PCU Float RN
Roanoke, Virginia
Carilion Roanoke Memorial Hospital

Registered Nurse – PCU Float

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.
• Schedule: 3 shifts per week, 12 hours each (6:45 AM – 7:15 PM). Option for 4 shifts per week available upon request.
• Floating frequency: May float 2-3 times per shift based on staffing needs (re-evaluated 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.
• Charting system: EPIC experience required.
• Patient ratios: PCU average 5:1; MS average 6:1 (may flex up to 7:1).

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) / Associate Degree in Nursing (ADN).

Experience & Skills

• Minimum 1 year of recent Progressive Care Unit (PCU) experience.
• Experience in Medical-Surgical (Med Surg) nursing.
• Proficient in central line care.
• Skilled in tracheostomy management.
• Experienced in non-invasive airway support (e.g., nasal cannula, CPAP/BiPAP).
• Experience with chest tubes (Emerson/PleurEvac).
• Competent in dysrhythmia interpretation and management.
• Skilled in titrating cardiac drips.
• Able to respond effectively to emergencies via Rapid Response and Code teams.
• Experience managing PCA protocols.
• Experience administering IV insulin.
• Background in telemetry nursing.
• Cardiovascular experience in pre/post cardiac catheterization settings.
• Proficient with EPIC charting system.

Required Documentation & Compliance

• Valid Driver’s License/State ID with an address within 100 miles of the facility.
• E-Verify or attestation required.
• 7-year background check covering all locations lived/worked in the past 7 years; must be current 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; transcript or diploma required.
• NURSYS verification for RN license within 30 days of start.
• Physical exam within 1 year confirming freedom from communicable diseases.
• Fit test for respirator masks within 1 year, updated annually.
• Negative TB test (PPD, QGold, or TSpot) within 1 year; if positive, clear chest X-ray within 1 year and annual TB questionnaire.
• Immunization or positive titer documentation for Rubeola (Measles), Mumps, Rubella, Hepatitis B, and Varicella.
• Negative 10-panel drug screen within 30 days of start.
• 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

• Two clinical references required (hospital evaluations accepted).
• Complete employment application/resume.
• Annual update of skills checklist.
• Must work within the facility’s radius rule (within 100 miles).
• Facility may call off one shift per two weeks.
• First-time travelers accepted; prior travel experience not required.

Work Environment Highlights

• Acute care teaching hospital with Level I Trauma Center designation (Adult & Pediatrics).
• Magnet-designated for nursing excellence.
• Advanced specialty care including cardiovascular and stroke center capabilities.
• Patient care involves telemetry and stepdown units with cardiovascular focus.

This position is ideal for RNs with strong telemetry and progressive care experience who are flexible and comfortable floating between PCU and medical-surgical units.