I direct a department of a group of assisted living communities, providing meaning-based relational care for every member of the community.
Wake up at 5am, read my emails and write some emails, go to yoga, drink a green juice, drive to work, open my computer and examine the daily schedule, hold DATES (Daily Therapeutic Engagement Sessions), participate in "Stand Up" meetings with management, support "Walk and Talks" with residents, make sure all residents are happily engaged, go over projects during lunchtime with Enrichment staff and volunteers, participate in family and management meetings as needed, plan events, enter blog posts.
Here's the first step for college students
Get your feet wet by volunteering or working in a field that interests you, spend time in the field, work with people you like and respect and learn from them. Dive into an occupation or field that interests you even if it's not exactly what you are looking for, best if you get along with the people with whom you are working (or volunteering). Find mentors, either in the work environment of in the field. Keep open to opportunities.
"You should be an elementary school teacher and earn a regular income and retire when you are 55."