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ICU Stepdown RN

TexasNursingServices

Sanford, FL, United States permanent

Posted: August 31, 2025

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Quick Summary

Medsurg RN with ICU Stepdown experience required for 15-bed intermediate care unit, with a 3:1 nurse-to-patient ratio and advanced interventions.

Job Description

Compensation & Incentives:

• Base Pay: $31.86 – $46.28/hr (based on experience)

• ~5 years: $36.12/hr

• ~10 years: $40.44/hr

• ~17+ years: $46.28/hr

• Shift Differentials: Nights +$4.50/hr | Weekends +$1.50/hr

• Sign-On Bonus: $15,000 (Day Shift) | $20,000 (Night Shift) – available through Q3

• Relocation Assistance: Case-by-case basis

We are seeking a motivated and skilled ICU Stepdown RN to join our 15-bed intermediate care unit. This true stepdown/PCU environment provides a 3:1 nurse-to-patient ratio (occasionally 4:1) and cares for patients requiring advanced interventions such as cardiac drips, long-term ventilators, and frequent monitoring.

Shifts Available: Days or Nights (Rotating Weekends) 

Key Responsibilities:

• Perform frequent assessments and provide close monitoring of stepdown-level patients.

• Manage cardiac drips, long-term ventilators, and advanced therapies.

• Collaborate with physicians and interdisciplinary teams to deliver safe, effective care.

• Educate patients and families on treatment plans, recovery, and follow-up care.

• Promote patient safety, teamwork, and clinical excellence within the unit.

• Active RN license in Florida or Compact state (required).

• Minimum 1 year of recent ICU Stepdown experience (required).

• Will consider RNs with 3+ years of Cardiac or Multisystem PCU experience.

• ADN or Nursing Diploma required; BSN preferred.

• Certifications:

• NIH Stroke Scale – within 30 days.

• BLS – within 30 days.

• ACLS – within 6 months.

Join a leading healthcare facility in Sanford, FL, committed to excellence in critical care and progressive nursing practice. Our ICU Stepdown (PCU) Unit bridges intensive care and medical-surgical nursing, offering nurses the chance to provide advanced care while working in a supportive, collaborative environment.

Benefits & Rewards:

• Comprehensive medical, dental, and vision insurance (including free preventive care & telemedicine).

• 401(k) with up to 9% employer match.

• Employee Stock Purchase Plan (10% discount).

• Paid family leave, PTO, and disability coverage.

• Tuition reimbursement up to $5,250/year + $100/month student loan assistance.

• Fertility and adoption assistance, dependent scholarships, and career development programs.

• Wellness resources: counseling, legal/financial services, emotional support, and pet insurance.

Keywords for Posting: ICU Stepdown RN, PCU Nurse, Progressive Care Nurse, Acute Care RN, Sanford Nursing Careers

Hashtags for Posting: #ICUStepdownRN #PCURN #ProgressiveCareUnit #StepdownNursing #RNJobs #SanfordFLJobs #FloridaNursing #CriticalCareNursing #NursingCareers

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