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Overnight Rn Observation Unit Jobs in Raleigh, NC

Focus Staff

Travel Progressive Care Unit RN

Chapel Hill, NC · On-site

$1.6K - $2.2K/wk

Focus Staff is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Chapel Hill, North Carolina. & Requirements * Specialty: PCU - Progressive Care Unit * Discipline: RN ...

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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 Jul 8, 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 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 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 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 key skills and qualifications needed to thrive as an Overnight RN in an Observation Unit, and why are they important?

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 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 are popular job titles related to Overnight Rn Observation Unit jobs in Raleigh, NC? For Overnight Rn Observation Unit jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Overnight Rn Observation Unit jobs in Raleigh, NC look for? The top searched job categories for Overnight 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
Registered Nurse (RN) - Operating Room

Registered Nurse (RN) - Operating Room

Duke Health

Durham, NC • On-site

Full-time

Re-posted 28 days ago

Duke Health rating

7.2

Company rating: 7.2 out of 10

Based on 247 frontline employees who took The Breakroom Quiz

328th of 880 rated healthcare providers

Job description

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.
About Duke Regional Hospital
Pursue your passion for caring with Duke Regional Hospital in Durham, North Carolina. With 388 beds it is the second largest of Duke Health's four hospitals and offers a comprehensive range of medical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services.
Are you an experienced Operating Room (OR) RN who is seeking greater exposure to a diverse service portfolio? If so, then this is the job for you! We are seeking a Clinical Nurse II (RN), Arringdon ASC. Discover Opportunities for a Lifetime at Duke Health!
Unit Profile
The Duke Ambulatory Surgery Center is a brand-new, state-of-the-art facility located in the Duke Health Center Arringdon in Morrisville, N.C. The center has four operating rooms, four procedure rooms and an overnight unit for extended post-procedure observation if needed. Recently, the Duke ASC Arringdon was accredited by the Accreditation Association for Ambulatory Health Care (AAAHC). Accreditation distinguishes this center from many other outpatient facilities through its adherence to rigorous standards of care and safety. We are proud to have met the challenge of accreditation and intend to consistently uphold the principles of quality improvement in patient care.
Learn more here: https://www.dukehealth.org/locations/duke-ambulatory-surgery-center-arringdon
Shift: FOUR, 10hr shifts - 6:30am-5pm OR FIVE, 8hr shifts - Monday - Friday; 7am -3:30pm with flexibility for later start times as needed; no weekends, no holidays, no call.
Highly Preferred: Experience in Orthopaedic procedures
The ideal candidate has the ability to lead effectively in a matrixed organization requiring high levels of collaboration, sound judgment, and significant operational and practice management expertise.Plus, as a leader, you are expected to demonstrate a high level of responsibility, ethical practice, sensitivity to a diverse patient population, adherence to legal and regulatory requirements, and have knowledge of:
  • Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with physician orders and established policies and procedures. Use professional nursing judgment to individualize the plan of care based on assessment of the patient's baseline needs and response to care.
  • Delegate tasks and supervise the activities of other licensed and unlicensed care providers.
  • Assist other nursing personnel in the delivery of nursing care and act as team leader or charge nurse for a group of patients or an entire unit as assigned.
  • Monitor and initiate corrective action to maintain the environment of care including equipment and material resources.
  • Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings.
  • Act as preceptor and support the development of other staff and formal learners.
  • Participate in the identification of clinical or operational performance improvement opportunities and in performance improvement activities.

Education
  • Graduation from an accredited BSN or Associate's Degree in Nursing or Nursing Diploma program.

All registered nurses without a Bachelor's degree in Nursing (or higher) will be required to enroll in an appropriate BSN program within two years of their start date and to complete the program within five years of their start date.
Experience
  • At least 1 year of experience in clinical nursing practice; Scrubbing and/or Circulating experience required
  • Experience in Ophthalmic or Orthopedic procedures

Degrees, Licensures, Certifications
  • Must have current or compact RN license in the State of North Carolina.
  • AHA BLS certification is required

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends onthe robust exchange of ideas-an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

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