Surgical PCU Registered Nurse
Roanoke, VA
American Traveler
4x12 hrs, Nights

Assignment Overview

• Shift: Nights, 4x12hrs
• Hours: 48 hrs/wk
• Start Date: Jul 20, 2026
• Length: 26 weeks
• Openings: 1

Description

American Traveler is seeking an experienced RN for a Surgical Progressive Care Unit (PCU) position at a Level I Trauma, Magnet-designated teaching hospital in Roanoke, VA, with ventilator care experience and Epic proficiency required.

Details

• Surgical PCU in a large acute care hospital (700+ licensed beds) designated as a Level I Trauma Center, Magnet facility, and academic teaching hospital affiliated with Virginia Tech Carilion School of Medicine
• Unit functions as a stepdown from the General Surgical ICU, with bariatric specialty services and backup to the trauma unit
• Typical patient ratio is 1:5 with a staffing goal of 1:4
• Unit includes 2 beds designated for chronic trach patients (non-ICU level) with CPAP and BiPAP respiratory support
• Equipment used includes orthopedic equipment, chest tubes, surgical drains, trach, endo tools, PICC lines, and multi-lumen catheters (MML)
• IV drips managed on the unit include Cardizem, Heparin, Insulin, low-dose Dopamine/Dobutamine, Amiodarone, Nitroglycerin, Bumex, Lasix, Lidocaine, and Ketamine (no titration required)
• Remote telemetry monitoring with monitors remaining on the unit; tele sitting is implemented to supplement Patient Care Tech coverage
• Night shift: 4x12-hour shifts, 6:45 PM – 7:15 AM
• Weekend requirement: every other weekend or 6 weekend shifts per 6-week scheduling block
• One holiday shift required per 13-week contract period
• Floating required within skillset
• Charting via Epic (experience required)
• 26-week contract extensions available by request

Requirements

• Active Virginia state RN license or Compact RN license currently in hand; pending license accepted only if the candidate holds a single-state license from a non-compact state
• Current certifications required: BLS, ACLS, and NIH Stroke Scale (NIHSS)
• Ventilator care experience required, specifically for chronic trach patients
• Proficiency in cardiac monitoring, dysrhythmia interpretation and management, and emergency response
• Experience with IV therapy, phlebotomy, blood product administration, and central/peripheral line care
• Familiarity with respiratory support modalities including nasal cannula, oxygen administration, CPAP, and BiPAP
• Experience with Rapid Response and Code team activation
• Knowledge of isolation precautions and telemetry across PCU, DOU, IMC, and stepdown settings
• Epic EMR experience required
• Two professional references required for consideration
• Valid driver's license and Social Security card required for consideration

Additional Information

• Provide stepdown-level nursing care to post-surgical, bariatric, and trauma backup patients
• Manage cardiac drips without titration responsibilities
• Apply isolation precautions and monitor telemetry in a stepdown environment
• First-time travelers are welcome to apply
• Local candidates are accepted for this position