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Overnight Rn Observation Unit Jobs in Washington, DC

Johns Hopkins Healthcare

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 ...

Johns Hopkins HealthCare

RN - Observation Unit

Columbia, MD · On-site

$39.25 - $51.75/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 ...

Johns Hopkins Healthcare

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 ...

Johns Hopkins Healthcare

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 23, 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.

Overnight Rn Observation Unit jobs near you

RN - Observation Unit

Johns Hopkins Healthcare

Columbia, MD • On-site

$38.75 - $51.25/hr

Full-time

Life, Retirement

Re-posted 22 days ago

Johns Hopkins Medicine rating

7.7

Company rating: 7.7 out of 10

Based on 231 frontline employees who took The Breakroom Quiz

160th of 893 rated healthcare providers

Job description

Make it happen at Hopkins.
Weekly Working Hours: 36
Shift: 12-hour shift 7a-7:30p
Job Details & Qualifications:
Hospital Info:
Johns Hopkins Howard County Medical Center is a private, not-for-profit, community health care provider, governed by a community-based board of trustees. Since its founding in 1973, the original 59-bed, short-stay hospital has grown into a comprehensive acute care medical center with 262 licensed beds. We specialize in women's and children's services, surgery, cardiology, oncology, orthopedics, gerontology, psychiatry, emergency services and community health education.
Our mission, "Provide the highest quality care to improve the health of our entire community through innovation, collaboration, service excellence, diversity and a commitment to patient safety" is carried through in everything we do.
Hear what our hospital president has to say about what we do and why we do it: https://www.youtube.com/watch?v=qj5KuB34gU8
Unit/Role Info:
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, safety, and excellence in care. Provides evidence-based practice care based on the nursing process policy, procedures, and protocols. Works collaboratively with a multidisciplinary health care team to optimize patient care outcomes. Participates and promotes quality clinical improvement by supporting standards within a given care setting. Practices and promotes responsible cost effective use of resources. Completes all identified annual requirements and competencies for the patient population, care setting, department, and institution. Participates in the performance appraisal process. Demonstrates organizations core values on a consistent basis.
Qualifications:
  • Associate's Degree in nursing (ADN) (Required)
  • Bachelor of Science in Nursing (BSN) (Preferred) and
  • Applicants with an associate degree in nursing will be considered. Per nursing guidelines, must matriculate into a Bachelor of Nursing program.
  • RN - Registered Nurse Upon Hire (Required)
  • CPR - Basic CPR Upon Hire (Required)
  • Minimum six (6) months of nursing experience required.

We're proud to offer a robust benefits package that supports your health, growth, and well-being. Discover our full offerings and costs here: mybenefitsjhhs.com
What Awaits You:
  • Competitive pay and benefits that support you at every stage of your life and career.
  • Retirement plans with employer contributions to help you plan confidently for the future.
  • Generous time off so you can unplug, recharge, and enjoy life outside of work.
  • Access to world-class facilities and innovative technology that fuel your curiosity.
  • Endless opportunities to advance your career as part of the Johns Hopkins team.

Salary Range: Minimum 37.13/hour - Maximum 57.87/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.
The Hospital reserves the right to modify employee schedules as needed.
We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.
Johns Hopkins Health System and its affiliates are drug-free workplace employers.
Johns Hopkins Health System and its affiliates are an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.

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