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Geriatric Nursing Assistant (GNA)

Nursing Assistants
Description
Provide hands-on daily care to older adults in long-term care, rehabilitation, or home settings under the direction of licensed nursing staff. Assist with activities of daily living, mobility, toileting, nutrition, hydration, safety, and comfort; monitor and report condition changes; support dementia care, skin integrity, fall prevention, and restorative programs. May perform delegated treatments, specimen collection, and basic measurements such as vital signs and intake/output.
  • • Provide physical support to assist older adults with bathing, dressing, grooming, toileting, and continence care.
  • • Assist with safe mobility, transfers, and ambulation using gait belts, walkers, wheelchairs, or mechanical lifts.
  • • Answer call lights promptly and determine resident needs.
  • • Feed residents or assist with meals, following swallowing precautions and prescribed diet textures.
  • • Measure and record food and fluid intake and output; report signs of dehydration or weight changes.
  • • Obtain and record vital signs, pain levels, and blood glucose as delegated by nursing staff.
  • • Perform skin checks; prevent pressure injuries by turning and repositioning per schedule and using offloading devices.
  • • Provide incontinence care; supply, collect, and empty bedpans or urinals; perform catheter care as directed.
  • • Collect urine, stool, or sputum specimens per protocol.
  • • Apply clean dressings, compression stockings, or support bandages as directed.
  • • Remind residents to take medications or supplements and report refusals or side effects.
  • • Assist nurses with treatments or medical equipment (e.g., oxygen, nebulizers) as directed.
  • • Change bed linens and make occupied and unoccupied beds.
  • • Clean and disinfect resident rooms, bathrooms, and equipment; follow infection-control and isolation precautions.
  • • Prepare and serve meal trays; set up adaptive utensils; manage dentures safely.
  • • Support dementia care using redirection, reorientation, and calm de-escalation techniques; ensure wandering safety.
  • • Communicate with residents to assess comfort, mood, and needs; provide companionship and emotional support.
  • • Gather and relay information from residents, families, and the care team regarding care plans and preferences.
  • • Record height and weight; monitor for unplanned weight loss and edema.
  • • Assist with range-of-motion, strengthening, and restorative ambulation programs.
  • • Transport residents to therapy, activities, testing, or appointments using wheelchairs or stretchers.
  • • Position or hold residents for procedures, wound care, or examinations as directed.
  • • Wash, groom, and shave residents; provide oral hygiene and denture care.
  • • Prepare residents for examinations, treatments, or surgery, following preoperative instructions.
  • • Stock and organize medical supplies, treatment carts, and personal hygiene items.
  • • Set up and monitor bed or chair alarms, fall mats, and other fall-prevention measures as directed.
  • • Explain basic care routines, safety instructions, or facility policies to residents and families; provide directions or visiting hours.
  • • Document care, intake/output, and observations in electronic records per facility policy.
  • • Assist with end-of-life comfort measures and postmortem care under nurse direction.
  • • Transport specimens, laboratory items, or medications with proper documentation and handoff.
  • • Implement bowel and bladder programs, including toileting schedules and prompted voiding.
  • • Review dietary restrictions, allergies, and preferences to help ensure residents receive appropriate meals.
  • • Lift or assist others to lift residents safely using proper body mechanics and team or mechanical transfers.
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Source
Tasks & skills: O*NET occupational data (work activities, skills, knowledge). Learn more
Sources & Standards: This site includes information from O*NET by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA), used under the CC BY 4.0 license. Career Clutch has modified some of this information for student readability. USDOL/ETA has not approved, endorsed, or tested these modifications. O*NET® is a trademark of USDOL/ETA.
Last reviewed: Jan 2026
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