Responsibilities Stepdown Nurses (RN) provide patient care in transitional units where patients are too sick for the med-surg floor but not sick enough for intensive care. Stepdown RNs job responsibilities include, but are not limited to: Evaluate and monitor patient’s progress, identifying sudden or subtle changes in the patient’s medical condition Calculate drug dosage, titrate medication doses, administer continuous medication infusion and monitor patients for effects of medication Stepdown …