Travel PCU Telemetry Registered Nurse
Roanoke, VA
GHR Healthcare - PH Division
3x12 hrs

Registered Nurse (RN) – General Medicine PCU

Location: Roanoke, Virginia
Employment Type: Travel/Contract
Contract Length: 13 weeks

Position Details

• Shift Hours:

  • 3x12 hour night shifts (6:45 PM – 7:15 AM)
  • 4x12 hour shifts available upon request
• Weekend Requirement:

  • Every other weekend (EOW) or 6 weekend shifts in a 6-week block
• Holiday Requirement:

  • Must work one holiday per 13-week contract
  • Christmas time off requests cannot be approved
• Call Off Policy:

  • Facility allows 1 call off shift per 2 weeks
• Charting System: EPIC experience required
• Accepts First-Time Travelers: Yes
• Locals Accepted: Yes, with radius rule applied
• Pending License Accepted: Yes, if holding a single-state license from a non-compact state; otherwise, active Virginia State or Compact RN/LPN license required

Required Certifications

• ACLS (Advanced Cardiac Life Support)
• BLS (Basic Life Support)
• NIHSS (National Institutes of Health Stroke Scale)

Required Clinical Skills

• Cardiac monitoring, emergency response, dysrhythmia interpretation/management
• IV therapy, phlebotomy, blood product administration, central/peripheral line care
• Medication administration including cardiac drips (no titration)
• Respiratory support: nasal cannula, oxygen administration, non-invasive airway management, trach care
• Ventilator care for chronic trach and vent patients
• Rapid Response and Code team activation
• Isolation precautions and telemetry settings across PCU, DOU, IMC, and stepdown units

Unit Details and Floating

• Nurse-to-patient ratio typically 1:5 (goal 1:4)
• Hybrid unit: 10 PCU beds and 2 ICU beds
• Patient population includes vent/trach dependent patients
• Common diagnoses: DKA, COPD, Sepsis, Suicide/Overdose, Chronic respiratory failure, renal failure
• 2 beds dedicated for chronic trach patients
• Remote telemetry with monitors on unit; tele-sitting to increase Patient Care Tech coverage
• Floating required within skillset

Facility Highlights

• Large acute care hospital with over 700 licensed beds
• Level I Trauma Center
• Magnet-designated
• Teaching hospital affiliated with Virginia Tech Carilion School of Medicine
• Offers advanced specialty care including bariatric, trauma, and surgical services

Important Compliance and Documentation Requirements

• I9 or attestation required
• Driver’s License/State ID required within 48 hours of signing; must meet radius rule (within 100 miles)
• E-Verify or attestation required
• Background check: 7-year history required within 1 year of start; must cover all locations lived/worked in past 7 years
• Education verification of highest earned degree required
• State license primary source verification within 30 days of start
• NURSYS verification required for all RNs within 30 days of start
• Physical exam within 1 year of start, free from communicable diseases
• Fit test within 1 year of start, updated annually (not required for students)
• Negative TB test or chest X-ray within 1 year, updated annually
• Required immunizations or positive titers: Measles, Mumps, Rubella, Hepatitis B, Varicella
• Negative 10-panel drug screen within 30 days of start
• 2 clinical references required
• Complete application/resume required
• Skills checklist updated annually
• Photo for badge required (professional, plain background)
• Orientation Safety Manual acknowledgment required (HIPAA compliance)

Notes

• Candidates must be prepared to float within their skillset
• Must work at least one holiday during the contract
• Christmas time off requests are not approved
• First-time travelers are welcome
• Locals accepted if within radius criteria
• Pending licenses accepted under specific conditions

This position is ideal for RNs with experience in progressive care units, telemetry, and ventilator/trach care who are comfortable working night shifts and meeting holiday and weekend requirements.