How to Become a Registered Nurse (RN) in Hawaii

Registered nurses in Hawaii play a unique role in delivering culturally sensitive care across the island chain, combining modern medical expertise with an understanding of local traditions and community needs. From bustling Honolulu hospitals to remote clinics on neighboring islands, RNs serve diverse populations while navigating the distinct challenges of providing care in an isolated Pacific location.

The path to becoming an RN in Hawaii offers opportunities to work in world-class medical facilities while enjoying the state's natural beauty and rich cultural heritage. Whether specializing in acute care at major medical centers or serving rural communities through public health initiatives, Hawaii's nurses contribute to a health care system that bridges Eastern and Western medical practices while addressing the specific health needs of island residents.

Key Points  

• Hawaii has 11,920 RNs employed, according to the Bureau of Labor Statistics.  
• Registered nurse jobs are projected to grow 6% nationally from 2023 to 2033, creating steady demand.  
• Hawaii RNs earn an hourly mean wage of $57.55 and an annual mean wage of $119,710 (BLS).  
• Nursing programs in Hawaii include ADN, BSN, and ABSN degrees, each offering unique timelines and career opportunities.  

What is a Registered Nurse (RN)?

Registered nurses are essential to health care systems and are responsible for administering medications, monitoring patient conditions, and providing education on health management. RNs often act as advocates for patients, ensuring care plans meet medical and personal needs.  

RNs frequently perform health care services, including first aid, rehabilitation, and immunizations. These professionals can work in hospitals, outpatient facilities, home health care, and schools. Technological skills are also critical, with RNs using tools such as Epic Systems, Google Drive, and spreadsheet software like Microsoft Excel.  

Steps to Become a Registered Nurse (RN) in Hawaii

Step 1: Complete a Nursing Education Program

Becoming an RN in Hawaii requires earning an accredited nursing degree. Prospective students can choose from ADN, BSN, or ABSN programs depending on career goals and prior education.  

Associate Degree in Nursing (ADN)

ADN programs typically take two years to complete and are offered at community colleges such as Kapi‘olani Community College. These programs focus on core nursing skills and clinical training, preparing graduates to take the NCLEX-RN exam.  

Bachelor of Science in Nursing (BSN)

BSN programs generally take four years and are available at schools such as the University of Hawai‘i at Manoa and Hawaii Pacific University. BSN degrees include leadership training and advanced coursework, which can increase job prospects and earning potential.  

Accelerated BSN (ABSN)

For individuals with a bachelor’s degree in a different field, ABSN programs offer an expedited nursing pathway. Hawaii Pacific University provides an ABSN program that can be completed in 12 to 18 months.  

Accreditation

Hawaii nursing programs must be accredited by either the ACEN or CCNE. Accreditation ensures your degree qualifies you for licensure and meets professional standards.  

Clinical Training

Programs include clinical rotations in medical settings such as Straub Medical Center or Queen’s Medical Center. These rotations provide hands-on experience in patient care.  

Step 2: Pass the NCLEX-RN Exam

Graduates of nursing programs are required to pass the NCLEX-RN exam to earn licensure as an RN.  

Exam Format

The NCLEX-RN tests nursing knowledge and decision-making skills. Questions include multiple-choice, fill-in-the-blank, and interactive formats covering patient care, safety, and pharmacology.  

Exam Preparation

Exam preparation resources include online practice tests, review courses, and study guides. Many nursing schools also provide preparation assistance.  

Testing Location

The NCLEX-RN is administered by Pearson VUE, with a testing center located in Honolulu.  

Retake Policy

Candidates who do not pass the NCLEX-RN can retake the exam. After three unsuccessful attempts, Hawaii requires the completion of a 60-hour remedial course.  

Step 3: Apply for RN Licensure in Hawaii

Once the NCLEX-RN is passed, candidates must apply for licensure through the Hawaii Board of Nursing.  

Requirements

• Submit official transcripts directly from the nursing program.  
• Provide NCLEX-RN exam results.  
• Complete a criminal background check, including fingerprinting.  

Application Costs

The application fee is $40, and the initial licensure fee is $60. Fingerprinting and background checks may incur additional fees.  

Out-of-State Licensure

RNs licensed in other states can apply for a Hawaii license by endorsement. Verification of the out-of-state license and meeting state requirements are mandatory.  

Compact Licensure

Hawaii is not part of the Nurse Licensure Compact (NLC). RNs must hold a Hawaii-specific license to practice in the state.  

Step 4: Begin Your Career

After obtaining a Hawaii RN license, job opportunities are available in hospitals, outpatient centers, home health care, and public health programs.  

Prominent Employers in Hawaii

• Queen’s Health Systems: Largest hospital network in Hawaii, offering roles in specialties such as oncology, cardiology, and emergency care.  
• Hawaii Pacific Health: Includes hospitals like Kapi‘olani Medical Center and Pali Momi Medical Center, employing RNs in pediatrics and surgical services.  
• Kaiser Permanente Hawaii: Provides integrated care services in primary and specialty care.  
• VA Pacific Islands Health Care System: Focuses on veteran care, offering opportunities in rehabilitation and chronic disease management.  

Job Market

The demand for RNs in Hawaii remains strong due to an aging population and expanding health care needs. Honolulu serves as a hub for employment, with opportunities in both public and private sectors.  

Specializations

Fields like critical care, surgical nursing, and labor and delivery are highly sought after in Hawaii.  

Step 5: Maintain Your RN License

Hawaii RNs must renew licenses every two years and meet continuing competency requirements to remain active.  

Renewal Costs

• Renewal fee: $60  
• Additional charges may apply for late renewals.  

Continuing Competency Options

1. Complete 30 contact hours of continuing education.  
2. Obtain national certification in a nursing specialty.  
3. Participate in a board-approved refresher course.  

Licensure in Hawaii

Hawaii requires graduation from an accredited nursing program, official transcripts, and a criminal background check for licensure. Additional information can be found in the RN licensing requirements by state.  

How Much Do RNs Earn in Hawaii?

RNs in Hawaii earn a mean hourly wage of $57.55 and an annual mean wage of $119,710, according to the Bureau of Labor Statistics.  

Frequently Asked Questions

How long does it take to complete the NCLEX-RN process in Hawaii?  

The NCLEX-RN process typically takes several weeks, including scheduling, exam preparation, and notification of results.  

What are the prerequisites for a BSN program in Hawaii?  

Common prerequisites include anatomy, microbiology, human development, and statistics. Each program may have additional requirements.  

What is the role of clinical rotations in nursing education?  

Clinical rotations provide hands-on training in patient care and allow students to apply theoretical knowledge in real-world settings.  

Are there financial aid options for nursing programs in Hawaii?  

Yes, students may qualify for federal student loans, scholarships, or grants. Many Hawaii nursing schools also offer program-specific scholarships.  

Can I work while attending a nursing program in Hawaii?  

Many students work part-time while attending school. However, nursing programs are rigorous and include clinical rotations, so balancing work and study may require careful planning.

Starting Your Nursing Career in Hawaii

The path to becoming an RN in Hawaii offers unique opportunities to work in diverse health care settings, from bustling urban hospitals in Honolulu to rural clinics on neighboring islands. Beyond the technical skills and medical knowledge, RNs in Hawaii often incorporate cultural sensitivity and local traditions into their practice, creating meaningful connections with patients from various backgrounds.

Whether you're drawn to pediatrics, emergency care, or community health, Hawaii's health care landscape provides numerous paths for professional growth. Take the first step by researching accredited nursing programs, connecting with current RNs, and visiting local hospitals to better understand the daily responsibilities and work environment of nurses in the Aloha State.