PCU RN – Ventilator Care
Roanoke, Virginia
Carilion Roanoke Memorial Hospital

Job Opportunity: Registered Nurse (RN) – General Medicine PCU (Vent Experience Required)

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

Shift & Scheduling Details

• Shift: 3x12 hour night shifts (6:45 PM – 7:15 AM)
• Weekend Requirement: Every other weekend or 6 weekend shifts in a 6-week block
• Holiday Requirement: Must work one holiday per 13-week contract
• Call-off Policy: Allowed 1 call-off shift per 2 weeks
• Charting System: EPIC experience required
• Floating: Required to float within skillset

Required Certifications

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

Required Clinical Skills

• Cardiac monitoring, emergency response, dysrhythmia interpretation/management
• IV therapy, phlebotomy, blood product administration, central/peripheral line care
• Medication administration including cardiac drips (no titration)
• Respiratory support: nasal cannula, oxygen administration, non-invasive airway management
• Ventilator care for chronic trach and vent patients
• 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
• Hybrid unit: 10 PCU beds and 2 ICU beds
• Patient population includes vent/trach dependent patients
• Common diagnoses: DKA, COPD, Sepsis, Suicide/Overdose, Chronic respiratory failure, renal failure
• 2 beds dedicated for chronic trach patients
• Remote telemetry with tele-sitting to increase Patient Care Tech coverage

Licensure & Experience Requirements

• Active Virginia State or Compact RN/LPN license required (pending license accepted only if holding a single-state license from a non-compact state)
• Prior travel experience: Not required (first-time travelers accepted)
• Specialty years of experience: Not explicitly stated (assume minimum RN experience)

Additional Requirements

• I9 or attestation required
• Driver’s License/State ID required within 48 hours of signing (must meet radius criteria)
• Background check: 7-year check required within 1 year of start
• E-Verify or attestation required
• Education verification of highest earned degree required
• Physical exam within 1 year of start, free from communicable diseases
• Fit test within 1 year of start, updated annually
• Negative TB test or chest X-ray within 1 year, updated annually
• Drug screening: Negative 10-panel within 30 days of start
• 2 clinical references required
• Complete application/resume required
• Skills checklist updated annually

Facility Highlights

• Large acute care hospital with over 700 licensed beds
• Level I Trauma Center
• Magnet-designated facility
• Teaching hospital affiliated with Virginia Tech Carilion School of Medicine
• Offers advanced specialty care including bariatric, trauma, and surgical services

This position is ideal for RNs with ventilator experience seeking a travel contract in a high-acuity PCU/ICU hybrid setting with a supportive hospital environment.