460
BLS OEWS data (2024-05)

Regional Wage Variations

  • California +18%
    $46,420
  • Florida -7%
    $36,850
  • Texas -8%
    $36,390
  • New York +20%
    $47,390
  • Pennsylvania 4%
    $41,110
  • Illinois +13%
    $44,750
  • Ohio -2%
    $38,570
  • North Carolina -4%
    $37,670
  • Virginia -2%
    $38,790
  • Georgia -7%
    $36,570
BLS OEWS state wage data
Top Metropolitan Areas
New York-Newark-Jersey City
Employment: High Growth: +3.2%
Los Angeles-Long Beach
Employment: High Growth: +2.8%
Chicago-Naperville-Elgin
Employment: Medium Growth: +1.5%
Dallas-Fort Worth
Employment: Medium Growth: +4.1%
San Francisco-Oakland
Employment: High Growth: +2.3%
Based on BLS metropolitan area data
Industries with Highest Concentrations
Government, excluding state and local education and hospitals
85%
Hospitals; state, local, and private
70%
Nursing care facilities (skilled nursing facilities)
55%
Regional Job Market Outlook
Strong
West Coast
Stable
Northeast
Growing
South