Float Registered Nurse - ICU, PCU, Med-Surg
Roanoke, VA
Access Healthcare
3x12 hrs, Nights

Travel Registered Nurse (RN) - ICU/PCU/MS Float

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

Job Overview

• Float position covering ICU, PCU, and Medical-Surgical (MS) units.
• Must be comfortable working all three specialties.
• Staffing ratios: ICU 2:1, PCU 5:1, MS 6:1 (may flex up to 7:1).
• Floating may occur 2-3 times per shift (every 4 hours).
• Schedule: 3 shifts of 12 hours (6:45 PM - 7:15 AM), with option for 4x12 shifts.
• Weekend requirement: Every other weekend or 6 weekend shifts in a 6-week block.
• Holiday requirement: Must work one holiday per 13-week contract.
• EPIC charting experience required.
• Accepts first-time travelers and local candidates.

Required Qualifications

Licensure

• Active Virginia State RN license or Compact RN license required.
• Pending license accepted only if single-state non-compact license held.

Certifications

• ACLS (American Heart Association only)
• BLS (American Heart Association only)
• NIH Stroke Scale (NIHSS) certification

Experience

• Minimum 2 years ICU experience at a Level 1 or Level 2 trauma facility.
• Experience with patient ratios of at least 1:5.

Clinical Skills

• IV therapy, phlebotomy, PICC line and Central Line management, arterial line management, blood product administration.
• Trach management and non-invasive airway support (nasal cannula, CPAP/BiPAP, ventilator management).
• Chest tube care (Emerson/PleurEvac).
• Cardiac monitoring, continuous IV sedation, emergency medications, titration of cardiac and vasoactive drips.

Additional Requirements

• Must provide 2 clinical references (hospital evaluations accepted).
• Complete application/resume required.
• Annual skills checklist update required.

Health & Background Requirements

• Physical exam within 1 year, free from communicable diseases.
• Negative TB test or chest X-ray within 1 year; TB questionnaire required.
• Immunizations or positive titers for Rubeola, Mumps, Rubella, Varicella, Hepatitis B.
• Negative 10-panel drug screen within 30 days of start.
• Fit mask test within 1 year, updated annually.
• Background check covering 7 years of history required within 1 year of start.
• EPLS/GSA/SAM and HHS/OIG checks required within 30 days of start and updated for renewals.

Scheduling & Policies

• Facility may call off 1 shift per 2 weeks.
• All scheduling requests (RTO, block, special) must be submitted upfront.

Prior Travel Experience

• Prior travel experience is not required; first-time travelers accepted.

This position offers a dynamic float role requiring flexibility across multiple acute care units with a strong emphasis on critical care skills and experience.