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 assignments may change every 4 hours, potentially floating 2-3 times per shift.
• Weekend requirement: Every other weekend or 6 weekend shifts in a 6-week block.
• Must work one holiday during the 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, an active Virginia RN license (state or compact) is required.
• Call-off policy allows 1 shift call-off per 2 weeks.

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 medications, titration of cardiac and vasoactive drips.
• Wound care: surgical wounds with drains or wound vacs.
• Cardiac monitoring: dysrhythmia interpretation and management.
• Endocrine/metabolic: adherence to IV insulin protocols.
• 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

Scheduling & Documentation

• Charting experience with EPIC required.
• All scheduling requests must be submitted upfront.
• Background checks, education verification, and various health documents (e.g., physical exam, TB testing, immunizations) are required.
• Drug screening: Negative 10-panel drug screen within 30 days of start.
• Fit testing and mask requirements must be current.
• References: 2 clinical references required.
• Employment application and skills checklist must be completed and updated annually.

Required Licensure

• Active Registered Nurse (RN) license valid in Virginia (state or compact).

Requirements/Qualifications

• Valid RN license in Virginia
• Associate of Science in Nursing / Associate Degree in Nursing
• Minimum 2 years of ICU (Intensive Care Unit) experience
• ICU experience within the last year
• Experience in Progressive Care Unit (PCU)
• Experience at a large Level 1 or Level 2 facility
• ACLS certification issued by the American Heart Association
• BLS certification issued by the American Heart Association
• NIHSS certification
• Experience with Epic electronic health record system

Additional Notes

• Must be able to work in a fast-paced, high-acuity environment.
• Floating assignments require flexibility and adaptability.
• Prior travel experience is not required.
• Weekend and holiday work are mandatory as specified.
• Facility maintains a strict radius rule for local candidates.

This position is ideal for experienced ICU nurses comfortable with floating to PCU and working varied shifts in a Level 1/2 trauma center environment.