ICU/PCU/Medical-Surgical Float RN
Roanoke, VA
Access Healthcare
3x12 hrs, Nights

Registered Nurse - ICU/PCU/Medical-Surgical Float (Travel/Contract)

Location: Roanoke, Virginia
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 all three specialties and managing patient ratios of at least 1:5.
• Staffing needs may require floating 2-3 times per shift (every 4 hours).
• Weekend requirement: Every other weekend or 6 weekend shifts within a 6-week block.
• Must work one holiday per 13-week contract.
• First-time travelers and local candidates are accepted.

Required Qualifications

Licenses & Certifications

• Valid RN license in Virginia
• ACLS (Advanced Cardiac Life Support) issued by American Heart Association
• BLS (Basic Life Support) issued by American Heart Association
• NIHSS (National Institutes of Health Stroke Scale) certification

Education

• Associate of Science in Nursing / Associate Degree in Nursing

Experience

• Minimum 2 years ICU (Intensive Care Unit) experience, including experience within the last year
• Experience in an Acute Care setting
• PICC line management experience
• Central line care and management experience
• Arterial line management experience
• Blood product administration experience
• Tracheostomy management experience
• Non-invasive airway support experience including nasal cannula, CPAP/BiPAP, and ventilator management
• Chest tube management experience (Emerson/PleurEvac equipment)
• Continuous IV sedation experience
• Experience titrating cardiac and vasoactive drips
• Experience with Epic electronic health record system

Compliance & Documentation Requirements

• Valid Driver’s License/State ID with an address within 100 miles of the facility required within 48 hours of signing.
• E-Verify or attestation required.
• 7-year background check covering all locations lived/worked in the past 7 years, completed within 1 year of start.
• 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.
• Negative TB test (PPD, QGold, or TSpot) or clear chest X-ray within 1 year, updated annually.
• Fit test for respirator masks within 1 year, updated annually (onsite fit testing available if needed).
• Negative 10-panel drug screen within 30 days of start.
• Required immunizations or positive titers: Measles (Rubeola), Mumps, Rubella, Hepatitis B, Varicella.
• Seasonal flu vaccination documentation or signed declination form.
• Professional photo for badge (plain background, no selfies or filters).
• Completion of facility-specific compliance and confidentiality agreements prior to start.
• Completion of new hire paperwork and orientation materials as required.

Additional Requirements

• Must provide 2 clinical references (hospital evaluations accepted).
• Complete application/resume required.
• Annual update of skills checklist and competency exams as applicable.
• Must be comfortable with floating and flexible scheduling.
• Facility may call off 1 shift per 2 weeks.

Unit Details

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

This position offers a challenging float role requiring strong critical care skills, flexibility, and experience in multiple acute care settings.