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Step Down Unit Rn Jobs in St Louis, MO (NOW HIRING)

TNAA TotalMed RN

Travel Telemetry RN

Saint Louis, MO · On-site

$1.9K - $2.6K/wk

The PCU RN is sometimes also called a step-down nurse, and the PCU is also known as cardiac stepdown, medical stepdown, neuro stepdown, surgical stepdown and ER holding. As a PCU Travel Nurse, you ...

TNAA TotalMed RN

Travel Telemetry RN

Saint Louis, MO · On-site

$1.9K - $2.6K/wk

The PCU RN is sometimes also called a step-down nurse, and the PCU is also known as cardiac stepdown, medical stepdown, neuro stepdown, surgical stepdown and ER holding. As a PCU Travel Nurse, you ...

American Traveler

Travel Telemetry RN

Saint Louis, MO · On-site

$1.9K - $2.6K/wk

Work in the Telemetry/Step-Down unit of a Magnet-designated, teaching hospital and Level I Trauma ... Active MO or compact RN license required (submission without license accepted, but license must be ...

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All JobsStep Down Unit Rn JobsStep Down Unit Rn Jobs in St. Louis, MO

Step Down Unit Rn information

See St Louis, MO salary details

$37.9K

$70.4K

$99.2K

How much do step down unit rn jobs pay per year?

As of Aug 22, 2026, the average yearly pay for step down unit rn in St. Louis, MO is $70,390.00, according to ZipRecruiter salary data. Most workers in this role earn between $67,100.00 and $67,600.00 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 St. Louis, MO?

For Step Down Unit Rn jobs in St. Louis, MO, the most frequently searched job titles are:

What job categories do people searching Step Down Unit Rn jobs in St. Louis, MO look for?

The top searched job categories for Step Down Unit Rn jobs in St. Louis, MO are:

Step Down Unit Rn jobs near you
Infographic showing various Step Down Unit Rn job openings in St. Louis, MO as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 17% Part Time, and 8% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $70,390 per year, or $33.8 per hour.

Progressive Care Unit (PCU) Registered Nurse RN

TNAA

Saint Louis, MO

$60/hr

Contractor

Re-posted 24 days ago

Job description

We are looking for a Travel Progressive Care Unit RN for a great Travel nursing job in Saint Louis, MO.

This Progressive Care Unit Travel nursing job pays for 36 hours a week for 16 weeks. With Wanderly you can compare Travel nurse salary from leading Travel nurse agencies in the United States.

With Wanderly you can chat and apply to any agency with Wanderly’s Universal Application, below are the details of this Travel Nursing Job including the Travel nurse salary:

  • Specialty: Progressive Care Unit RN
  • Travel Progressive Care Unit (PCU) Registered Nurse : Saint Louis, MO
  • Travel Nurse Salary: $2160/Week
  • Start Date: August 25, 2026
  • Travel Nursing Job Assignment Length: 16 weeks
  • Travel Nurse Hours: 36 hours per week
  • Shift: 12 hours, Night

We're looking for Progressive Care Unit RNs for an immediate travel nurse opening in Saint Louis, MO. The right RN should have 1-2 years recent acute care experience. Read below for more requirements.
As a PCU Travel Nurse, you will care for patients who require close monitoring and frequent assessment, but aren't unstable enough to need ICU care. Progressive Care Unit RNs will utilize computer equipment to monitor cardiac and other vital information, detecting any changes and thereby enabling intervention of life-threatening or emergency situations. Close observation is necessary as many PCU patients receive a significant amount of complex medications, sometimes through an intravenous line that may need to be adjusted or titrated. The PCU RN is sometimes also called a step-down nurse, and the PCU is also known as cardiac stepdown, medical stepdown, neuro stepdown, surgical stepdown and ER holding.
As a PCU Travel Nurse, you should be prepared to perform the following tasks:

  • Provide basic bedside care; stabilize critical cardiac patients.
  • Change dressings, insert catheters and start IVs.
  • Prepare, administer and record prescribed medication, reporting any adverse reactions to treatment.
  • Monitor and adjust specialized equipment used on patients, and interpret and record electronic displays.
  • Initiate corrective action whenever information from monitoring equipment shows adverse symptomatology.
PCU Travel Nurses should be able to stand and walk for long periods of time, as well as bend, lean and stoop without difficulty. RNs should be able to easily lift 20 pounds. Moving or lifting of patients may require lifting of up to 50 pounds at times. Because of the fast-paced environment, Progressive Care Unit RNs must possess good skills for coping with stress and be able to relate to people of all ages and backgrounds.
Requirements*: BLS, ACLS, 1 Year
* Additional certifications may be required before beginning an assignment.

PK-1467361

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