While the demand for nurses is expected to continue to increase throughout the world and in North America, every occupation has different standards that applicants must follow to work in their chosen field. The board of nursing sets those standards in every jurisdiction, in this case every state. But there are inconsistencies accepting standards from state to state, as my daughters discovered. Most occupations require that a state board exam be written to be certified or licensed in their field. This ensures there is a consistency in knowledge and competencies amongst the people that enter their chosen occupation.
In some occupations you need to be licensed by the state you are working in and for other occupations there is a general examination that is accepted in all the states. My daughters have found that not all states have similar laws when it comes to nursing. Both of my daughters obtained their nursing degrees from the same college. Once they graduated with their degree they contacted the board of nursing to take their examinations. Once they passed the exam they were considered registered nurses. They both passed and started working in the state we live in. My older daughter met a young man and got married. They needed to relocate to Texas for his job. My daughter contacted the board of nursing in Texas to inquire about taking the nursing exam. She was told that as long as she had proof that she is a registered nurse she could work in Texas. She was relieved that she did not have to retake the board exam. They moved and within a month she was working for a clinic that was located a few miles from their home.
My other daughter decided that she wanted to make some big money and see the country at the same time. She signed up for the traveling nurse program. This is for professionals in the medical field that are willing to go find a job where there is a shortage of staff. The pay is high and some of the locations were appealing to my daughter. It seemed like a great job for a single person. Once she signed up she found out that not every state accepts the registration from our state. Some states did and others required that you take the examination for their particular state. She contacted the board of nursing and pointed out the inconsistency. They agreed with her, explaining that at the time there is not a national registry for nurses, but that it was being considered. Once the registry was established, a nurse could take a national examination and work anywhere in the country. This seems like it will be a better solution for helping nurses find nursing jobs in other states.