Working in Germany: the official website
for qualified professionals

Clinical nurse specialist / geriatric nurse /occupational health and pediatric nurse

Are you communicative and do you like working with people? You are also interested in medicine, organization and are reliable and conscientious? Then training to become a clinical nurse specialist could be just right for you. Here you will work in the care of people of all ages in various areas, e.g. in hospitals, nursing homes and outpatient care services. Possible areas of work include geriatric nursing care (for the elderly) and occupational health and pediatric nursing.  

Vocational training content

This training offers three choices. Either nursing training for all ages (clinical nurse specialist) or long-term care (geriatric nurse) or pediatrics (occupational health and pediatric nurse).   
In the first two years of training, generalist nursing training is provided in all three cases. This includes teaching about the healthy and sick person as well as preventive and curative measures. Knowledge of the use of digital administration programs, e.g. in nursing documentation, as well as the use of medical technology innovations, round off the training. 
Before the start of the 3rd year of training, you have the choice of specializing in geriatric nursing or occupational health care and pediatric nursing in the last third of the training or continuing the generalist nursing training and earning the clinical nurse specialist degree. 
Good to know: The generalized, state training qualification of clinical nurse specialists is recognized throughout the EU.  

Special requirements 

  • School Requirements: You will need a certificate of intermediate education. 
  • Sufficient knowledge of German: Depending on the federal state, you need knowledge at level B1 or B2 according to the European Framework of Reference for Languages (CEFR).
  • Physical aptitude: With a certificate from a German doctor, you must prove that you are physically and mentally healthy and therefore suitable for the profession of nurse.
  • Reliability: In order to prove your trustworthiness, you will need proof of your criminal record. Depending on the situation, you may need to provide this through a certificate of good conduct from your home country or through a German police clearance certificate .

Learning environment

The practical part of the training takes place in a hospital, nursing home or outpatient nursing service and is somewhat more extensive than the theoretical part, which takes place in a nursing school. In addition, practical training is provided in specialized institutions, i.e. in a children's hospital, in a psychiatric hospital, in counseling centers or hospices. Full-time training ends after three years (part-time after five years) with a state examination. 

Training year and training pay in euros 

1st year  € 1,166
2nd year € 1,227
3rd year  € 1,328
Training pay (TVAöD): before taxes and social security contributions; source: Federal Employment Agency, as of May 2021. 


  • Hospitals
  • Nursing homes
  • Outpatient nursing services
  • Residential homes for people with disabilities
  • Counseling centers and hospices

Perspectives after training

  • Clinical nurse specialists take on tasks reserved solely for them, i.e. they determine individual nursing needs, organize nursing processes, carry out nursing and medical measures and are responsible for quality assurance of nursing care. 
  • Updating further training is necessary to keep up to date, e.g. in the field of hygiene, in nursing or in the implementation of various measures in connection with the COVID 19 pandemic. 
  • Upgrading training to become a "specialist nurse" in a wide range of areas, such as intensive care, surgery or geriatric psychiatry. In addition, advance training is possible in the areas of case management, managerial posts or as a practical instructor in care. 
  • Bachelor's degree programs in the areas of nursing with various specializations, such as nursing science, vocational education for nursing and health care professions, health and nursing management. Furthermore, there are also in-service degree programs, particularly in advanced clinical nursing. These include emergency nursing, neurological nursing, and oncology nursing.   
  • The path to self-employment, e.g. with an outpatient nursing and social service.

Further information on this profession:

Federal Employment Agency 

Federal Institute for Vocational Education and Training (BIBB)

Nursing professions - gaining importance in the Corona crisis 




Further information on the web:

Federal Ministry for Education and Research

Load more Links
YouTube Twitter Hotline

This website uses cookies that are strictly necessary for the technical operation of the website and are always set. Other cookies requiring consent, to personalize content and ads and to analyse access to our website, are set only with your consent. We also share information about your use of our website with our social media, advertising and analytics partners.