Progressive Care Unit Registered Nurse
Roanoke, VA
Access Healthcare
3x12 hrs, Nights

Registered Nurse (PCU - Medical-Renal)

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

Shift & Scheduling Details

• Shift: 3x12 hour night shifts (6:45 PM - 7:15 AM)
• 4x12 hour shifts available upon request
• Weekend Requirement: Every other weekend or 6 weekend shifts in a 6-week block
• Must work one holiday per 13-week contract
• Facility may call off 1 shift per 2 weeks
• Accepts first-time travelers and local candidates within radius
• 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

Required Certifications

• ACLS (AHA only)
• BLS (AHA only)
• NIH Stroke Certification
• Other certifications may apply depending on unit (e.g., PALS, NRP, TNCC)

Required Clinical Skills

• Cardiac: Monitoring, emergency response, dysrhythmia management, cardiac drip management (without titration)
• IV/Line: IV therapy, phlebotomy, blood product administration, central and peripheral line care
• Respiratory: Oxygen administration via nasal cannula, non-invasive airway management
• Rapid Response/Isolation: Use of rapid response and code teams, isolation precautions
• Experience in PCU/DOU/IMC/Stepdown settings required

Unit Details

• Nurse-to-patient ratio: 1:5
• Patient population: Adults and geriatrics, including chronic vent patients
• Specialty: Hospitalist Medicine patients with renal and other medical diagnoses
• Unit also serves gastrointestinal, pulmonary, and surgical/procedural patients
• Floating within skillset required

Experience Requirements

• Specialty: Registered Nurse (PCU/Medical-Renal)
• Years of Experience: Not explicitly stated; assume minimum 1+ years in specialty or higher based on clinical skills and setting
• Prior travel experience: Not required; first-time travelers accepted

Licensing & Documentation Requirements

• Active Virginia RN or Compact license preferred; pending license accepted under specific conditions
• I-9 or attestation required
• Driver’s License/State ID required within 48 hours of signing (must meet radius rule)
• Background check: 7-year history required within 1 year of start
• E-Verify and other federal background checks required
• Education verification and transcript/diploma required
• 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: Measles, Mumps, Rubella, Hepatitis B, Varicella (positive titer or vaccination)
• Flu vaccination or mask/declination form during flu season

Additional Requirements

• Epic charting experience required
• Must complete facility-specific orientation and compliance paperwork prior to start
• Two clinical references required
• Skills checklist updated annually

Facility Highlights

• Level I Trauma Center (adult and pediatric)
• Certified stroke center
• Magnet designated hospital recognizing nursing excellence
• Affiliated with multiple medical schools

This position is ideal for RNs with PCU/stepdown experience seeking a travel contract in a high-acuity, teaching hospital environment with night shifts and weekend/holiday requirements.