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Entry Level Rn Observation Unit Jobs in Lexington, SC

RN - Observation Unit

West Columbia, SC ยท On-site

$36 - $47.75/hr

RN - Observation Unit Observation Unit Full Time PM Shift 7p-7a Sign-On Bonus: 20,000.00 Lexington Health is a comprehensive network of care that includes six community medical and urgent care ...

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Entry Level Rn Observation Unit information

See Lexington, SC salary details

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How much do entry level rn observation unit jobs pay per year?

As of Aug 11, 2026, the average yearly pay for entry level rn observation unit in Lexington, SC is $61,972.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,100.00 and $59,500.00 per year, depending on experience, location, and employer.

What does an entry level RN observation unit do?

An entry-level RN in an observation unit monitors patients who require short-term assessment and treatment, typically lasting less than 24 hours. They perform patient assessments, administer medications, document care, and collaborate with healthcare teams to determine if patients need admission or discharge. This role requires strong clinical skills, attention to detail, and often involves working in a fast-paced hospital environment.

What is the difference between Entry Level Rn Observation Unit vs Entry Level Rn Emergency Room?

AspectEntry Level Rn Observation UnitEntry Level Rn Emergency Room
CertificationsRN license, Basic Life Support (BLS)RN license, BLS, Advanced Cardiovascular Life Support (ACLS) often preferred
Work EnvironmentHospital observation units, short-term patient monitoringEmergency departments, high-pressure acute care setting
Patient Care FocusMonitoring stable patients, assessing symptoms, short-term treatmentHandling critical emergencies, trauma, rapid response
Common Search/ComparisonYesYes

Both roles require an RN license and BLS certification. The Observation Unit focuses on monitoring stable patients in a controlled environment, while the Emergency Room involves managing critical, urgent cases in a fast-paced setting. Understanding these differences helps nurses choose the right career path based on their skills and interests.

What are some typical challenges faced by entry level RNs working in an observation unit, and how can I prepare for them?

As an entry-level RN in an Observation Unit, you may encounter challenges such as managing fluctuating patient acuity, adapting to rapid patient turnover, and prioritizing care for multiple patients. These units often require strong assessment skills and the ability to quickly recognize changes in patient conditions. To prepare, it's helpful to familiarize yourself with common protocols, practice effective time management, and develop strong communication skills for collaborating with physicians and other team members. Seeking mentorship from experienced colleagues can also ease your transition and boost your confidence.

What is an entry level RN in an observation unit?

An Entry Level RN (Registered Nurse) in an Observation Unit is a newly licensed nurse who provides care for patients who require short-term monitoring and evaluation, typically for up to 24-48 hours. These patients are not sick enough for inpatient admission but require more observation than can be provided in the emergency department. The RN's responsibilities include monitoring vital signs, administering medications, performing assessments, and communicating with the healthcare team to determine if patients should be admitted or discharged. This role is ideal for new graduates gaining experience in acute care settings.

What are the key skills and qualifications needed to thrive as an entry level RN in an observation unit?

To thrive as an Entry Level RN in an Observation Unit, you need a nursing degree, current RN licensure, and a solid understanding of patient monitoring and acute care protocols. Familiarity with electronic health records (EHRs), telemetry equipment, and hospital communication systems is typically required. Strong organizational skills, attention to detail, and compassionate communication help build trust with patients and support teamwork. These skills ensure accurate patient monitoring, timely interventions, and effective coordination in a fast-paced observation setting.
What are the most commonly searched types of Rn Observation Unit jobs in Lexington, SC? The most popular types of Rn Observation Unit jobs in Lexington, SC are:

RN - Observation Unit

Lexington Health Inc

West Columbia, SC โ€ข On-site

$36 - $47.75/hr

Other

Medical, Dental, Life, Retirement

Posted 15 days ago


Job description

RN - Observation Unit

Observation Unit Full Time PM Shift 7p-7a Sign-On Bonus: 20,000.00 Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in Healthcare and was first in the state to achieve Magnet with Distinction status for excellence in nursing care. Consistently ranked as best in the Columbia Metro area by U.S. News & World Report, Lexington Health delivers more than 4,000 babies each year, performs more than 34,000 surgeries annually and is the region's third largest employer. Lexington Health also includes an accredited Cancer Center of Excellence, the state's first HeartCARE Center, the largest skilled nursing facility in the Carolinas, and an Alzheimer's care center. Its postgraduate medical education programs include family medicine and transitional year residencies, as well as an informatics fellowship.

Job Summary Utilizes the nursing process to promote and restore patient's health status; collaborates with physicians and multidisciplinary team members; provides physical and psychological support to patients, family members and significant others; and supervises assigned team members. Uses a systematic critical-thinking approach to guide data gathering, assessment, nursing judgement, intervention and evaluation of human responses to actual and potential health problems through activities such as health teaching and the provision of care, supportive and restorative care and/or support of a peaceful death. All responsibilities are carried out in accordance with the mission, vision, strategic imperatives and standards of the Lexington County Health District, American Nurses Association Standards and in accordance with the provisions/statues set forth by the South Carolina Nurse Practice Act.

Minimum Qualifications Minimum Education: ADN, Diploma or Bachelors of Science in Nursing *New graduate RN's who acquire their generic RN education through an on-line program will not meet LMC minimum qualifications Minimum Years of Experience: None *Critical Care, Medical/Surgical, Intermediate, and Emergency Department units will not consider newly graduated Nurses without post-graduation experience, except for those that have successfully completed LMC's Nurse Residency Program. Substitutable Education & Experience: None Required Certifications/Licensure: Current RN license to practice in the State of South Carolina. **Refer to Mandatory Certification Requirements P&P for required education/certification for various nursing specialties. Required Training: None

Essential Functions PATIENT CARE AND SUPPORT Establishes positive rapport with patient and family. Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families. Promotes patient's independence by establishing patient care goals; provides education to patient, and family in a manner they can understand their condition, medications, and self-care skills, etc. and provides them ample opportunity to ask questions. Serves as patient/family advocate Maintains continuity among nursing teams by documenting and communicating actions, irregularities, and continuing needs. Uses a systematic critical-thinking approach to guide data gathering, assessment, nursingjudgement, intervention and evaluation of human responses to actual and potential health problems. Identifies, synthesizes and interprets sources of data using reasonable clinical judgement to respond to dynamic situations in a timely and effective manner. Maintains patient confidence and protects operations by keeping information confidential. Uses ethical decision making processes and advocates for acceptable patient outcomes. L&D Only: RN's with 2 years or more of L&D experience who have completed training and competency verification may perform qualified medical screening examinations under EMTALA.

CLINICAL WORK QUALITY Assures quality of care by adhering to therapeutic standards; measuring health outcomes against patient care goals and standards; making or recommending necessary adjustments; following hospital and nursing division's philosophies and standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations. Resolves patient problems and needs by utilizing multidisciplinary team strategies. Participates in process/performance improvement activities and initiatives utilizing evidence based practice to maintain and/or improve quality of care and safe patient care systems and processes. Maintains safe and clean working environment by complying with procedures, rules, and regulations; calling for assistance from health care support personnel. Protects patients and employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations. Documents all patient care activities accurately and timely. Provides safe, appropriate, quality of care and support to patients and family members. Protects patients and employees by adhering to infection-control policies and protocols medication administration and storage procedures, and controlled substance regulations.

Duties & Responsibilities RESOURCE MANAGEMENT Ensures operation of equipment by completing preventive maintenance requirements; following manufacturer's instructions; troubleshooting malfunctions; calling for repairs; maintaining equipment inventories; evaluating new equipment and techniques. Appropriately utilizes all nursing supplies and equipment. Demonstrates effective teamwork skills and maintains a cooperative relationship among health care teams by communicating information; responding to requests; building rapport; participating in team problem-solving methods. Promptly responds to all communication devices in order to meet patient needs. Assists in performing and documenting environmental checks as required by LMC policy and regulatory agencies.

PROFESSIONAL RESPONSIBILITIES Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies. Meets or exceeds all LMC requirements for attendance and service expectations. Maintains required certifications. Completes yearly safety training and other mandatory classes. Complies with all annual employee health requirements. We are committed to offering quality, cost-effective benefits choices for our benefit eligible employees and their families: Day ONE medical, dental and life insurance benefits Health care and dependent care flexible spending accounts (FSAs) Employees are eligible for enrollment into the 403(b) match plan day one. LHI matches dollar for dollar up to 6%. Employer paid life insurance โ€“ equal to 1x salary Employee may elect supplemental life insurance with low cost premiums up to 3x salary Adoption assistance LHI provides its full-time employees employer paid short-term disability and long-term disability coverage after 90 days of eligible employment Tuition reimbursement Student loan forgiveness Equal Opportunity Employer It is the policy of Lexington Health to provide equal opportunity of employment for all individuals, and to remain compliant with applicable state and federal laws and regulations. Lexington Health strives to provide a discrimination-free environment, and to recruit, select, on-board, and employ all employees without regard to race, color, religion, sex, age, disability, national origin, veteran status, or pregnancy, childbirth, or related medical conditions, including but not limited to, lactation. Lexington Health endeavors to upgrade and promote employees from within the hospital where possible and consistent with the employee's desires and abilities and the hospital's needs.