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Overnight Rn Observation Unit Jobs in Washington, DC

Position Title Registered Nurse, Observation Unit Purpose & Scope: Across all levels, the registered professional nurse is responsible for the direct and indirect total nursing care of their assigned ...

The Observation Unit (OBS) at Inova Fair Oaks Hospital is comprised of 15 beds with rapid patient ... If RN has an associate's degree (ADN); must complete BSN within 5 years of start date. * Experience

RN - Observation Unit

Columbia, MD · On-site

$38.75 - $51.25/hr

Observation Unit The Registered Nurse coordinates care for assigned patients on a shift to promote the achievement of clinical outcomes. Provides direction to other team members to promote quality ...

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Overnight Rn Observation Unit information

See Washington, DC salary details

$27

$52

$79

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

As of Aug 24, 2026, the average hourly pay for overnight rn observation unit in Washington, DC is $52.07, according to ZipRecruiter salary data. Most workers in this role earn between $43.27 and $57.16 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.

Registered Nurse - Observation Unit

Trinity Health

Silver Spring, MD • On-site

$38.92 - $55.68/hr

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 15 days ago


Trinity Health rating

6.6

Company rating: 6.6 out of 10

Based on 354 frontline employees who took The Breakroom Quiz

570th of 893 rated healthcare providers


Job description

Employment Type:

Full time

Shift:

12 Hour Night Shift

Description:

The Clinical Nurse/Registered Nurse works in a collaborative environment at Holy Cross Health within the Observation Unit to deliver excellent patient care as part of an interdisciplinary team providing evidence-based medicine and individualized patient care. This position is a great opportunity to work in an organization that focuses on treating the whole person.

Job Title: Clinical Nurse - Observation Unit

Schedule/Shift: Full-Time / 36 hours weekly / Night Shift

Location: Silver Spring, Maryland

Position Purpose:

The Clinical Nurse/Registered Nurse works in a collaborative environment at Holy Cross Health within the Observation Unit to deliver excellent patient care as part of an interdisciplinary team providing evidence-based medicine and individualized patient care. This position is a great opportunity to work in an organization that focuses on treating the whole person.

As a Registered Nurse you will :

  • Provide direct nursing care to oncology, med/surg, and hospice patients.

  • Administer medications, including chemotherapy (if certified), and monitor for side effects.

  • Collaborate with interdisciplinary teams to coordinate comprehensive care plans.

  • Offer emotional support and education to patients and families.

  • Participate in discharge planning, pain management, and palliative care coordination.

  • Document patient progress and communicate effectively with care team

Minimum Qualifications:

  • Graduation from an accredited nursing program; basic professional nursing degree (BSN) preferred. Note, if the BSN degree is not present on hire, the employee must sign an agreement to obtain a within a specific time frame.

  • Current licensure by the Maryland State Board of Nursing or Compact State as a Registered Nurse.

  • BLS certification; additional Life Support training as applicable to unit requirements.

  • At least 1 year of nursing experience in an acute care setting.

  • Superb interpersonal, communication and collaboration abilities

  • Competency in electronic patient management systems

Preferred:

  • BSN or MSN preferred

Highlights and Benefits :

  • Comprehensive benefit packages available, including medical, dental, vision, mental health, paid time off, 403B, education assistance and voluntary benefits (pet insurance, accident insurance, hospital indemnity and others) available from first day of employment.

  • Work/Life balance with flexible schedules.

  • Free parking.

  • DailyPay Program (Get paid for hours worked)

  • Our mission and core values are what drives each member of Holy Cross Health to support each other, communicate openly and respectfully while embracing a culture that nurtures a healing, safe environment for all.

Pay Range $38.92-$55.68

Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.

About us:

Holy Cross Health is a Catholic, not-for-profit health system that serves more than 240,000 individuals each year from Maryland's two largest counties - Montgomery and Prince George's counties. Holy Cross Health earns numerous national awards, clinical designations and accreditations across a wide range of specialties for providing innovative, high-quality health care services.

Holy Cross Health is an Equal Employment Opportunity (EEO) employer.

Qualified applicants are considered for employment without regard to Minority/Females/disabled/Veteran (M/F/D/V) status.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran


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About Trinity Health

Sourced by ZipRecruiter

Trinity Health Ann Arbor is a 537 -bed teaching hospital located on 340 acre campus. Recognized by IBM Watson as a Top 100 Hospital and #1 Teaching Hospital, Trinity Health Ann Arbor has been a leading health care provider for more than 100 years. Trinity Health has received numerous local and national awards in recognition of our leadership, quality outcomes, and clinical excellence.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Livonia, MI, US