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Overnight Rn Observation Unit Jobs in Washington, DC

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Overnight Rn Observation Unit information

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$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 (RN) Unit Supervisor Observation Unit

Inova

Fairfax, VA • On-site

$40.50 - $53.50/hr

Full-time

Medical, Dental, Vision, PTO

Re-posted 12 days ago


Inova Health System rating

7.5

Company rating: 7.5 out of 10

Based on 260 frontline employees who took The Breakroom Quiz

239th of 893 rated healthcare providers


Job description

Inova Fair Oaks Hospital is looking for a dedicated Experienced Registered Nurse to join our Observation team. This role will be Full-Time, Nights (12 hour shifts/40 hours per week) 7:00 p.m. - 7:00 a.m. Sign-on bonus and relocation assistance eligible. 

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation. 

We honor our RN'S for providing world-class healthcare-every time, every touch- to each person in every community we have the privilege to serve! The Observation Unit (OBS) at Inova Fair Oaks Hospital is comprised of 15 beds with rapid patient turnover and discharges per shift (with patients staying for 24 hours or less). The patient population consists of cardiac, neurological, medical, and surgical patients. This position allows for future professional growth by teaching the fast-paced atmosphere of an ER while strengthening critical skills in a medical/surgical setting.  Ideal for candidates who possess strong time management skills, work well in a team-paced settings. 

Featured Benefits:

  • Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.
  • Retirement: Inova matches the first 5% of eligible contributions - starting on your first day.
  • Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
  • Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
  • Work/Life Balance: offering paid time off, paid parental leave, and flexible work schedules

Registered Nurse (RN) Unit Supervisor - Observation Unit Job Responsibilities:

  • Conducts high quality shift huddles by communicating strategic priorities related to target, actual and gap barriers in addition to small tests of change, results of rounding, challenges, celebrations and other matters
  • Conducts effective safety huddles and conducts or appropriately delegates all environmental and safety rounding and conducts and ensures that Patient, Medical Director and RN rounding is completed for areas of responsibility
  • Rounds on staff continually and serves to remove or escalate barriers to providing quality care while enhancing staff engagement
  • Reviews core measures, key performance indicators and other metrics relevant to unit/patient populations and participates in the analysis of unit based service outcomes as well as development of action plans that lead to systematic improvements in outcomes
  • Participates in emergency and safety preparedness drills/trainings as required
  • Ensures adherence to The Joint Commission standards that are relevant to areas of responsibility and ensures that team members are knowledgeable of related standards
  • Contributes to professional decision making to support and/or implement unit based quality improvement work and strategic outcomes
  • Serves as role model to others in communication to patients, identifying concerns, diffusing potentially difficult situations and facilitating resolution

Minimum Qualifications:

  • Education: BSN from an accredited school of nursing. If RN has an associate's degree (ADN); must be within one (1) year of completing BSN
  • Experience: Requires a minimum of 1-year Registered Nurse clinical experience in the acute care setting.
  • Certification: Currently licensed as a Registered Nurse in the State of Virginia or hold a privilege to practice in the State of Virginia under the Enhanced Nurse Licensure Compact (eNLC). Basic Life Support (BLS) for Healthcare Provider certification from the American Heart Association required upon start. Specialty certification (as required by unit) within one (1) year from date of hire. Completion of a revised Charge Nurse workshop within the first 90 days (3 months) of employment

Preferred Qualifications:

  • Previous experience in Observation, Medical Surgical, ED, PCU, or Cardiac Telemetry strongly preferred.

We are Inova, Northern Virginia's leading nonprofit healthcare provider. Every day, our 26,000+ team members provide world-class healthcare to the communities we serve. Our people are the reason we're a national leader in healthcare safety, quality and patient experience. And from best-in-class facilities to professional development opportunities, we support them at every step. At Inova, we're constantly striving to be ever better - to shape a more compassionate future for healthcare. 

Inova Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law.


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