How to Become a Registered Nurse (RN) in Ohio

Registered nurses form the backbone of Ohio's health care system, delivering essential patient care while serving as advocates, educators, and skilled clinicians. Their role combines scientific knowledge with compassionate care, creating meaningful connections with patients during critical moments of need.

From Cleveland's renowned medical centers to rural community hospitals, Ohio's nurses work across diverse settings, each offering unique opportunities for professional growth and specialization. The path to becoming an RN in Ohio involves structured education, hands-on clinical experience, and dedication to lifelong learning—qualities that prepare nurses to meet the evolving demands of modern health care.

Key Points  

• Ohio employs over 133,300 registered nurses, according to the Bureau of Labor Statistics.  
• Nursing roles are projected to grow 6% nationwide from 2023 to 2033, driven by an aging population and increasing chronic conditions (Bureau of Labor Statistics).  
• Responsibilities include administering medications, recording vital signs, and coordinating patient care plans.  
• Ohio offers diverse nursing roles through major employers such as Cleveland Clinic, OhioHealth, and ProMedica.  

What is a Registered Nurse (RN)?

Registered nurses provide essential health care services, monitoring patients’ conditions, administering treatments, and educating families about care plans. Critical skills include clinical expertise, clear communication, and attention to detail. Nurses also use advanced tools, including medical software like Epic Systems and electronic mail systems such as Microsoft Outlook, to deliver care efficiently.  

Specialization is an option for those who want to focus on areas such as neonatal care, critical care, or public health. RNs often work in high-demand environments, including hospitals, outpatient centers, and home health care services.  

Steps to Become a Registered Nurse (RN) in Ohio

Step 1: Complete a Registered Nurse (RN) Program

The starting point for becoming an RN in Ohio is earning a nursing degree through an approved program. The type of program you choose depends on your career goals and financial resources.  

Associate Degree in Nursing (ADN)

An ADN, which takes about two years to complete, is offered by schools like Cuyahoga Community College and Sinclair Community College. These programs combine practical training with coursework in anatomy, pharmacology, and patient care to prepare students for entry-level positions.  

Bachelor of Science in Nursing (BSN)

A BSN program typically requires four years and is offered by institutions such as The Ohio State University and Case Western Reserve University. BSN programs include a broader curriculum, covering leadership, nursing research, and public health. Many employers in Ohio prefer BSN-prepared nurses for their advanced skills.  

Accelerated BSN (ABSN)

Accelerated BSN programs are designed for individuals who already have a bachelor’s degree in another field. Programs such as those offered by Mount Carmel College of Nursing in Columbus can be completed in 12 to 18 months.  

Bridge Programs

Bridge programs like ADN-to-BSN or LPN-to-RN paths, such as RN-BSN programs, allow working nurses to advance their education. Kent State University offers ADN-to-BSN programs that can be completed in one year for full-time students.  

Step 2: Fulfill Ohio Board of Nursing Licensure Requirements

After completing your nursing program, you must meet specific licensure requirements set by the Ohio Board of Nursing.  

Complete a Background Check

Applicants must undergo criminal background checks through the Ohio Bureau of Criminal Investigation (BCI) and Federal Bureau of Investigation (FBI). Scheduling fingerprinting early ensures timely processing.  

Apply for Licensure

Submit an application for licensure through the eLicense Ohio portal. Applications should be submitted four to six months prior to graduation. The fee is $75.  

Obtain Authorization to Test (ATT)

Once the application is approved and background checks are completed, the Ohio Board of Nursing will issue an ATT, allowing you to register for the NCLEX-RN exam.  

Step 3: Register for and Pass the NCLEX-RN Exam

The NCLEX-RN exam evaluates your ability to provide safe and effective nursing care. The exam fee is $200, and registration is completed through Pearson VUE. Testing centers are located in cities like Cleveland, Columbus, and Cincinnati. Preparation for the NCLEX-RN often includes practice exams, review courses, and study guides.  

Step 4: Obtain Your RN License in Ohio

After successfully passing the NCLEX-RN, you will receive your official RN license from the Ohio Board of Nursing. Ohio participates in the Nurse Licensure Compact (NLC), enabling nurses to practice in other NLC states without obtaining additional licenses.  

Step 5: Begin Your Nursing Career

Ohio offers a range of employment opportunities for RNs. Major employers include Cleveland Clinic, OhioHealth, and University Hospitals. Positions are available in specialties like pediatrics, surgical nursing, and intensive care.  

New Graduate Programs

Many hospitals in Ohio provide structured support for new RNs:  

• Cleveland Clinic offers a nurse residency program accredited by the American Nurses Credentialing Center.  
• Ohio State University Wexner Medical Center provides mentorship programs to ease the transition into practice.  

Career Pathways

RNs in Ohio can pursue roles in home health care services, outpatient care centers, and physician offices. Home health care services are particularly in demand due to the aging population.  

Step 6: Renew and Maintain Your RN License

Ohio requires RNs to renew their licenses every two years. Renewal involves:

1. Completing 24 hours of continuing education (CEUs), including one hour focused on Ohio nursing laws.
2. Submitting the renewal application through eLicense Ohio.
3. Paying the $65 renewal fee by the deadline.  

Organizations like the Ohio Nurses Association offer CEU courses that fulfill state requirements.  

Step 7: Consider Career Advancement

Once experienced, RNs in Ohio can explore advanced certifications or higher degrees. Certifications in areas such as critical care or emergency nursing enhance career prospects.  

Pursue Advanced Practice Roles

Advanced Practice Registered Nurses (APRNs) in Ohio require a master’s or doctoral degree. APRNs, such as nurse practitioners, earn higher salaries and have expanded responsibilities, including diagnosing and prescribing medication.  

Licensure in Ohio

Ohio requires candidates to graduate from a state-approved nursing program, pass the NCLEX-RN, and complete background checks. Details on Ohio licensing requirements can be found through the Ohio Board of Nursing.  

How Much Do Registered Nurses (RNs) Make in Ohio?

The average hourly wage for RNs in Ohio is $40.59, and the annual mean salary is $84,430, according to the Bureau of Labor Statistics.  

Frequently Asked Questions

How long does it take to become an RN in Ohio?  

The timeline depends on the program selected. An ADN typically takes two years, a BSN requires four years, and an Accelerated BSN can be completed in 12 to 18 months.  

What is a two-year RN degree called?  

A two-year RN degree is called an Associate Degree in Nursing (ADN).  

What do you need to be an RN in Ohio?  

To become an RN in Ohio, you must graduate from an approved nursing program, pass the NCLEX-RN exam, and meet Ohio Board of Nursing requirements, including a background check.  

Can you take an RN exam without going to school?  

No, the NCLEX-RN exam requires formal nursing education. Completion of an accredited program is necessary to qualify for the exam.

Starting Your Ohio Nursing Journey

A nursing career offers meaningful opportunities to directly impact patient outcomes while building lasting relationships with colleagues and the community. Ohio's diverse health care landscape allows RNs to work in various settings, from bustling urban medical centers to close-knit community clinics, each offering unique experiences and growth opportunities.

Take the first step by researching nursing programs that align with your goals and schedule. Contact admissions offices, attend information sessions, and connect with current nurses to gain insights into the profession. Whether you're drawn to the fast pace of emergency care or the personal connections in long-term care, Ohio's nursing community welcomes dedicated individuals ready to make a difference in patients' lives.