PCU/Med-Surg Float RN
Roanoke, VA
American Traveler
4x12 hrs, Nights

Assignment Overview

• Shift: Nights, 4x12hrs
• Hours: 48 hrs/wk
• Start Date: Jul 20, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is seeking an experienced RN for a PCU Float position at a Level I Trauma, Magnet-designated acute care teaching hospital, requiring Epic proficiency and comfort floating across all PCU and Med/Surg units.

Details

• Float position covering all PCU and Med/Surg (MS) units within a large 703-bed acute care teaching hospital
• Level I Trauma Center (Adult & Pediatric), Magnet-designated facility affiliated with Virginia Tech Carilion School of Medicine
• Certified Advanced Thrombectomy Capable Stroke Center with advanced specialty care services
• Night shift schedule: 4x12-hour shifts (6:45 PM – 7:15 AM)
• 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
• 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

Requirements

• Active Virginia state RN license or Compact RN license required; pending licensure accepted only for candidates holding a single-state license from a non-compact state
• Current BLS and ACLS certifications required
• Minimum 1–2 years of telemetry and stepdown-level experience (PCU, DOU, or IMC) required
• Cardiovascular experience in pre/post cardiac cath settings required
• Proficiency in cardiac monitoring, dysrhythmia interpretation and management, and titrating cardiac drips
• Experience with IV therapy, phlebotomy, and blood product administration
• Skilled in central line care, trach management, and non-invasive airway support (nasal cannula, CPAP/BiPAP)
• Experience with chest tube management (Emerson/PleurEvac systems)
• Ability to manage PCA and heparin protocols, administer IV insulin, and handle endocrine/metabolic conditions
• Must be comfortable working across all PCU and Med/Surg units
• Valid driver's license and Social Security card required for consideration

Additional Information

• Provide stepdown and progressive care nursing across multiple units, including rapid response and code team participation
• Two professional references required for consideration
• All RTO, block scheduling, and special scheduling requests must be submitted upfront
• Local candidates are accepted for this position
• First-time travelers are welcome to apply