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Cardiac Step Down Jobs (NOW HIRING)

Bestica

Travel Cardiac Step-Down RN

Zanesville, OH · On-site

Travel Registered Nurse (RN) - PCU / Cardiac Step Down Location: Zanesville, OH Contract Length: 13 Weeks Start Date: 08/17/2026 Shift: Night Shift - 7:00 PM to 7:30 AM Hours: 36 Hours/Week (3×12s ...

Presbyterian Healthcare Services

$42.69 - $61.17/hr

Presbyterian is seeking a skilled Charge RN for their Cardiac Step Down Unit. How you grow, learn and thrive matters here. Educational and career development options, including tuition and ...

Phsorg

$42.69 - $61.17/hr

Presbyterian is seeking a skilled Charge RN for their Cardiac Step Down Unit. How you grow, learn and thrive matters here. Educational and career development options, including tuition and ...

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How much do cardiac step down jobs pay per hour?

As of Aug 5, 2026, the average hourly pay for cardiac step down in the United States is $22.71, according to ZipRecruiter salary data. Most workers in this role earn between $18.75 and $24.04 per hour, depending on experience, location, and employer.

What skills and qualifications are needed to thrive as a cardiac step down nurse?

To thrive as a Cardiac Step Down nurse, you need strong cardiac assessment skills, advanced knowledge of cardiovascular conditions, and a valid RN license, often with ACLS certification. Familiarity with cardiac monitoring systems, telemetry equipment, and electronic health records is typically required. Critical thinking, attention to detail, and effective communication help nurses excel in fast-paced, high-acuity environments. These skills ensure timely intervention, accurate patient monitoring, and optimal care outcomes for patients recovering from cardiac events.

What are common challenges faced by nurses working in a cardiac step down unit, and how can they be addressed?

Nurses in Cardiac Step Down units often manage patients with complex cardiac conditions who require close monitoring but not intensive care. Common challenges include balancing high patient acuity with time management, staying updated on rapidly changing patient statuses, and coordinating care with multidisciplinary teams. To address these challenges, strong communication skills, ongoing cardiac-specific education, and effective collaboration with physicians and allied health professionals are essential. Many units also provide mentorship programs and regular training to support professional growth and build confidence in managing complex cases.

What is the difference between Cardiac Step Down vs Cardiac Telemetry Nurse?

AspectCardiac Step DownCardiac Telemetry Nurse
CertificationsRN, ACLS, BLSRN, ACLS, BLS
Work EnvironmentSpecialized cardiac units, intermediate careTelemetry units, monitoring patients remotely
Job FocusMonitoring and caring for patients with complex cardiac conditionsMonitoring cardiac rhythms, early detection of arrhythmias

Both roles require RN licensure and similar certifications, but Cardiac Step Down nurses work in intermediate care units with more hands-on patient care, while Cardiac Telemetry Nurses focus on rhythm monitoring and early detection in telemetry units. The roles are closely related, with overlapping skills but different daily responsibilities.

How much do cardiac step down nurses make?

Cardiac step down nurses typically earn between $65,000 and $85,000 annually, depending on experience, location, and certifications. They work in specialized units requiring knowledge of cardiac care, monitoring equipment, and patient assessment skills.

What is a cardiac step down nurse?

Cardiac Step Down nurses are specialized registered nurses who care for patients transitioning from the intensive care unit (ICU) to a lower level of monitoring, typically after cardiac events or surgeries. These nurses monitor vital signs, administer medications, and respond to any changes in a patient's cardiac status. They play a critical role in patient recovery by providing close observation and support during this crucial period. Cardiac Step Down nurses also educate patients and families about cardiac health and recovery processes.
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Cardiac Step Down jobs near you
Infographic showing various Cardiac Step Down job openings in the United States as of July 2026, with employment types broken down into 1% Locum Tenens, 3% As Needed, 70% Full Time, 10% Part Time, and 16% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $47,233 per year, or $22.7 per hour.

Registered Nurse - Cardiac Step Down

Nemours Children's Hospital Orlando

Wilmington, DE • On-site

Other

Posted 4 days ago

Job description

Cardiac Step-Down Registered Nurse

Nemours Children's Health is looking for an experienced RN to join our Cardiac Step-Down team in Wilmington, DE. Position is 60 hrs every 2 wks, rotating 12-hr shifts, including every third weekend and every third holiday.

The Nemours Cardiac Center (NCC) provides comprehensive care for infants, children, and adolescents with cardiac, thoracic, and vascular disease. The Cardiac Center provides patient care, performs research, and educates and trains health care professionals in various settings, including the Cardiac Intensive Care Unit and the Cardiac Step-Down Unit. Essential Responsibilities: 1. Assesses and documents initial and ongoing patient needs and problems. 2. Formulates nursing plan based on patient needs and problems and indicates plan on the patient care plan. 3. Develops realistic and appropriate long- and short-term goals based on patient/family needs. 4. Implements patient plan of care 5. Evaluates the patient's and family's response to care and modified care plan accordingly. 6. Assists patient and family in discharge planning so that problems and care needs are anticipated and met. 7. Serves as an advocate for patient and family in working with other members of the health care team. 8. Provides safe and appropriate nursing care through adherence to Nursing Department standards.

Additional Requirements

A registered nurse responsible and accountable for assessing, planning, and providing care to assigned patients. Graduate of accredited school of nursing, BSN preferred Previous experience in pediatric/cardiac and or critical care nursing DE or compact RN license AHA BLS

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