Surgical PCU Registered Nurse (Ventilator Experience)
Roanoke, Virginia
Carilion Roanoke Memorial Hospital

Registered Nurse – Surgical PCU (Ventilator Experience Required)

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

Shift Details

• Night shift: 4 shifts of 12 hours each (6:45 PM – 7:15 AM)
• Weekend requirement: Every other weekend or 6 weekend shifts within a 6-week block
• Must work one holiday during the 13-week contract
• Call-off policy: Facility may call off 1 shift every 2 weeks

Required Certifications

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

Required Clinical Skills

• Cardiac monitoring, emergency response, and dysrhythmia interpretation/management
• IV therapy, phlebotomy, blood product administration, and central/peripheral line care
• Ventilator care for chronic tracheostomy patients (non-ICU level)
• Medication administration including cardiac drips (no titration)
• Respiratory support: nasal cannula, oxygen administration, CPAP, and BiPAP
• Rapid Response and Code team activation
• Isolation precautions and telemetry settings across PCU, DOU, IMC, and stepdown units

Unit Details

• Nurse-to-patient ratio typically 1:5, staffing goal 1:4
• Functions as a stepdown unit from General Surgical ICU with bariatric specialty and trauma backup
• Equipment used includes ortho equipment, chest tubes, surgical drains, trach, endo tool, PICC line, and MML
• IV drips managed: Cardizem, Heparin, Insulin, low-dose dopamine/dobutamine, Amiodarone, Nitro, Bumex, Lasix, Lidocaine, Ketamine
• Remote telemetry monitors remain on unit; tele-sitting implemented to increase Patient Care Tech coverage
• Floating within skillset required

Requirements/Qualifications

• Valid RN license in Virginia
• Minimum of 1 year of recent experience in a Progressive Care Unit (PCU)
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Current ACLS certification (American Heart Association only)
• NIH Stroke Scale (NIHSS) certification
• Experience with Epic electronic health record system

Health and Compliance Requirements

• Physical exam within 1 year confirming freedom from communicable diseases
• Negative TB test (PPD, QGold, or TSpot) within 1 year or clear chest X-ray if previously positive, updated annually
• Fit test for N95 masks within 1 year, updated annually (onsite fit testing possible if needed)
• Negative 10-panel drug screen within 30 days of start
• Required immunizations or positive titers for: Measles (Rubeola), Mumps, Rubella, Hepatitis B, Varicella
• Seasonal flu vaccination or mask and declination form during flu season
• Background check covering 7 years of history, education verification, and various federal/state screenings required
• Two clinical references required
• Completion of employment application/resume and annual skills checklist

Documentation and Onboarding

• 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
• Photo for badge (professional, plain background) required
• Completion of new hire paperwork and compliance checklists prior to start
• Orientation manual review required (not mandatory for inpatient RNs)
• Various competency exams and medication/pharmacology tests as applicable

Additional Notes

• Locals accepted within radius rule criteria
• Floating within skillset expected
• Unit is part of a large acute care hospital with Level I Trauma designation and Magnet recognition

This position is ideal for RNs with surgical PCU and ventilator experience seeking a night shift travel contract in Virginia.