Stepdown Registered Nurse

Texas Nursing Services • Sanford, FL

44d • $32 - $46

About The Position

We are seeking a dedicated and compassionate ICU Stepdown RN to join a skilled team providing care for patients who require frequent assessments and continuous monitoring. This 15-bed unit functions as a true intermediate care area—managing drips, ventilators, and complex conditions—with a 3:1 nurse-to-patient ratio (occasionally 4:1). You’ll work in a collaborative environment committed to teamwork, safety, and clinical excellence.

Requirements

• Active RN license (Florida or Compact)
• Minimum 1 year of recent ICU Stepdown experience in an acute care setting
• ADN or Nursing Diploma

Nice To Haves

• BSN degree
• RNs with 3+ years of Cardiac or Multisystem PCU experience
• NIH Stroke Scale within 30 days of hire
• BLS within 30 days; ACLS within 6 months

Responsibilities

• Provide direct, continuous care to patients requiring stepdown or progressive care-level support.
• Perform frequent assessments and respond to rapid changes in patient status.
• Manage cardiac drips, ventilators, and other complex therapies safely and effectively.
• Collaborate with interdisciplinary team members to coordinate treatment and discharge plans.
• Educate patients and families on conditions, medications, and recovery care.
• Maintain accurate documentation and uphold safety and regulatory standards.

Benefits

• Hourly Range: $31.86 – $46.28 (based on experience)
• Shift Differentials: +$4.50/hr (Nights), +$1.50/hr (Weekends)
• Sign-On Bonus: $15,000 Days | $20,000 Nights (available through November 2025)
• Comprehensive medical, dental, and vision insurance (includes preventive care & telemedicine)
• 401(k) with up to 9% employer match
• Employee Stock Purchase Plan (10% discount)
• Paid family leave, PTO, and disability coverage
• Tuition reimbursement up to $5,250/year + $100/month student loan assistance
• Fertility and adoption support, dependent scholarships, and professional development opportunities
• Wellness resources including counseling, legal/financial services, and pet insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 101-250 employees