hey, i have worked several stepdown floors, respiratory, neuro, med/surg. the way i can describe it would be, "stable ICU patients" your right it's a good place to be if you want to go to ER or the units. stepdown units depends on which hospitals you work at, also on which type of stepdown floor your are on. i've worked at one floor where the stepdown pt.'s didn't have to be hooked up to the monitor (cardiac). most places do have stepdown down pt.'s monitored, again this depends on the pt/hospital policy. stepdown pt.'s like i said are (in my opinion) stable ICU pt.s, they still need very close monitoring, VS q 2hrs, typically a stepdown RN would have max 3 patients, depending on their acuity; again this depends on the hospital. in a typical day on the respiratory stepdown
(for example) i would get report from the nurse, quickly look over the orders, asses my pt. head to toe, make sure the vent settings are as ordered (if any), make sure IVF /TF are as ordered, making sure all is connected securely and to the right spot. check out all drains/foley etc.. i have a timetable for myself to do my assesments, my assesment is ongoing... i want to spread out my time w/ each pt., then i would move onto to my meds for each pt. , recheck the orders. try to take a break at 10 am.. again my assesment is always ongoing so whenever im in the room i do a quick pt. check. then hopefully have lunch at either at 1pm or 2pm. then redo the whole process. emphasis on assesment and check out the orders. next thing you know its 7pm and your pt needs to be cleaned up... hehe. do your best not to leave the oncoming RN in a bind. so now i take a deep breath and do it again the next day. dont forget to smile! -every RN has they're own way of doing things, thats my disclamier. good luck. you'll be fine, as long as you show that what you dont know, you will learn. in return the floor will get a good nurse.
PS: the way i do things on a med/surg stepdown floor doesn't differ greatly from the above mentioned. just replace the vent w/ another task, i.e. dressings etc.. ok, you'll do great!
Quote from cursenurse
i have an interview coming on monday for a med/surg or stepdown position. i have heard that stepdown is a good place to work if you want to eventually do ER, which i do. what i need to know is what kind of unit is stepdown and what do you do in a typical day?