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

Job Opportunity: Registered Nurse - ICU/PCU/MS Float

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

Job Description

Seeking a Registered Nurse comfortable working across ICU, PCU, and Medical-Surgical (MS) units as a whole house float. Candidates must be experienced with patient ratios of at least 1:5 and able to float 2-3 times per shift (every 4 hours as needed).

Shift Details:

• 3 shifts per week, 12 hours each (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

Charting System: EPIC experience required

Required Certifications

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

Required Clinical Skills

• IV therapy, phlebotomy, PICC line and central line care/management
• Arterial line management and blood product administration
• Trach management and non-invasive airway support (nasal cannula, CPAP/BiPAP, ventilator management)
• Chest tube management (Emerson/PleurEvac)
• Cardiac monitoring, continuous IV sedation, emergency medications
• Titration of cardiac and vasoactive drips
• Minimum 2 years ICU experience from a Level 1 or Level 2 facility

Unit Patient Ratios

• ICU: 2:1
• PCU: 5:1
• MS: 6:1 (may flex up to 7:1)

License Requirements

• Active Virginia RN license or Compact RN license required
• Pending licenses accepted only if single-state from a non-compact state

Additional Requirements

• Accepting first-time travel nurses
• Background check covering 7 years required within 1 year of start
• Physical exam within 1 year confirming freedom from communicable diseases
• Negative TB test or chest X-ray within 1 year
• Fit test within 1 year, updated annually
• Negative 10-panel drug screen within 30 days of start
• Two clinical references required
• Education verification and transcript/diploma required
• Various competency exams and orientation acknowledgments required

Scheduling Notes

• Staffing needs re-evaluated every 4 hours, requiring flexibility to float between units
• Facility may call off 1 shift per 2 weeks
• All scheduling requests must be submitted upfront

Summary

This is a 13-week travel contract for an experienced ICU Registered Nurse with strong float skills across ICU, PCU, and Medical-Surgical units. Candidates must be comfortable with variable patient ratios and frequent floating, have EPIC charting experience, and hold required certifications and licenses. Prior travel experience is not required.

Requirements/Qualifications

• Valid RN license in Virginia
• Minimum 2 years of ICU experience from a large Level 1 or Level 2 facility, with ICU experience within the last year
• Experience working all ICU, PCU, and Medical-Surgical units as a whole house float
• ACLS certification issued by the American Heart Association
• BLS certification issued by the American Heart Association
• TNCC certification
• NIHSS certification
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Phlebotomy experience
• PICC line management experience
• Central line care and management experience
• Arterial line management experience
• Trach management experience
• Non-invasive airway support experience including nasal cannula, CPAP, and BiPAP
• Ventilator management experience
• Chest tube management experience (Emerson/PleurEvac)
• Cardiac monitoring experience
• Continuous IV sedation experience
• Experience titrating cardiac drips
• Experience with EPIC charting system