Stepdown

Stepdown Unit (SDU) – RN

Location: Birmingham, AL

Shift: 7:00 PM – 7:00 AM

Schedule: 36 hours/week, 3x12-hour shifts, every other weekend and select holidays

Contract Duration: 14 weeks

Start Date: September 21, 2026

About the Role

The facility's stepdown unit provides nursing care for patients requiring closer monitoring than a general medical-surgical unit but not ICU-level care. You'll manage moderate-acuity patients, many transitioning from the ICU or at risk of clinical deterioration.

Key Responsibilities

• Continuously monitor cardiac rhythms and vital signs; identify and respond to changes in condition
• Administer medications, including select IV drips, per physician orders
• Assess and manage patients at risk of clinical decline; collaborate with physicians and the interdisciplinary team on plans of care
• Respond to rapid response and code interventions as needed
• Educate patients and families on condition, treatment plan, and recovery
• Maintain accurate documentation in the EMR
• Manage a moderate patient load (typically 3–4 patients) per unit guidelines
• Ensure infection control and fall prevention protocols are followed

Requirements

• Active RN license (state or compact)
• BLS and ACLS certification required
• Minimum 1+ years of stepdown/telemetry experience
• Minimum 2 years' experience in specialty and prior travel experience required
• BSN preferred; ADN accepted per facility policy
• PCCN (Progressive Care Certified Nurse) preferred
• Demonstrated experience with telemetry monitoring and moderate-acuity patient management