PCU/Med-Surg Float RN
Roanoke, Virginia
Carilion Roanoke Memorial Hospital

Job Opportunity: Registered Nurse - PCU/MS Float

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

Job Summary

Seeking a Registered Nurse comfortable working across Progressive Care Unit (PCU) and Medical-Surgical (MS) units. The role involves floating between units based on staffing needs, with frequent reassessment every 4 hours.

Schedule Details

• Shift: 3 shifts of 12 hours each (6:45 PM – 7:15 AM)
• Floating: May float 2-3 times per shift (up to 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 radius rules
• Pending license accepted only if holding a single-state license from a non-compact state; otherwise, active Virginia RN license required
• Call-off policy: Allowed 1 call-off shift per 2 weeks

Required Certifications

• ACLS (Advanced Cardiac Life Support)
• BLS (Basic Life Support)

Required Clinical Skills

• Experience with IV therapy, phlebotomy, and blood product administration
• Skilled in central line care, tracheostomy management, and non-invasive airway support (nasal cannula, CPAP/BiPAP, chest tubes)
• Proficient in cardiac monitoring, dysrhythmia interpretation and management, titrating cardiac drips
• Ability to respond to emergencies via Rapid Response/Code teams
• Capable of managing PCA and heparin protocols, administering IV insulin, and handling endocrine/metabolic conditions
• Background in telemetry and stepdown-level care (PCU/DOU/IMC) with cardiovascular experience in pre/post cardiac catheterization settings

Unit Details

• PCU nurse-to-patient ratio: approximately 5:1
• MS nurse-to-patient ratio: approximately 6:1 (may flex up to 7:1)

Required Qualifications

• Valid Registered Nurse (RN) license in Virginia
• Minimum 1 year of Progressive Care Unit (PCU) experience within the last year
• Telemetry experience
• ACLS certification issued by the American Heart Association
• BLS certification issued by the American Heart Association
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Experience with IV therapy
• Experience in central line care
• Experience in tracheostomy management
• Experience managing chest tubes (Emerson/PleurEvac)
• Experience in cardiac monitoring
• Experience interpreting and managing dysrhythmias
• Experience titrating cardiac drips
• Experience responding to emergencies via Rapid Response/Code teams
• Experience managing endocrine/metabolic conditions
• Cardiovascular experience in pre/post cardiac catheterization settings
• 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
• Fit test within 1 year, updated annually
• Negative 10-panel drug screen within 30 days of start
• Immunizations or positive titers for Measles, Mumps, Rubella, Varicella, Hepatitis B
• Background check covering 7 years of history
• Education verification and transcript/diploma required
• Two clinical references required
• Completion of skills checklist annually
• Compliance with facility-specific documentation and orientation requirements

Notes

• Floating between PCU and MS units is mandatory; candidates must be comfortable with this flexibility.
• Weekend and holiday shifts are required as part of the contract.
• First-time travel nurses are welcome to apply; prior travel experience is not required.

This position offers an opportunity to work in a high-acuity environment with a focus on telemetry and stepdown care, supporting patients with cardiovascular and complex medical needs.