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

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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 Aug 16, 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.

Do step down unit RNs get paid more?

Step Down Unit RNs typically earn higher salaries than those working in general medical-surgical units due to the increased complexity of patient care and the specialized skills required. Their advanced training, certifications, and experience in critical care contribute to higher compensation levels.

What is a step down unit RN?

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.

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 skills and qualifications are needed to thrive as a step down unit RN?

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.

What are 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.

What are popular job titles related to Step Down Unit Rn jobs in Dallas, TX?

For Step Down Unit Rn jobs in Dallas, TX, the most frequently searched job titles are:

What job categories do people searching Step Down Unit Rn jobs in Dallas, TX look for?

The top searched job categories for Step Down Unit Rn jobs in Dallas, TX are:

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 August 2026, with employment types broken down into 84% Full Time, 10% Part Time, and 6% Contract. Highlights an 100% In-person job distribution, with an average salary of $71,621 per year, or $34.4 per hour.

Ortho Trauma PCU RN - Plano, TX!

ThreePDS Inc.

Plano, TX • On-site

Other

Re-posted 11 days ago

Job description

Ortho Trauma PCU RN

Position: Ortho Trauma PCU RN - Plano, TX 2 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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