ICU/PCU/Med-Surg Float RN
Roanoke, VA
Access Healthcare
3x12 hrs, Nights

Registered Nurse - ICU/PCU/Medical-Surgical Float (Night Shift)

Location: Roanoke, Virginia
Employment Type: Travel/Contract
Contract Length: 13 weeks
Shift: Night, 3 shifts per week, 12 hours each (6:45 PM – 7:15 AM)
Hours per Week: 36

Job Overview

• Float position covering ICU, Progressive Care Unit (PCU), and Medical-Surgical (MS) units.
• Must be comfortable working across all three specialties.
• Experience working with patient ratios of at least 1:5 required.
• Staffing needs may require floating 2-3 times per shift (every 4 hours).
• 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 and local candidates are accepted.

Required Qualifications

Licensure

• Valid RN license in Virginia.

Education

• Associate of Science in Nursing / Associate Degree in Nursing.

Experience

• Minimum 2 years of ICU (Intensive Care Unit) experience, including experience within the last year.
• Experience with PICC line management and central line care.
• Experience with arterial line management.
• Experience with blood product administration.
• Skilled in trach management.
• Skilled in non-invasive airway support including nasal cannula, CPAP/BiPAP, ventilator management, and chest tubes (Emerson/PleurEvac).
• Proficient in continuous IV sedation.
• Proficient in titrating cardiac and vasoactive drips.
• Comfortable working with patient ratios of at least 1:5.
• Experience in Progressive Care Unit (PCU).
• Experience in Medical-Surgical (Med Surg) units.
• Experience with Epic electronic health record system.

Certifications

• ACLS (American Heart Association Advanced Cardiac Life Support).
• BLS (Basic Life Support) issued by American Heart Association.
• NIHSS (National Institutes of Health Stroke Scale).

Unit Details

• ICU average patient ratio: 2:1
• PCU average patient ratio: 5:1
• Medical-Surgical average patient ratio: 6:1 (may flex up to 7:1)

Scheduling & Policies

• Shift pattern: 3 twelve-hour night shifts per week.
• Facility may call off 1 shift per 2-week period.
• All requests for time off, block scheduling, or special scheduling must be submitted with application.

Required Documentation & Compliance

• Valid Driver’s License/State ID with an address within 100 miles of the facility.
• E-Verify or attestation required.
• 7-year background check covering all locations lived/worked in the past 7 years.
• EPLS/GSA/SAM and HHS/OIG checks required within 30 days of start and updated for contract renewals.
• Education verification of highest earned degree required.
• NURSYS verification for RN license within 30 days of start.
• Physical exam within 1 year confirming freedom from communicable diseases.
• Fit mask test within 1 year, updated annually.
• Negative TB test or chest X-ray within 1 year, updated annually.
• Required immunizations or positive titers: Measles, Mumps, Rubella, Hepatitis B, Varicella.
• Negative 10-panel drug screen within 30 days of start.
• Flu vaccination documentation or signed declination form for flu season.
• Professional photo for badge.
• Completion of facility-specific compliance and confidentiality agreements prior to start.
• Review of orientation manual (not required for inpatient RNs).

References & History

• Two clinical references required (hospital evaluations accepted).
• Complete employment application/resume.
• Annual update of skills checklist required.

Additional Notes

• EPIC charting experience required.
• Magnet-designated hospital with Level I Trauma Center status.
• Hospital affiliated with a medical school and certified as an Advanced Thrombectomy Capable Stroke Center.

This position is ideal for experienced ICU RNs comfortable with floating across critical care and medical-surgical units, seeking a night shift travel contract in Virginia.