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

Registered Nurse (RN) - PCU (General Medicine/Observation)

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

Shift Details

• Typical shifts: 3x12 hour shifts
• 4x12 hour shifts available by request
• Contract length options: 13 to 52 weeks 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
• Call-off policy: Facility may call off 1 shift per 2 weeks
• Floating: Required to float within skillset

Required Experience & Skills

• Specialty: Registered Nurse with experience in Telemetry, PCU, DOU, IMC, and stepdown units
• Proficient in cardiac monitoring, emergency response, dysrhythmia management, use of Rapid Response and Code teams
• Experience administering cardiac drips (Cardizem, Heparin, Insulin, low-dose dopamine/dobutamine, Amiodarone, Nitro, Bumex, Lasix) with no titration
• IV therapy, phlebotomy, blood product administration, central and peripheral line care
• Competency in chest tubes, trach care, PICC line management, medication administration
• Respiratory skills including nasal cannula, oxygen administration, CPAP, BiPAP, and non-invasive airway management
• Charting experience with EPIC required

Years of Experience: Not explicitly stated; assume minimum 1+ year in specialty based on skill requirements.

Prior Travel Experience: Not required; first-time travelers accepted.

Certifications Required

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

Unit Details

• Nurse-to-patient ratio: Goal 4:1, typically 5:1
• Telemetry monitoring is remote but monitors remain on the unit
• Tele-sitting support available via Patient Care Techs

Licensure

• Must have an active Virginia State or Compact RN/LPN license
• Pending license accepted only if holding a single-state license from a non-compact state

Compliance & Documentation Requirements

• I9 or attestation required
• Valid Driver’s License/State ID with address within 100 miles of facility required
• E-Verify or attestation required
• Background check: 7-year history required within 1 year of start
• Education verification of highest earned degree required
• Physical exam within 1 year of start, free from communicable diseases
• Negative 10-panel drug screen within 30 days of start
• Fit test within 1 year of start, updated annually
• Negative TB test or chest X-ray within 1 year, updated annually
• Required immunizations or titers: Measles, Mumps, Rubella, Hepatitis B, Varicella
• Flu vaccination documentation or declination form required during flu season
• 2 clinical references required
• Skills checklist updated annually

Additional Notes

• Locals accepted within radius rule
• Orientation manual review required prior to start (not required for inpatient RNs)
• Must work at least one holiday per contract
• Floating within skillset expected

Facility Highlights

• Magnet-designated hospital recognized for nursing excellence
• Level I Trauma Center and primary teaching hospital
• Nationally ranked for advanced cardiac care
• Large acute care facility with 703 licensed beds

This position is suitable for RNs with solid PCU/stepdown experience who are comfortable with telemetry and cardiac care, and who meet the licensure and certification requirements. Prior travel experience is not mandatory.