
If you're interested in applying to a hospital as a registered nurse (RN), there are a few key steps you need to take. Firstly, you'll need to obtain either an Associate's Degree in Nursing or a Bachelor's Degree in Nursing. Some hospitals may also require you to have prior nursing experience or be enrolled in a Bachelor's program. To become a licensed RN, you must graduate from an approved nursing program and pass the National Council Licensure Examination (NCLEX-RN). Additionally, you may need to meet other state-specific requirements, such as passing a criminal background check. Certain certifications, such as cardiopulmonary resuscitation (CPR) and advanced cardiac life support (ACLS), may also be required or preferred by employers. It's worth noting that some hospitals offer residency programs for new graduate nurses, which provide hands-on experience and help develop clinical and critical thinking skills. These programs can be a great way to transition from student nurse to registered nurse and gain the necessary skills for today's hospital environment.
| Characteristics | Values |
|---|---|
| Education | An Associate's Degree in Nursing or a Bachelor's Degree in Nursing is required. Some hospitals may hire nurses enrolled in a Bachelor's program. |
| Licensing | A nursing license issued by the state in which the nurse works is required. To obtain a license, nurses must graduate from an approved nursing program and pass the National Council Licensure Examination (NCLEX-RN). Additional requirements, such as background checks, vary by state. |
| Certification | While certification is usually voluntary, some employers may require it. Examples include cardiopulmonary resuscitation (CPR), basic life support (BLS), and advanced cardiac life support (ACLS). |
| Experience | Some hospitals prefer experienced nurses. New graduates or students can gain experience through externships, fellowships, or residency programs. |
| Specialization | RNs can specialize in various areas, such as critical care, genetics, neonatal care, nephrology, or public health. |
| Work Environment | RNs work in hospitals, outpatient settings, telehealth, nursing homes, clinics, or other healthcare facilities. |
| Duties | RNs provide patient care, educate patients and the public, coordinate care, and offer emotional support. They work alongside doctors to implement treatment plans, administer medications, and monitor patient recovery. |
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What You'll Learn
- Education requirements: An Associate or Bachelor's Degree in Nursing
- Licensing: A nursing license issued by the state, which requires passing the NCLEX-RN
- Experience: Some hospitals require experience
- Certification: Cardiopulmonary resuscitation (CPR), basic life support (BLS), or advanced cardiac life support (ACLS)
- Application process: Application, interview, and official offer

Education requirements: An Associate or Bachelor's Degree in Nursing
The educational requirements to become a Registered Nurse (RN) vary depending on the state in which you wish to practice. While all states have certain educational requirements to qualify for an RN license, these differ across states. In the past, most states required an associate's degree in nursing (ADN) as a minimum. However, over time, many states have started mandating that RNs hold at least a Bachelor of Science in Nursing (BSN) for licensure. Certain states allow individuals to begin practising as RNs with an associate's degree, provided they earn a bachelor's degree within a specified timeframe. For example, New York's "BSN in 10" law stipulates that RNs with an associate's degree must complete their BSN within ten years of obtaining their initial RN license to continue practising.
Associate's degree programs in nursing typically take two to three years to complete, depending on enrolment status. The curriculum covers core subjects such as anatomy, microbiology, chemistry, nutrition, and psychology, alongside specific nursing topics. ADN programs provide a solid foundation for entry-level nursing positions and can help you get your foot in the door at hospitals or nursing homes.
On the other hand, a Bachelor of Science in Nursing (BSN) typically takes around four years to complete. BSN programs delve deeper into various subjects, including emergency care, nursing research, and population-based practice. They offer a broader and more comprehensive nursing education, enabling BSN graduates to qualify for nursing roles beyond entry-level, which may also come with higher salaries. Additionally, earning a BSN can enhance your employability and make it easier to practice in different states.
Regardless of the degree you pursue, it is essential to ensure that the program meets the requirements for licensure in your desired state. After completing your nursing education, you will typically need to pass the National Council Licensure Examination (NCLEX-RN) and meet other state-specific requirements, such as a criminal background check, to obtain your RN license.
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Licensing: A nursing license issued by the state, which requires passing the NCLEX-RN
To work as a registered nurse (RN) in a hospital, you must obtain a nursing license issued by the state in which you plan to work. This typically involves graduating from an approved nursing program and passing the National Council Licensure Examination (NCLEX-RN). The NCLEX-RN is a standardized exam that assesses your competency to provide safe and effective patient care.
Step 1: Complete an Approved Nursing Program
Before you can apply for your nursing license, you must first graduate from a nursing program that meets the requirements of your state board of nursing. This could be an Associate Degree in Nursing or a Bachelor's Degree in Nursing. Some states may have additional educational prerequisites that you must fulfill before taking the NCLEX-RN. Check with your state's board of nursing to ensure you meet all the necessary educational requirements.
Step 2: Register for the NCLEX-RN Exam
Once you have completed your nursing education, you can register for the NCLEX-RN exam. Create an account on the National Council of State Boards of Nursing (NCSBN) website and submit your application. You will need to pay the necessary fees and provide any required documentation. If you are an international nurse, you must meet additional requirements, such as having a valid visa and a nursing degree equivalent to a U.S. nursing program, as determined by a credentialing agency.
Step 3: Prepare for the NCLEX-RN Exam
The NCLEX-RN exam covers a range of topics relevant to nursing practice. It is designed to test your knowledge and critical thinking skills in areas such as safe and effective patient care, health promotion, and maintenance. Familiarize yourself with the exam format and content outline, and consider using review courses, practice questions, and simulations to prepare for the exam. SimpleNursing, for example, offers comprehensive NCLEX review courses that can help you identify your areas of weakness and focus your studies accordingly.
Step 4: Take and Pass the NCLEX-RN Exam
After your application is approved, you will receive an Authorization to Test (ATT) letter, allowing you to schedule your exam at a Pearson VUE testing center. The NCLEX-RN exam is typically administered via computer, and the questions are often presented in a multiple-choice format. The exam may also include other types of questions, such as fill-in-the-blank or drag-and-drop responses. Remember to bring your ATT letter and valid identification on exam day.
Step 5: Obtain Your Nursing License
Once you have successfully passed the NCLEX-RN exam, you can apply for your nursing license through your state's board of nursing. Submit your application, along with any required documentation and fees. The specific requirements and process may vary slightly depending on your state, so be sure to review the guidelines provided by your state's board of nursing.
Obtaining your nursing license through the NCLEX-RN exam is a crucial step towards becoming a registered nurse in a hospital setting. This license ensures that you have the necessary knowledge and skills to provide safe and effective patient care within your state of practice. Remember to stay informed about any state-specific requirements and continue developing your professional expertise throughout your nursing career.
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Experience: Some hospitals require experience
Experience Requirements for RN Roles
Some hospitals require registered nurses (RNs) to have experience before applying. The amount of experience needed varies depending on the specific role and hospital. For example, some hospitals may require RNs to have a minimum of one year of experience in acute care, oncology, long-term care, hospice, or home health. Other hospitals may require RNs to have more than one year of experience, especially in certain specialties. For instance, pediatrics may require three or more years of nursing experience.
If you're a foreign-educated RN looking to work in the US, you must have a minimum of two years of experience to meet immigration requirements. Additionally, you'll need to gain experience in acute care, also known as hospital care, to acquire the clinical expertise, assessment skills, and knowledge that US hospitals seek when hiring international RNs. Medliant International Healthcare Staffing, for example, requires 12 months of full-time hospital experience in a hospital with 100+ beds for RNs seeking visa sponsorship and employment in the US.
If you're a recent graduate with little to no experience, there are still ways to get your foot in the door at a hospital. Some hospitals offer externships or fellowships that can lead to employment. You can also apply for a nurse residency program, which provides a transition from student nurse to registered nurse. These programs offer hands-on experience and help you develop valuable clinical and critical thinking skills.
Remember, each hospital and role may have different experience requirements, so be sure to carefully review the job descriptions and reach out to the hiring organization if you have any questions.
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Certification: Cardiopulmonary resuscitation (CPR), basic life support (BLS), or advanced cardiac life support (ACLS)
To apply to a hospital as a registered nurse, you will need to obtain the necessary certifications, including Cardiopulmonary Resuscitation (CPR), Basic Life Support (BLS), or Advanced Cardiac Life Support (ACLS). These certifications are essential for any aspiring nurse and can be acquired through dedicated programs and training.
Cardiopulmonary Resuscitation (CPR) certification:
CPR is a crucial skill for nurses as it involves reviving patients experiencing cardiac arrest or respiratory failure. CPR certification programs teach the necessary techniques, such as chest compressions and rescue breathing, to stabilize patients until further medical assistance arrives. This certification is often a prerequisite for more advanced life-support qualifications.
Basic Life Support (BLS) certification:
Basic Life Support (BLS) certification is often required for registered nursing positions. BLS training equips nurses with the skills to recognize and respond to various medical emergencies, including choking, cardiac arrest, and respiratory distress. BLS providers can effectively deliver CPR, use a defibrillator, and manage airway obstructions. This certification is widely recognized and highly valued by healthcare employers.
Advanced Cardiac Life Support (ACLS) certification:
Advanced Cardiac Life Support (ACLS) certification builds upon the foundation of CPR and BLS. ACLS training prepares nurses to manage cardiovascular emergencies and life-threatening medical conditions in adults. ACLS providers can identify and intervene in complex situations, such as cardiac arrest, stroke, and respiratory failure. They are trained to use advanced equipment and follow algorithms to provide the best possible patient care.
It is important to note that while these certifications are not always mandatory, they significantly enhance your employability and demonstrate a commitment to patient safety. Many hospitals prefer or require their nursing staff to hold these certifications to ensure they can deliver prompt and effective emergency care.
Additionally, consider exploring nurse residency programs offered by healthcare institutions. These programs provide new graduate nurses with hands-on experience and clinical certifications, including BLS and ACLS. They offer a structured transition from student to registered nurse and can enhance your skills and employability.
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Application process: Application, interview, and official offer
The first step to becoming a registered nurse is to obtain the necessary qualifications. You will need either an Associate Degree in Nursing or a Bachelor's Degree in Nursing. Some hospitals may also require you to have prior experience, so consider applying for an externship or fellowship to boost your application.
Once you have the required qualifications, you can start applying for registered nurse positions. You can apply for positions directly through hospital websites or job boards. Some hospitals, such as HCA Healthcare, offer nurse residency programs that provide new nurses with hands-on experience and clinical and critical thinking skills. These programs can be a great way to transition from student nurse to registered nurse and may even be paid positions.
After submitting your application, you may be contacted for an in-person or phone interview. This is your chance to showcase your skills, knowledge, and experience, as well as your passion for nursing and patient care. If you are successful at this stage, you will receive an official offer letter via email or mail.
It is important to note that to work as a registered nurse, you must have a nursing license issued by the state in which you plan to practice. To obtain this license, you must graduate from an approved nursing program and pass the National Council Licensure Examination (NCLEX-RN). Other requirements, such as passing a criminal background check, may vary by state, so be sure to check with your state's board of nursing for specific requirements.
Additionally, some hospitals may require certifications such as cardiopulmonary resuscitation (CPR), basic life support (BLS), or advanced cardiac life support (ACLS). You can also pursue voluntary certifications in specialty areas such as ambulatory care, gerontology, or pediatrics to enhance your application and demonstrate competency.
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Frequently asked questions
You need either an Associate Degree in Nursing or a Bachelor's Degree in Nursing. Some hospitals may also require you to have a nursing license issued by the state in which you work.
RNs provide and coordinate patient care, educate patients and the public about health conditions, and provide advice and emotional support to patients and their families. RNs work in a variety of settings, including hospitals, nursing homes, clinics, and intensive care units.
You can apply for an externship or fellowship through a hospital. You can also look into residency programs, which offer hands-on experience and help establish clinical and critical thinking skills.
The job outlook for RNs is positive, with many openings expected due to the need to replace retiring nurses or those leaving the profession. RNs have a variety of career paths to choose from and can specialize in different areas such as ambulatory care, gerontology, or pediatrics.











































