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Registered Nurse Stepdown RN

Job in San Antonio, Bexar County, Texas, 78208, USA
Listing for: HCA Healthcare
Full Time position
Listed on 2026-01-06
Job specializations:
  • Nursing
    ICU Nurse, Healthcare Nursing
Job Description & How to Apply Below

Description Introduction

Are you looking for a career working with a team who has a passion for patient care with an emphasis on teamwork, accountability, integrity, and knowing, at the end of your shift, you’ve made a difference in a patient’s hospital experience?

This is a specialized position crucial in bridging the gap between intensive care and general medical-surgical units. Stepdown nurses play a pivotal role in managing patients who are transitioning out of the Intensive Care Unit but still require vigilant monitoring and advanced nursing care. We also care for patients who need an increased level of care and more frequent assessments depending on their condition.

Our professionals are adept at handling complex patient needs, administering critical medications, and interpreting vital signs to ensure optimal recovery. We collaboratively work with a diverse disciplinary team where strong communication is

Whether you’re exploring a new career path in nursing or seeking to understand the intricacies of this vital healthcare role, our detailed job description will offer valuable insights. By joining our department, you’ll discover the multifaceted responsibilities and the rewarding experience of making a significant impact on patient outcomes during their critical recovery phase.

Job Summary
  • Monitor and interpret patients’ vital signs and respond appropriately
  • Administer medications and treatments as prescribed
  • Provide care and support to patients transitioning from ICUs
  • Collaborate with physicians and other healthcare team members to develop care plans
  • Perform detailed patient assessments and document findings in medical records
  • Manage intravenous lines and advanced medical equipment
  • Educate patients and their families about post-hospital care and wellness
  • Respond to medical emergencies and provide immediate care
  • Assist with patient mobility and ensure their comfort

    Maintain patient confidentiality and comply with healthcare regulations
  • 3-5:1 patient to nurse ratios (dependent on acuity)
  • Manage drips
  • Manage oxygen delivery devices (stable ventilators, BiPAP/CPAP, High Flow, and Tracheostomy)
  • Manage care for wide variety of conditions (respiratory compromise, stroke, cardiac conditions, sepsis, organ failure, DKA, and End of Life care)
Qualifications

Active RN license, BLS and ALS certification, NIH Stroke Certification (completed during orientation)

Unit Summary

We are a 19 private bed unit with bedside monitoring in every room with modern equipment, EKG available at the bedside. Computers inside and outside each room for convenient access to charting. Unit dedicated case manager, critical care educator, and clinical support resource nurse. We are a unit best known for our teamwork and accountability. All our staff work at the top of their scope to ensure the best, quality care for our patients.

Benefits

Methodist Hospital Stone Oak, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free Air Med medical transportation.
  • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
  • Free counseling services and resources for emotional, physical and financial wellbeing
  • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  • Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  • Family support through fertility and family building benefits with Progyny and adoption assistance.
  • Referral services for child, elder and pet care, home and auto repair, event planning and more
  • Consumer discounts through Abenity and Consumer Discounts
  • Retirement readiness, rollover assistance services and preferred banking partnerships
  • Education assistance
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