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

RN PCU/MS Float

Location: Roanoke, Virginia Employment type: Travel/Contract Contract length: 13 weeks Shift: Night, 3x12-hour shifts, 6:45 PM to 7:15 AM (12 hours/day, 36 hours/week)

Assignment Overview

• Float scope: Must be comfortable working all PCU and MS units.
• Float frequency: Staffing is re-evaluated every 4 hours, so the traveler could float 2 to 3 times per shift (up to every 4 hours).
• Unit ratios: PCU average 5:1; MS average 6:1 (may flex to 7:1).
• Weekends: Either every other weekend (EOW) or 6 weekend shifts in a 6-week scheduling block.
• Holidays: One holiday required per 13-week contract.
• Call-off policy: The facility may call off 1 shift per 2 weeks.
• Time-off and special scheduling requests: All must be included with the submission.
• First-time travelers: Accepted.
• Local candidates: Accepted, subject to the radius rule in the submittal instructions.
• Charting: EPIC experience required (software familiarity, not a credential).

Required Qualifications

• Valid RN license in Virginia
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing
• Float experience of 1 year, including float experience within the last year
• ACLS (Advanced Cardiac Life Support) issued by the American Heart Association
• BLS issued by the American Heart Association
• Experience working with post-cardiac cath patients
• Experienced in phlebotomy
• Experienced in blood product administration
• Skilled in central line care
• Skilled in trach management
• Skilled in non-invasive airway support, including CPAP/BiPAP
• Skilled in chest tube management (Emerson/PleurEvac)
• Skilled in titrating cardiac drips
• Capable of managing PCA protocols
• Capable of managing heparin protocols
• Experience with Epic

Onboarding Requirements

Documents and background

• Driver's license or state ID within 48 hours of signing. The address must be within 100 miles of the facility, or the assignment will be canceled.
• Access and Confidentiality Agreement within 48 hours of signing. The name must match the legal name on the state ID.
• E-Verify or attestation.
• Background check (7-year history, including all locations lived or worked) within 1 year of start.
• Education verification of highest earned degree, plus a diploma or transcript (required for PCU).
• EPLS/GSA/SAM and HHS/OIG checks within 30 days of start, updated with each contract renewal or extension.
• Primary source license verification and Nursys verification within 30 days of start.
• Two clinical references (hospital evaluation also accepted).
• Complete application or resume.
• Skills checklist, updated annually.
• Professional badge photo on a plain, light background (no selfies or filters).
• New hire paperwork completed before start.
• Contract staff orientation manual reviewed before start, with a screenshot of the acknowledgment submitted.

Health

• Physical exam within 1 year of start, stating the candidate is free from communicable diseases.
• Negative TB test (PPD, QuantiFERON, or T-Spot) within 1 year of start, updated annually, or a clear chest X-ray plus an annual TB questionnaire for past positives.
• TB questionnaire.
• Immunity for rubeola, mumps, rubella, and varicella (positive titer or 2 vaccines), and hepatitis B (positive titer, vaccine series, or declination).
• Negative 10-panel drug screen within 30 days of start.
• Fit test within 1 year of start, updated annually.
• Flu vaccination: candidates who decline must mask for the entire flu season and sign a declination form.

Facility Highlights

• 703-bed acute care teaching hospital and the flagship of its health system.
• Region's only Level I Trauma Center (adult and pediatrics).
• Magnet-designated for nursing excellence.
• Dedicated children's hospital.
• Certified Advanced Thrombectomy Capable Stroke Center.