Stroke/Neuro PCU Registered Nurse
Roanoke, Virginia
Carilion Roanoke Memorial Hospital

Registered Nurse – Stroke/Neuro PCU

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

Shift Details

• Night shift: 3x12-hour shifts (6:45 PM – 7:15 AM) standard; 4x12-hour shifts available by request
• 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 per 2 weeks

Unit & Patient Care Details

• Telemetry Progressive Care Unit (PCU) specializing in stroke and neurology patients
• Joint Commission certified primary stroke center
• Nurse-to-patient ratio typically 1:5, staffing goal 1:4
• Remote telemetry monitoring with tele-sitting to increase Patient Care Tech coverage
• Floating within skillset required
• IV drips managed include Cardizem, Heparin, Insulin, low-dose dopamine/dobutamine, Amiodarone, Nitro, Bumex, Lasix, Lidocaine, Ketamine

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 and management
• IV therapy, phlebotomy, blood product administration, central and peripheral line care
• Medication administration including cardiac drips (no titration)
• Respiratory support: nasal cannula, oxygen administration, non-invasive airway management
• Experience in Neuro PCU care
• Knowledge of isolation precautions and telemetry settings across PCU, IMC, and stepdown units

License Requirements

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

Experience Requirements

• Specialty: Registered Nurse with Neuro PCU experience
• Prior travel experience preferred but not required
• First-time travelers accepted

Documentation & Compliance Requirements

• Valid Driver’s License/State ID with address within 100 miles of facility required within 48 hours of signing
• E-Verify or attestation required
• 7-year background check covering all locations lived/worked in past 7 years, completed within 1 year of start
• EPLS/GSA/SAM and HHS/OIG checks required within 30 days of start and updated for renewals
• Education verification of highest earned degree required (transcript/diploma may be accepted as placeholder)
• NURSYS verification required for all RNs within 30 days of start
• Physical exam within 1 year of start confirming freedom from communicable diseases
• Negative TB test or chest X-ray within 1 year, updated annually
• Fit test for mask within 1 year, updated annually (onsite fit testing possible if needed)
• Negative 10-panel drug screen within 30 days of start
• Required immunizations or positive titers: Rubeola (Measles), Mumps, Rubella, Hepatitis B, Varicella
• Seasonal flu vaccination documentation or mask and declination form during flu season
• Photo for badge (professional, plain background, no selfies or filters)
• Completion of facility-specific compliance and confidentiality agreements prior to start
• Completion of new hire paperwork and orientation manual review (not required for inpatient RNs)
• Two clinical references required (hospital evaluations accepted)
• Annual skills checklist update required

Facility Highlights

• Large acute care hospital with over 700 licensed beds
• Level I Trauma Center
• Magnet-designated facility
• Teaching hospital affiliated with a medical school
• Offers advanced specialty care including bariatric, trauma, and surgical services

This position offers an opportunity to work in a specialized neuro/stroke telemetry PCU with a supportive team and advanced patient care technology.

Requirements/Qualifications

• Valid RN license in Virginia
• Minimum of 1 year of Progressive Care Unit (PCU) experience, preferably within the last year
• Experience in Neuro PCU (Progressive Care Unit) care
• ACLS certification
• BLS certification issued by the American Heart Association
• NIHSS certification
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Experience with non-invasive airway management
• Experience with Epic electronic health record system