ICU RN
Roanoke, VA
American Traveler
4x12 hrs, Nights

Assignment Overview

• Shift: Nights, 4x12hrs
• Hours: 48 hrs/wk
• Start Date: Sep 8, 2026
• Length: 26 weeks
• Openings: 1

Description

American Traveler is seeking an RN for a PCU/MS Float position requiring 2+ years of stepdown/telemetry experience and comfort floating across all PCU and MS units.

Details

• PCU/MS Float role covering all PCU and Medical-Surgical units in an acute care teaching hospital
• PCU average patient ratio of 5:1, MS average ratio of 6:1 (may flex up to 7:1)
• Night shift schedule, 3x12 hours, 6:45p-7:15a
• Epic EMR experience required
• Floating required across PCU and MS units, with staffing needs reassessed every 4 hours (up to 2-3 float assignments per shift)
• Weekend requirements include either every-other-weekend or 6 weekend shifts within a 6-week scheduling block
• Must work at least one holiday per 13-week contract (two holidays required during winter holiday period)
• Facility may call off up to 1 shift per 2-week period

Requirements

• Active Virginia State or Compact RN license required (pending license accepted only for candidates holding a single-state license from a non-compact state)
• Current BLS and ACLS certifications required
• CPI, NIHSS, and Trauma certifications preferred
• Minimum 2 years of relevant nursing experience required
• Epic charting experience required
• Level I Trauma experience preferred
• Skilled in IV therapy, phlebotomy, and blood product administration
• Experience with central line care, tracheostomy management, and non-invasive airway support (nasal cannula, CPAP/BiPAP, chest tubes)
• Proficient in cardiac monitoring, dysrhythmia interpretation/management, titrating cardiac drips, and Rapid Response/Code team response
• Experience managing PCA and heparin protocols, IV insulin administration, and endocrine/metabolic conditions
• Background in telemetry and stepdown-level care (PCU/DOU/IMC) with cardiovascular experience in pre/post cardiac cath settings
• PICC line management and stable ventilator experience preferred

Additional Information

• Provide direct patient care across PCU and Medical-Surgical units, adapting to varying patient acuities and ratios
• Work in a 703-bed acute care teaching hospital that serves as the region's only Level I Trauma Center for adults and pediatrics
• Facility is Magnet-designated for nursing excellence and affiliated with a medical school
• Certified as an Advanced Thrombectomy Capable Stroke Center
• First-time travelers are welcome to apply
• Local candidates are not accepted; candidates residing within 100 miles of the facility (per driver's license address) are considered local, with limited exceptions for inpatient RNs living 50-99.9 miles away who may be considered for one 13-week assignment without extension eligibility
• Previous employees (per diem or permanent) must have a minimum one-year separation before returning as a traveler
• Travelers who have worked 365 days at the facility are not eligible to return, regardless of separation period, subject to case-by-case leadership review
• All RTO and scheduling requests must be submitted upfront with the initial submission