How to Become a Registered Nurse (RN) in Washington

Registered nurses shape patient outcomes through direct care, advocacy, and evidence-based practice across Washington's diverse health care landscape. From Seattle's bustling medical centers to rural clinics in the Cascade Mountains, RNs deliver essential medical services while building meaningful connections with patients and families.

The path to becoming an RN in Washington combines rigorous academic preparation with hands-on clinical experience. While the journey requires dedication and persistence, it leads to a profession marked by continuous learning, numerous specialization options, and the daily opportunity to make a difference in patients' lives.

Key Points  

• Completing an accredited nursing program is a mandatory first step.  
• Washington employs 65,030 registered nurses, according to the Bureau of Labor Statistics.  
• Passing the NCLEX-RN exam is required for licensure in Washington.  
• The average annual wage for RNs in Washington is $111,030, with an hourly mean wage of $53.38, according to the Bureau of Labor Statistics.  
• The projected national growth rate for RNs is 6% from 2023 to 2033, as noted by the Bureau of Labor Statistics.  

What is a Registered Nurse (RN)?

Registered nurses provide critical patient care, coordinate with medical teams, and educate individuals about health conditions. RNs can specialize in fields such as emergency medicine, oncology, or pediatrics. Strong organizational skills and the ability to remain calm under pressure are essential for success.  

Daily responsibilities include administering medications, monitoring patient reactions, and documenting symptoms and treatments. RNs also ensure accurate records are maintained and support recovery in settings such as hospitals, schools, or clinics.  

Steps to Become a Registered Nurse (RN) in Washington

Step 1: Complete a Registered Nurse (RN) Program

Fulfill Preliminary Education

A high school diploma or GED is the foundation for any nursing career. Coursework in anatomy, chemistry, and biology is helpful preparation for advanced nursing studies.  

Choose the Right Nursing Program

Washington offers multiple educational paths to becoming an RN:  

• Associate Degree in Nursing (ADN): A two-year program available at schools such as Spokane Community College. ADN programs focus on clinical skills and prepare students for entry-level RN roles.  
• Bachelor of Science in Nursing (BSN): A four-year degree offered at institutions like the University of Washington (UW). BSN programs include advanced coursework in leadership and public health. Many employers in Washington give hiring preference to candidates with a BSN.  

Consider Alternative Pathways

Bridge programs allow current nurses to advance their education:  

• ADN-to-BSN Programs: Designed for RNs with an associate degree, programs like those at Washington State University (WSU) allow RNs to earn a BSN while continuing to work.  
• Accelerated BSN Programs: For those with a non-nursing bachelor’s degree, accelerated programs can be completed in 12-18 months.  

Accreditation and Prerequisites

Verify that the program is accredited by the Commission on Collegiate Nursing Education (CCNE) or the Accreditation Commission for Education in Nursing (ACEN). Prerequisites typically include anatomy, microbiology, and English. Accreditation ensures eligibility for licensure in Washington.  

Step 2: Pass the NCLEX-RN Exam

Graduates of accredited programs must pass the NCLEX-RN exam to qualify for licensure. The test assesses clinical judgment, knowledge of nursing practices, and patient care.  

The National Council of State Boards of Nursing (NCSBN) administers the exam. Washington students often achieve higher-than-average pass rates nationally. Study resources, including NCLEX review courses and practice exams, improve test readiness and confidence.  

Step 3: Apply for Licensure in Washington

Requirements for Licensure

Washington mandates licensure through the State Department of Health (DOH). Applicants must:  

• Submit proof of graduation from an accredited nursing program.  
• Provide NCLEX-RN exam results.  
• Complete seven hours of AIDS training, as required by state law.  
• Pass a criminal background check conducted by the Washington State Patrol or FBI.  

Licensing Fees

The initial RN application fee in Washington is $120. Background check fees may apply separately.  

Licensure by Endorsement

Out-of-state RNs must apply for licensure by endorsement to practice in Washington. This process includes submitting prior state licensure verification and meeting Washington’s specific requirements.  

Renewal Requirements

Renew licenses annually by your birthday. Every three years, complete:  

1. Eight hours of continuing education.  
2. 96 hours of active nursing practice.  

Step 4: Begin Working as a Registered Nurse

Employment Opportunities

RNs in Washington benefit from strong demand in urban and rural settings. Major employers include:  

• MultiCare Health System: Based in Tacoma, offering opportunities for RNs in hospitals and outpatient care.  
• PeaceHealth: Employing RNs across facilities in Bellingham and Vancouver.  
• University of Washington Medical Center: A teaching hospital with roles in specialized fields such as oncology and cardiology.  
• Providence Health & Services: Located in Everett, with positions in critical care and emergency medicine.  

Salary Overview

RNs in Washington earn an average annual wage of $111,030. Rural positions may offer incentives such as loan forgiveness, while urban centers like Seattle provide competitive pay and advancement opportunities.  

Career Growth Potential

Specializations in emergency care, neonatal nursing, or informatics can increase job opportunities and earning potential. Certifications in areas like critical care (CCRN) or oncology (OCN) provide additional credentials for advancement.  

Licensure in Washington

Washington requires completing an accredited nursing program, passing the NCLEX-RN exam, and completing state-mandated AIDS education for licensure. Applicants must also undergo a background check. Details on licensing requirements are available online.  

Frequently Asked Questions

How long does it take to become an RN in Washington state?  

The timeline varies based on the education path. ADN programs typically take two years, while BSN programs require four years. Accelerated BSN programs can be completed in 12-18 months for those with prior degrees.  

What is a 2-year RN degree called?  

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

What is the fastest you can become an RN?  

The fastest route to becoming an RN is through an accelerated BSN program, which can take as little as 12 months for candidates with a prior bachelor’s degree in another field.  

Starting Your Nursing Journey in Washington

Working as a registered nurse in Washington offers unique opportunities to serve diverse communities, from bustling urban centers to peaceful rural settings. The role combines technical expertise with compassionate care, allowing you to make meaningful connections while continuously developing new skills through hands-on experience and ongoing education.

Take time to research accredited nursing programs in your area, connect with current RNs to learn about their experiences, and consider shadowing a nurse to gain firsthand insight into the profession. When you're ready to move forward, contact nursing programs that align with your career goals to begin your application process.