Surgical PCU RN
Roanoke, Virginia
Carilion Roanoke Memorial Hospital

Registered Nurse – Surgical PCU (Ventilator Experience Required)

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

Shift Details

• Night shift: 3 shifts of 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 during the 13-week contract
• Staffing ratio typically 1:5, with a goal of 1:4
• Floating within skillset required

Unit & Patient Population

• Stepdown unit from General Surgical ICU with bariatric specialty and trauma backup
• Care for chronic trach patients (2 beds, not ICU level) requiring ventilator support (CPAP, BiPAP)
• Equipment includes ortho equipment, chest tubes, surgical drains, trach, endotracheal tools, PICC lines, and MML
• IV drips managed: Cardizem, Heparin, Insulin, low-dose dopamine/dobutamine, Amiodarone, Nitro, Bumex, Lasix, Lidocaine, Ketamine
• Remote telemetry monitors remain on unit; tele-sitting used to increase Patient Care Tech coverage

Required Clinical Skills

• Cardiac monitoring, emergency response, dysrhythmia interpretation and management
• IV therapy, phlebotomy, blood product administration, central and peripheral line care
• Ventilator care for chronic trach patients
• Medication administration including cardiac drips (no titration)
• Respiratory support: nasal cannula, oxygen administration, CPAP, BiPAP
• Rapid Response and Code team activation
• Isolation precautions and telemetry settings across PCU, DOU, IMC, and stepdown units

Required Certifications

• ACLS (American Heart Association only)
• BLS (American Heart Association only)
• NIH Stroke Scale Certification (as applicable)

Licensure

• Active Virginia State 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 ventilator experience (years of experience not explicitly stated; assume standard RN competency with ventilator care)
• Prior travel experience: Not required; first-time travelers accepted

Documentation & Compliance Requirements

• Drivers License/State ID with address within 100 miles of facility required within 48 hours of signing
• 7-year background check covering all locations lived/worked in past 7 years (must be current within 1 year of start)
• E-Verify or attestation required
• Education verification of highest earned degree required (transcript or diploma may be accepted as placeholder)
• NURSYS verification required within 30 days of start
• Physical exam within 1 year confirming freedom from communicable diseases
• Negative 10-panel drug screen within 30 days of start
• Fit test for mask within 1 year, updated annually (acceptable masks: 1860S, 1860, 1870+, 1804S)
• Negative TB test (PPD, QGold, or TSpot) within 1 year, updated annually; if past positive, clear chest X-ray within 1 year and annual TB questionnaire
• Required immunizations or positive titers: Rubeola (Measles), Mumps, Rubella, Hepatitis B, Varicella
• Flu vaccination documentation or signed declination form (masking required if declined)
• 2 clinical references required
• Complete employment application/resume
• Annual skills checklist update required
• Photo for badge (professional, plain background, no selfies or filters)
• Completion of facility-specific compliance and confidentiality agreements prior to start

Requirements/Qualifications

• Valid RN license in Virginia
• Minimum of 1 year of recent experience in a Progressive Care Unit (PCU)
• Ventilator care experience for chronic trach patients
• Current ACLS certification issued by the American Heart Association
• 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 Epic electronic health record system

Additional Notes

• Charting experience with EPIC required
• Facility allows call off of 1 shift per 2 weeks
• Locals accepted within radius rule criteria
• Orientation manual review required prior to start (not required for inpatient RNs as of 7/10/23)
• Candidate must acknowledge pain assessment expectations for inpatient RNs at this facility

This position offers the opportunity to work in a large, Level I Trauma Center with Magnet designation and advanced specialty care services including bariatric, trauma, and surgical units.