Members of a Jersey nursing union will be balloted on strike action over the States pay offer.
A formal application to the Royal College of Nursing has been successful.
For the first time, the RCN union board has authorised a strike ballot.
If Jersey members vote to walk out, it will also be the first time RCN union members have gone on strike anywhere.
The Jersey branch of the union says the ballot will take place unless mediation with the States urgently leads to a better pay offer.