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Step Down Unit Rn Jobs in Miami, FL (NOW HIRING)

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Step Down Unit Rn information

See Miami, FL salary details

$37.3K

$69.2K

$97.6K

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 Miami, FL is $69,247.00, according to ZipRecruiter salary data. Most workers in this role earn between $66,000.00 and $66,500.00 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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What cities near Miami, FL are hiring for Step Down Unit Rn jobs? Cities near Miami, FL 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 Miami, FL as of June 2026, with employment types broken down into 4% As Needed, 65% Full Time, 27% Part Time, and 4% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $69,247 per year, or $33.3 per hour.
Registered Nurse (RN) - ICU - Full Time, Night Shift, Job ID # 1788041

Registered Nurse (RN) - ICU - Full Time, Night Shift, Job ID # 1788041

Palmetto General Hospital

Hialeah, FL • On-site

Full-time, Other

Posted 29 days ago

Job description

Position Summary:
Delivers advanced professional and technical nursing care to adult and geriatric patients with real or potential life-threatening illnesses, in support of and in collaboration with care directed by the medical staff. Nursing care delivered complies with the objectives and policies of the hospital. Collaborates with multidisciplinary team members to provide age/developmentally appropriate care in accordance with unit standards.

Performs nursing techniques for the comfort and well-being of the patient. Participates in performance improvement to maintain provision of quality care. Prepares equipment and assists physician during treatments and examinations of patients.

Assists in planning, supervising, and instructing secretaries, and Nursing Assistants thereby providing care to a number of patients. Incorporates critical thinking skills into patient care. Makes comprehensive nursing decisions based on the interpretation of facts and evaluations of patient outcome; modifies the plan of care based upon the evaluations.

Demonstrates a professional, supportive attitude. Provides excellent customer service. Position requires considerable walking, standing, moderate lifting, exposure to patient elements and handling of emergencies and critical patient incidents. May be needed to work beyond the regular tour of duty or in another patient care unit as assigned by department head or nursing supervisor.

Position Qualification:

  • Strong critical thinking skills & ability to work in a stressful fast paced environment
  • Ability to respond quickly and accurately to changes in patient condition.
  • Ability to work harmoniously and effectively with others
  • Two year experience in nursing particularly Telemetry required
  • One year in Step Down unit
  • Clinical competence
  • Basic computer knowledge
  • Successful completion of Critical Course preferred
  • Graduate from an approved nursing educational program as defined by the National Council of State Boards of Nursing (NCSBN)

Required Licenses/Certifications:

  • Current Florida Registered Nurse Licensure
  • Current Advanced Cardiac Life Support Certification from the American Red Cross
  • Current Basic Cardiac Life Support Certification from the American Red Cross
  • Basic arrhythmia skill required prior to start in the unit, or critical care experience