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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 Jun 13, 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.
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:
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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 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.
Registered Nurse Progressive Care

Registered Nurse Progressive Care

Prime Healthcare

Mesquite, TX

$1K - $2K/wk

Per diem

Posted 17 days ago

Prime Healthcare rating

6.3

Company rating: 6.3 out of 10

Based on 269 frontline employees who took The Breakroom Quiz

663rd of 872 rated healthcare providers

Job description

We are seeking a Progressive Care Registered Nurse or PCU RN, internally referred to as our Progressive Care Nurse. 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 support to optimize their outcomes and facilitate their transition to lower levels of care. 

Shift’s Available:  Nights

Employment Type: Per Diem

Hours: 12hr - 7 pm-7 am

Location:  Dallas Regional Medical Center – Mesquite, TX 


Essential Duties and Responsibilities (includes, but not limited to): 

  • Conduct assessments of patients' conditions, including vital signs, cardiac rhythms, neurological status, respiratory status, and overall clinical stability, you will need to monitor changes in patients' conditions and respond promptly to any deterioration 
  • Utilize telemetry and other monitoring devices to continuously monitor patients' cardiac rhythms, oxygen saturation levels, blood pressure, and other parameters you must be able to recognize and interpret abnormalities in monitoring data 
  • Administer medications as directed by physicians, encompassing intravenous medications, antibiotics, pain management medications, and cardiac medications, while vigilantly monitoring patients for any adverse reactions or side effects 
  • Perform nursing interventions and treatments as ordered by physicians, such as wound care, catheter care, suctioning, and administration of oxygen therapy, which may include assisting with procedures  
  • Adhere to evidence-based practice guidelines, hospital policies, and protocols related to patient care, infection control, and safety 

Before we go any further, we do have some deal-breakers. You must have: 

  • Current and valid state RN License.
  • Current BLS (AHA) certificate upon hire and maintain current.
  • Current ACLS certificate 30 days upon hire and maintain current.

Additional Required Knowledge, Skills & Abilities: 

  • Minimum of one year as a staff RN in acute care hospital, critical care preferred. 

Additional Qualifications That Are a Plus: 

  • Completion of Critical Care Course preferred.
  • Critical Care RN (CCRN) Certification preferred.
  • Bachelor of Science in Nursing (BSN) preferred.

Per Diem
Nights

 We are an Equal Opportunity Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation, or other protected characteristics.  If you need special accommodation for the application process, please contact Human Resources.  Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOCKnowYourRightsscreenreader10_20.pdf  

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