What are the responsibilities and job description for the ICU Stepdown RN position at Texas Nursing Services?
Location: Sanford, FL
Position Type: Full-Time, Permanent
Shifts: Days or Nights (Rotating Weekends)
Compensation
Base Pay: $31.86 – $46.28/hour (DOE)
~5 years: $36.12/hr
~10 years: $40.44/hr
~17 years: $46.28/hr
Shift Differentials: $4.50/hr (Nights) | $1.50/hr (Weekends)
Sign-On Bonus: $15,000 (Days) | $20,000 (Nights) — available through Q3
Relocation Assistance: Case-by-case
Position Overview
Join a collaborative 15-bed ICU Stepdown (PCU) unit providing advanced intermediate-level care. This true stepdown environment features a 3:1 nurse-to-patient ratio (occasionally 4:1) with patients requiring cardiac drips, long-term ventilators, and frequent assessments. This is an ideal role for nurses who excel in high-acuity settings and enjoy bridging ICU and med-surg care.
Key Responsibilities
Perform frequent assessments and monitor patients requiring close observation
Manage cardiac drips, long-term ventilators, and advanced stepdown-level treatments
Collaborate with physicians and interdisciplinary team members to ensure safe, effective care
Educate patients and families about diagnoses, treatments, and recovery processes
Foster a culture of teamwork, safety, and clinical excellence
Qualifications
Active Florida RN license or Compact RN license (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
NIHSS certification within 30 days
BLS within 30 days; ACLS within 6 months
Benefits
Medical, dental, and vision coverage (including free preventive care & telemedicine)
401(k) with up to 9% employer match
Employee Stock Purchase Plan (10% discount)
PTO, paid family leave, and disability coverage
Tuition reimbursement up to $5,250/year $100/month student loan assistance
Fertility & adoption assistance, dependent scholarships, and career advancement opportunities
Emotional wellness support, mental health counseling, legal/financial services, pet insurance
This position is ideal for experienced ICU Stepdown or PCU nurses seeking growth in a high-performing, team-driven environment. Strong pay, excellent benefits, and relocation support available.
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Salary : $36 - $5,250