Registered Nurse (RN) Medical Step Down Unit (MSDU)
Rochester General Hospital (RGH)
You'll care for patients too ill for a med-surg floor but not sick enough for ICU. Rochester General Hospital is hiring for its own floors, with no agency in between.
Posted Oct 23
- Shift and hours
- Nights Schedule: Night36 hours a week
- Unit and setting
- Medical Step Down Unit (MSDU) · Hospital The Medical Step Down Unit (MSDU) cares for patients who are too ill for a general medical/surgical floor but don’t require ICU-level care.Patients too ill for med-surg but not needing ICU
- License
- RN license Registered Nurse license in New York State.NYS RN license
- Term
- Starts Oct 23, 2026 · Permanent
Do you qualify?
- License
- NYS RN license Registered Nurse license in New York State.
- Certification
- BLS Basic Life Support (BLS) certification.
- Education
- Diploma or Associate’s Degree in Nursing
Preferred
- Education
- BSN preferred Bachelor’s Degree in Nursing preferred.
- Experience
- 6 months RN experience At least 6 months RN experience preferred
What it pays
- Pay reviews
- Pay set by experience, qualifications, specialty and internal equity Pay is determined by considering factors including, but not limited to, experience, relevant qualifications, specialty, internal equity, locations, and contracts.
Benefits
- CEU Allowance
The role and schedule
- Day to day
- At least one CRU research form based on a U.S. article from the last 5 years
- Details
- Works closely with providers, respiratory therapists, social workers and pharmacists The team works closely with providers, respiratory therapists, social workers, and pharmacists.
- Details
- Lifting 20-50 lbs with continual standing, walking and pushing equipment
- Details
- Exposure to infectious agents, body fluids, chemicals and radiation Environmental exposures include infectious agents, bodily fluids, chemicals, and radiation.
- Details
- 5 nationally approved contact hours of CNE or CEU a year Completes a minimum of 5 nationally approved contact hours (CNE or CEU) per year.
Your fit
Questions to ask
- Can you walk me through the pay period for the posted pay range and differentials?
- What should I expect for weekend, holiday, call, and rotation?
- What orientation, preceptor time, and ongoing unit support are included?
- How are patient load, floating, and staffing support handled day to day?
On your path
Telemetry is open from year one. One of the most open front doors in acute care; ACLS and rhythm.
Original listing
Posted on Rochester General Hospital’s careers page.
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- Job Title: Registered Nurse I
- Department: Medical Step Down Unit (MSDU)
- Location: Rochester General Hospital
- Hours Per Week: 36 Hours
Schedule
Night
Summary
As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health. You make a positive difference every single day in the lives of our patients, their family members and visitors – going above and beyond to meet their needs with courtesy, kindness, respect and compassion. The Medical Step Down Unit (MSDU) cares for patients who are too ill for a general medical/surgical floor but don’t require ICU-level care. The team works closely with providers, respiratory therapists, social workers, and pharmacists.
Responsibilities
Provides high-quality, patient-centered, clinical care Performs initial and ongoing assessment of the patient, utilizing appropriate data (i.e. physical, psychological, educational and risk-screen data appropriate for the chronological / developmental age of the patient). Communicates and documents assessment of patient with the interdisciplinary team. Utilizes all available resources in order to meet the needs of the patient and family.
Develops and documents plan of care, treatment and services which is individualized and appropriate for the patient needs, strengths, limitations and goals. Complies with organizational policies, procedures and protocols including policies governing safety, medication administration and documentation. Revises plan of care based on ongoing evaluations and updates documentation appropriately.
Completes at least one clinical research utilization (CRU) form for submission to Nursing Research Department utilizing a research article from the last 5 years from research performed in the United States.
Compliance
Completes a minimum of 5 nationally approved contact hours (CNE or CEU) per year. Completes mandatory in-services and health screens in timely manner. Maintains Basic Life Support (BLS) certification.
Required
Qualifications
Diploma or Associate’s Degree in Nursing Registered Nurse license in New York State. Basic Life Support (BLS) certification.
Preferred qualifications
Bachelor’s Degree in Nursing preferred. At least 6 months RN experience preferred
Education
AS: Nursing (Required)
Licenses /
Certifications
BLS - Basic Life Support - American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse - NYS Office of ProfessionsNew York State Education Department (NYSED)
Physical
Requirements
Moderate - Clinical - Moderate clinical roles are patient facing roles that require continual movement, including standing, walking, and lifting 20–50 lbs., along with pushing and pulling medical equipment and assisting with patient positioning. Employees perform frequent bending, twisting, and reaching while completing fine motor tasks in busy or confined clinical environments. High sensory acuity is essential for monitoring patient status and responding to alarms or safety concerns.
Emotional and cognitive demands are substantial, involving decision-making under pressure, responding to emergencies, and maintaining sustained focus. Environmental exposures include infectious agents, bodily fluids, chemicals, and radiation. TB testing, mask-fit testing, and physical exams are common requirements.
For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements. Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations.
Pay range
$40.94 - $54.58
City
Rochester
Postal code
14621 The posted pay range is a good faith representation of potential base pay for this position. It may be modified in the future and eligible for additional pay components. Individual annual salaries/hourly rates could vary based on position details and FTE.
Pay is determined by considering factors including, but not limited to, experience, relevant qualifications, specialty, internal equity, locations, and contracts. Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.