PCU/Med-Surg Float RN
Roanoke, VA
American Traveler
3x12 hrs, Nights

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Jul 20, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring an experienced RN for a PCU Float position at a Level I Trauma Center, requiring Epic proficiency and comfort floating across all PCU and MS units.

Details

• Float position covering all PCU and MS units within an acute care academic teaching hospital
• Level I Trauma Center (Adult & Pediatrics) with Magnet designation for nursing excellence
• PCU patient ratio averages 5:1; MS patient ratio averages 6:1, with potential flex up to 7:1
• Staffing needs are re-evaluated every 4 hours, meaning travelers may float 2–3 times per shift
• Night shift schedule: 3x12-hour shifts, 6:45 PM – 7:15 AM
• Weekend requirement: every other weekend (EOW) or 6 weekend shifts per 6-week scheduling block
• One holiday shift required per 13-week contract
• Epic EMR experience required
• Patient population includes telemetry, stepdown, and med-surg level care with cardiovascular and medical-surgical complexity

Requirements

• Active Virginia state RN license or Compact RN license; pending license accepted only for candidates holding a single-state license from a non-compact state
• Current BLS and ACLS certifications required
• Experience in IV therapy, phlebotomy, and blood product administration
• Proficiency in central line care, trach management, and non-invasive airway support including nasal cannula, CPAP/BiPAP, and chest tube management (Emerson/PleurEvac)
• Skilled in cardiac monitoring, dysrhythmia interpretation and management, titrating cardiac drips, and participating in Rapid Response and Code teams
• Experience managing PCA and heparin protocols, administering IV insulin, and caring for patients with endocrine/metabolic conditions
• Background in telemetry and stepdown-level care (PCU/DOU/IMC), including pre/post cardiac cath experience
• Two professional references required for consideration
• Copy of driver's license and Social Security card required for consideration

Additional Information

• Must be comfortable working across all PCU and MS units, as floating is a core expectation of this role
• Hospital is affiliated with the Virginia Tech Carilion School of Medicine and certified as an Advanced Thrombectomy Capable Stroke Center
• All RTO, block scheduling, and special scheduling requests must be submitted at the time of application
• First-time travelers are welcome to apply
• Local candidates are accepted for this position