ICU Stepdown Registered Nurse (RN) – Sanford, FL
We are seeking a dedicated and compassionate ICU Stepdown RN to join a skilled team providing care for patients who require frequent assessments and continuous monitoring. This 15-bed unit functions as a true intermediate care area—managing drips, ventilators, and complex conditions—with a 3:1 nurse-to-patient ratio (occasionally 4:1). You’ll work in a collaborative environment committed to teamwork, safety, and clinical excellence.
Provide direct, continuous care to patients requiring stepdown or progressive care-level support.
Perform frequent assessments and respond to rapid changes in patient status.
Manage cardiac drips, ventilators, and other complex therapies safely and effectively.
Collaborate with interdisciplinary team members to coordinate treatment and discharge plans.
Educate patients and families on conditions, medications, and recovery care.
Maintain accurate documentation and uphold safety and regulatory standards.
Required:
Active RN license (Florida or Compact)
Minimum 1 year of recent ICU Stepdown experience in an acute care setting
ADN or Nursing Diploma
Preferred:
BSN degree
RNs with 3+ years of Cardiac or Multisystem PCU experience
NIH Stroke Scale within 30 days of hire
BLS within 30 days; ACLS within 6 months
Hourly Range: $31.86 – $46.28 (based on experience)
Shift Differentials: +$4.50/hr (Nights), +$1.50/hr (Weekends)
Sign-On Bonus: $15,000 Days | $20,000 Nights (available through November 2025)
Comprehensive medical, dental, and vision insurance (includes 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 support, dependent scholarships, and professional development opportunities
Wellness resources including counseling, legal/financial services, and pet insurance
This position is ideal for experienced ICU Stepdown or PCU nurses who thrive in a fast-paced, team-oriented environment and are passionate about delivering high-quality, evidence-based care.
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Texas Nursing Services provides skilled and enthusiastic professionals for healthcare positions across all practice areas. We specialize in meeting the unique needs of our clients by offering temporary, temp-to-hire, and permanent placement services. Our diligent recruitment and screening process ensures that our clients receive the best possible candidates for their job openings.
With our expertise and extensive network, we are able to serve clients of all sizes, across the United States. We understand the value of having a flexible workforce, and are committed to providing consistent and proactive support to ensure the success of your business.
If you are in need of skilled and dedicated professionals to support your healthcare organization, contact Texas Nursing Services today. We will work closely with you to understand your needs and provide the right solutions to meet your staffing needs. Apply now to discover the benefits of partnering with us.
At Texas Nursing Services, we are committed to attracting top talent in the healthcare industry. We understand that quality care starts with a talented and dedicated team, and that is why we strive to create a positive and supportive work environment for all of our nurses.
We are proud to offer competitive compensation and benefits packages, as well as ongoing training and development opportunities to help our nurses grow and succeed in their careers.
But we also recognize that it takes more than just a good salary to attract top talent. That is why we place a strong emphasis on creating a culture of teamwork and collaboration, where our nurses can feel valued and supported as they work to deliver the highest level of care to our patients.
