Surgical PCU RN
Roanoke, VA
American Traveler
3x12 hrs, Nights

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Sep 28, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring a Surgical PCU RN with ventilator care experience for a night shift assignment requiring a VA or Compact RN license.

Details

• Surgical PCU unit functioning as stepdown from the General Surgical ICU with bariatric specialty and trauma unit backup
• Night shift schedule, 3x12 hours, 6:45pm-7:15am
• Typical patient ratio of 1:5 with a staffing goal of 1:4
• Unit includes 2 beds for chronic trach patients (non-ICU level) requiring CPAP and BiPAP oxygen support
• Uses ortho equipment, chest tubes, surgical drains, trach care, endo tools, PICC lines, and MML
• Manages IV drips including Cardizem, Heparin, Insulin, low-dose dopamine/dobutamine, Amiodarone, Nitro, Bumex, Lasix, Lidocaine, and Ketamine (no titration)
• Remote telemetry monitoring with tele sitting to increase Patient Care Tech coverage
• Weekend requirement of every other weekend or 6 weekend shifts within a 6-week schedule block
• Floating required within skillset across PCU, DOU, IMC, and stepdown units
• Epic charting system used

Requirements

• Active VA State or Compact RN license required unless candidate holds a single-state license from a non-compact state, in which case pending license may be accepted
• Current ACLS, BLS, and NIHSS certifications required
• Minimum 1 year of RN experience required, preferably at a hospital with 250+ beds
• Strong post-op patient care experience required
• Cardiac monitoring, dysrhythmia interpretation and management, and Rapid Response/Code team activation skills required
• IV therapy, phlebotomy, blood product administration, and central/peripheral line care experience required
• Ventilator care experience for chronic trach patients required
• Respiratory support skills including nasal cannula, oxygen administration, CPAP, and BiPAP required
• Epic charting experience required

Additional Information

• Provide stepdown-level care to post-surgical, bariatric, and trauma backup patients
• Manage cardiac drips, respiratory support, and isolation precautions per unit protocols
• Must work at least 1 holiday per 13-week contract, with 2 holidays required during winter holiday periods (Thanksgiving, Christmas/Christmas Eve, New Year's Eve/New Year's)
• First-time travelers considered with strong relevant experience
• Local candidates accepted; radius rules apply based on distance from facility, affecting assignment eligibility and bill rate
• Previous employees must wait at least one year before returning as a traveler; travelers who worked 365 days on assignment are not eligible to return under current policy
• Facility is a Level I Trauma Center, Magnet-designated, and teaching hospital affiliated with Virginia Tech Carilion School of Medicine