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Overnight Rn Observation Unit Jobs in Waco, TX (NOW HIRING)

TNAA TotalMed RN

Travel Step-Down RN

Waco, TX · On-site

Close observation is necessary as many PCU patients receive a significant amount of complex medications, sometimes through an intravenous line that may need to be adjusted or titrated. The PCU RN is ...

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Overnight Rn Observation Unit information

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$62

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

As of Aug 22, 2026, the average hourly pay for overnight rn observation unit in Waco, TX is $40.81, according to ZipRecruiter salary data. Most workers in this role earn between $33.94 and $44.81 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 cities near Waco, TX are hiring for Overnight Rn Observation Unit jobs?

Cities near Waco, TX 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 Waco, TX as of June 2026, with employment types broken down into 3% As Needed, 68% Full Time, 28% Part Time, and 1% Contract. Highlights an 90% Physical, and 10% Remote job distribution, with an average salary of $84,889 per year, or $40.8 per hour.

RN Obs Unit Days

Baylor Scott & White Health

Belton, TX

Full-time

Medical, Retirement, PTO

Posted 11 days ago

Baylor Scott & White Health rating

7.5

Company rating: 7.5 out of 10

Based on 766 frontline employees who took The Breakroom Quiz

237th of 891 rated healthcare providers

Job description

Baylor Scott & White Memorial Hospital in Temple, TX. is seeking a full-time Registered Nurse to join our amazing Observation Unit. Baylor Scott & White Memorial Hospital is a 636-bed specialty care teaching hospital and the only Level 1 Trauma Center between Dallas and Austin. 

Schedule: Full Time - 36 hours per week - Days

Unit Summary

This 31-bed nursing unit provides the opportunity to work with a wide variety of patients ranging in age from Adults to Geriatrics. The goal for these patients is to diagnose, monitor and treat patients within 36 hours.  The conditions that are within the scope of service for the Observation Unit include but are not limited to the following:

  • Chest pain
  • CHF
  • Syncope
  • Dehydration
  • Abdominal-gastrointestinal conditions

Benefits

Our competitive benefits package includes the following

·       Immediate eligibility for health and welfare benefits

·       401(k) savings plan with dollar-for-dollar match up to 5%

·       Tuition Reimbursement

·       PTO accrual beginning Day 1

Note: Benefits may vary based upon position type and/or level

Baylor Scott & White Health Registered Nurses Enjoy 

·       Competitive pay including an RN Bonus Program rewarding nurses for providing exceptional care and improving patient outcomes. 

·       Attractive Relocation Assistance for full-time candidates. 

·       A strong shared governance model featuring unit-based councils that empower nurses and improve patient outcomes. 

·       Access to more than 4,000 hours of online continuing education for professional development.  

·       A strong system Nurse Practice Council that uses autonomy, authority, and accountability in collaboration with transformational nursing leadership to drive nursing practice throughout Baylor Scott & White Health. 

·       A spirit of inquiry and innovation that promotes Evidence-based practice, research, and innovations in nursing practice.  

·       A healthy work environment and culture of safety using inter-professional collaboration and professional competencies to meet the needs of patients to provide safe passage and quality outcomes at every encounter. 

Why Baylor Scott & White Health 

 At Baylor Scott & White Health, we empower each other to create healthier communities and deliver safe and high-quality care across the state of Texas. With more than 52 hospitals, 800 access points, a quality health plan and an award-winning research institute, you’ll enjoy endless opportunities to make your mark on the future of healthcare. At Baylor Scott and White Health, you’ll be joining a team that’s committed to better. Because better never settles. And neither should you.  

 As the largest not-for-profit healthcare system in Texas and one of the largest in the United States, Baylor Scott & White Health has the resources to offer a variety of career opportunities to meet your personal and professional goals. 

 The Baylor Scott & White Health nursing team challenges each other to innovate, to constantly raise the bar and to never settle. Every day, our diverse group of team members bring unique talents, a passion for innovation and a deep Commitment to those we serve.   

Requirements of the Ideal Candidate

·       Graduate of RN School of Nursing

·       ADN required; BSN preferred

·       Active RN License

·       Minimum of 6 Months of RN experience

·       Basic Life Support (BLS) required within 30 days of hire or transfer.

Qualifications

  • Grad of an Accredited Program
  • Specialized field of study should be nursing.
  • RN license.
  • Must have BLS certification or get it within 30 days of starting in this role.

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