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 $30,310. The median annual wage for orderlies is $29,990.

Job Outlook: Overall employment of nursing assistants and orderlies is projected to grow 8 percent over the next ten years, about as fast as the average for all occupations.

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

  • Health Care Assistant - Health Service Executive - Kilkenny, County Kilkenny

    Post Specific Related Information: The role of the Health Care Assistant is to support nursing staff in the delivery of care to the patient under the…

  • Care Assistant - Disability Services - West Area (Dungloe/Falcarragh) - Health Service Executive - Donegal, County Donegal

    Job Title: SC.006.2022 - Care Assistant - Disability Services - West Area (Dungloe/Falcarragh). Closing date: 30/05/2022 12:00.

  • Grade VI Section Officer ( Nursing & Midwifery) - Dublin Midlands Hospital Group - Dublin, County Dublin

    Grade VI Section Officer ( Nursing & Midwifery). Dublin Midlands Hospital Group (DMHG). There is currently 1 WTE permanent vacancy available in the Office of…

See all Nursing Assistant jobs

Top 3 Nursing Aide Jobs

  • Radiology Dept Aide - PCC DXA - Tallaght University Hospital - Dublin, County Dublin

    The Radiography Aide will work alongside the radiographers to ensure a smooth running service within the Radiology Directorate in TUH.

  • Care Partner - Student Nurse - Neurosurgery - PRN - Virginia Commonwealth University - Hospital, County Limerick

    Acute care experience as a nursing assistant or aide experience. Accredited Associate Degree and Diploma programs: completion of first year or a minimum of two…

  • Summer Nursing Student Care Partner Position- MSCU - Virginia Commonwealth University - Hospital, County Limerick

    Accredited Associate Degree and Diploma programs: completion of first year or a minimum of two semesters of basic nursing courses.

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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 1.4 million jobs. The largest employers of nursing assistants are as follows:

Nursing care facilities (skilled nursing facilities) 37%
Hospitals; state, local, and private 30%
Continuing care retirement communities and assisted living facilities for the elderly 11%
Home healthcare services 6%
Government 4%

Orderlies hold about 44,000 jobs. The largest employers of orderlies are as follows:

Hospitals; state, local, and private 83%
Ambulatory healthcare services 6%
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.

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 $30,310. 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 $23,880, and the highest 10 percent earned more than $44,240.

The median annual wage for orderlies is $29,990. The lowest 10 percent earned less than $23,970, and the highest 10 percent earned more than $46,470.

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

Government $37,310
Hospitals; state, local, and private $35,870
Nursing care facilities (skilled nursing facilities) $29,970
Continuing care retirement communities and assisted living facilities for the elderly $29,900
Home healthcare services $29,280

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

Government $36,950
Hospitals; state, local, and private $30,010
Ambulatory healthcare services $29,620

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 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, about as fast as the average for all occupations.

About 192,800 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.

See all nursing jobs.

Employment of Nursing Assistants and Orderlies

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 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 in home health and community rehabilitation services.

Employment projections data for Nursing Assistants and Orderlies, 2020-30
Occupational Title Employment, 2020 Projected Employment, 2030 Change, 2020-30
Percent Numeric
Nursing assistants and orderlies 1,440,700 1,559,100 8 118,500
  Nursing assistants 1,396,700 1,512,000 8 115,300
  Orderlies 44,000 47,200 7 3,200


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


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