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Overnight Rn Observation Unit Jobs in Vancouver, WA

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Overnight Rn Observation Unit information

See Vancouver, WA salary details

$25

$48

$73

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

As of Aug 2, 2026, the average hourly pay for overnight rn observation unit in Vancouver, WA is $48.13, according to ZipRecruiter salary data. Most workers in this role earn between $40.00 and $52.84 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 cities near Vancouver, WA are hiring for Overnight Rn Observation Unit jobs? Cities near Vancouver, WA with the most Overnight Rn Observation Unit job openings:
Infographic showing various Overnight Rn Observation Unit job openings in Vancouver, WA as of July 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, and 2% Contract. Highlights an 97% Physical, and 3% Remote job distribution, with an average salary of $100,112 per year, or $48.1 per hour.

Registered Nurse (RN) - Clinic Perioperative

Adventist Health

Portland, OR • On-site

Full-time

Medical, Dental, Vision, Life, Retirement

Posted 8 days ago


Adventist Health rating

7.8

Company rating: 7.8 out of 10

Based on 242 frontline employees who took The Breakroom Quiz

130th of 887 rated healthcare providers


Job description

Adventist Health is seeking a Registered Nurse (RN) Clinic Perioperative for a nursing job in Portland, Oregon.

Job Description & Requirements
  • Specialty: Perioperative
  • Discipline: RN
  • Start Date: ASAP
  • Duration: Ongoing
  • Employment Type: Staff

Adventist Health Portland has been caring for East Portland since 1893, growing alongside the community we serve. Today, more than 2,300 employees are dedicated to whole-person care, mind, body and spirit, across our 302-bed medical center, emergency department, and network of clinics, urgent care, home care and hospice services. The Adventist Health Northwest Heart Center, located on our medical center campus, provides advanced cardiovascular care, bringing together expert providers, innovative treatments and compassionate support for patients across the region.

Job Summary:

Utilizes adult educational principles and leadership skills. Strives to meet the comprehensive needs of the clinical staff and patients/significant others in a safe and caring professional manner. Provides for the well-being of patients through patient advocacy, education and effective/collegial communication with physicians, other departments, clinical and non-clinical staff. Collaborates with Manager/Director for maintaining and improving clinical skills through professional development and services as a role model for other clinicians. Performs responsibilities within the guidelines of the Hospital Policies, state regulatory and accrediting requirements.

Job Requirements:

Education and Work Experience:

  • Bachelor's Degree in Nursing (BSN): Preferred
  • Master's Degree in Nursing: Preferred

Licenses/Certifications:

  • Registered Nurse (RN) licensure in the state of practice: Required
  • Cardiopulmonary Resuscitation (CPR) certification or Basic Life Support (BLS) certification from approved vendor per AH policy: Preferred
  • Advanced Cardiovascular Life Support (ACLS) certification from approved vendor per AH policy: Preferred

Essential Functions:

  • Coordinates orientation of new hires. Mentors and coaches unit preceptors to foster positive experiences and a supportive learning environment. Coordinates clinical and educational programs for staff, patients and community. Demonstrates knowledge of patient rights, bio-ethical standards and legal aspects of consents; serves as a patient advocate. Executes education and training in the clinical as well as classroom environment. Develops and uses various teaching methods to facilitate learning, i.e., lectures demonstrations, self-learning, role modeling, preceptor skills, bedside/clinical site evaluation.
  • Helps to maintain a centralized educational tracking system. Initiates individual action plan to achieve goals of professional growth and personal well-being. Submits summary of learning needs achieved from current year's plan prior to evaluation. Serves as a consultant and resource for staff caring for patients as well as ancillary department staff. Maintains all necessary documentation and records in a legible, accurate and complete manner, including education and competency record keeping.
  • Monitors, coordinates and participates as necessary in the orientation program for all staff. Participates in general patient care service orientation program, as necessary. Meets regularly with the Manager of Education Services. Monitors effectiveness and appropriateness of current policies and procedures and makes recommendations to enhance those resources as indicated. Coordinates and/or participates in unit based in-services for new equipment, policies and procedures, new medications, etc.
  • Participates in performance improvement by planning and providing clinical education based on practice findings/data, direct observation, unit needs, and identified action plans. Assists with the evaluation of the program’s effectiveness and attainment of goals. Participates in the evaluation of clinical issues and coordination of staff education/training.
  • Identifies educational and training needs of the staff through daily rounds, observing staff performing direct patient care, and discussing needs at unit, leadership, and professional practice meetings. Expands the scientifically based nursing practice by utilizing, facilitating and participating in nursing research. Disseminates recent innovations and research findings relevant to nursing practice and patient outcomes.
  • Performs other job-related duties as assigned.

Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
Adventist Health participates in E-Verify. Visit for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

Adventist Health Job ID #66682. Posted job title: rn, clinical educator, perioperative services, full time, day shift

About Adventist Health

Adventist Health is a faith-based, nonprofit, integrated health system serving more than 80 communities on the West Coast and Hawaii with over 400 sites of care, including 26 acute care facilities. Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities. Our compassionate and talented team of 37,000 includes employees, physicians, allied health professionals and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness, and hope. We are committed to staying true to our heritage by providing patient-centered, quality care. Together, we are transforming the healthcare experience with an innovative and whole-person focus on physical, mental, spiritual and social healing to support community well-being.

Benefits
  • Continuing Education
  • Bereavement
  • Medical benefits
  • Dental benefits
  • Vision benefits
  • Health Care FSA
  • 403b retirement plan
  • Employee assistance programs
  • Life insurance
  • Holiday Pay
  • 401k retirement plan
  • Sick pay
  • Health savings account

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