PCU/MS Float Registered Nurse
Roanoke, VA
Access Healthcare
3x12 hrs, Nights

Registered Nurse (RN) - PCU/MS Float

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

Job Overview

• Float position covering Progressive Care Unit (PCU) and Medical-Surgical (MS) units. Must be comfortable working all PCU and MS units.
• Floating may occur 2-3 times per shift (every 4 hours), including possible float to Inpatient Rehab.
• Schedule: 3 shifts of 12 hours (6:45 PM - 7:15 AM). Option for 4x12 shifts 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 system: EPIC experience required.
• Accepts first-time travelers and local candidates within radius rules.
• Pending license accepted if holding a single-state license from a non-compact state; otherwise, active Virginia or Compact RN/LPN license required.
• Time off requests must be submitted with application; Christmas time off requests cannot be approved.
• Facility may call off 1 shift per 2 weeks.

Required Certifications

• ACLS (Advanced Cardiac Life Support)
• BLS (Basic Life Support)

Required Clinical Skills

• IV therapy, phlebotomy, and blood product administration
• Central line care, tracheostomy management, and non-invasive airway support (nasal cannula, CPAP/BiPAP, chest tubes)
• Cardiac monitoring, dysrhythmia interpretation and management, titrating cardiac drips
• Emergency response participation (Rapid Response/Code teams)
• Management of PCA and heparin protocols, IV insulin administration, endocrine/metabolic condition care
• Experience with telemetry and stepdown-level care (PCU/DOU/IMC) including cardiovascular care pre/post cardiac catheterization

Unit Details

• PCU nurse-to-patient ratio: 5:1
• MS nurse-to-patient ratio: 6:1 (may flex up to 7:1)

Facility Highlights

• 703-bed acute care teaching hospital
• Only Level I Trauma Center in the region (Adult & Pediatrics)
• Magnet-designated for nursing excellence
• Affiliated with Virginia Tech Carilion School of Medicine
• Advanced specialty care including a dedicated children’s hospital
• Certified Advanced Thrombectomy Capable Stroke Center

Important Compliance and Documentation Requirements

• I9 or attestation required
• Driver’s License/State ID required within 48 hours of signing; must meet radius criteria
• E-Verify or attestation required
• Background check: 7-year history within 1 year of start, including all locations lived/worked
• Education verification and transcript/diploma required
• State license primary source verification and NURSYS verification required within 30 days of start
• 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: Negative 10-panel within 30 days of start
• Immunizations or titers required for Rubeola, Mumps, Rubella, Hepatitis B, Varicella
• Flu vaccination or mask/declination form during flu season
• 2 clinical references required
• Complete employment application/resume
• Annual skills checklist update required

Additional Notes

• Orientation manual review required prior to start (not required for inpatient RNs)
• Photo for badge required (professional quality, plain background)
• Facility-specific compliance and confidentiality agreements must be completed timely
• No Christmas time off approvals
• Radiation badges for new candidates are not provided; existing badge holders grandfathered

This position is ideal for RNs with strong PCU/MS experience who are flexible with floating and weekend/holiday shifts, and who meet the required certifications and clinical competencies.