Registered Nurse – Surgical PCU
Roanoke, Virginia
Carilion Roanoke Memorial Hospital

Registered Nurse – Surgical PCU (Night Shift)

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

Shift Details

• Night shift: 3 shifts per week, 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 per 13-week contract
• Call-off policy: Facility may call off 1 shift every 2 weeks
• Floating within skillset required

Required Licenses & Certifications

• Active Virginia State or Compact RN license required (pending license accepted only if holding a single-state non-compact license)
• ACLS (American Heart Association only)
• BLS (American Heart Association only)
• NIH Stroke Scale Certification (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 in PCU, DOU, IMC, and stepdown units

Unit & Patient Care Details

• Nurse-to-patient ratio typically 1:5; staffing goal 1:4
• Stepdown unit from General Surgical ICU with bariatric specialty and trauma backup
• Care for 2 chronic trach patients with CPAP and BiPAP support
• Equipment used: ortho equipment, chest tubes, surgical drains, trach, endo tool, PICC line, MML
• IV drips managed include 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

Requirements/Qualifications

• Valid RN license in Virginia
• Minimum 1 year of Progressive Care Unit (PCU) experience within the last year
• Current ACLS certification
• Current BLS certification issued by the American Heart Association
• NIH Stroke Scale (NIHSS) certification
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Experience with ventilator (vent) care
• Experience using Epic electronic health record system

Documentation & Compliance Requirements

• Valid Driver’s License/State ID with address within 100 miles of facility required within 48 hours of signing
• Background check: 7-year history required within 1 year of start; must cover all locations lived/worked in past 7 years
• E-Verify or attestation required
• Education verification of highest earned degree required (transcript/diploma may be accepted as placeholder)
• Primary source verification of state license within 30 days of start
• NURSYS verification required for RNs within 30 days of start
• Physical exam within 1 year confirming freedom from communicable diseases
• Negative TB test or chest X-ray within 1 year; updated annually
• Fit mask test within 1 year, updated annually (specific mask types accepted)
• Negative 10-panel drug screen within 30 days of start
• Required immunizations or positive titers: Measles, Mumps, Rubella, Hepatitis B, Varicella
• Flu vaccination documentation or mask/declination form during flu season
• Professional photo for badge (plain background, no selfies or filters)
• Completion of new hire paperwork and compliance checklists prior to start
• Orientation manual review required (not mandatory for inpatient RNs)

Additional Notes

• Locals accepted under radius rule (within 100 miles)
• All scheduling requests (RTO, block, special) must be submitted with application
• Two clinical references required (hospital evaluations accepted)
• Complete employment application/resume required
• Annual update of skills checklist required

This position offers an opportunity to work in a high-acuity surgical progressive care unit with ventilator patients, requiring strong critical care nursing skills and experience with telemetry and respiratory support.