ICU Float RN
Roanoke, VA
American Traveler
3x12 hrs, Nights

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Nov 30, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring an experienced ICU RN for a whole house float position covering ICU, PCU, and MS units at a Level I Trauma teaching hospital, requiring a VA or compact RN license.

Details

• Whole house float position covering ICU, PCU, and Medical-Surgical units
• Night shift schedule, 3x12 hours, 6:45 PM to 7:15 AM
• Unit ratios average 2:1 in ICU, 5:1 in PCU, and 6:1 in MS (may flex up to 7:1)
• EPIC charting system experience required
• Floating required across ICU, PCU, and MS units, with staffing needs reassessed every 4 hours (may float 2-3 times per shift)
• Weekend requirement of every other weekend or 6 weekend shifts within a 6-week scheduling block
• Facility may call off up to 1 shift per 2-week period

Requirements

• Active VA State or Compact RN license required (pending license accepted only for candidates holding a single-state license from a non-compact state)
• Current certifications in ACLS, BLS, and NIHSS (CPI preferred)
• Minimum 2 years ICU experience required, preferably in a large Level I or Level II trauma facility
• Experience working with ratios of at least 1:5 across ICU, PCU, and MS units
• Skilled in IV therapy, phlebotomy, PICC line management, central line care/management, arterial line management, and blood product administration
• Proficient in trach management and non-invasive airway support including nasal cannula, CPAP/BiPAP, ventilator management, and chest tubes (Emerson/PleurEvac)
• Experienced in cardiac monitoring, continuous IV sedation, emergency medications, and titrating cardiac and vasoactive drips
• Skilled in interpretation and management of dysrhythmias and obtaining 12-lead EKG/ECG
• Experience with IV insulin protocols
• Teaching hospital and Trauma Level I experience preferred
• Previous charge experience preferred

Additional Information

• Must work at least one holiday per 13-week contract, with two holidays required if the assignment spans winter holidays (Thanksgiving, Christmas/Christmas Eve, New Year's Eve/Day)
• Comfort and competency working across all three specialty units (ICU, PCU, MS) is essential
• Hospital is a 703-bed acute care teaching facility and the region's only Level I Trauma Center for adults and pediatrics
• Magnet-designated for nursing excellence and affiliated with an academic medical school
• First-time travelers are welcome to apply
• Local candidates may be accepted depending on radius from the facility, with specific bill rate and eligibility rules applying to those living within 100 miles
• Previous employees (per diem or permanent) must have a minimum one-year break before returning as a traveler
• All time off requests must be submitted upfront with the application