PCU/Med-Surg Float RN
Roanoke, Virginia
Carilion Roanoke Memorial Hospital

Registered Nurse – PCU Float (Night Shift)

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

Job Overview

• Float position covering Progressive Care Unit (PCU) and Medical-Surgical (MS) units.
• Must be comfortable working across all PCU and MS units.
• Night shift: 3 shifts per week, 12 hours each (6:45 PM – 7:15 AM).
• 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.
• Holiday requirement: 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 certification.
• BLS certification issued by the American Heart Association.

Education

• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN).

Experience & Skills

• Minimum 1 year of Progressive Care Unit (PCU) experience within the last year.
• Experienced in phlebotomy.
• Skilled in central line care.
• Skilled in tracheostomy management.
• Skilled in CPAP/BiPAP.
• Skilled in chest tubes (Emerson/PleurEvac).
• Skilled in dysrhythmia interpretation and management.
• Skilled in titrating cardiac drips.
• Capable of handling endocrine and metabolic conditions.
• Telemetry experience.
• Experience with Epic electronic health record system.

Unit Details

• PCU nurse-to-patient ratio: approximately 5:1.
• MS nurse-to-patient ratio: approximately 6:1, may flex up to 7:1.

Compliance & Health Requirements

• Physical exam within 1 year confirming freedom from communicable diseases.
• Negative TB test (PPD, QGold, or TSpot) within 1 year; annual updates required.
• Immunizations or positive titers required for: Measles (Rubeola), Mumps, Rubella, Hepatitis B, Varicella.
• Negative 10-panel drug screen within 30 days of start.
• Fit testing for respirators within 1 year, updated annually.
• Flu vaccination recommended; declination requires masking and form signing.
• Background check covering 7 years of history required within 1 year of start.
• E-Verify or attestation required.
• Primary source verification of state license within 30 days of start.
• NURSYS verification required for RNs within 30 days of start.

Scheduling & Policies

• Staffing re-evaluated every 4 hours; floating multiple times per shift possible.
• Facility may call off 1 shift per 2-week period.
• All time-off, block, and special scheduling requests must be submitted with application.
• Professional photo required for badge (no selfies or filters, plain background).

Additional Notes

• Drivers license/state ID with an address within 100 miles of the facility required within 48 hours of signing.
• Orientation manual review required prior to start (not required for inpatient RNs).
• VA State Police Search completed onsite first day of orientation for certain candidates.
• Prior travel experience is not required; first-time travelers accepted.

This position is ideal for experienced RNs comfortable with telemetry and stepdown care who are flexible and able to float between PCU and MS units during night shifts.