ICU/PCU Float RN
Roanoke, VA
Access Healthcare
3x12 hrs, Days

Registered Nurse - ICU/PCU Float

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

Job Overview

• Float between ICU and PCU units; must be comfortable working in all ICU and PCU areas.
• Shift: 3 shifts of 12 hours each (6:45 AM - 7:15 PM).
• Floating reassessed every 4 hours; may float 2-3 times per shift.
• Weekend requirement: Every other weekend or 6 weekend shifts in a 6-week block.
• Must work one holiday per 13-week contract.
• First-time travelers accepted.
• Local candidates accepted within a specified radius.
• Pending license accepted only if holding a single-state license from a non-compact state; otherwise, active Virginia RN license required.

Required Certifications

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

Required Clinical Skills

• IV therapy: arterial line management, central/PICC line care, blood product administration, IV initiation & maintenance.
• Respiratory support: BiPAP & CPAP management, ventilated patient care.
• Medication administration: continuous IV sedation, emergency meds, titration of cardiac & vasoactive drips.
• Wound care: surgical wounds with drains or wound vacs.
• Cardiac monitoring: dysrhythmia interpretation & management.
• Endocrine/metabolic: IV insulin protocol adherence.
• ICU experience required.
• Experience at a large Level 1 or 2 facility required.
• Preferred: 2+ years of nursing experience.

Unit Details

• PCU average nurse-to-patient ratio: 1:5
• ICU average nurse-to-patient ratio: 1:2

Required Qualifications

• Valid Registered Nurse (RN) license in Virginia
• Minimum 2 years of ICU (Intensive Care Unit) experience, including experience within the last year
• Experience working in a large Level 1 or Level 2 facility
• Comfortable working in all ICU and PCU units
• ACLS certification issued by the American Heart Association
• BLS certification issued by the American Heart Association
• NIHSS certification
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Orientation Safety Manual Acknowledgement
• State License 1 Verification
• NURSYS Verification
• Proficiency with Epic electronic health record system
• Clinical skills including:

  • IV therapy: arterial line management and central/PICC line care
  • Respiratory support: BiPAP & CPAP management and ventilated patient care
  • Endocrine/metabolic management: adherence to IV insulin protocols
• Experience in Progressive Care Unit (PCU) settings

Additional Requirements

• Background check covering 7 years of history required within 1 year of start.
• Drug screening: Negative 10-panel drug screen within 30 days of start.
• Physical exam within 1 year of start, confirming freedom from communicable diseases.
• Fit test for masks within 1 year, updated annually.
• Immunizations or positive titers for Measles, Mumps, Rubella, Varicella, Hepatitis B.
• TB test or chest X-ray within 1 year, updated annually.
• Education verification and transcript/diploma required.
• Two clinical references required.
• Completion of skills checklist annually.
• Compliance with facility-specific orientation and documentation requirements.

Scheduling & Policies

• Call-off policy allows 1 shift off per 2 weeks.
• All scheduling requests must be submitted upfront.
• Floating assignments may change every 4 hours based on staffing needs.

Notes

• EPIC charting experience required.
• Candidates must be prepared to work in a high-acuity, fast-paced environment.
• Prior travel experience is not required; first-time travelers are accepted.

This position is ideal for experienced ICU nurses comfortable with floating to PCU and managing complex critical care patients in a Level 1/2 trauma center environment.