Members of the Royal College of Nursing (RNC) and Jersey Nursing Association (JNA) have voted to reject the "final" offer from the States of Jersey, in a ballot that closed last night.
They were asked to either accept or reject a 3.1% pay rise for 2018 and 3% pay rise for 2019.
85% of JNA members voted to reject the offer along with 62% from the RCN.
The Royal College of Midwives, however, has accepted the offer with 63% accepting and 37% rejecting.
Lindsay Meeks from the Royal College of Nursing says that the next step is to contact the Jersey Advisory and Conciliation Service to mediate a conversation between the union and the States.
She says the union is also meeting with some of its members tomorrow (Wednesday 9 January) to discuss whether they wish to pursue industrial action, which she says is "an absolute last resort".