Step Down RN
Roanoke, VA
American Traveler
4x12 hrs, Nights

Assignment Overview

• Shift: Nights, 4x12hrs
• Hours: 48 hrs/wk
• Start Date: Sep 21, 2026
• Length: 26 weeks
• Openings: 1

Description

American Traveler is hiring an experienced Surgical PCU/Stepdown RN with ventilator experience for a night shift assignment at a Level I Trauma teaching hospital requiring an active VA or Compact RN license.

Details

• Surgical PCU/Stepdown unit functioning as stepdown from the General Surgical ICU with bariatric specialty and backup to the trauma unit
• Night shift, 4x12 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)
• Weekend requirement of every other weekend or 6 weekend shifts within a 6-week scheduling block
• Must work one holiday per 13-week contract
• Required to float within skillset across PCU, DOU, IMC, and stepdown units
• Remote telemetry monitoring with tele sitting used to increase Patient Care Tech coverage
• EPIC charting experience required

Requirements

• Active VA State or Compact RN license required (pending license accepted only for candidates from non-compact states)
• Current BLS, ACLS, and NIHSS certifications required
• Minimum 1 year of RN experience required
• Prior charge experience preferred
• Ventilator care experience for chronic trach patients required
• Skilled in cardiac monitoring, dysrhythmia interpretation and management, and Rapid Response/Code team activation
• Experienced in IV therapy, phlebotomy, blood product administration, and central/peripheral line care
• Experienced managing cardiac drips (Cardizem, Heparin, Insulin, low-dose dopamine/dobutamine, Amiodarone, Nitro, Bumex, Lasix, Lidocaine, Ketamine) without titration
• Skilled in respiratory support including nasal cannula, oxygen administration, CPAP, and BiPAP
• Experience with isolation precautions and PPE

Additional Information

• Provide patient care using ortho equipment, chest tubes, surgical drains, trach care, endo tools, PICC lines, and MML
• Work within a Level I Trauma Center, Magnet-designated, teaching hospital affiliated with Virginia Tech Carilion School of Medicine
• Facility may call off up to 1 shift per 2-week period
• First-time travelers are welcome to apply
• Local candidates accepted; radius rules apply based on distance from the facility, with reduced eligibility or bill rate for those living within 100 miles
• Previous employees (per diem or permanent) must have a break of at least one year before returning as a traveler
• Travelers who have worked 365 days on assignment are not eligible to return, regardless of separation period