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

PSNYC , INC.

RN - PCU/Step Down

Lewisville, TX

$1K - $2K/wk

RN - PCU/Step Down Shift Details: 7:00 PM - 7:30 AM, 3 shifts per week, 36 scheduled hours Start Date: 06/01/2026, End Date: 08/31/2026, Duration: 13 weeks Unit Highlights: Med City Lewisville ...

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Prime Healthcare

Registered Nurse PCU

Mesquite, TX · On-site

$1K - $2K/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

Registered Nurse PCU

Mesquite, TX · On-site

$1K - $2K/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

Registered Nurse PCU

Mesquite, TX · On-site

$1K - $2K/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

Registered Nurse PCU

Mesquite, TX · On-site

$1K - $2K/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

Registered Nurse PCU

Mesquite, TX

$1K - $2K/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 ...

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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 Jun 11, 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.

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 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.

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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Step Down Unit Rn jobs near you
Infographic showing various Step Down Unit Rn job openings in Dallas, TX as of June 2026, with employment types broken down into 4% As Needed, 55% Full Time, 39% Part Time, and 2% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $71,621 per year, or $34.4 per hour.

RN - PCU/Step Down

PSNYC , INC.

Lewisville, TX

$1K - $2K/wk

Other

Posted 2 days ago

Job description

RN - PCU/Step Down

Shift Details: 7:00 PM - 7:30 AM, 3 shifts per week, 36 scheduled hours

Start Date: 06/01/2026, End Date: 08/31/2026, Duration: 13 weeks

Unit Highlights: Med City Lewisville, Lewisville, TX

Call Requirements: Yes, Guaranteed Hours: 36

Special Skills/Experience Required: 2 years +

Unit Specifics: Number of Beds: Not specified, Patient Ratios: Not specified, Unit staffing description: Not specified, Type of equipment: Meditech, Scheduling requirements: Floating policy: As needed

Certifications: Not specified

Procedures performed on unit: Not specified

Patient Experience Required: Not specified

Dress Code: Scrub Color: Not specified, Nail Policy: Clean and Healthy, no artificial nails, gel, next gen, etc., Hair: neat and clean with no extreme styles or colors, Beards, mustaches and sideburns should be clean and neatly trimmed, Hair must be pulled back if shoulder length or longer when working in the lab, Tattoos: Body art should be covered whenever possible, Piercings: Visible piercings other than ears is prohibited

Awards/Recognition: Not specified

General Comments: No. of Positions: 1

Client Details: Address: 500 West Main Street, City: Lewisville, State: TX, Zip Code: 75057

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