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Step Down Unit Rn Jobs in Dallas, TX (NOW HIRING)

ARMS Staffing

RN - Mother-Baby / Post Partum

Plano, TX · On-site

Registered Nurse - Mother/Baby Care Location: Plano, TX Assignment Duration: This is a 13-week ... Candidates with step-down NICU baby experience are preferred, as our staff may be required to float ...

Dallas Regional Medical Center

Weekend RN PCU

Mesquite, TX · On-site

$1.8K - $2.5K/wk

In the Progressive Care Unit (PCU), the PCU RN or Step-Down RN will provide specialized care to patients with acute and/or chronic medical conditions who require close monitoring, intervention, and ...

Dallas Regional Medical Center

Weekend RN PCU

Mesquite, TX · On-site

$1.8K - $2.5K/wk

In the Progressive Care Unit (PCU), the PCU RN or Step-Down RN will provide specialized care to patients with acute and/or chronic medical conditions who require close monitoring, intervention, and ...

Prime Healthcare

Weekend RN PCU

Mesquite, TX

$1.8K - $2.5K/wk

In the Progressive Care Unit (PCU), the PCU RN or Step-Down RN will provide specialized care to patients with acute and/or chronic medical conditions who require close monitoring, intervention, and ...

Prime Healthcare

Weekend RN PCU

Mesquite, TX · On-site

$1.8K - $2.5K/wk

In the Progressive Care Unit (PCU), the PCU RN or Step-Down RN will provide specialized care to patients with acute and/or chronic medical conditions who require close monitoring, i ntervention, and ...

Cynet Health

RN - CVICU

Dallas, TX · On-site

Registered Nurse Job Title: Registered Nurse Profession: RN Specialty: Pediatric ICU Duration: 13 ... The unit will accommodate both ICU and step down level patients to ensure continuity of care. The ...

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All JobsStep Down Unit Rn JobsStep Down Unit Rn Jobs in Dallas, TX

Step Down Unit Rn information

See Dallas, TX salary details

$38.6K

$71.6K

$100.9K

How much do step down unit rn jobs pay per year?

As of Jul 27, 2026, the average yearly pay for step down unit rn in Dallas, TX is $71,621.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,300.00 and $68,800.00 per year, depending on experience, location, and employer.

What are Step Down Unit RNs?

Step Down Unit RNs are registered nurses who care for patients who require more attention than those on a general medical-surgical floor but are not critical enough for the intensive care unit (ICU). They monitor patients closely, administer medications, and respond quickly to changes in condition. Step Down Unit RNs often work with patients recovering from surgery, cardiac events, or severe illnesses, providing advanced monitoring and support to help them transition to lower levels of care.

How to make 200,000 a year as a nurse?

To earn $200,000 annually as a Step Down Unit RN, gaining extensive experience, pursuing advanced certifications, and working in high-demand or high-paying regions can help increase income. Specializing in critical care, taking on leadership roles, or working overtime and per diem shifts also contribute to higher earnings.

What is the difference between Step Down Unit Rn vs Medical-Surgical Nurse?

AspectStep Down Unit RnMedical-Surgical Nurse
CredentialsRN license, possibly CCRN or specialty certificationsRN license, often same certifications
Work EnvironmentIntermediate care units, closer patient monitoringGeneral hospital floors, broader patient care
Patient AcuityHigher acuity, more complex casesModerate acuity, routine cases
Job FocusMonitoring critical signs, managing unstable patientsProviding basic nursing care, patient education

The main difference between a Step Down Unit Rn and a Medical-Surgical Nurse lies in patient acuity and care complexity. Step Down Unit Rns handle higher acuity patients requiring closer monitoring, while Medical-Surgical Nurses care for patients with moderate needs. Both roles require an RN license and similar certifications, but the work environment and patient care focus differ significantly.

What does a stepdown RN do?

A stepdown RN provides care to patients who require more monitoring than in a general ward but less than intensive care. They assess patient conditions, administer medications, monitor vital signs, and collaborate with healthcare teams to ensure safe recovery. This role often involves using specialized equipment and requires strong clinical skills and critical thinking.

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

To thrive as a Step Down Unit RN, you need strong clinical assessment skills, acute care experience, and an active RN license, often with ACLS certification. Familiarity with telemetry monitoring, electronic health records (EHRs), and advanced life support protocols is essential. Excellent communication, critical thinking, and resilience help you manage complex patient needs and collaborate effectively with multidisciplinary teams. These skills and qualities are crucial for ensuring patient safety and optimal outcomes in a high-acuity, fast-paced environment.

How to make $300,000 as a nurse?

Step Down Unit RNs can increase their earnings by gaining specialized certifications, working overtime or extra shifts, and pursuing higher-paying roles such as charge nurse or nurse manager. Working in high-demand areas, gaining experience, and obtaining advanced degrees like a BSN or MSN can also lead to higher salaries, especially in regions with higher pay scales.

How to make an extra 2000 a month as a nurse?

Step Down Unit RNs can increase their income by taking on per diem or overtime shifts, which often pay higher rates, or by working in travel nursing assignments that offer additional stipends. Developing specialized skills or certifications, such as in critical care or advanced cardiac life support, can also qualify for higher-paying roles or bonuses. Additionally, some nurses supplement income through side jobs like telehealth or teaching nursing courses.

What are some common challenges faced by Step Down Unit RNs, and how can they be addressed?

Step Down Unit RNs often manage patients who are too ill for general medical-surgical floors but do not require intensive care, which means rapidly changing patient conditions can present significant challenges. Balancing a higher patient-to-nurse ratio than in the ICU while still providing vigilant monitoring requires strong organizational and prioritization skills. Effective communication with multidisciplinary teams and quick decision-making are essential to ensure patient safety. Many RNs find that actively seeking mentorship, participating in continuing education, and using available support resources can help manage these challenges and support professional growth.
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What cities near Dallas, TX are hiring for Step Down Unit Rn jobs? Cities near Dallas, TX with the most Step Down Unit Rn job openings:
Step Down Unit Rn jobs near you
Infographic showing various Step Down Unit Rn job openings in Dallas, TX as of July 2026, with employment types broken down into 2% As Needed, 70% Full Time, 23% Part Time, 2% Temporary, and 3% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $71,621 per year, or $34.4 per hour.
Ortho Trauma PCU RN - Plano, TX!

Ortho Trauma PCU RN - Plano, TX!

ThreePDS Inc.

Plano, TX • On-site

Other

Posted 20 days ago

Job description

Ortho Trauma PCU RN - Plano, TX

Two shifts available: Days & Nights (rotating weekends) 3X12 hr.

Day Shift: 7A-7P

Night Shift: 7P-7A

Unit does self-scheduling Medical City Plano is a full-service, Magnet-designated 600+-bed acute care hospital with more than 2,070 employees. As part of HCA Healthcare, we have the resources and clinical expertise necessary to provide exceptional care. Our services include a level 1 trauma center, comprehensive cancer treatment, advanced surgery including robotic and minimally invasive, orthopedics, heart and vascular care, and complete women's and children's services including a high-risk antepartum unit and a Level 3 NICU.

Job Responsibilities

Applying the standards set forth for nursing practice by the American Nurses Association (ANA), the Ortho Trauma PCU RN will organize, modify, evaluate, document, and maintain the plan of care for a unique population of patients. Plan, implement, revise and delegate nursing care. Perform necessary technical skills as decline, and through education, expertise, and unit requirements. Incorporate teaching into all aspects of nursing practice. On this fast-paced and challenging 37-bed step-down unit, you will provide care to adult patients undergoing elective procedures such as total joint replacement, bone, and soft tissue tumor resections as well as patients with various fractures, amputations, deglovings, and injuries from traumatic events such as car accidents and gunshots.

Education
  • BSN required
  • Texas State RN license or compact license is accepted
  • Current BLS/ACLS issued by the American Heart Association required
  • Must have at least one (1) year of RECENT Medical Surgical or Intermediate Care RN experience in an acute care hospital
  • Ortho or Trauma experience is PREFERRED
Additional Information
  • Nurse to patient ratio- 1:4/5
  • #Beds per unit- 37
  • Reports to the unit manager
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About ThreePDS

Sourced by ZipRecruiter

At ThreePDS, our mission is to provide the highest quality staffing solutions on a contract and/or permanent basis within the framework of a highly personalized and transparent approach. Our mission is to provide the highest quality staffing solutions on contract and or permanent basis within the framework of a highly personalized and transparent approach. We Partner with Clients and Candidates alike to provide the highest level of service to achieve a common goal.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Addison, TX, US

Year founded

2003

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