Marian starts looking at other jobs around the two-year mark after graduating nursing school. It's supposed to be easier to get hired if you have two years of experience, and - well, it's not that she doesn't like many things about Montfort, but it's kind of objectively not a well-run hospital and she's starting to worry that it's training bad habits or something, and also a couple of her friends on her shift schedule are leaving and that does actually make it less appealing, especially when Isobel is back on the opposite-shift pattern and Marian ends up having to give report to her kind of a lot.

Her friend said you can make more in the US, so she does the paperwork to get her license recognized - technically in Minnesota but it's pretty easy to transfer it to most other states. 

Applying for jobs is the wooooooorst but also wow Marian is starting to feel like she was being seriously underpaid? A lot of the big city hospital postings are intimidating, but here's this job posting in a smaller town - 15-bed ICU, which is actually bigger than Montfort - she would be making 50% more even before you take into account that it's in US dollars, it doesn't sound expensive to live there, and the benefits package is really good which seems important for the US. 

She applies.