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Step-down nurse vs head nurse

The differences between step-down nurses and head nurses can be seen in a few details. Each job has different responsibilities and duties. It typically takes 1-2 years to become both a step-down nurse and a head nurse. Additionally, a step-down nurse has an average salary of $83,807, which is higher than the $80,173 average annual salary of a head nurse.

The top three skills for a step-down nurse include patients, BLS and acute care. The most important skills for a head nurse are patients, BLS, and compassion.

Step-down nurse vs head nurse overview

Step-Down NurseHead Nurse
Yearly salary$83,807$80,173
Hourly rate$40.29$38.54
Growth rate6%6%
Number of jobs435,149649,127
Job satisfaction--
Most common degreeBachelor's Degree, 56%Bachelor's Degree, 49%
Average age4444
Years of experience22

Step-down nurse vs head nurse salary

Step-down nurses and head nurses have different pay scales, as shown below.

Step-Down NurseHead Nurse
Average salary$83,807$80,173
Salary rangeBetween $52,000 And $133,000Between $48,000 And $132,000
Highest paying City-Minneapolis, MN
Highest paying state-California
Best paying company-AstraZeneca
Best paying industry-Education

Differences between step-down nurse and head nurse education

There are a few differences between a step-down nurse and a head nurse in terms of educational background:

Step-Down NurseHead Nurse
Most common degreeBachelor's Degree, 56%Bachelor's Degree, 49%
Most common majorNursingNursing
Most common collegeDuke UniversityDuke University

Step-down nurse vs head nurse demographics

Here are the differences between step-down nurses' and head nurses' demographics:

Step-Down NurseHead Nurse
Average age4444
Gender ratioMale, 17.3% Female, 82.8%Male, 13.1% Female, 86.9%
Race ratioBlack or African American, 11.8% Unknown, 4.2% Hispanic or Latino, 8.7% Asian, 8.9% White, 65.9% American Indian and Alaska Native, 0.4%Black or African American, 12.3% Unknown, 4.3% Hispanic or Latino, 9.0% Asian, 8.8% White, 65.2% American Indian and Alaska Native, 0.4%
LGBT Percentage9%9%

Differences between step-down nurse and head nurse duties and responsibilities

Step-down nurse example responsibilities.

  • Manage patient pain relief and sedation by providing pharmacological and non-pharmacological intervention, monitor patient response and record care plans accordingly.
  • Work with EKG monitor technicians to evaluate and interpret EKG strips.
  • Interpret laboratory results and cardiac tests, and proactively educate patients in health promotion and disease prevention.
  • Initiate intravenously therapy, administer medications, provide care for post-operative open-heart patients and post cardiac catheter patients.
  • Maintain responsibility for clinical activities of all nurses caring for patients assign, prepare annual evaluations on all nurses assign.
  • Perform electrocardiogram monitoring and medication administration.
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Head nurse example responsibilities.

  • Manage patient pain relief and sedation by providing pharmacological and non-pharmacological intervention, monitor patient response and record care plans accordingly.
  • Receive intensive training for critical care skill development upon transferring to the medical ICU.
  • Perform advanced nursing care to acute/chronic medical/surgical, cardiac, thoracic surgery, neurosurgery, orthopedic and oncology/ hematology patients.
  • Certify staff in CPR and blood glucose monitoring.
  • Develop and implement an intensive care class for the staff; implement ACLS class for all staff.
  • Develop process improvement plan with bundles for sedation and ventilation.
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Step-down nurse vs head nurse skills

Common step-down nurse skills
  • Patients, 30%
  • BLS, 15%
  • Acute Care, 8%
  • Life Support, 7%
  • Acls, 6%
  • Telemetry, 4%
Common head nurse skills
  • Patients, 31%
  • BLS, 9%
  • Compassion, 6%
  • Acute Care, 6%
  • Acls, 4%
  • CPR, 3%

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