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Rn Surgical Step Down Unit Jobs (NOW HIRING)

Rochester Regional Health

$39.74 - $52.99/hr

Registered Nurse - Surgical Step Down Unit Department: Critical Care - Surgical Step Down Location: Rochester General Hospital Hours Per Week: Full-Time (36 hours per week) Schedule: Nights, Every ...

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How much do rn surgical step down unit jobs pay per week?

As of Sep 12, 2026, the average weekly pay for rn surgical step down unit in the United States is $2,177.19, according to ZipRecruiter salary data. Most workers in this role earn between $1,663.46 and $2,442.31 per week, depending on experience, location, and employer.

What is an RN Surgical Step Down Unit nurse?

RN Surgical Step Down Unit nurses are registered nurses who care for patients recovering from surgery who require more monitoring and support than a general medical-surgical floor but less than intensive care. These nurses manage patients with complex needs, such as those with chest tubes, drains, or cardiac monitoring, and provide assessments, medication administration, and post-operative care. They play a vital role in patient recovery, acting as a bridge between the intensive care unit (ICU) and general care settings.

What are some of the unique challenges nurses face when working in a Surgical Step Down Unit?

Nurses in a Surgical Step Down Unit often care for patients who are transitioning from intensive care but still require close monitoring due to complex post-surgical needs. This environment demands strong assessment skills to quickly identify changes in patient conditions and intervene appropriately. Balancing multiple priorities, such as pain management, wound care, and early mobilization, can be challenging, especially when patient acuity varies. Collaboration with surgeons, anesthesiologists, and physical therapists is frequent, making strong communication skills essential for ensuring coordinated patient care.

What are the key skills and qualifications needed to thrive as an RN in a Surgical Step Down Unit, and why are they important?

To thrive as an RN in a Surgical Step Down Unit, you need advanced clinical assessment abilities, strong knowledge of post-surgical care, and an active RN license, often with ACLS certification. Familiarity with electronic health record (EHR) systems, telemetry monitoring, and wound care equipment is essential. Outstanding critical thinking, attention to detail, and effective communication with patients and multidisciplinary teams set top performers apart. These skills are vital to ensure patient safety, rapid response to complications, and successful recovery in a fast-paced, high-acuity environment.

What cities are hiring for Rn Surgical Step Down Unit jobs?

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Infographic showing various Rn Surgical Step Down Unit job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 17% Part Time, and 8% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $113,214 per year, or $54.4 per hour.

Registered Nurse - Surgical Step Down Unit

Rochester, NY • On-site

Rochester Regional Health
Hospitals • 10K+ employees
Learn more about Rochester Regional Healthexternal

$39.74 - $52.99/hr

Other

Posted 10 days ago

Rochester Regional Health rating

7.3

Company rating: 7.3 out of 10

Based on 222 frontline employees who took The Breakroom Quiz

Job description

Job Title

Registered Nurse - Surgical Step Down Unit

Department

Critical Care - Surgical Step Down

Location

Rochester General Hospital

Hours Per Week

Full-Time (36 hours per week)

Schedule

Nights, Every Other Weekend, Every Other Holiday

Summary

As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health. You make a positive difference every single day in the lives of our patients, their family members and visitors – going above and beyond to meet their needs with courtesy, kindness, respect and compassion.

The Surgical Step Down Unit specializes in the care of patients who have undergone complex and innovative vascular surgeries, amputations and other surgical services. The Unit will also care for Medical ICU patients, including those who are vent‑dependent.

Culminative Ladder Level I-IV

The RN level will be determined at the time of hire based on the candidate’s qualifications and ability to meet Clinical Ladder requirements. An established compensation add‑on is applied to each RN level.

Level expectations include:

  • RN Level II: Minimum 6 months RN experience; AAS in Nursing; completion of Clinical Ladder requirements within 12 months, including 3 activities per pillar (Leadership, Quality, Organizational Contribution), 9 CEUs, and 6 flex items.
  • RN Level III: Minimum 1 year RN experience; AAS in Nursing; demonstrated clinical and leadership skills; preceptor and/or charge experience; completion of 4 activities per pillar, 12 CEUs, and 15 flex items.
  • RN Level IV: Minimum 1 year experience in the specialty hired into; BS in Nursing required; expanded leadership role (charge, preceptor, mentor); completion of Clinical Ladder requirements within 12 months, including 5 activities per pillar, 15 CEUs, and 20 flex items.
Responsibilities
  • Provides high‑quality, patient‑centered, clinical care.
  • Performs initial and ongoing assessment of the patient, utilizing appropriate data (i.e. physical, psychological, educational and risk‑screen data appropriate for the chronological / developmental age of the patient).
  • Communicates and documents assessment of patient with the interdisciplinary team. Utilizes all available resources in order to meet the needs of the patient and family.
  • Develops and documents plan of care, treatment and services which is individualized and appropriate for the patient needs, strengths, limitations and goals.
  • Complies with organizational policies, procedures and protocols including policies governing safety, medication administration and documentation.
  • Revises plan of care based on ongoing evaluations and updates documentation appropriately.
  • Completes at least one clinical research utilization (CRU) form for submission to Nursing Research Department utilizing a research article from the last 5 years from research performed in the United States. Compliance.
  • Completes a minimum of 5 nationally approved contact hours (CNE or CEU) per year.
  • Completes mandatory in‑services and health screens in timely manner.
  • Maintains Basic Life Support (BLS) certification.
Required Qualifications
  • Diploma or Associate’s Degree in Nursing.
  • Registered Nurse license in New York State.
  • Basic Life Support (BLS) certification.
Preferred Qualifications
  • Bachelor’s Degree in Nursing preferred.
  • At least 6 months RN experience preferred.
Education
  • AS: Nursing (Required)
Physical Requirements

M - Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects; Requires frequent walking, standing or squatting.

Licenses/Certifications
  • RN - Registered Nurse - New York State Education Department (NYSED)
  • BLS - Basic Life Support - American Heart Association (AHA)
Pay Range

$39.74 - $52.99

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