Working as an RN in Washington

Working as a registered nurse (RN) in Washington can offer high-paying per diem (PRN) opportunities, flexible work settings, and a supportive professional environment. RNs here often find a balance between challenging roles in large hospital systems and more intimate care settings in smaller communities. Combined with well-regarded nursing schools and professional organizations, Washington can be a rewarding state for RNs to grow their careers and pick up open PRN shifts.

RN job responsibilities and duties

Common RN responsibilities in Washington include:

• Checking patient vital signs and recording health data
• Administering medications and treatments
• Working with physicians and other staff to develop care plans
• Educating patients and families about conditions and treatments
• Maintaining detailed patient records
• Monitoring patient progress and adjusting care as needed
• Ensuring patient safety and infection control

Required education, license, and certifications for RNs in Washington

To practice as an RN in Washington, nurses generally need to:

• Earn an associate or bachelor’s degree in nursing from an accredited program
• Pass the NCLEX-RN exam
• Obtain an RN license from the Washington State Nursing Care Quality Assurance Commission
• Complete any required continuing education for license renewal
• Maintain relevant certifications (e.g., BLS, ACLS) for specific roles

What RNs need to know about working in Washington

Washington is not part of the Nurse Licensure Compact, so RNs moving here must secure a Washington-issued license. While this adds steps for out-of-state nurses, the process is manageable and well-defined. Many RNs find this effort worthwhile thanks to abundant job opportunities and good compensation rates.

Cost of living in WA

The cost of living in Washington varies by region. Seattle, Bellevue, and Redmond are generally pricey, with higher housing costs. More affordable living can be found in places like Spokane, Yakima, and the Tri-Cities. Compared to surrounding states, Washington’s living expenses fall between Oregon and California. The absence of a state income tax can help offset some costs, allowing RNs to stretch their earnings a bit further outside of major metro areas.

Major health systems and key medical facilities

Washington is home to a variety of healthcare employers, including:

• UW Medicine: Academic hospitals and specialty clinics
• Providence Health & Services: Multiple hospitals, clinics, and long-term care facilities
• MultiCare Health System: A network of hospitals and urgent care centers
• Swedish Medical Center: Several Seattle-area campuses offering specialty services

These large systems, along with community hospitals and clinics, offer plenty of work settings. RNs can choose from advanced research centers, general practice hospitals, or smaller rural facilities.

Nursing education opportunities in Washington

Washington hosts reputable nursing programs, such as those at the University of Washington and Washington State University, known for strong academic and clinical training. Smaller colleges and universities also produce skilled graduates ready to enter the workforce. These programs emphasize evidence-based practice, preparing RNs to provide quality care right from the start.

Professional organizations and programs

Professional organizations help RNs stay current and build their networks. Notable groups include:

• Washington State Nurses Association (WSNA): Offers advocacy, education, and career support
• Northwest Organization of Nurse Leaders (NONL): Focuses on leadership development
• ARNPs United of Washington State: Primarily for advanced practice nurses, still informative for those considering career advancement
• Specialty nursing associations: For areas like critical care, oncology, or pediatrics

Joining these groups can connect RNs with resources, continuing education, and job leads.

The bottom line:

RNs looking to work in Washington can find a blend of high-paying PRN roles, solid educational foundations, and a range of professional support. Although licensing here requires its own process, many RNs appreciate the variety of hospital systems, highly-rated options for local nursing schools, and the potential connections made through professional organizations.