Registered Nurse (RN) - Step-Down Unit (SDU)
Position SummaryThe Registered Nurse (RN) in the Step-Down Unit (SDU) delivers high-acuity nursing care to patients requiring continuous monitoring and advanced clinical support, but not intensive care unit (ICU) level treatment. This role focuses on patients transitioning from critical care or those at elevated risk for rapid clinical deterioration.Key ResponsibilitiesProvide direct, patient-centered care in a high-acuity Step-Down UnitPerform continuous cardiac monitoring (telemetry) and interpret rhythmsConduct frequent and detailed patient assessments; escalate care as neededAdminister medications, including titratable IV drips within SDU scope (e.g., cardiac, electrolyte, anticoagulation)Manage patients requiring non-invasive respiratory support (BiPAP/CPAP, high-flow oxygen where applicable)Collaborate with physicians, respiratory therapists, and interdisciplinary teams on care plansRecognize early signs of deterioration and initiate rapid response protocolsEducate patients and families on conditions, treatments, and discharge planningDocument care accurately in the EMR in compliance with regulatory standardsPatient Population Cardiac: arrhythmias, post-cardiac events, CHF exacerbationsRespiratory: COPD exacerbation, pneumonia, non-invasive ventilation supportPost-ICU step-down patientsSepsis (hemodynamically stable or improving)Neurological: stroke monitoring, post-TIA carePost-surgical patients requiring elevated monitoringQualifications Required:Active Registered Nurse (RN) license (state-specific or compact)Basic Life Support (BLS) certificationMinimum 1 year of acute care experience (telemetry, SDU, PCU, or ICU)Preferred: Bachelor of Science in Nursing (BSN)Advanced Cardiac Life Support (ACLS)NIH Stroke Scale (NIHSS) certificationPrior Step-Down / Progressive Care experienceStrong telemetry and rhythm interpretation skillsWork Environment & Schedule 12-hour shifts (days, nights, or rotating)Typical nurse-to-patient ratio: 1:3 to 1:4 (acuity dependent)Fast-paced, high-acuity inpatient environmentWeekend and holiday requirements