What is a step-down nurse and how to become one

Updated January 8, 2025
3 min read
Quoted Experts
Lisa Rebeschi Ph.D.,
Kim Raines
The average step-down nurse salary is $83,807. The most common degree is a bachelor's degree degree with an nursing major. It usually takes 1-2 years of experience to become a step-down nurse. Step-down nurses with a Basic Life Support for Healthcare and Public Safety (BLS) certification earn more money. Between 2018 and 2028, the career is expected to grow 6% and produce 195,400 job opportunities across the U.S.

What general advice would you give to a Step-Down Nurse?

Lisa Rebeschi Ph.D.Lisa Rebeschi Ph.D. LinkedIn Profile

Associate Dean of the School of Nursing Professor of Nursing, Quinnipiac University

One of the suggestions for new graduates is the importance of self-care. We have long known of the demanding nature of the nursing practice. However, the COVID-19 pandemic has magnified the nursing role's critical importance and the unique contributions made by nursing professionals. As the healthcare environment is extremely complex and challenging, nurses must remember to advocate for themselves and prioritize self-care.
ScoreStep-Down NurseUS Average
Salary
6.5

Avg. Salary $83,807

Avg. Salary $59,228

Stability Level
10.0

Growth Rate 6%

Growth Rate 0.3%

Diversity
6.3
Race

American Indian and Alaska Native 0.44%

Asian 8.93%

Black or African American 11.84%

Hispanic or Latino 8.70%

Unknown 4.24%

White 65.85%

Gender

female 82.75%

male 17.25%

Age - 43
Race

American Indian and Alaska Native 3.00%

Asian 7.00%

Black or African American 14.00%

Hispanic or Latino 19.00%

White 57.00%

Gender

female 47.00%

male 53.00%

Age - 43
Stress Level
10.0

Stress level is very high

7.1 - high

Complexity Level
9.1

Complexity Level is advanced

7 - challenging

Work Life Balance
7.8

Work Life balance is good

6.4 - fair

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Step-Down Nurse career paths

Key steps to become a step-down nurse

  1. Explore step-down nurse education requirements

    Most common step-down nurse degrees

    Bachelor's

    55.9 %

    Associate

    32.0 %

    Master's

    5.5 %
  2. Start to develop specific step-down nurse skills

    Skills
    ascdesc
    Percentages
    ascdesc
    Patients29.82%
    BLS14.66%
    Acute Care8.22%
    Life Support7.08%
    Acls6.17%
  3. Complete relevant step-down nurse training and internships

    Accountants spend an average of 3-6 months on post-employment, on-the-job training. New step-down nurses learn the skills and techniques required for their job and employer during this time. The chart below shows how long it takes to gain competency as a step-down nurse based on U.S. Bureau of Labor Statistics data and data from real step-down nurse resumes.
  4. Obtain the necessary licensing

    Becoming a licensed step-down nurse usually require a college degree. However, you need to pass an exam to become a licensed step-down nurse in most of states. 43 states require step-down nurses to have license for their work. You can see the list of states below.
    State
    ascdesc
    Education
    ascdesc
    Exam
    ascdesc
    License Url
    ascdesc
    AlabamaDegree requiredState exam requiredRegistered Nurse (RN)
    AlaskaDegree requiredThird-party exam requiredNurse, Registered
    ArkansasDegree requiredThird-party exam requiredRegistered Nurse (RN)
    CaliforniaDegree requiredThird-party exam requiredNurse, Registered
    ColoradoDegree requiredThird-party exam requiredRegistered Nurse
  5. Research step-down nurse duties and responsibilities

    • Manage patient pain relief and sedation by providing pharmacological and non-pharmacological intervention, monitor patient response and record care plans accordingly.
    • Work with EKG monitor technicians to evaluate and interpret EKG strips.
    • Interpret laboratory results and cardiac tests, and proactively educate patients in health promotion and disease prevention.
    • Initiate intravenously therapy, administer medications, provide care for post-operative open-heart patients and post cardiac catheter patients.
  6. Prepare your step-down nurse resume

    When your background is strong enough, you can start writing your step-down nurse resume.

    You can use Zippia's AI resume builder to make the resume writing process easier while also making sure that you include key information that hiring managers expect to see on a step-down nurse resume. You'll find resume tips and examples of skills, responsibilities, and summaries, all provided by Zippi, your career sidekick.

    Choose From 10+ Customizable Step-Down Nurse Resume templates

    Build a professional Step-Down Nurse resume in minutes. Browse through our resume examples to identify the best way to word your resume. Then choose from 10+ resume templates to create your Step-Down Nurse resume.
    Step-Down Nurse Resume
    Step-Down Nurse Resume
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    Step-Down Nurse Resume
    Step-Down Nurse Resume
    Step-Down Nurse Resume
  7. Apply for step-down nurse jobs

    Now it's time to start searching for a step-down nurse job. Consider the tips below for a successful job search:

    1. Browse job boards for relevant postings
    2. Consult your professional network
    3. Reach out to companies you're interested in working for directly
    4. Watch out for job scams

How Did You Land Your First Step-Down Nurse Job

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Average step-down nurse salary

The average Step-Down Nurse salary in the United States is $83,807 per year or $40 per hour. Step-down nurse salaries range between $52,000 and $133,000 per year.

Average Step-Down Nurse Salary
$83,807 Yearly
$40.29 hourly

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How do step-down nurses rate their job?

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Step-Down Nurse reviews

profile
A zippia user wrote a review on Dec 2021
Pros

Caring for patients

Cons

Staffing ratios, unfairness, constant expectations. Healthcare is a business but doesn’t treat nurses like business employees


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A zippia user wrote a review on Aug 2020
Pros

helping people and saving lives

Cons

the pay is not good not enough for the lifestyle I would like to live


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A zippia user wrote a review on Feb 2020
Pros

Caring for others. The different procedures and experiences I come in contact with daily.

Cons

The hours worked at times. The pay could be greater.


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Updated January 8, 2025

Zippia Research Team
Zippia Team

Editorial Staff

The Zippia Research Team has spent countless hours reviewing resumes, job postings, and government data to determine what goes into getting a job in each phase of life. Professional writers and data scientists comprise the Zippia Research Team.

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