Stroke/Neuro Telemetry PCU RN
Roanoke, Virginia
Carilion Roanoke Memorial Hospital

Registered Nurse – Stroke/Neuro PCU

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

Job Details

• Shift: Night, 3 shifts of 12 hours (6:45 PM – 7:15 AM)
• Additional shifts: 4x12s available upon request
• Weekend Requirement: Every other weekend or 6 weekend shifts in a 6-week block
• Holiday Requirement: Must work one holiday per 13-week contract
• Floating: Required to float within skillset
• Patient Ratio: Typically 1:5, staffing goal 1:4
• Unit: Telemetry Progressive Care Unit specializing in stroke and neurology patients
• Charting System: EPIC experience required

Required Qualifications

• Valid RN license in Virginia
• Telemetry PCU - Progressive Care Unit experience within the last year (minimum 1 year)
• Neuro PCU - Progressive Care Unit experience
• ACLS certification
• BLS certification issued by American Heart Association
• NIH Stroke Scale (NIHSS) certification
• Associate of Science in Nursing / Associate Degree in Nursing
• Dysrhythmia interpretation and management skills
• Respiratory support experience including nasal cannula, oxygen administration, and non-invasive airway management
• Experience with EPIC electronic charting system

Clinical Responsibilities

• Manage IV drips including Cardizem, Heparin, Insulin, low-dose dopamine/dobutamine, Amiodarone, Nitro, Bumex, Lasix, Lidocaine, Ketamine
• Use remote telemetry with monitors remaining on unit; tele-sitting implemented to increase Patient Care Tech coverage

Required Documentation & Compliance

• Background Checks:

  • 7-year background check covering all locations lived/worked in past 7 years (not required annually unless 30+ day break in assignments)
  • EPLS/GSA/SAM and HHS/OIG checks required within 30 days of start and updated for renewals
• Education Verification: Highest earned degree verification required; transcript or diploma required as proof
• Physical Exam: Within 1 year of start, confirming freedom from communicable diseases
• Drug Testing: Negative 10-panel drug screen within 30 days of start
• Immunizations:

  • TB test (PPD, QGold, or TSpot) within 1 year; if positive, clear chest X-ray and annual TB questionnaire required
  • Rubeola (Measles), Mumps, Rubella, Varicella: Positive titer or 2 vaccines required
  • Hepatitis B: Positive titer, vaccine series, or declination accepted
  • Seasonal Flu Vaccination or mask and declination form during flu season
• Fit Testing: Respirator fit test within 1 year, updated annually (not required for students)
• Photo for Badge: Professional photo required with plain background (no selfies or filters)
• References: Two clinical references required (hospital evaluations accepted)
• Employment Application: Complete application or resume required
• Skills Checklist: Must be updated annually
• State Police Search: Completed onsite first day of orientation for certain candidates; no pre-start action required

Additional Notes

• Candidates must provide a valid Driver’s License or State ID with an address within 100 miles of the facility; required within 48 hours of signing
• Facility allows calling off 1 shift per 2 weeks
• Remote telemetry monitors remain on unit; tele-sitting used to increase Patient Care Tech coverage
• Orientation manual review required prior to start (not required for inpatient RNs)
• Must complete compliance and confidentiality agreements within 48 hours of signing

This position offers an opportunity to work in a Joint Commission certified primary stroke center with a focus on advanced neuro and stroke care in a telemetry PCU setting.