Stepdown Unit Nurse

Azza HealthCare Agency; St. Louis (MO); On-site; USD 70,000 - 95,000; Full time

Job summary

Azza HealthCare Agency is seeking a Critical Care Stepdown RN to provide patient-centered care for intermediate-acuity patients transitioning from critical care to Med/Surg. You will assess, plan, implement, and evaluate individualized nursing care using evidence-based practices while ensuring patient safety through accurate hand-offs and bedside shift reporting.

Collaborate with physicians, advanced practitioners, and multidisciplinary team members to optimize outcomes.

Qualifications

• Graduate from an accredited nursing program (ADN, Diploma, or BSN).
• Current Missouri RN license (or compact license).
• BLS certification required.
• ACLS, NIHSS, PCCN or other stepdown-related certifications preferred.

Responsibilities

• Provide patient-centered care for intermediate-acuity patients transitioning from critical care to Med/Surg.
• Assess, plan, implement, and evaluate individualized nursing care using evidence-based practices.
• Ensure patient safety through accurate hand-offs and bedside shift reporting.
• Monitor and support complex conditions (cardiac, respiratory, post-ICU) and administer medications.
• Collaborate with physicians, advanced practitioners, and multidisciplinary team members to optimize outcomes.

Skills

Patient-centered care

Bedside shift reporting

Team collaboration

Education

Nursing degree (ADN/ Diploma/ BSN)

Job description

Critical Care Stepdown Registered Nurse (RN)

Provide patient-centered care for intermediate-acuity patients transitioning from critical care to Med/Surg levels. Assess, plan, implement, and evaluate individualized nursing care using evidence-based practices. Ensure patient safety through accurate hand-offs and bedside shift reporting. Monitor and support complex conditions (cardiac, respiratory, post-ICU), administer medications, and assist with recovery.

Collaborate with physicians, advanced practitioners, and multidisciplinary team members to optimize outcomes. Participate in unit huddles, shared governance, and unit-based quality improvement initiatives.

Qualifications

• Graduate of an accredited nursing program (ADN, Diploma, or BSN); BSN preferred.
• Current Missouri RN license (or compact license).
• Required: BLS certification.
• Preferred: ACLS, NIHSS, PCCN, or other stepdown-related certifications.

Engage in ongoing learning through mentorship, continuing education, and clinical career pathways.