Registered Nurse (RN) Step-Down Unit (SDU)

$39 - $47 per hour

Full Circle Recruiting

Job Description

Salary: $39 $47 per hour base pay

Position Summary

The Registered Nurse (RN) in the Step-Down Unit (SDU) delivers high-acuity nursing care to patients requiring continuous monitoring and advanced clinical support, but not intensive care unit (ICU) level treatment. This role focuses on patients transitioning from critical care or those at elevated risk for rapid clinical deterioration.

Key Responsibilities

Provide direct, patient-centered care in a high-acuity Step-Down Unit
Perform continuous cardiac monitoring (telemetry) and interpret rhythms
Conduct frequent and detailed patient assessments; escalate care as needed
Administer medications, including titratable IV drips within SDU scope (e.g., cardiac, electrolyte, anticoagulation)
Manage patients requiring non-invasive respiratory support (BiPAP/CPAP, high-flow oxygen where applicable)
Collaborate with physicians, respiratory therapists, and interdisciplinary teams on care plans
Recognize early signs of deterioration and initiate rapid response protocols
Educate patients and families on conditions, treatments, and discharge planning
Document care accurately in the EMR in compliance with regulatory standards

Patient Population

Cardiac: arrhythmias, post-cardiac events, CHF exacerbations
Respiratory: COPD exacerbation, pneumonia, non-invasive ventilation support
Post-ICU step-down patients
Sepsis (hemodynamically stable or improving)
Neurological: stroke monitoring, post-TIA care
Post-surgical patients requiring elevated monitoring

Qualifications

Required:

Active Registered Nurse (RN) license (state-specific or compact)
Basic Life Support (BLS) certification
Minimum 1 year of acute care experience (telemetry, SDU, PCU, or ICU)

Preferred:

Bachelor of Science in Nursing (BSN)
Advanced Cardiac Life Support (ACLS)
NIH Stroke Scale (NIHSS) certification
Prior Step-Down / Progressive Care experience
Strong telemetry and rhythm interpretation skills

Work Environment & Schedule

12-hour shifts (days, nights, or rotating)
Typical nurse-to-patient ratio: 1:3 to 1:4 (acuity dependent)
Fast-paced, high-acuity inpatient environment
Weekend and holiday requirements

Apply

Vacancy posted 28 days ago

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