{"id":657,"date":"2023-11-16T01:07:00","date_gmt":"2023-11-16T01:07:00","guid":{"rendered":"https:\/\/www.osmosis.org\/blog\/?p=657"},"modified":"2025-11-04T17:05:13","modified_gmt":"2025-11-05T01:05:13","slug":"working-as-a-nursing-assistant-in-a-hospital-vs-nursing-home","status":"publish","type":"post","link":"https:\/\/www.osmosis.org\/blog\/working-as-a-nursing-assistant-in-a-hospital-vs-nursing-home","title":{"rendered":"Working as a Nursing Assistant in a Hospital vs. Nursing Home"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_80 ez-toc-wrap-center counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">In This Article<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.osmosis.org\/blog\/working-as-a-nursing-assistant-in-a-hospital-vs-nursing-home\/#The_Hospital_Workplace_Setting\" >The Hospital Workplace Setting<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.osmosis.org\/blog\/working-as-a-nursing-assistant-in-a-hospital-vs-nursing-home\/#The_Nursing_Home_Workplace_Setting\" >The Nursing Home Workplace Setting<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.osmosis.org\/blog\/working-as-a-nursing-assistant-in-a-hospital-vs-nursing-home\/#How_to_Choose_the_Right_Nursing_Assistant_Workplace_Setting_for_You\" >How to Choose the Right Nursing Assistant Workplace Setting for You<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.osmosis.org\/blog\/working-as-a-nursing-assistant-in-a-hospital-vs-nursing-home\/#Key_Takeaways\" >Key Takeaways<\/a><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><strong>Nursing Assistants<\/strong> are most needed in two different care settings: the <strong>hospital<\/strong>, where you can work with clients of all ages, and <strong>nursing homes<\/strong>, where you will primarily work with aging populations. In this article, we explore the <strong>differences between working as a Nursing Assistant in a hospital vs. a nursing home<\/strong> to help you determine which option aligns with your goals as a <strong>future Nursing Assistant.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Anna<\/strong> has always dreamed of helping others\u2014particularly those battling cancer. After recently completing her\u00a0<a href=\"https:\/\/www.registerednursing.org\/certified-nursing-assistant\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Nursing Assistant\/Aide training<\/strong><\/a><strong> <\/strong>and passing the <strong>state board exam<\/strong> to become certified, Anna is now ready to start her first job. She is deciding between beginning her career at either a <strong>hospital<\/strong> or a <strong>nursing home.<\/strong> She has put a lot of effort into\u00a0<a href=\"https:\/\/www.osmosis.org\/blog\/2020\/10\/19\/your-guide-to-becoming-a-nursing-assistant\"><strong>Nursing Assistant school<\/strong><\/a>, and her ultimate goal is to work with <strong>oncology clients<\/strong>\u2014but what setting is the best pathway for her?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Let&#8217;s break down the <strong>differences between working as a Nursing Assistant in a hospital and a nursing home<\/strong>, as well as the <strong>responsibilities involved for each.<\/strong>\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Regardless of the setting, <strong>Nursing Assistants<\/strong> are well-trained in obtaining <strong>vital signs<\/strong>, <strong>bathing and dressing clients<\/strong>, <strong>making beds<\/strong>, and <strong>providing personal care.<\/strong> Nursing Assistants help with setting up meals and feeding clients in some cases as well. Nursing Assistants also provide support for <strong>transferring clients from beds to wheelchairs<\/strong> and may help with <strong>safely ambulating.<\/strong> They are trained in <strong>basic CPR<\/strong> and may assist nurses or doctors with procedures.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Depending on the setting, Nursing Assistants can learn <strong>additional skills on the job.<\/strong> This career is perfect for people who are <strong>kind, patient, attentive,<\/strong> and enjoy helping others.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_Hospital_Workplace_Setting\"><\/span>The Hospital Workplace Setting<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The <strong>hospital setting<\/strong> is a unique, fast-paced environment, and there are varied tasks that a Nursing Assistant can perform there. Specifically, the Nursing Assistant will gain a lot of practice obtaining\u00a0<a href=\"https:\/\/www.osmosis.org\/learn\/Introduction_to_vital_signs_(for_nursing_assistant_training)\"><strong>vital signs<\/strong><\/a>.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Since clients tend to be sicker in the hospital and emergencies often occur, performing <strong>CPR and other urgent interventions<\/strong> will be required. As a result, in many states, Nursing Assistants must complete <strong>additional training<\/strong> to work in a hospital environment.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Reporting any <strong>abnormal vital signs<\/strong> or changes in the client\u2019s condition to the nurse is crucial. There are ample <strong>opportunities for learning<\/strong>, which is especially helpful if the Nursing Assistant is considering <strong>nursing school.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Occasionally, the Nursing Assistant can <strong>cross-train<\/strong> to fulfill <strong>unit clerk responsibilities<\/strong> such as organizing charts, answering incoming and outgoing calls, and keeping the client status board up-to-date. They can also learn additional skills such as <strong>phlebotomy<\/strong> and obtaining <strong>EKGs.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hospitals generally require <strong>12-hour shifts<\/strong>, and if the Nursing Assistant is a night owl, there are always <strong>night shifts<\/strong> that can be worked or picked up. Working <strong>weekends and holidays<\/strong> is also expected.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The Nursing Assistant can choose to work with a <strong>specific client population<\/strong> within a hospital such as <strong>pediatrics, oncology, cardiology, or ICU.<\/strong> If the Nursing Assistant has a specialty in mind, gaining experience in the hospital setting is a good way to reach that goal. The hospital provides opportunities to work with various members of the <strong>healthcare team<\/strong> on a regular basis such as <strong>doctors, residents, nurses, and students,<\/strong> as well as <strong>physical, occupational, and speech therapists.<\/strong> <strong>Social workers and unit clerks<\/strong> are also members of the hospital team.\u00a0<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"701\" height=\"467\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/84.png\" alt=\"The Nursing Assistant can choose to work with a specific client population within a hospital such as pediatrics, oncology, cardiology, or ICU. If the Nursing Assistant has a specialty in mind, gaining experience in the hospital setting is a good way to reach that goal.\" class=\"wp-image-659\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/84.png 701w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/84.png?resize=300,200 300w\" sizes=\"auto, (max-width: 701px) 100vw, 701px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"The_Nursing_Home_Workplace_Setting\"><\/span>The Nursing Home Workplace Setting<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">If the Nursing Assistant enjoys working with the <strong>elderly population<\/strong>, a <strong>nursing home<\/strong> could be a great fit. Nursing homes are residents\u2019 \u201chome away from home,\u201d and are designed to feel <strong>comfortable and nurturing.<\/strong> Nursing Assistants will gain experience assisting with <strong>activities of daily living (ADLs)<\/strong>, <strong>personal care<\/strong> such as bathing and dressing, as well as <strong>transfers and ambulation.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Some nursing homes may train Nursing Assistants to become <strong>medication technicians<\/strong>, where they are responsible for administering clients\u2019 medications and monitoring for side effects. This role is overseen by nurses. Some Nursing Assistants are required to take a take a <strong>course and\u00a0<a href=\"https:\/\/www.ncsbn.org\/mace-exam.htm\" target=\"_blank\" rel=\"noreferrer noopener\">pass an exam<\/a><\/strong>, but this varies by state. Adding medication technician training to the Nursing Assistant\u2019s skill set is valuable for <strong>resume building and marketability<\/strong>.\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nursing Assistants generally work <strong>eight-hour shifts<\/strong> in the nursing home with <strong>holidays and weekend requirements.<\/strong> Like the hospital setting, working in a nursing home is a <strong>physical job<\/strong> and requires long hours on your feet. Therefore, it\u2019s important for Nursing Assistants to bring <strong>snacks and hydration<\/strong> to stay properly fueled for the shift.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nursing Assistants in nursing homes may come into contact with various other members of the <strong>healthcare team<\/strong>, such as <strong>physical therapists<\/strong> and <strong>activity coordinators.<\/strong> They may interact with doctors, but not as frequently as in the hospital setting. <strong>Nursing home residents<\/strong> can become like family to the Nursing Assistant, as they are able to <strong>build relationships<\/strong> with the same residents over time.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"701\" height=\"467\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/85.png\" alt=\"If the Nursing Assistant enjoys working with the elderly population, a nursing home could be a great fit. Nursing homes are residents\u2019 \u201chome away from home,\u201d and are designed to feel comfortable and nurturing. Nursing Assistants will gain experience assisting with activities of daily living (ADLs), personal care such as bathing and dressing, as well as transfers and ambulation.\" class=\"wp-image-660\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/85.png 701w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/85.png?resize=300,200 300w\" sizes=\"auto, (max-width: 701px) 100vw, 701px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"How_to_Choose_the_Right_Nursing_Assistant_Workplace_Setting_for_You\"><\/span>How to Choose the Right Nursing Assistant Workplace Setting for You<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Deciding between\u00a0working in a <a href=\"https:\/\/www.bls.gov\/ooh\/healthcare\/nursing-assistants.htm#tab-3\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>hospital or a nursing home<\/strong><\/a>\u00a0depends on the Nursing Assistant\u2019s <strong>unique goals and preferences.<\/strong> Hospitals offer a <strong>fast pace, longer shifts,<\/strong> and a wide variety of <strong>clinical experiences.<\/strong> A nursing home allows the Nursing Assistant to create a <strong>strong rapport with the geriatric population.<\/strong>\u00a0<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">t\u2019s helpful to remember that both settings offer <strong>ample opportunities to advance the Nursing Assistant\u2019s career.<\/strong> Working as a Nursing Assistant is a <strong>rewarding career in itself<\/strong>, and helping others with basic needs that most people take for granted is an <strong>incredibly meaningful experience.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Anna<\/strong> is now considering <strong>nursing school<\/strong>, and has applied to work as a <strong>Nursing Assistant<\/strong> for the <strong>night shift<\/strong> in a hospital. She is interested in eventually learning <strong>phlebotomy<\/strong> on the job.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">No matter what route Nursing Assistants like Anna decide to take, a <strong>client-focused career as a Nursing Assistant<\/strong> is a great way to get started in the <strong>medical field.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Key_Takeaways\"><\/span>Key Takeaways<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Hospitals offer fast-paced work and diverse clinical experiences for Nursing Assistants.<\/strong><\/li>\n\n\n\n<li><strong>Nursing homes focus on long-term care and building relationships with elderly residents.<\/strong><\/li>\n\n\n\n<li><strong>CNA skills include vital signs, personal care, transfers, and sometimes medication administration.<\/strong><\/li>\n\n\n\n<li><strong>Shift lengths and work schedules vary: hospitals often have 12-hour shifts; nursing homes usually 8 hours.<\/strong><\/li>\n\n\n\n<li><strong>Both settings provide valuable experience and opportunities to advance in healthcare careers.<\/strong><\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.osmosis.org\/plans\"><img loading=\"lazy\" decoding=\"async\" width=\"700\" height=\"250\" src=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/01\/Blog_Display_Ads_RN3_2023.png?w=700\" alt=\"\" class=\"wp-image-5064\" srcset=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/01\/Blog_Display_Ads_RN3_2023.png 700w, https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2025\/01\/Blog_Display_Ads_RN3_2023.png?resize=300,107 300w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><\/a><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Choosing where to start your Nursing Assistant career? Explore how hospital and nursing home roles differ in pace, responsibilities, and patient care to find your ideal path.<\/p>\n","protected":false},"author":99,"featured_media":658,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[6,33],"tags":[2250,2243,2248,2255,2251,2254,2249,2242,2245,2246,2252,2247,2253,2244,149],"class_list":["post-657","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-career-advice","category-nursing-assistants","tag-cna-job-outlook","tag-cna-jobs","tag-cna-training","tag-healthcare-career-paths","tag-healthcare-jobs","tag-hospital-cna","tag-medication-technician-cna","tag-nursing-assistant","tag-nursing-assistant-career","tag-nursing-assistant-responsibilities","tag-nursing-assistant-shifts","tag-nursing-assistant-skills","tag-nursing-career-advice","tag-nursing-home-cna","tag-patient-care"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Working as a Nursing Assistant in a Hospital vs. Nursing Home - Osmosis Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.osmosis.org\/blog\/working-as-a-nursing-assistant-in-a-hospital-vs-nursing-home\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Working as a Nursing Assistant in a Hospital vs. Nursing Home - Osmosis Blog\" \/>\n<meta property=\"og:description\" content=\"Choosing where to start your Nursing Assistant career? Explore how hospital and nursing home roles differ in pace, responsibilities, and patient care to find your ideal path.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.osmosis.org\/blog\/working-as-a-nursing-assistant-in-a-hospital-vs-nursing-home\" \/>\n<meta property=\"og:site_name\" content=\"Osmosis Blog\" \/>\n<meta property=\"article:published_time\" content=\"2023-11-16T01:07:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-11-05T01:05:13+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/27.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1080\" \/>\n\t<meta property=\"og:image:height\" content=\"1081\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" content=\"Susan Sinclair, MSN, RN\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":[\"Article\",\"BlogPosting\"],\"@id\":\"https:\/\/www.osmosis.org\/blog\/working-as-a-nursing-assistant-in-a-hospital-vs-nursing-home#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/working-as-a-nursing-assistant-in-a-hospital-vs-nursing-home\"},\"author\":{\"name\":\"Susan Sinclair, MSN, RN\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/#\/schema\/person\/ebd7070e55981c9ef9959ca0adc6e8ff\"},\"headline\":\"Working as a Nursing Assistant in a Hospital vs. Nursing Home\",\"datePublished\":\"2023-11-16T01:07:00+00:00\",\"dateModified\":\"2025-11-05T01:05:13+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/working-as-a-nursing-assistant-in-a-hospital-vs-nursing-home\"},\"wordCount\":1037,\"commentCount\":1,\"publisher\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/#organization\"},\"image\":{\"@id\":\"https:\/\/www.osmosis.org\/blog\/working-as-a-nursing-assistant-in-a-hospital-vs-nursing-home#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.osmosis.org\/blog\/wp-content\/uploads\/sites\/2\/2024\/09\/27.webp\",\"keywords\":[\"CNA job outlook\",\"CNA jobs\",\"CNA training\",\"healthcare career paths\",\"healthcare jobs\",\"hospital CNA\",\"medication technician CNA\",\"Nursing Assistant\",\"nursing assistant career\",\"nursing assistant responsibilities\",\"nursing assistant shifts\",\"nursing assistant skills\",\"nursing career advice\",\"nursing home CNA\",\"patient care\"],\"articleSection\":[\"Career Advice\",\"Nursing Assistants\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/www.osmosis.org\/blog\/working-as-a-nursing-assistant-in-a-hospital-vs-nursing-home#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.osmosis.org\/blog\/working-as-a-nursing-assistant-in-a-hospital-vs-nursing-home\",\"url\":\"https:\/\/www.osmosis.org\/blog\/working-as-a-nursing-assistant-in-a-hospital-vs-nursing-home\",\"name\":\"Working as a Nursing Assistant in a Hospital vs. Nursing Home - 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