Which member of the care team is primarily responsible for direct patient care in a nursing home?

The nursing assistant is primarily responsible for direct patient care in a nursing home. This role involves assisting residents with daily activities such as bathing, dressing, grooming, eating, and mobility. Nursing assistants provide essential support to residents, ensuring their comfort and safety while also promoting their independence as much as possible.

In the context of a nursing home, nursing assistants typically spend the most time with the residents compared to other members of the care team. They are often the first to notice changes in a resident's condition and can communicate these observations to the nursing staff. Their hands-on care and interaction foster relationships with the residents, which is vital for the overall well-being of the individuals in their care.

While registered nurses and licensed practical nurses also play important roles in patient care, their responsibilities often focus more on coordinating care, medication administration, assessments, and overall nursing management. Medical social workers provide support regarding social and emotional needs, but they do not deliver direct personal care like nursing assistants do. Thus, the nursing assistant remains the key figure in providing individualized, hands-on care in a nursing home setting.