ICU Stepdown RN
TexasNursingServices
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.
Required Skills
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