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Overnight Rn Observation Unit Jobs in Honolulu, HI

Travel PCU RN

Honolulu, HI · On-site

$2.0K - $2.7K/wk

Reliable Nurse Staffing is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Honolulu, Hawaii. & Requirements * Specialty: PCU - Progressive Care Unit * Discipline ...

Travel PCU RN

Honolulu, HI · On-site

$2.0K - $2.7K/wk

Wellspring Nurse Source is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Honolulu, Hawaii. & Requirements * Specialty: PCU - Progressive Care Unit * Discipline ...

Details Client Name Kuakini Health System Job Type Travel Offering Nursing Profession RN Registered Nurse Specialty PCU Job ID 18953360 Job Title RN Registered Nurse - PCU Weekly Pay $2148.0 Shift ...

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Overnight Rn Observation Unit information

See Honolulu, HI salary details

$23

$45

$69

How much do overnight rn observation unit jobs pay per hour?

As of Aug 30, 2026, the average hourly pay for overnight rn observation unit in Honolulu, HI is $45.40, according to ZipRecruiter salary data. Most workers in this role earn between $37.74 and $49.86 per hour, depending on experience, location, and employer.

What does an overnight RN in an observation unit do?

An Overnight RN in an Observation Unit is responsible for monitoring and caring for patients who require further evaluation or short-term treatment, typically for less than 24 hours. Their duties include assessing patient conditions, administering medications, collaborating with physicians, and ensuring patient safety throughout the night. They play a key role in determining if patients need to be admitted for inpatient care or can be safely discharged. This role requires strong clinical judgment, attention to detail, and the ability to work independently during overnight hours.

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

To thrive as an Overnight RN in an Observation Unit, you need strong clinical assessment skills, acute care experience, and an active RN license, often supported by certifications like BLS or ACLS. Familiarity with electronic health records (EHRs), telemetry monitoring systems, and patient tracking tools is also essential. Excellent communication, problem-solving abilities, and the capacity to stay focused during night shifts are vital soft skills. These competencies ensure patient safety, accurate monitoring, and effective collaboration with healthcare teams during critical overnight hours.

What are some common challenges faced by overnight RNs in an observation unit, and how can they be managed?

Overnight RNs in an Observation Unit often face challenges such as managing patient care with limited on-site resources, staying alert during overnight hours, and coordinating care transitions as patients are admitted, discharged, or transferred. Effective communication with the interdisciplinary team, strong time management skills, and utilizing available support staff can help manage these challenges. Building routines to stay focused and prioritizing self-care during off hours are also important for maintaining performance and well-being.

What is the difference between Overnight Rn Observation Unit vs Emergency Room Nurse?

AspectOvernight Rn Observation UnitEmergency Room Nurse
CredentialsRegistered Nurse (RN) license, possibly specialized in observation careRegistered Nurse (RN) license, often with emergency or trauma certification
Work EnvironmentHospital observation units, typically overnight shifts, focused on patient monitoringEmergency departments, fast-paced, high-stress environment with acute care
Employer & IndustryHospitals, outpatient clinics, healthcare facilitiesHospitals, trauma centers, urgent care facilities
Common Search & ComparisonYesYes

The Overnight Rn Observation Unit and Emergency Room Nurse roles both require RN licensure and involve patient care in hospital settings. However, the Observation Unit focuses on monitoring patients overnight who need less intensive care, while ER Nurses handle acute emergencies in a fast-paced environment. Understanding these differences helps healthcare professionals choose the right career path or job opportunity.

What are the most commonly searched types of Rn Observation Unit jobs in Honolulu, HI?

The most popular types of Rn Observation Unit jobs in Honolulu, HI are:

What cities near Honolulu, HI are hiring for Overnight Rn Observation Unit jobs?

Cities near Honolulu, HI with the most Overnight Rn Observation Unit job openings:

Infographic showing various Overnight Rn Observation Unit job openings in Honolulu, HI as of July 2026, with employment types broken down into 1% As Needed, 89% Full Time, 9% Part Time, and 1% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $94,437 per year, or $45.4 per hour.

RN - Emergency Transition Unit (Call-In, Varied Shifts)

Diagnostic Laboratory Services, Inc.

Aiea, HI • On-site

Other

Re-posted 2 days ago


Job description

Scope of Service
The Queen's Medical Center Emergency Transition Unit (ETU) is a 15-bed unit that provides comprehensive medical and nursing services 24 hours a day for adult patients across the acute care spectrum. The QMC ETU staff are expected to assist with caring for admitted patients boarding in the ED awaiting admission to Med/Surg or Telemetry units.
Patient population includes but is not limited to: Cardio-vascular, neurology, respiratory diseases, orthopedic, oncology, gastrointestinal, urological, wound and skin disorders with medical and surgical intervention patients.
Staffing ratios vary according to unit assignment.
Responsibilities
I. JOB SUMMARY/RESPONSIBILITIES
Responsible for coordinating clinical care of patient. Integrates all health care providers to ensure high quality patient/family outcomes, and establishes a consistent and accountable relationship with patient/family. Key responsibilities include, but are not limited to, initiation and development of the plan of care, patient/family education, utilization management and discharge planning.
II. TYPICAL PHYSICAL DEMANDS
Essential functions- Continuous: lifting up to 1/2 lb., seeing, hearing, talking, grasping, fingering. Frequent to continuous: standing, walking, stooping, forward reaching, handling. Frequent: pushing and pulling up to 30 psi, lifting up to 10 lbs., sitting, bending. Occasional to frequent: squatting, twisting. Occasional: pushing and pulling up to 70 psi; lifting: horizontal lift/carry up to 75 lbs. with assistance, floor to waist up to 35 lbs., waist to shoulder up to 25 lbs., overhead level up to 15 lbs.; carrying up to 35 lbs, running, climbing, side bending, kneeling, crouching, overhead reaching. Operates various machines/tools/work aids.
III. TYPICAL WORKING CONDITIONS
Inside work. Exposure to body fluids, blood products, and communicable diseases. Work environment may be highly stressful, fast paced and hectic. Assignment to inpatient adult psych areas and Family Treatment Center includes occasionally accompanying patients outdoors. Management of confused/disoriented and combative patients may involve tasks which may compromise physical safety.
IV. MINIMUM QUALIFICATIONS
A. Education/Certification and Licensure:
1.Licensure: Registered Nurse, State of Hawaii
2.Diploma or Associate Degree in Nursing; Baccalaureate Degree in Nursing preferred.
3.Current BLS/HCP card in all areas; ACLS, NALS and/or PALS in designated areas.
4.Ability to read, write, speak and understand English effectively.
Additional Requirements
Additional Requirements for Experienced RN:
A. EDUCATION/CERTIFICATION AND LICENSURE:
  • Current ACLS certification.
B. EXPERIENCE:
  • Twelve (12) months of Telemetry, Emergency Department, and/or Observation Unit RN experience required, preferably within the last three (3) years.

Equal Employment Opportunity
Equal Opportunity Employer / Disability / Vet
Your Health. Our Legacy
Our Mission: To fulfill the intent of Queen Emma and King Kamehameha IV to provide in perpetuity quality health care services to improve the well-being of Native Hawaiians and all of the people of Hawai'i.
Our Values:
Compassion guides our actions
Aloha inspires us in all that we do
Respect and understanding are essential for the dignity of all
Excellence is our quest