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Definitive Observation Unit CNA
Company : Prime Healthcare Services
Location : Mesquite, TX, 75149
Job Type : Full Time
Date Posted : 13 January 2026
Overview
We are seeking a Definitive Observation Unit CNA, also referred to DOU Certified Nursing Assistant, Step-Down Certified Nursing Assistant (CNA) or Progressive Care CNA in our Definitive Observation Unit (DOU). This role involves providing direct patient care to individuals who require closer monitoring than on a regular med-surg floor but are not critical enough for the ICU in our DOU.
Shift’s Available: Nights
Employment Type: Full Time
Hours: 12-hour shifts – 7:00pm to 7:00am
Location: Dallas Regional Medical Center - Mesquite, TX
Here are some of the benefits of working at Prime Healthcare:
- Health, dental, and vision insurance options
- Paid vacation, sick time and holidays
- Bereavement leave, FMLA and other leave options
- Employer 401K options
- Tuition reimbursement options
- Life, disability, and other insurance options
- Many other amazing benefits
Responsibilities
Essential Duties and Responsibilities (includes, but not limited to):
- Take and record frequent vital signs including blood pressure, heart rate, respiratory rate, temperature, and oxygen saturation
- Assist patients with bathing, grooming, toileting, dressing, oral care, and feeding support
- Turn, reposition, and assist patients with mobility and safe transfers using proper techniques and equipment
- Monitor and document intake and output while observing for and reporting any changes in patient condition
- Support nursing staff in providing high-quality care to patients requiring close observation in a step-down unit
Qualifications
Before we go any further, we do have some deal-breakers. You must have:
Employment Status
Full TimeShift
NightsEqual Employment Opportunity
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
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Frequently asked questions
A Definitive Observation Unit CNA specializes in monitoring patients who need closer observation than a standard med-surg floor but aren't ICU-level critical. Proficiency in frequent vital sign assessments and supporting step-down care distinguishes this role within Mesquite’s hospital settings.
This role provides exposure to progressive care units, sharpening skills in patient monitoring and acute care support. It positions CNAs for advancement opportunities in specialized hospital units, especially in high-demand Texas healthcare environments.
Night shifts align with the continuous care model for patients needing close observation. Being available overnight ensures uninterrupted monitoring and timely interventions, a key factor in patient outcomes at Dallas Regional Medical Center.
Prime Healthcare mandates current CNA certification and BLS (AHA) credentials. Additional knowledge of medical terminology is advantageous, reflecting the clinical acuity expected within their definitive observation units across Texas.
In Mesquite, Definitive Observation Unit CNAs on night shifts typically earn between $16 and $22 per hour, factoring in the specialized skills and shift differentials common within Texas healthcare facilities like Prime Healthcare Services.
Prime Healthcare offers comprehensive benefits including health, dental, vision insurance, paid leave, tuition reimbursement, and employer 401k plans. This package supports CNAs’ well-being and professional growth within Mesquite's competitive healthcare market.
Prime Healthcare fosters a patient-centered environment emphasizing teamwork and high-quality care. CNAs are encouraged to actively collaborate with nursing staff, promoting attentive monitoring and responsive interventions in their step-down units.
Mesquite’s growing population and healthcare expansion create steady demand for CNAs, especially in specialized units like definitive observation. However, candidates with current certifications and night shift flexibility have a distinct advantage.
Night shift CNAs often manage patient rest disruptions, monitor subtle condition changes, and respond swiftly to emergencies with fewer staff on hand. Effective vigilance and multitasking are essential to ensure patient safety overnight.