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

Mission Hospital

NICU Registered Nurse

Webster, TX

Neonatal Resuscitation Program Certification (NRP) * 1-year of clinical NICU L2 and L3 experience as a licensed RN in an acute care setting required [Neonatal, Special Care Nursery, Step-down Nursery ...

Mission Hospital

Registered Nurse - NICU

Houston, TX

Details Client Name Womans Hospital of Texas Job Type Permanent Offering Nursing Profession Registered Nurse Specialty NICU Job ID 17751680 Job Title Registered Nurse - NICU Shift Details Shift 8 hr ...

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Step Down Unit Rn information

See Houston, TX salary details

$37.2K

$69.1K

$97.4K

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 Houston, TX is $69,141.00, according to ZipRecruiter salary data. Most workers in this role earn between $65,900.00 and $66,400.00 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
RN PACU

RN PACU

United Surgical Partners International Inc (USPI)

The Woodlands, TX

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 18 days ago

United Surgical Partners International rating

5.7

Company rating: 5.7 out of 10

Based on 15 frontline employees who took The Breakroom Quiz

Job description

RN PACU

Memorial Hermann Surgery Center Pinecroft is hiring a RN PACU

Welcome to Memorial Hermann Surgery Center Pinecroft
We have 6 OR rooms and 2 treatment rooms. We perform outpatient surgical procedures in General, GI, ENT, Neurosurgery, Orthopedic, Pain, Plastic, Podiatry, Spine, Urology. Position requires weekdays only -- no holidays, weekends, or call. Some early mornings and later evenings may be required; schedule subject to change based on surgical schedule and flow of the day. 

PACU Registered Nurse (PACU RN) at Memorial Hermann Surgery Center Pinecroft
The PACU Registered Nurse provides continuity and quality nursing care for all patients, with continual evaluation of the patient's condition, providing patient safety, comfort, and privacy at all times. May assist the physicians in the procedure rooms with various tasks, conscious sedation, and utilizing sterile techniques as deemed appropriate. Will provide total comprehensive patient care to patients emerging from general anesthesia and/or sedation; assessment, planning, implementation, and evaluation of the patient and family in preparation for discharge

Qualifications

  • Graduate of an accredited RN School of Nursing
  • Active RN license in the state
  • BLS and ACLS Required, PALS if required by the center
  • 2 years experience in PACU or Critical Care preferred
  • Ability to make decisions based on nursing judgment
  • Able to prioritize and organize workload to meet the needs of patients and the unit
  • Strong communication skills, verbal and written

What We Offer
As an organization, one way we care for our communities and each other is by providing a comprehensive benefits package that includes the following, subject to employment status:

  • Medical, dental, vision, and prescription coverage
  • Life and AD&D coverage
  • Availability of short- and long-term disability
  • Flexible financial benefits including FSAs and HSAs
  • 401(k) and access to retirement planning
  • Paid holidays and vacation

Who We Are
At USPI, we create relationships that create better care. We partner with physicians and healthcare systems to provide first-class ambulatory solutions throughout the United States. We are committed to providing surgical services in the most efficient and clinically excellent manner.

USPI is committed to, and proud of our inclusive culture. An inclusive culture, in our view, is respectful of differences and nurtures and supports the contributions of each individual, while also embracing and leveraging diversity. A diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population.

#USP-RN

#LI-CM1


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