Nursing assistants in residential elderly care
Who they are, what they do and which devices they use: a research-based profile for recruiting this target group for MedTech and pharma projects.
Overview
Nursing assistants in residential elderly care work in a team with registered nurses, for example in senior and nursing homes. They independently carry out care measures that a registered nurse plans, supervises and steers, and are deployed in stable care situations with known, recurring measures. These include personal hygiene, support with nutrition and elimination, mobilisation and positioning with aids, and prophylactic measures. Delegated measures such as blood glucose testing, insulin injection, medication administration and checking vital signs are carried out on medical prescription. They observe changes, document and inform the registered nurse when a situation is no longer stable. Daily structure, biographical work and activation offers are part of their routine, as is accompanying people with dementia and the dying.
Profession by country
Fields of use and typical tasks
Altenpflege
Evidence from: DE, AT
- Delivering care for residents with low care levels and stable situations under the supervision of a registered nurse
- Implementing the care plan drawn up by the registered nurse
- Checking before accepting delegated tasks whether they are within competence and permitted, with feedback to the registered nurse
- Taking on treatment care depending on documented qualification and risk
- Documenting tasks performed and updating the care report
- Implementing measures of nursing care, treatment and support for residents within the legal scope of practice
Specializations
Devices and systems they use
- Manual wheelchair
- Electronic health record (EHR)
- Enteral feeding pump
- Walking stick / crutch
- Upper-arm blood pressure monitor
- Patient hoist
- Nursing documentation and care planning software
- Professional blood glucose meter
- Rollator / walking frame
- Acoustic stethoscope
- Transfer aid
- Urinary (Foley) catheter
- Nebuliser
- Volumetric infusion pump
Who they work with
- Registered nurses in elderly care
Frequently asked questions
Who plans the care that nursing assistants deliver?
A registered nurse plans, supervises and steers the measures. Nursing assistants carry them out independently and report changes.
With which residents are they deployed?
In stable care situations with known, regularly recurring measures and a low risk of acute deterioration.
Which measurements do they take?
They check and document pulse, blood pressure, temperature and respiratory rate and perform blood glucose tests.
Which risks do they pay particular attention to?
They apply prophylaxis against falls, pressure ulcers, contractures, thrombosis, pneumonia and aspiration, follow the hygiene plan and administer medication according to the 6-R or 10-R rule.
Where else do they work besides nursing homes?
Also in geriatric and gerontopsychiatric hospital departments, rehabilitation facilities, residential homes and outpatient care services.
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Related target groups
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Sources
- Lehrplan für die Berufsfachschule für Pflegefachhilfe, Staatsinstitut für Schulqualität und Bildungsforschung (ISB) München, Bayerisches Staatsministerium für Unterricht und Kultus (DE)
- Merkblatt Beruf Pflegefachhelfer/in Bayern, Bayerisches Landesamt für Pflege (DE)
- Soziale Berufe: Altenpflegehelferin und Altenpflegehelfer, Deutscher Caritasverband e. V. (DE)
- KompAQT Handlungshilfe: Kompetenzorientierte Aufgabenverteilung in qualifikationsheterogenen Teams der stationären Altenpflege, Projektteam KompAQT, gefördert vom Bundesministerium für Arbeit und Soziales und dem ESF Plus, veröffentlicht über maxQ. (DE)
- Steiermärkische Personalausstattungsverordnung 2025 (StPAVO), Steiermärkische Landesregierung (AT)
- Stellenausschreibung Pflegeassistenz, Seniorenwohnheim, Magistrat der Stadt St. Pölten, Seniorenwohnheim Stadtwald (AT)
- Position Description, Resident Care Aide, D.J. Jacobetti Home for Veterans, State of Michigan Civil Service Commission, Michigan Veterans Homes (US)
- 42 CFR 483.35, Nursing services, Legal Information Institute, Cornell Law School (Wiedergabe der Bundesverordnung der Centers for Medicare and Medicaid Services) (US)
- Position Description 00040657 (Nurse Aide, veterans home), Commonwealth of Pennsylvania, Department of Military and Veterans Affairs (US)