How to Become an Orderly

By: Kelli Hansen, RN

Last Updated: Dec 25, 2018

Orderlies contribute significantly to the healthcare industry even though the care they provide is not medical. Orderlies provide basic assistance with everyday tasks such as eating, putting on clothes, shaving and bathing to patients in hospitals, nursing homes and other inpatient healthcare settings. Their help, reassurance and companionship make a significant difference in the patient experience.

Orderlies work under the supervision of nurses. In addition to assisting with everyday tasks, they help transport patients by wheelchair or gurney to the operating room, x-ray department, dining room and other locations around the facility. Orderlies listen attentively to patients’ concerns and report these to the nursing staff. They work to maintain clean and safe environments for patients and staff alike, and are often seen mopping, disinfecting and changing soiled linens. Some also maintain the unit’s inventory of equipment and non-medical supplies. Where permitted by law, orderlies may even dispense medications.

For hands-on people who have compassion for the sick, injured and elderly, work as an orderly is extremely rewarding. When patients are at their most helpless – confined to a hospital bed – a few kind words or a helping hand can make a world of difference. Orderlies in long-term care settings have frequent contact with patients and often develop close, caring relationships with them. Working as an orderly also provides exposure to many kinds of healthcare professionals and is a great way to explore careers in the field.

Workplace Details

Orderlies work in many settings, including:

• Hospitals
• Nursing homes and long-term care facilities
• Assisted living facilities
• Home healthcare agencies

Most orderlies work full time. Since inpatient facilities are always open, many work evenings, nights and holidays.

Hover over any state to explore local income and job growth data.

According to the US Bureau of Labor Statistics, the median pay for orderlies is $26,690. The lowest paid 10% make about $19,590 and the highest-paid 10% make $40,180. Experienced orderlies who hold a CNA credential generally earn the most.

The Bureau of Labor Statistics states that employment of orderlies will grow by 11% between 2014 and 2024, which is considered faster than average for all occupations. This is largely due to the aging of the baby boomer generation, which is increasing the demand for long-term care and other healthcare services. Job prospects are best for experienced orderlies who hold a CNA credential.

Most employers require orderlies to have a high school diploma or GED.

Certification in first aid, CPR and automated external defibrillator (AED) are also usually required. For course information, contact a local chapter of the American Red Cross.

Most orderlies are trained on the job, which typically lasts about a month. Nurses and senior orderlies teach new hires how to safely move and lift patients and provide respectful, compassionate personal care. New orderlies also take work-related classes in occupational safety, blood-borne pathogens and other healthcare-related topics. These courses are offered in-house or through a community agency such as the Red Cross.

For many people, their experience as an orderly serves as a jumping-off point for another medical career. Some orderlies go on to train as certified nursing assistants (CNAs), licensed practical nurses (LPNs) or allied health professionals. This career path typically involves completing a state-approved training program through a career center or community college and passing a certification exam. Experienced orderlies sometimes advance to management positions and train, evaluate and supervise the work of other orderlies.