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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.

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 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 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.

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 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.

Travel Nurse - RN - PCU - Progressive Care Unit - $1607 / Week - Hiring Now

MedPro Healthcare Staffing

Fort Worth, TX • On-site

$1.6K/wk

Full-time

Medical, Life, Retirement

This job post has expired today. Applications are no longer accepted.

Job description

MedPro Healthcare Staffing is seeking an experienced Progressive Care Unit Registered Nurse for an exciting Travel Nursing job in Fort Worth, TX. Shift: 3x12 hr days Start Date: 08/18/2026 Duration: 13 weeks Pay: $1607 / Week

MedPro Healthcare Staffing, a Joint Commission-certified staffing agency, is seeking a quality PCU/Step-down Nurse for a travel assignment with one of our top healthcare clients.

 

Requirements

  • Active RN License
  • Degree from accredited nursing program
  • BLS & ACLS Certifications
  • Eighteen months of recent experience in an Acute Care PCU/Step-down setting
  • Other requirements to be determined by our client facility

Benefits

  • Weekly pay and direct deposit
  • Full coverage of all credentialing fees
  • Private housing or housing allowance
  • Group Health insurance for you and your family
  • Company-paid life and disability insurance
  • Travel reimbursement
  • 401(k) matching
  • Unlimited Referral Bonuses up to $1,000

Duties Responsibilities

Progressive Care Nurses (PCU) care for patients requiring close monitoring and frequent assessment, but who aren't unstable enough to need ICU care. PCU nurses monitor cardiac and other critical vital signs and detect any changes, thereby enabling intervention of life-threatening or emergency situations. Many PCU patients receive complex medications that may require titration based on the patient’s vital signs The PCU nurse is sometimes also called a step-down nurse and the PCU is also known as cardiac step-down, medical step-down, neuro step-down, surgical step-down and ER holding.

  • Monitor and assess patients who aren't unstable enough to need ICU care.
  • Utilize computer equipment to monitor cardiac and other vital information and detect any changes, thereby enabling intervention of life-threatening or emergency situations.

About Agency

MedPro Healthcare Staffing is a Joint Commission certified provider of contract staffing services. Since 1983, we have placed nursing and allied travelers in top healthcare facilities nationwide. Join us today for your very own MedPro Experience®.

If qualified and interested, please call 954-740-8789 for immediate consideration.


MedPro Staffing is an Equal Opportunity Employer. All applicants will be considered for employment without attention to race, color, religion, national origin, age, sex, disability, marital status or veteran status.

Key Words: PCU Nurse, RN-Progressive Care, Telemetry Nursing positions, Step-down, Stepdown, Travel Nurse, Contract Nurse, Agency Nurse, EKG, Tele, Telemetry Contracts, Registered Nurse, Telemetry Nurse, Tele Nurse, RN, Registered Nurse, Telemetry Nurse, RN-Tele, Travel Nursing


*Weekly payment estimates are intended for informational purposes only and include a gross estimate of hourly wages and reimbursements for meal, incidental, and housing expenses. Your recruiter will confirm your eligibility and provide additional details.


nursingcandidates@medprostaffing.com
About MedPro Healthcare Staffing:

MedPro Healthcare Staffing is revolutionizing the way healthcare professionals experience the world on travel assignments. Our passionate team of recruiters are dedicated to finding travelers the space to evolve professionally while exploring from coast to coast. We are committed to an unwavering set of standards that translates into the extraordinary experiences of our healthcare professionals.

MedPro recruiters are equipped with emerging technology and resources that allow them to personalize each healthcare applicant’s journey. Our focus is placing travelers in environments that lend itself to a harmonious work-life balance in the places they’ve always dreamed of visiting. We’re experts in crafting the perfect blend of location, facility, and benefits to suite each traveler’s dreams.

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About MedPro Healthcare Staffing

Sourced by ZipRecruiter

At MedPro Healthcare Staffing, we are committed to placing travel nurses and allied professionals on rewarding assignments throughout the country, caring for each as part of our team, while having fun along the way. Founded in 1983, MedPro is a Joint Commission certified, leading provider of contract staffing services including travel nursing and allied health to facilities throughout the U.S. Our wide array of clients includes acute and long-term post-acute hospitals, government facilities, and medical laboratories.

Industry

Recruiting and staffing services

Company size

501 - 1,000 Employees

Headquarters location

Sunrise, FL, US

Year founded

1983

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