I agree with batgirl. Following graduation in 1985 from an ADN program, I was hired at Stony Brook University Hospital and assigned to the inpatient psychiatric unit. I was encouraged by the administration to seek certification. I did and passed. I received an increase in pay. After 6 years of nursing at Stony Brook, my family moved to Florida. I was able to get a job quickly. I let my certification expire as it didn't seem important here in Florida, and I didn't want to pay the $300. The other nurses didn't consider it worth the cost either. Fast forward to this 2009. It is now expected that all nurses have or seek ANCC certification to work at our hospital. We are not reimbursed for the exam; however, the hospital gives a nice bonus check each year for those who have passed and maintained certification. In our hospital, the certification diplomas are posted on the unit for physicians, nurses, management and families to view. I regret not renewing my certification and will now prepare for the exam.