How To Become an Orthopedic Nurse: Salary & Career Paths for 2025

Co-Founder and Chief Data Scientist

Is orthopedic nursing similar to regular nursing? Many nurses find themselves asking how orthopedic care differs and whether it’s a good career path. While nursing shares some common elements across specialties, orthopedic nursing focuses specifically on musculoskeletal issues, requiring specialized knowledge and skills.

With 6% of adults experiencing activity-limiting injuries each year, there is a growing need for specialized care in the field of orthopedics. The rising demand for orthopedic treatments makes it an appealing option for nurses looking to advance their careers. This article, prepared by experts in career planning, will guide you through the steps to becoming an orthopedic nurse, the skills needed, and the potential career opportunities, helping you decide if it’s the right path for you.

Key Things You Should Know About Orthopedic Nursing

Orthopedic nurses specialize in caring for patients with musculoskeletal conditions, assisting in surgery recovery, pain management, and rehabilitation.
To become an orthopedic nurse, you need a nursing degree (ADN or BSN), pass the NCLEX-RN, and gain experience in nursing before specializing.
Certification through the Orthopaedic Nursing Certification Board (ONCB) is recommended, offering credentials that demonstrate expertise in orthopedic nursing care.

What does an orthopedic nurse do?
What education do you need to become an orthopedic nurse?
What certifications are needed to become an orthopedic nurse?
How do you gain experience in orthopedic nursing?
What skills and qualities make a good orthopedic nurse?
How long does it take to become an orthopedic nurse?
How much does an orthopedic nurse make?
What career paths can you take as an orthopedic nurse?
How do I choose the right orthopedic nursing education program?
How can I transition to advanced practice in orthopedic nursing?
How can pursuing advanced degrees propel my orthopedic nursing career?
How can I manage the cost of advancing my orthopedic nursing education?
What are the pros and cons of being an orthopedic nurse?
How is the demand for orthopedic nurses expected to grow?
Other Things You Should Know About Becoming an Orthopedic Nurse

What does an orthopedic nurse do?

An orthopedic nurse cares for patients who have musculoskeletal conditions such as broken bones, arthritis, and joint replacements. They help patients manage pain, recover from injuries, and prepare for or recover from surgeries. Orthopedic nurses also educate patients on how to prevent future injuries and maintain bone and joint health.

For those interested in this field, understanding how to become an operating room nurse can be beneficial since many orthopedic nurses assist during surgeries, requiring familiarity with the operating room environment and protocols.

Their role is becoming even more important. A 2023 study from the American Academy of Orthopaedic Surgeons (AAOS) found that orthopedic surgeons will need to either double their joint replacement caseload or grow their numbers by 10% every five years to keep up with demand. This increase in surgeries means more opportunities and greater need for skilled orthopedic nurses.

In addition to surgical assistance, some orthopedic nurses also manage intravenous therapies, so knowing how to become an IV nurse is a valuable skill that supports patient care through medication administration and hydration.

Key responsibilities of an orthopedic nurse include:

Assisting doctors during orthopedic procedures
Monitoring patients after surgery
Managing wound care and administering medications
Educating patients about rehabilitation exercises
Supporting patients’ emotional and physical recovery

Orthopedic nurses work in hospitals, rehabilitation centers, outpatient clinics, and sometimes even in patients’ homes. They are essential members of healthcare teams focused on helping people regain movement and live pain-free lives.

What education do you need to become an orthopedic nurse?

To become an orthopedic nurse, you must first become a licensed registered nurse (RN) by earning a nursing degree and passing the NCLEX-RN exam. Most employers prefer candidates with a Bachelor of Science in Nursing (BSN), although an Associate Degree in Nursing (ADN) can also be enough to start.

After completing a nursing program, you need to pass the NCLEX-RN exam. According to 2024 data from the National Council of State Boards of Nursing (NCSBN), 91.16% of first-time, U.S.-educated candidates passed the Next Gen NCLEX-RN. This high pass rate shows that with good preparation, most nursing students can succeed.

Steps to becoming an orthopedic nurse include:

Earning an ADN or BSN degree from an accredited nursing program
Passing the NCLEX-RN exam to become licensed
Gaining clinical experience, especially in orthopedic settings
Pursuing additional certifications like the Orthopedic Nurse Certified (ONC) credential

Much like choosing a path in healthcare administration or learning—What does a medical coder do?—becoming an orthopedic nurse requires careful planning and completing the right educational steps.

What certifications are needed to become an orthopedic nurse?

To become an orthopedic nurse, you need to earn specialized certification after gaining experience as a registered nurse. The main certification is the Orthopedic Nurse Certified (ONC) credential, which shows you have strong skills and knowledge in orthopedic care.

You must first work as a licensed RN. Nursing is the largest healthcare profession in the U.S., with nearly 4.7 million registered nurses nationwide, and about 89% of them are employed in nursing. After at least two years of experience, you can apply to take the ONC exam through the Orthopaedic Nurses Certification Board (ONCB).

Key steps to certification include:

Becoming a licensed RN by passing the NCLEX-RN
Gaining at least 2,000 hours of orthopedic nursing experience
Completing continuing education hours in orthopedic topics
Passing the ONC certification exam

Much like choosing a fast-track healthcare career, such as an 8 month ultrasound tech program online, orthopedic nurses must plan their education and certifications carefully to advance in their field. Certification can lead to better job opportunities, higher pay, and greater professional credibility.

How do you gain experience in orthopedic nursing?

You gain experience in orthopedic nursing by working directly with patients who have bone, joint, and muscle conditions in clinical settings. This hands-on practice builds the skills needed to specialize in orthopedic care. It can also be helpful to understand what does a wound care nurse do, since managing wounds is often a critical part of caring for orthopedic patients recovering from surgery or injury.

Start with clinical rotations in nursing school

Many nursing programs offer clinical rotations in orthopedic units. During these rotations, you assist with patient care, observe surgeries, and learn from experienced nurses and doctors. This early exposure is important for building basic orthopedic knowledge.

Apply for entry-level jobs in orthopedic units

After becoming a licensed RN, look for jobs in orthopedic floors, rehabilitation centers, or outpatient surgical centers. Entry-level roles like staff nurse positions help you practice skills like casting, traction care, and post-surgical recovery.

Find a mentor in orthopedic nursing

Working with a mentor who specializes in orthopedics can accelerate your learning. Mentors offer advice, demonstrate procedures, and guide you through complex cases.

Pursue continuing education courses

Taking orthopedic-focused courses or attending workshops shows commitment and strengthens your expertise. Some hospitals may even offer in-house orthopedic training programs.

Volunteer in orthopedic departments

If paid positions are not available, volunteering in orthopedic clinics or rehabilitation centers can still provide valuable experience and networking opportunities.

What skills and qualities make a good orthopedic nurse?

A good orthopedic nurse needs strong clinical skills, physical stamina, and excellent communication abilities to care for patients with bone and joint issues. These qualities help nurses support patients through surgeries, recovery, and long-term care.

Because almost two-thirds of nurses (62%) experience burnout — with 69% of nurses under 25 reporting it — having the right skills also helps manage stress and stay strong in the profession.

Important skills and qualities include:

Physical strength and stamina: Orthopedic nurses often help move patients and manage heavy medical equipment.
Strong communication skills: Explaining procedures and home care plans clearly is essential for patient recovery.
Attention to detail: Proper medication management and wound care prevent complications.
Empathy and patience: Many orthopedic patients face long recoveries and need emotional support.
Critical thinking: Quick decision-making is important during surgeries and in emergency situations.

To strengthen these skills, many nurses choose flexible education paths like RN BSN online programs no clinicals, which allow them to build knowledge without the added stress of in-person clinical requirements. Investing in skill development early can lead to a long and rewarding career in orthopedic nursing.

How long does it take to become an orthopedic nurse?

It usually takes about 4 to 6 years to become an orthopedic nurse, depending on your education path and experience.

First, you need to complete a nursing program. An Associate Degree in Nursing (ADN) takes about two years, while a Bachelor of Science in Nursing (BSN) takes about four years. After graduating, you must pass the NCLEX-RN exam to become a licensed registered nurse.

Once you are an RN, gaining experience in orthopedic care is the next step. Most certification boards require at least two years of nursing experience, with a focus on orthopedic patients, before you can apply for specialty certification.

If you want to move faster, flexible degree options — similar to how pharmacists pursue an online pharmacy doctorate — can help you finish your studies while working. This can save time and make balancing work and school easier.

Overall, your pace depends on your personal goals and how quickly you complete your education, licensing, and clinical experience.

How much does an orthopedic nurse make?

An orthopedic nurse typically makes between $70,000 and $100,000 per year, depending on experience, education, and location.

New orthopedic nurses usually start on the lower end of the pay range. As you gain more years of experience or earn certifications like the Orthopedic Nurse Certified (ONC) credential, your salary can increase significantly. Nurses who work in large hospitals or specialized orthopedic centers often earn higher wages compared to those in smaller facilities.

Other factors like geographic area also matter. States with a higher cost of living often offer higher salaries to attract and keep skilled nurses.

If you want to boost your income even more, further education can help. Many nurses explore advanced practice roles, such as becoming a nurse practitioner. Affordable options like cheapest online PMHNP programs allow working nurses to level up their careers without huge debt.

Overall, orthopedic nursing offers strong salary potential and steady job security.

What career paths can you take as an orthopedic nurse?

As an orthopedic nurse, you can move into many different career paths depending on your skills, experience, and interests.

Orthopedic Nurse Certified (ONC)

Becoming an ONC shows you have advanced knowledge in orthopedic care. This certification can open doors to higher-paying jobs and leadership roles in hospitals and clinics.

Nurse Educator

If you enjoy teaching, you can become a nurse educator. In this role, you train nursing students or current nurses about orthopedic procedures and patient care.

Orthopedic Nurse Practitioner (NP)

With more education, such as a master's degree, you can become an orthopedic nurse practitioner. NPs diagnose conditions, prescribe treatments, and often earn higher salaries.

Surgical Nurse

Orthopedic nurses can also specialize in surgery. Surgical nurses assist during operations, manage pre- and post-op care, and help with patient education.

Rehabilitation Specialist

Some orthopedic nurses focus on rehab care. They help patients recover movement and strength after surgeries or serious injuries, often working in rehab centers or home healthcare.

Choosing the right path depends on your goals, but orthopedic nursing offers many exciting and rewarding options.

How do I choose the right orthopedic nursing education program?

Evaluate programs based on accreditation, comprehensive clinical training, and curriculum relevance to specialized orthopedic care. Verify that the program offers robust partnerships with healthcare facilities and high NCLEX-RN pass rates. Consider options that support flexible scheduling, competitive financial aid, and streamlined admissions—such as the easiest nursing degree—to ensure a smooth transition from education to practice.

How can I transition to advanced practice in orthopedic nursing?

Transitioning from a registered nurse role to an advanced practice position can enhance clinical responsibilities and professional growth. Advanced practice roles, such as becoming a Family Nurse Practitioner (FNP), empower orthopedic nurses with prescriptive authority and higher-level patient management. These positions typically require earning a graduate degree, which expands the scope of practice and can lead to leadership opportunities in clinical settings. Nurses looking for cost-effective paths to advanced practice should explore accredited, flexible online programs, including the most affordable FNP programs.

How can pursuing advanced degrees propel my orthopedic nursing career?

Advanced degrees open pathways to leadership, specialized clinical roles, and research opportunities in orthopedic nursing. By enhancing your clinical decision-making and critical thinking skills, you can lead multidisciplinary teams and contribute to innovations in patient care. Consider programs that offer flexible, fast-track options, as these can enable you to balance work and education efficiently. For additional specialized training that broadens your expertise, explore our article on the quickest MSN women's health nurse practitioner online programs.

How can I manage the cost of advancing my orthopedic nursing education?

Evaluating further education investments is essential for long-term career growth. Orthopedic nurses can benefit from exploring flexible online programs that align with their work schedules while minimizing financial strain. Utilizing resources such as reading our RN to BSN online cost comparison article helps in assessing tuition fees, program duration, and overall return on investment. An informed financial strategy supports both professional advancement and personal budget management.

What are the pros and cons of being an orthopedic nurse?

Being an orthopedic nurse has many rewards, but it also comes with some challenges you should consider.

Pros of being an orthopedic nurse

Strong job demand: With an aging population and more joint surgeries happening, there’s a growing need for orthopedic nurses.
Rewarding work: Helping patients recover from injuries or surgeries can be very satisfying.
Career growth: There are many chances to specialize, earn certifications, and move into advanced roles.
Good salary: Orthopedic nurses typically earn strong wages and enjoy good benefits.

Cons of being an orthopedic nurse

Physically demanding: Moving and lifting patients can be hard on your body over time.
Risk of burnout: Nurses with direct patient care duties have reported bigger drops in job satisfaction. Burnout, inadequate staffing, and stressful environments were common reasons many switched jobs or even left nursing after 2021.
Emotional stress: Caring for patients with long recovery times or chronic pain can sometimes be emotionally draining.

How is the demand for orthopedic nurses expected to grow?

The demand for orthopedic nurses is expected to grow steadily in the coming years.

This growth is largely driven by an aging population requiring more orthopedic surgeries and treatments. The U.S. Bureau of Labor Statistics projects a 6% increase in employment for registered nurses, including orthopedic nurses, from 2023 to 2033, which is faster than the average for all occupations.

While exploring nursing specialties, it’s helpful to consider factors like the telemetry nurse salary as well, since similar growth trends affect related fields in nursing that require specialized monitoring skills.

As more people live longer, the need for joint replacements and treatments for conditions like arthritis and osteoporosis is rising. This trend leads to more job opportunities for orthopedic nurses in hospitals, clinics, and rehabilitation centers.

Additionally, many current nurses are nearing retirement age, creating further openings in the field. This combination of increased demand and workforce turnover makes orthopedic nursing a promising career choice for those entering the healthcare profession.

Here’s What Graduates Have to Say about Being an Orthopedic Nurse

I chose orthopedic nursing because I’ve always been interested in the musculoskeletal system. It’s rewarding to help patients recover from surgery and get back to their daily activities. The team environment in orthopedic care is also something I really enjoy, as we work closely to make sure patients are supported throughout their recovery. – Olivia

Working in orthopedic nursing gives me the chance to see real progress in my patients. Whether it's seeing someone walk again after a joint replacement or helping them manage pain, it's fulfilling to know I make a direct impact. Plus, with the demand for orthopedic nurses growing, it feels like a secure career choice. – Ethan

I never expected the level of patient care I’d experience in orthopedic nursing. It’s not just about managing post-surgical recovery—it’s about building trust and providing reassurance during the rehabilitation process. The connections I’ve built with my patients have made this role incredibly satisfying. – Ava

Key Findings

In 2020−2021, about 6% of adults had an activity-limiting injury, with similar rates for both men (6.0%) and women (5.9%).
The U.S. Bureau of Labor Statistics projects a 6% increase in employment for registered nurses, including orthopedic nurses, from 2023 to 2033.
A study presented at the 2023 Annual Meeting of the American Academy of Orthopaedic Surgeons found that orthopedic surgeons will need to double their total joint arthroplasty caseload or increase the number of surgeons by 10% every five years to meet demand.
As of 2024, the NCLEX-RN pass rate for first-time, U.S.-educated candidates is 91.16%.
Nearly 4.7 million registered nurses (RNs) work in the U.S., with 89% employed in nursing roles.

Other Things You Should Know About Becoming an Orthopedic Nurse

Can you become an orthopedic nurse with an associate degree?

Yes, you can become an orthopedic nurse with an associate degree in nursing (ADN). The most important step is to earn your RN license by passing the NCLEX-RN exam. While a Bachelor of Science in Nursing (BSN) may be preferred by some employers, an ADN is still sufficient to start a career in orthopedic nursing and gain hands-on experience in the field.

What entry-level jobs help you transition into orthopedic nursing?

Entry-level jobs such as a staff nurse in a hospital's orthopedic unit or a rehabilitation center can help you transition into orthopedic nursing. These positions provide direct patient care and allow you to work alongside experienced orthopedic nurses. Gaining hands-on experience with bone and joint-related conditions will build the skills you need to specialize in orthopedic care.

How important is physical stamina for orthopedic nurses?

Physical stamina is crucial for orthopedic nurses. They often need to assist patients with mobility, help move heavy equipment, or support patients through rehabilitation exercises. The physical demands of the job, combined with long shifts, make having good physical stamina essential for success and preventing injury on the job.

What states pay orthopedic nurses the highest salaries?

Orthopedic nurses tend to earn the highest salaries in states with a high cost of living, such as California, Hawaii, and Massachusetts. These states offer competitive pay to attract skilled nurses in specialized fields like orthopedics. Salaries can vary based on location, experience, and education level, with larger hospitals and specialized clinics often offering higher wages.