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Neuro Stepdown Jobs in Texas (NOW HIRING)

Travel Neuro Telemetry RN

Lubbock, TX · On-site

$1.7K - $2.3K/wk

MS/Tele experience required * 1:4 patient ratio experience * Neuro/Stepdown experience preferred * Trauma Level II experience preferred * Teaching/community hospital experience preferred 3424928 ...

Travel Neuro Telemetry RN

Lubbock, TX · On-site

$1.7K - $2.3K/wk

Skills marked with * are preferred Work Settings MS/Tele Neuro Stepdown* Telemetry Cardiac Monitoring and Emergency response Interpretation of dysrhythmias Management of dysrhythmias Use of Rapid ...

The PCU nurse is sometimes also called a step-down nurse and the PCU is also known as cardiac stepdown, medical stepdown, neuro stepdown, surgical stepdown and ER holding. PCU nursing jobs ...

The PCU RN is sometimes also called a step-down nurse, and the PCU is also known as cardiac stepdown, medical stepdown, neuro stepdown, surgical stepdown and ER holding. As a PCU Travel Nurse, you ...

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The PCU RN is sometimes also called a step-down nurse, and the PCU is also known as cardiac stepdown, medical stepdown, neuro stepdown, surgical stepdown and ER holding. As a PCU Travel Nurse, you ...

New

The Progressive Care Unit RN is sometimes also called a step-down nurse, cardiac stepdown, neuro stepdown, surgical stepdown and in some medical centers, the PCU is also known as a transition or ...

Travel Neuro Telemetry RN

Lubbock, TX · On-site

$1.7K - $2.3K/wk

Required skills: telemetry/remote monitoring, dysrhythmia interpretation and management, neuro stepdown, CVA care, post-TPA care, seizure disorders, craniotomy care, spinal cord injury, and rapid ...

Local Contract Tele RN

Longview, TX · On-site

$1.8K - $2.4K/wk

... stepdown, neuro stepdown, surgical stepdown and ER holding. PCU nursing jobs traditionally operate between the levels of general and ICU care, and more recently, in the field of critical care, as ...

Local Contract Tele RN

Longview, TX · On-site

$1.8K - $2.4K/wk

... stepdown, neuro stepdown, surgical stepdown and ER holding. PCU nursing jobs traditionally operate between the levels of general and ICU care, and more recently, in the field of critical care, as ...

Travel Telemetry RN

Longview, TX · On-site

$1.8K - $2.4K/wk

... stepdown, neuro stepdown, surgical stepdown and ER holding. PCU nursing jobs traditionally operate between the levels of general and ICU care, and more recently, in the field of critical care, as ...

Travel Tele RN

Longview, TX · On-site

$1.8K - $2.4K/wk

... stepdown, neuro stepdown, surgical stepdown and ER holding. PCU nursing jobs traditionally operate between the levels of general and ICU care, and more recently, in the field of critical care, as ...

Travel Telemetry RN

Longview, TX · On-site

$1.8K - $2.4K/wk

... stepdown, neuro stepdown, surgical stepdown and ER holding. PCU nursing jobs traditionally operate between the levels of general and ICU care, and more recently, in the field of critical care, as ...

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Neuro Stepdown information

What is a neuro stepdown nurse?

A Neuro Stepdown nurse is a registered nurse who cares for patients with neurological conditions that require a higher level of monitoring than a regular medical-surgical unit, but not as intensive as an intensive care unit (ICU). These patients may have suffered strokes, brain injuries, seizures, or undergone neurosurgery. Neuro Stepdown nurses monitor neurological status, administer medications, perform assessments, and provide specialized care to help patients transition from critical to stable conditions. They also collaborate closely with neurologists, neurosurgeons, and other healthcare professionals to ensure the best outcomes for their patients.

What are the key skills and qualifications needed to thrive as a neuro stepdown nurse?

To thrive as a Neuro Stepdown Nurse, you need solid neuro-assessment skills, advanced knowledge of neurological disorders, and an active RN license, often with experience in critical or stepdown care. Familiarity with neuro-specific monitoring equipment, electronic health records (EHRs), and certifications like ACLS or NIH Stroke Scale are commonly required. Exceptional critical thinking, clear communication, and the ability to stay calm under pressure are vital soft skills in this role. These skills and qualities are crucial for promptly recognizing changes in neurological status and providing high-quality, specialized care to patients in a fast-paced environment.

What are some common challenges faced by nurses working in a neuro stepdown unit, and how can they be managed?

Nurses in a Neuro Stepdown unit often encounter patients with complex neurological conditions who require close monitoring and frequent assessments. Managing sudden changes in patient status, such as neurological deterioration, can be challenging and requires strong critical thinking skills and prompt communication with the healthcare team. Balancing a high patient acuity with thorough documentation and collaboration with physicians, therapists, and families is essential. Many nurses find that continual education on neurological disorders and strong teamwork help them succeed in this dynamic environment.

What is the difference between Neuro Stepdown vs Neuro ICU Nurse?

AspectNeuro StepdownNeuro ICU Nurse
CertificationsRN, Neuro or Critical Care certification often preferredRN, Neuro or Critical Care certification required
Work EnvironmentStepdown units, transitioning patients from ICU to general careIntensive Care Unit, managing critically ill neuro patients
Patient AcuityModerate to high, but less critical than ICUVery high, critically ill neuro patients requiring intensive monitoring
Typical ResponsibilitiesMonitoring neurological status, administering medications, patient educationAdvanced neuro assessments, ventilator management, complex interventions

Neuro Stepdown nurses care for patients recovering from critical neuro conditions, focusing on stabilization and transition. Neuro ICU nurses handle more critically ill patients requiring intensive monitoring and interventions. Both roles require neuro-specific certifications and knowledge, but differ mainly in patient acuity and work environment.

Do neuro stepdown nurses get paid more?

Neuro stepdown nurses often earn higher salaries compared to general medical-surgical nurses due to specialized skills in neurological care and critical thinking. Their pay can also be influenced by experience, certifications like CCRN, and the healthcare facility's location and demand for neuro-specific expertise.

What are popular job titles related to Neuro Stepdown jobs in Texas?

For Neuro Stepdown jobs in Texas, the most frequently searched job titles are:

What cities in Texas are hiring for Neuro Stepdown jobs?

Cities in Texas with the most Neuro Stepdown job openings:

Infographic showing various Neuro Stepdown job openings in Texas as of August 2026, with employment types broken down into 1% Locum Tenens, 3% As Needed, 65% Full Time, 12% Part Time, 1% Temporary, and 18% Contract. Highlights an 99% Physical, and 1% Remote job distribution.

Travel Neuro Stepdown RN

Wichita Falls, TX • On-site

American Traveler
Recruiting and Staffing Services • 501 - 1,000 employees

Contractor

Medical, Dental, Vision, Life, Retirement

Posted 2 days ago

New


Job description

American Traveler is seeking a travel nurse RN Neuro PCU - Progressive Care Unit for a travel nursing job in Wichita Falls, Texas.

Job Description & Requirements
  • Specialty: Neuro PCU - Progressive Care Unit
  • Discipline: RN
  • Start Date: 09/21/2026
  • Duration: 13 weeks
  • 48 hours per week
  • Shift: 12 hours, nights
  • Employment Type: Travel
Assignment Overview
  • Shift: Nights, 4x12hrs
  • Hours: 48 hrs/wk
  • Start Date: Sep 21, 2026
  • Length: 13 weeks
  • Openings: 1
Description

American Traveler is seeking an experienced Stepdown Neuro RN for a night shift assignment requiring a TX or compact RN license and ACLS, BLS, and NIHSS certifications.

Details
  • Neuro PCU/Stepdown unit setting
  • Patient ratio of 1:4 at night, occasionally 1:5
  • Night shift schedule, 3x12 or 4x12 hours (18:45-7:15)
  • Divisional floating required, including overflow and ED holds
  • Must be able to work 2-3 holidays including Thanksgiving, Christmas Eve, Christmas, New Year's Eve, and New Year's Day
Requirements
  • Active TX or compact RN license required
  • Current BLS, ACLS, and NIHSS certifications required
  • CPI certification preferred
  • Minimum 2 years of RN experience required
  • Prior travel nursing experience required
  • Epic charting experience strongly preferred
  • Skills in cardiac telemetry monitoring, dysrhythmia interpretation and management, and rapid response/code team utilization
  • Experience with IV therapy, central/PICC/peripheral line care, and blood product administration
  • Experience managing neurological conditions including CVA, intracranial bleeds, seizure disorders, and TBI
  • Experience with respiratory care including BiPAP/CPAP, chest tubes, and HFNC
  • Skills checklist and two supervisor references from within the last 3 years required for consideration
Additional Information
  • Provide stepdown-level nursing care to neurological patients including CVA, intracranial bleeds, seizure disorders, and traumatic brain injury cases
  • Manage cardiac and vasoactive drips without titration responsibilities
  • Perform wound care and manage IV insulin protocols
  • Facility conducts its own onsite drug screen including marijuana testing, and a positive result results in automatic cancellation
  • Candidates must live outside a 50-mile radius of the facility, as local candidates are not accepted
  • Modules are completed during orientation, averaging 2-3 hours, and are non-billable if completed within the first 16 hours

American Traveler Job ID #P-749997. Pay package is based on 12 hour shifts and 48 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Travel RN - Telemetry - Stepdown

About American Traveler

With over 25 years of experience, American Traveler has established a reputation for outstanding customer service. Our team ensures a smooth, worry-free experience for those starting on or expanding their travel nursing and allied careers.

With thousands of travel nursing and allied jobs nationwide, our attentive and approachable recruiters find positions that align perfectly with your career aspirations and personal requirements.

American Traveler offers exceptional benefits, including premium medical, dental, vision and life insurance beginning day one of your assignment, generous 401(k) match, substantial housing stipends, and more. Additionally, with 24/7 support and access to our in-house clinicians, you are assured confidence and comfort throughout your assignment.

With our team behind you, you can relax and enjoy a rewarding travel career.


American Traveler logo

About American Traveler

Sourced by ZipRecruiter

With over 20 years of success in healthcare staffing, American Traveler has established a reputation for outstanding customer service. Our full-service agency has earned top ratings from healthcare professionals in every specialty and setting. We offer travel assignments in the most sought-after locations and facilities in the country. We staff major medical centers, prestigious university teaching facilities, Magnet facilities, regional community hospitals, outpatient centers, rehab centers, skilled nursing facilities and more. With our expert team behind you every step of the way, you can enjoy a rewarding travel career that exceeds your expectations. With over 20 years of experience, American Traveler has established a reputation for outstanding customer service. With our team behind you, you can relax and enjoy a rewarding travel career.

Industry

Recruiting and staffing services

Company size

501 - 1,000 Employees

Headquarters location

Boca Raton, FL, US

Year founded

1999