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Registered Nurse-Stepdown ICU- Full Time Night Shift

Southern Illinois Healthcare · Carbondale, IL · $31.25–$49.06 an hour · Full time

Posted Jul 13, 2026 · We last checked this listing on Oct 6, 2026

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Likely interview questions for this role

Written from this job description, not a generic list. Each one notes what the interviewer is really checking.

About your past

ACLS is needed within six months of hire. Tell me about a time you helped in a code.

What they are checking: Whether they can function in an emergency, which stepdown nurses will face.

Tell me about a time you questioned an order. What happened?

What they are checking: Whether they speak up when something seems wrong, which protects patients.

What do you do to keep growing your critical care skills?

What they are checking: Whether they invest in learning, which stepdown nursing rewards.

What would you do

Your patient just came out of the ICU and starts to get short of breath. What do you do first?

What they are checking: Whether they assess quickly, act and call for help before the patient worsens.

How do you prioritize three patients when two need attention at the same time?

What they are checking: Whether they can triage on a unit where patients can turn quickly.

How do you provide emotional support to a family scared after their loved one was moved out of the ICU?

What they are checking: Whether they help families understand that stepdown is progress and answer fears with honesty.

About the work

What kind of patient is right for stepdown ICU versus the full ICU, and how do you spot one who needs to go back up?

What they are checking: Whether they understand acuity levels and catch decline early.

How do you manage a patient on a titratable drip like diltiazem or heparin?

What they are checking: Whether they know drip protocols, monitoring and when to call the provider.

How do you read telemetry and decide when a change needs a call to the provider?

What they are checking: Whether they have the rhythm skills that stepdown patients need.

How do you give a safe handoff at shift change for a complex stepdown patient?

What they are checking: Whether they pass on the details that matter so the next nurse can act fast.

Practice this interview out loud.

Offer builds a real interview for this exact role at Southern Illinois Healthcare from your resume and this job description, asks the questions one at a time, and tells you what landed. The first one is free.

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The full job description

As published by Southern Illinois Healthcare.

Current SIH employees need to apply for positions through our internal job portal. Log in to Workday to apply through the Jobs Hub. Position Summary • Responsible for providing professional nursing care for SIH patients. Education • Associate, Diploma, Bachelor’s degree or Master’s in Nursing Licenses and Certification • Current Illinois Registered Nurse license • Current CPR/BLS Card • Current ACLS card (within 6 months of hire) • Intensive Care Unit: 10114, 20114 • Progressive Care Unit: 10116, 20110 • Stepdown ICU: 10118 • Cardiac Services: 10310 • Cardiac Catheterization: 10340 • Cardiac Care Decision Unit: 10342 • OP Cardiovascular Center: 10344, 20344 • Electrocardiology: 10336, 20336 • Interventional Imaging: 10367 • SDS Procedure Room: 10317, 20317, 30317, 40317 • Current ACLS & PALS card (within 6 months of hire) • Emergency Room: 10306, 20306, 30306, 40306 • Recovery Room: 10314, 20314, 30314, 40314 • TNCC or TNS (within 1 year of hire or residency graduation) - required effective 6/2026 • Emergency Room: 10306, 20306, 30306, 40306 ​ ​ • ​ ECRN (within 24 months of hire of residency graduation) - required effective 6/2026 • Emergency Room: 10306, 20306 • ​ ACLS, Fetal Monitoring – Monitoring, & NRP (within 6 months of hire) • Birthing Center: 10300 • ​ NRP (within 6 months of hire) • Mother Baby: 10154 • Neonatal Intensive Care Unit: 10152 • NRP & PALS (within 6 months of hire) • Pediatrics: 10160 • ONS • CTC-Infusion Center: 10328 (Fundamentals within first 6 months) and Chemotherapy Certificate Course (within 1 year, renewed every 2 years) • SJ-Infusion: 40329 (Fundamentals within first 6 months, renewed every 2 years) or ONS Chemotherapy Certificate (renewed every 2 years) ​ Experience and Skills • Technical Experience: NA Role Specific Responsibilities • Assess patients to determine mental, physical, and spiritual needs • Establish a compassionate environment to provide emotional, psychological, and spiritual support to patient and families • Assesses, plans, implements, and evaluates an individual plan of care in collaboration with the multidisciplinary health care team. • Provide in health teaching and counseling to promote, attain, and maintain the optimum health level of patients • Demonstrate ability to use clinical judgement in conjunction with critical thinking to recognize, act upon, and report changes in patient condition. • Complete, accurate and timely documentation in patient medical record • Provide input into the development of policies and procedures to support patient safety and quality of care • Supervision and delegation responsibilities of licensed practical nurse and/or unlicensed assistant personnel • Serve as an advocate for the patient by communicating and collaborating with other health service professionals • Timely completion of required education, competencies, and licensure. • Float to other SIH nursing units within competency level Compensation (Commensurate with experience): $31.25 To $49.06 To access our Benefits Guide/Plan Information, please click the link below: http://www.sih.net/careers/benefits

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