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Overnight Rn Observation Unit Jobs in Raleigh, NC

CoreMedical Group

RN - Registered Nurse

Raleigh, NC · On-site

$33 - $55/hr

The Clinical Decision Unit is an 8-bed observation unit located within the Emergency Department ... Active RN license * Previous Emergency Department experience required for ER openings * Med/Surg, ...

CoreMedical Group Perm

Emergency Room RN

Raleigh, NC · On-site

$33 - $55/hr

The Clinical Decision Unit is an 8-bed observation unit located within the Emergency Department ... Active RN license * Previous Emergency Department experience required for ER openings * Med/Surg, ...

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Overnight Rn Observation Unit information

See Raleigh, NC salary details

$23

$44

$68

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

As of Aug 26, 2026, the average hourly pay for overnight rn observation unit in Raleigh, NC is $44.69, according to ZipRecruiter salary data. Most workers in this role earn between $37.16 and $49.09 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 Raleigh, NC?

The most popular types of Rn Observation Unit jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Overnight Rn Observation Unit jobs?

Cities near Raleigh, NC with the most Overnight Rn Observation Unit job openings:

Overnight Rn Observation Unit jobs near you
Infographic showing various Overnight Rn Observation Unit job openings in Raleigh, NC as of July 2026, with employment types broken down into 6% As Needed, 69% Full Time, 19% Part Time, and 6% Contract. Highlights an 94% In-person, and 6% Remote job distribution, with an average salary of $92,952 per year, or $44.7 per hour.

Registered Nurse (RN) - Observation Unit

Raleigh, NC • On-site

WakeMed
Health Care and Social Assistance • 5 - 10K employees

7.7

Company rating: 7.7 out of 10

Based on 135 frontline employees who took The Breakroom Quiz

160th of 893 rated healthcare providers

People enjoy working here

Good employer

Recommended by students

Learn more about WakeMedexternal

Full-time

Re-posted 26 days ago

Job description

Overview
The Clinical Nurse is responsible for providing total comprehensive nursing to patients and their families through the implementation of a plan of care. The plan is based upon the patient's developmental and health care needs identified through the assessment of the patient's physical, psychological, socioeconomic status, and physician orders regarding care, treatment, and education.
The Clinical Nurse understands the needs of the organization and supports the mission, values, and management of patient care services.
The Clinical Nurse actively supports and incorporates ANA Scope and Standards of Nursing Practice, North Carolina Board of Nursing Practice Act, WakeMed's Division of Nursing Professional Practice model, and WakeMed's Patient & Family Centered Care (PFCC) model.
The four key concepts of PFCC are :
  • Dignity and Respect = Listen to and honor patient and family perspectives and choices;
  • Information Sharing = Communicate and share complete and unbiased information with patients and families in ways that are affirming and useful;
  • Participation = Patients and families are encouraged and supported in participating in care and decision-making at the level they choose;
  • Collaboration = Patients and families and the Clinical Nurse collaborate in the delivery of care.

Department Description
Why WakeMed ?
  • Magnet Recognition with Distinction™ - WakeMed is the first health system in NC and one of only 47 worldwide to earn this highest honor for nursing excellence.
  • Top Hospital to Work For in NC
  • Recognized by Newsweek as one of the Best Employers for Diversity
  • Relocation Incentives for out-of-state hires
  • Competitive Benefits Package
  • Tuition Reimbursement to keep your education moving forward
  • Free Onsite Parking
  • Public Service Loan Forgiveness eligibility
  • Professional Development Opportunities
  • Career Ladder - RN I - IV based on education and experience

At WakeMed, you'll find more than a job, you'll find a supportive environment, growth opportunities, and a team that values your future.
Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org .
EOE
Licensure
Registered Nurse Required
Education
Diploma Nursing Required - Or Associate's Degree Nursing Required
Experience
No Experience Required
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About WakeMed

Sourced by ZipRecruiter

Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Raleigh, NC, US

Year founded

1961

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What WakeMed employees say

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Benefits

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