RN, Emergency Observation Unit, FT, Nights

  • Oregon Health & Science University (OHSU)
  • Portland, OR, USA
  • Feb 23, 2021
Full time Registered Nurse (RN)

Job Description

Department Overview

The Emergency Observation Unit consists of 16 beds (8 on 5B, and 8 on 6B). 


The Observation Unit is dedicated to efficient care of patients from the Emergency Department who do not meet inpatient admission status but are not immediately appropriate to send home. Patients are seen 24 hours a day by an advanced practice provider in conjunction with the Emergency Medicine Attending Physician.


The Observation nurses work as part of an interdisciplinary care team to provide individualized family-centered care for adult patients determined to need ongoing monitoring and care under the observation patient classification (24-48 hours).  The typical patient ratio in the Observation unit is one nurse per four patients.

Function/Duties of Position

OHSU cares for patients of varying acuity in the Observation unit.  A successful candidate will be able to practice independently and will engage in effective teamwork.  Observation nurses understand the importance of their independent scope of practice and participate in the dependent scope of practice decision making with the provider team. 

Common patient presentations in the Observation Unit include:

  • Resolved chest pain with unknown etiology
  • Observation post traumatic injury
  • Abscess requiring IV antibiotics
  • Patients with resolved TIA symptoms
  • Cellulitis


The OHSU Clinical registered nurse (RN) provides compassionate, evidence-based, and efficient care to individuals, families, communities and patient populations. The Clinical RN's care delivery is consistent with the Oregon Nurse Practice Act, the ANA Scope and Standards of Practice, and the ANA Code of Ethics. The Clinical RN demonstrates the professional role obligations of scientist, leader, and knowledge transferor [Onsomble Model of the Professional Role™]. Professional accountability enriches the Clinical RN's engagement as a leader in promoting an inter-professional culture of collaborative decision-making, innovation, life-long learning, and teamwork. The Clinical RN exemplifies the principles of a Culture of Safety by committing to a Just Culture, a Reporting Culture, a Learning Culture, and an Engaged Informed Culture.


STEMI, acute psychosis/psychological emergencies, infection, and sepsis. Patients may frequently present with alcohol or drug abuse history, and complex medical histories.

Required Qualifications


  • 1 -year of current Acute Care or Emergency Medicine Experience with Adult patients.
  • Baccalaureate of Science in Nursing Degree from a program accredited by Commission of Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN) or Commission for Nursing Education Accreditation (CNEA); Current  OHSU workforce members may have an ADN or diploma
  • Unencumbered criminal background check
  • Current, unencumbered Oregon State Registered Nurse License or Endorsement by the start date
  • BLS and ACLS  must be issued by the American Heart Association (AHA) or Military Training Network branch of AHA
  • Must have excellent communication and reflection skills, the ability to work collaboratively in a team, and the flexibility to delegate, prioritize, and adapt in stressful situations

Preferred Qualifications


  • PNCC or MSRN certification
  • Two years of current Acute Care experience
  • Cardiac Monitoring and Telemetry Experience

Additional Details

Usual Orientation Time: Dependent on previous experience and expertise for up to 4 weeks.

All are welcome

Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.


Emergency Nursing