ICU/PCU Float RN
Roanoke, Virginia
Carilion Roanoke Memorial Hospital

Registered Nurse - ICU/PCU Float

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

Job Overview

• Float between ICU and PCU units; must be comfortable working in all ICU and PCU areas.
• Shift: 3 shifts of 12 hours each (6:45 PM - 7:15 AM).
• Floating may occur 2-3 times per shift (every 4 hours).
• Weekend requirement: Every other weekend or 6 weekend shifts in a 6-week block.
• Holiday requirement: Must work one holiday per 13-week contract.
• First-time travelers accepted.
• Local candidates accepted within a specified radius.
• Pending license accepted only if holding a single-state license from a non-compact state; otherwise, active Virginia RN license required.

Required Certifications

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

Required Clinical Skills

• IV therapy: arterial line management, central/PICC line care, blood product administration, IV initiation & maintenance.
• Respiratory support: BiPAP & CPAP management, ventilated patient care.
• Medication administration: continuous IV sedation, emergency meds, titration of cardiac & vasoactive drips.
• Wound care: surgical wounds with drains or wound vacs.
• Cardiac monitoring: dysrhythmia interpretation & management.
• Endocrine/metabolic: IV insulin protocol adherence.
• ICU experience required.
• Experience at a large Level 1 or Level 2 facility required.
• Preferred: 2+ years of nursing experience.

Unit Details

• PCU average nurse-to-patient ratio: 1:5
• ICU average nurse-to-patient ratio: 1:2

Required Qualifications

• Valid Registered Nurse (RN) license in Virginia.
• Minimum 2 years of ICU (Intensive Care Unit) experience, including experience within the last year.
• Experience in Progressive Care Unit (PCU).
• Current ACLS and BLS certifications issued by the American Heart Association.
• NIHSS certification.
• NRP (Neonatal Resuscitation Program) certification.
• TNCC (Trauma Nursing Core Course) certification.
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN).
• Experience in an acute care setting.
• Experience at a large Level 1 or Level 2 facility.
• Proficient IV therapy skills including arterial line management, central/PICC line care, blood product administration, IV initiation and maintenance.
• Skilled in respiratory support including BiPAP and CPAP management and ventilated patient care.
• Knowledgeable in endocrine/metabolic protocols, specifically IV insulin protocol adherence.
• Experience with Epic electronic health record system.

Additional Requirements

• Physical exam within 1 year, free from communicable diseases.
• Negative TB test or chest X-ray within 1 year.
• Drug screening (10-panel) within 30 days of start.
• Fit testing for masks within 1 year, updated annually.
• Background check covering 7 years of history.
• Education verification and transcript/diploma required.
• Two clinical references required.
• Completion of required competencies and orientation materials.
• Compliance with facility-specific documentation and policies.

Notes

• Call-off policy allows 1 shift off per 2 weeks.
• Charting experience with EPIC required.
• Must work at least one holiday during the contract.
• Prior travel experience is not required; first-time travelers are accepted.

This position is ideal for experienced ICU/PCU RNs comfortable with floating and working in a fast-paced, high-acuity environment.