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Overnight Rn Observation Unit Jobs in St Louis, MO

BJC

Clinical Nurse Observation Unit

Saint Louis, MO · On-site

$38.75 - $51/hr

3500 Observation Unit RN | South Campus (24 Beds) Full Time, 36 hours per week Sign on Bonus eligible up to $15,000 (external applicants) Looking for a fast-paced nursing environment with diverse ...

BJC

Team Lead Charge Observation Unit

Saint Louis, MO · On-site

Role In Short-Stay Observation Unit Barnes-Jewish Hospital at Washington University Medical Center ... No Experience Licenses & Certifications: * RN Preferred Requirements Education: * Bachelor's Degree ...

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Overnight Rn Observation Unit information

See St Louis, MO salary details

$23

$44

$68

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

As of Aug 6, 2026, the average hourly pay for overnight rn observation unit in St. Louis, MO is $44.70, 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?

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 St. Louis, MO? The most popular types of Rn Observation Unit jobs in St. Louis, MO are:
What cities near St. Louis, MO are hiring for Overnight Rn Observation Unit jobs? Cities near St. Louis, MO 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 St. Louis, MO as of August 2026, with employment types broken down into 66% Full Time, 27% Part Time, and 7% Temporary. Highlights an 100% In-person job distribution, with an average salary of $92,966 per year, or $44.7 per hour.

Clinical Nurse Observation Unit

BJC Healthcare

Saint Louis, MO

$32 - $48.28/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 14 days ago

BJC Healthcare rating

7.6

Company rating: 7.6 out of 10

Based on 228 frontline employees who took The Breakroom Quiz

188th of 887 rated healthcare providers

Job description

Additional Information About the Role
3500 Observation Unit RN | South Campus (24 Beds)

Full Time, 36 hours per week

Sign on Bonus eligible up to $15,000 (external applicants)

Looking for a fast-paced nursing environment with diverse patient care experiences? Join our 24-bed Observation Unit, where you'll care for patients requiring short-term treatment, monitoring, and recovery, typically within a 24-hour stay.

Why You'll Love This Unit
  • Fast-paced, team-oriented environment
  • Strong partnership with the Emergency Department
  • Excellent experience for new graduates interested in emergency or acute care nursing
  • Variety of patient populations and clinical experiences
Patient Care Includes
  • Pain management
  • IV antibiotics and IV fluids
  • Blood transfusions
  • Post-surgical observation
  • Drain and tube management
  • Monitoring patients with complex medical needs

The unit also cares for patients recovering from outpatient procedures, including colorectal, gynecologic, and urologic surgeries.

Most patients are discharged home within 24 hours, offering nurses the opportunity to see the full continuum of care while building strong assessment and critical thinking skills.


Overview

Barnes-Jewish Hospital at Washington University Medical Center is the largest hospital in Missouri and is ranked as one of the nation's top hospitals by U.S. News & World Report. Barnes-Jewish Hospital's staff is composed of full-time academic faculty and community physicians of Washington University School of Medicine, supported by a house staff of residents, interns, fellows and other medical professionals. Recognizing its excellence in nursing care, Barnes-Jewish Hospital was the first adult hospital in Missouri to be certified as a Magnet Hospital by the American Nurses Credentialing Center.


Preferred Qualifications

Role Purpose

Provides direct patient care activities including assessment, diagnosis, planning implementation, and evaluation within the guidelines of the standards of nursing care.

Responsibilities

  • Promotes patient and family centered care in a healing environment. Educates patients and their families on how to manage their illness or injury, including post treatment home care needs and medication administration.
  • Participates in activities that promote patient safety, quality and regulatory compliance. Participates in professional development.
  • Develops, implements, and documents individual plans of care with defined goals in collaboration with other members of the interprofessional team and patient, family or caregiver in accordance with the established guidelines and standards of nursing care. Proactively plans and ensures communication of the plan of care across the continuum of care.
  • Uses critical nursing skills to assess and evaluate physical, psychosocial, and emotional needs according to standards of care. Assess patient preferences and barriers to involvement in care, including their values, emotional, spiritual, cultural, and population-specific needs.
  • BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job.

    • Minimum Requirements

    Education

  • Nursing Diploma/Associate's
    • - Nursing

    Experience

  • No Experience

    • Supervisor Experience

  • No Experience

    • Licenses & Certifications

  • RN

    • Preferred Requirements

    Education

  • Bachelor's Degree
    • - Nursing

    Experience

  • <2 years

    • Benefits and Legal Statement

    BJC Total Rewards

    At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.

    • Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
    • Disability insurance* paid for by BJC
    • Annual 4% BJC Automatic Retirement Contribution
    • 401(k) plan with BJC match
    • Tuition Assistance available on first day
    • BJC Institute for Learning and Development
    • Health Care and Dependent Care Flexible Spending Accounts
    • Paid Time Off benefit combines vacation, sick days, holidays and personal time
    • Adoption assistance

    To learn more, go to our Benefits Summary.

    *Not all benefits apply to all jobs

    The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer

    What BJC Healthcare employees say

    Pay

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    Get the full story on Breakroom

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    About BJC Healthcare

    Sourced by ZipRecruiter

    BJC Healthcare, situated in Saint Louis, MO, US, is one of the largest healthcare organizations in the United States. Launched in 1993, BJC encompasses 15 hospitals and multiple health service organizations covering the metropolitan St. Louis area, mid-Missouri and Southern Illinois. This healthcare titan's services cover a vast field, from community health and wellness, to pediatric care, to advanced specialty care. BJC is well-known for its two nationally recognized hospitals, Barnes-Jewish Hospital and St. Louis Children's Hospital, both affiliated with Washington University School of Medicine. Its mission revolves around improving the health and well-being of the communities it serves through leadership, education, innovation, and excellence in medicine.

    Industry

    Health care and social assistance

    Company size

    10,000+ Employees

    Headquarters location

    Saint Louis, MO, US

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