In Nigeria and many other countries, the term “auxiliary nurse” is often used to describe caregivers or nurse aides trained informally, usually on the job. While these roles fill important gaps in the healthcare system, the truth is: informal auxiliary nurse training comes with major risks.
If you’re passionate about caregiving and want a solid career in healthcare, it’s crucial to understand the difference between informal auxiliary nurse training and enroling in a certified Healthcare Assistant (HCA) program.
Let’s break it down.
What Exactly Is an Auxiliary Nurse?

An auxiliary nurse typically supports registered nurses and doctors by providing basic patient care—feeding, bathing, recording vital signs, and offering comfort.
But here’s the issue: many auxiliary nurses in Nigeria are trained informally, without any standardised curriculum, accreditation, or legal recognition. This not only limits their career options but also puts them—and their patients—at risk.
5 Dangers of Informal Auxiliary Nurse Training
1. No Legal Recognition
Auxiliary nurses trained without certification are not legally recognised by the Nursing and Midwifery Council of Nigeria (NMCN). This makes it illegal to practice as a nurse in most regulated environments.
2. Lack of Proper Skills
Informal training often skips over crucial areas like infection control, patient rights, emergency response, and mental health support—all of which are vital in today’s healthcare landscape.
3. Low Job Security and Pay
Without a certified credential, auxiliary nurses often remain in low-paying jobs with little or no benefits. Career growth is nearly impossible without formal qualifications.
4. No International Opportunities
Want to work in Canada, the UK, or Australia? Informal experience won’t cut it. You need recognised certifications like an HCA certificate to qualify for healthcare migration pathways.
5. Ethical and Safety Risks
Uncertified training increases the risk of medical errors, poor patient care, and legal consequences for both the caregiver and employer.
Why a Certified HCA Program Is a Better Option
A Healthcare Assistant (HCA) program is a certified, structured, and government-recognised course designed to train caregivers professionally and ethically. Unlike informal auxiliary nurse training, HCA programs equip you with:
- Hands-on clinical experience
- Standardised, up-to-date training
- Certification recognised nationally and internationally
- Career guidance and progression pathways
Many former auxiliary nurses who completed an HCA program have transitioned into better-paying, more respected healthcare roles—some even going on to become licensed practical nurses (LPNs) or registered nurses (RNs) abroad.
Real Story: From Auxiliary Nurse to Certified HCA
Esther started her healthcare journey as an auxiliary nurse in a small private clinic. For years, she worked long hours with no growth and little recognition. After enrolling in the certified HCA program at CLI College Nigeria, she gained the skills, support, and certification needed to land a job in a top-tier hospital and is now preparing for international opportunities.
Her story isn’t unique. It’s proof that making the switch from informal training to formal certification can change your life.
Don’t Just Work—Get Certified
Being an auxiliary nurse might seem like a fast way into healthcare, but if your goal is long-term career success, a certified HCA program is the real game-changer.
Whether you’re just starting out or already working as an auxiliary nurse, it’s never too late to take your training seriously. Your career—and your patients—deserve the best.
Ready to Take the Next Step?
At CLI College Nigeria, our certified HCA program offers everything you need to succeed: professional training, hands-on experience, mentorship, and support.
Call us today or visit our campus to find out how to register.
Join the Conversation
Were you trained informally as an auxiliary nurse? Are you thinking of enrolling in an HCA program?
Let’s talk in the comments below—your experience could help others!
And if you found this article helpful, share it with a friend who’s considering a healthcare career.