How to Become a Registered Nurse (RN) in Oregon

Registered nurses form the backbone of Oregon's health care system, delivering essential patient care while serving as advocates, educators, and care coordinators across diverse medical settings. From Portland's bustling academic medical centers to rural community clinics, RNs play a crucial role in maintaining and improving public health throughout the state.

The path to becoming an RN in Oregon combines rigorous academic preparation with hands-on clinical experience, preparing nurses to meet the complex needs of patients while adapting to evolving medical technologies and treatment approaches. Whether working in specialty units, community health, or primary care settings, Oregon's RNs contribute their expertise to improving patient outcomes and advancing the quality of care delivery.

Key Points  

• Registered nurse (RN) employment is expected to grow by 6% from 2023 to 2033, as reported by the Bureau of Labor Statistics.  
• Oregon employs 38,770 registered nurses, with strong demand in both urban and rural areas.  
• The average annual salary for RNs in Oregon is $113,440, with an average hourly wage of $54.54.  
• RNs administer medications, monitor symptoms, and collaborate with health care teams to implement patient care plans.  
• Licensure requires passing the NCLEX-RN, completing an approved nursing program, and meeting Oregon-specific requirements.  

What is a Registered Nurse (RN)?

Registered nurses deliver direct patient care in hospitals, clinics, long-term care facilities, and home health care environments. Responsibilities include documenting medical histories, administering medications, and monitoring symptoms and conditions. RNs also educate patients and families about managing illnesses and collaborate with other health professionals to coordinate care.

Specializations in nursing provide opportunities for focused work in fields such as pediatrics, oncology, or critical care. Success in this career demands strong communication, critical thinking, and proficiency in medical software like Epic Systems or MEDITECH, which are essential for maintaining accurate patient records and coordinating schedules.

Steps to Become a Registered Nurse (RN) in Oregon

Step 1: Complete a Registered Nurse (RN) Program

Associate Degree in Nursing (ADN)

An Associate Degree in Nursing typically takes two years to complete. This degree focuses on foundational nursing skills and clinical experience. Oregon community colleges, including Chemeketa Community College and Lane Community College, offer ADN programs approved by the Oregon State Board of Nursing (OSBN). Graduates can sit for the NCLEX-RN exam upon completion.

Bachelor of Science in Nursing (BSN)

A BSN is a four-year degree that includes additional coursework in leadership, public health, and research. This degree is often required for advanced roles and positions in specialized nursing fields. Oregon Health & Science University (OHSU) offers a BSN program recognized for its partnerships with major hospitals and its emphasis on evidence-based practice.

Accelerated BSN and RN-to-BSN Programs

Accelerated BSN programs allow individuals with a bachelor’s degree in another field to transition into nursing in 12 to 18 months. RN-to-BSN programs, such as those at Linfield University, are designed for RNs with an ADN who want to earn a bachelor’s degree. These programs often offer online or hybrid formats, making it easier to balance work and study.

Education Program Accreditation

Accreditation is critical for meeting licensure requirements. Oregon programs approved by the OSBN and accredited by the Commission on Collegiate Nursing Education (CCNE) or Accreditation Commission for Education in Nursing (ACEN) ensure eligibility for the NCLEX-RN exam.  

Step 2: Pass the NCLEX-RN Exam

The NCLEX-RN is required for licensure. This exam evaluates knowledge and competency in areas such as patient care and safety. Registration is completed through Pearson VUE, with a $200 fee. Oregon nursing schools often provide study resources and practice exams to support graduates. Success on the NCLEX-RN allows candidates to apply for RN licensure in Oregon.

Step 3: Apply for Licensure in Oregon

Requirements for Licensure

Candidates must submit an application to the Oregon State Board of Nursing. The application fee is $160. A fingerprint-based background check is also required, with an additional fee of $52. Oregon mandates completion of a pain management module, which can be accessed through the Oregon State Board of Nursing at no cost.

Out-of-State Education

Graduates of nursing programs outside Oregon must ensure the program is approved through the State Authorization Reciprocity Agreement (SARA) or a similar accrediting body. Oregon also requires a minimum of 500 hours of direct client care.

Renewal Deadlines and Continuing Education

RN licenses in Oregon must be renewed every two years. Renewal requires proof of at least 400 practice hours or 20 hours of continuing education. A renewal fee of $145 is required, and specific topics, including cultural competency and pain management, must be included in continuing education.

Step 4: Secure Employment in Oregon

Largest Employers of RNs

Oregon offers diverse employment opportunities for RNs. Major employers include:  

• Oregon Health & Science University (OHSU): An academic health center that features specialty care units and career development programs.  
• Providence Health & Services: A major health system providing acute care, outpatient services, and home health care.  
• Legacy Health: A nonprofit health system offering roles in hospitals and outpatient facilities.  
• Kaiser Permanente Northwest: Known for its focus on preventive care and integrated health care services.  
• Samaritan Health Services: Provides opportunities in rural and community-based health care settings across western Oregon.  

Job Market and Demand

Oregon is projected to see a 12% growth in RN employment between 2020 and 2030, outpacing the national average. Approximately 2,580 job openings are expected annually, driven by retirements and increasing demand for nursing services.  

Step 5: Pursue Advanced Roles or Specializations

Specialty Certifications

RNs can enhance their careers by earning certifications in areas like critical care (CCRN) or oncology (OCN). Certifications demonstrate expertise and may lead to higher salaries. Organizations such as the American Nurses Credentialing Center (ANCC) and the Oncology Nursing Certification Corporation (ONCC) offer these credentials.

Graduate Education

RNs seeking leadership, teaching, or advanced practice roles can pursue graduate degrees. OHSU offers programs for Master of Science in Nursing (MSN) and Doctor of Nursing Practice (DNP), which prepare nurses for advanced practice roles, including nurse practitioner and clinical nurse specialist.  

Professional Organizations

Joining the Oregon Nurses Association (ONA) or other professional groups provides access to continuing education, mentorship, and networking opportunities. These resources can support career growth and professional development.

Licensure in Oregon

Applicants must pass the NCLEX-RN and complete a program meeting Oregon State Board of Nursing standards. Specific requirements include 500 direct client care hours and completion of a cultural competency module. Licensure fees include $160 for the application and $52 for fingerprinting. Detailed information on state-specific requirements can be found through RN Licensing Requirements by State.

How Much Do Registered Nurses Make in Oregon?

RNs in Oregon earn an annual mean wage of $113,440 and an hourly mean wage of $54.54, according to the Bureau of Labor Statistics.  

Frequently Asked Questions

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

The timeline varies. An ADN typically takes two years, while a BSN requires four years. Accelerated BSN programs can be completed in 12 to 18 months.  

Can I become an RN in one year?

One year is not sufficient for most pathways. Accelerated BSN programs may take 12 to 18 months but require a prior degree.  

Can you take an RN exam without going to school?

The NCLEX-RN requires completion of an approved nursing program. There are no exceptions to this rule.  

What specialties are in high demand for RNs?

Specialties with strong demand include critical care, labor and delivery, and mental health nursing. Many employers offer incentives for nurses with certification in these fields.

Starting Your Oregon Nursing Career

A career in registered nursing offers meaningful opportunities to impact patient lives while working in diverse clinical settings. From Portland's advanced medical centers to rural community hospitals, Oregon RNs develop expertise across specialties like pediatrics, emergency care, or oncology. The profession rewards both technical skill and emotional intelligence, allowing nurses to build lasting relationships with patients and colleagues.

Take the first step by researching Oregon's approved nursing programs and connecting with current RNs to learn about their experiences. Consider attending nursing program open houses, joining student nursing associations, or volunteering at local hospitals to gain firsthand exposure to the field. Whether you choose an ADN or BSN pathway, your journey toward becoming an RN in Oregon starts with finding the right educational program for your goals.