Certifications, Education, and Experience: ACLS, BCLS, NIHSS certifications required; minimum of 2 years of experience in a related role; experience with titration of vasopressors, sedation medication, insulin drips, trach vents, art lines, external pacemakers, chest tubes required; must have been at the bedside within the last 6 months. Step Down Unit Nurse Practitioner, specializing in Step Down care, located in a healthcare facility, is responsible for providing high-acuity patient care.