What should I expect in a step-down unit?

  1. Hi, I graduate in May and I just recently accepted a position on a cardiac step-down unit at a large facility. I have almost a year experience on a med-surg floor as an extern and I have been pulled to a step-down floor to work on, so I pretty much have my own ideas of what to expect. But I would really like to hear from someone who actually works on a step-down unit to give me an idea picture of what really goes on.

    Also, is 5-6 patients on the midnight shift normal for a step-down unit?
    Last edit by rn2bn07 on Mar 23, '07 : Reason: spelling
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    About rn2bn07

    Joined: Jan '06; Posts: 183; Likes: 63
    Specialty: Cardiac Tele (1 year), new MICU RN


  3. by   meandragonbrett
    Step down floors are busy units! Good luck.
  4. by   dragonflyRN
    It's busy, very busy. It also varies with the shift you work. Some times are worse than others.
  5. by   dragonflyRN
    so, what system did you decide to work for? I am in Mi too.
  6. by   rn2bn07
    Hi DragonflyRN, I just accepted a position at St. John Hospital on Moross in Detroit. Its on a cardiac step-down unit and the interview was so different from all the other interviews I had and I was very comfortable with the staff and the unit. I am very excited to work here and can't wait to start, but I am a little scared that my orientation is a little too short. But the preceptor told me that if I needed a little bit more time then it was okay.

    What hospital do you work for and do you like it?
    Last edit by rn2bn07 on Mar 25, '07 : Reason: spelling
  7. by   blueheaven
    Step-down units are generally busy, busy, busy!!! I loved it, but then again I have always tended toward areas that are "adrenalin junkie" oriented, icu, er, etc...LOL. Wish you best of luck!