Float RN ICU/PCU/Med-Surg
Roanoke, VA
GHR Healthcare - PH Division
3x12 hrs

Registered Nurse (RN) - Travel/Contract Position

Location: Roanoke, Virginia
Specialty: ICU/PCU/MS Float (must be comfortable working all three units)
Contract Length: 13 weeks (1 quarter)

Job Description

• Float between ICU, PCU, and Medical-Surgical (MS) units as staffing needs require (up to 2-3 times per shift, every 4 hours)
• Must be comfortable working all 3 specialties with patient ratios of at least 1:5
• Shift: 3x12 hour shifts (6:45 PM - 7:15 AM), 4x12 shifts available by request
• Weekend requirement: Every other weekend or 6 weekend shifts in a 6-week block
• Holiday requirement: Must work one holiday per 13-week contract
• Charting experience with EPIC required
• Accepts first-time travelers and local candidates
• Pending license accepted only if holding a single-state license from a non-compact state; otherwise, active Virginia State or Compact RN/LPN license required
• Facility may call off 1 shift per 2 weeks

Required Certifications

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

Required Clinical Skills & Experience

• Minimum 2 years ICU experience at a Level 1 or Level 2 facility
• IV therapy, phlebotomy, arterial line and central line management, blood product administration
• Management of BiPAP/CPAP, ventilated patients, suctioning (ETT, NT)
• Cardiac monitoring, dysrhythmia interpretation and management, titrating cardiac drips
• Responding to emergencies via Rapid Response/Code teams
• Managing continuous IV sedation, emergency medications, titrating cardiac/vasoactive drips, IV insulin protocols

Unit Patient Ratios

• ICU: 2:1
• PCU: 5:1
• MS: 6:1 (may flex up to 7:1)

Scheduling & Work Environment

• Staffing needs re-evaluated every 4 hours, requiring flexibility to float between units
• Shift work primarily nights with weekend and holiday coverage required
• Facility is a Level I Trauma Center, Magnet-designated for nursing excellence, and affiliated with a medical school

Additional Requirements

• Physical exam within 1 year, free from communicable diseases
• Fit testing within 1 year, updated annually
• Negative TB test or chest X-ray within 1 year, updated annually
• Drug screening (10-panel) within 30 days of start
• Immunizations or positive titers for Measles, Mumps, Rubella, Varicella, Hepatitis B
• Background checks including 7-year history, EPLS/GSA/SAM, HHS/OIG within 30 days of start
• Education verification and transcript/diploma required
• Two clinical references required
• Skills checklist updated annually
• Compliance with facility-specific documents and orientation requirements

Prior Travel Experience

• Not required; first-time travelers accepted

This position is ideal for experienced ICU RNs comfortable with floating across multiple critical care units and working flexible schedules including nights, weekends, and holidays.