PCU Float RN
Roanoke, Virginia
Carilion Roanoke Memorial Hospital

Registered Nurse - PCU/MS Float

Location: Roanoke, Virginia Employment Type: Travel/Contract Contract Length: 13 weeks Shift: Night (3x12 hours), 18:45 to 7:15 Hours: 12 per day, 36 per week

Role Overview

• Float to all PCU and MS units; must be comfortable working on every one.
• Staffing is re-evaluated every 4 hours, so the traveler may float 2-3 times per shift.
• Unit ratios: PCU average 5:1; MS average 6:1 (may flex up to 7:1).
• Facility: 703-bed acute care teaching hospital and the region's only Level I Trauma Center (Adult & Pediatrics). Magnet-designated for nursing excellence, with a dedicated children's hospital and certification as an Advanced Thrombectomy Capable Stroke Center.

Required Qualifications

• Valid RN license in Virginia
• PCU (Progressive Care Unit) experience: minimum 1 year, with experience within the last year
• ACLS (Advanced Cardiac Life Support) issued by the American Heart Association
• BLS (Basic Life Support) issued by the American Heart Association
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing (ADN)
• Experience working with post-cardiac cath patients
• Experience with the care and management of invasive lines
• Experience with tracheostomy care
• Experience with BiPAP
• Experience with CPAP
• Experience with cardiac drips
• Experience with chest tubes (Emerson/PleurEvac)
• Experience managing PCA protocols
• Experience managing heparin protocols
• Experience administering IV insulin
• Experience with Epic

Scheduling and Policies

• Weekends: Every other weekend (EOW) or 6 weekend shifts in a 6-week block.
• Holidays: One holiday per 13-week contract.
• Call-off: Facility may call off 1 shift per 2 weeks.
• Time-off and block requests: All must be included with the submission.
• First-time travelers: Accepted.
• Local candidates: Accepted; radius rule applies per the submittal instructions.
• Charting: EMR experience is noted as software familiarity, not a credential.

Onboarding Requirements

• Identity and eligibility: Driver's license or state ID within 48 hours of signing; the ID address must be more than 100 miles from the facility or the candidate will be canceled. E-Verify. Photo for badge. Access and confidentiality agreement within 48 hours. New hire paperwork before start.
• Background: 7-year background check within 1 year of start, including SSN trace, county, nationwide, sex offender, and FACIS Level 3 checks. Education verification of highest degree. Diploma or unofficial transcript of highest medical degree (required for PCU). EPLS/GSA/SAM and HHS/OIG checks within 30 days of start, updated with each contract renewal or extension.
• Health: Physical exam within 1 year of start, stating the candidate is free from communicable diseases. Negative 10-panel drug screen within 30 days of start. TB test (PPD, QuantiFERON, or T-Spot) within 1 year, updated annually, plus TB questionnaire. Measles, mumps, rubella, hepatitis B, and varicella: positive titer or vaccines (hepatitis B may also be a declination).
• Influenza: Candidates who do not receive the flu vaccine must mask for the entire flu season and sign a declination form.
• Fit testing: Within 1 year of start and updated annually. Acceptable masks include 1860S, 1860, 1870+, and 1804S. Onsite fit testing is a last resort.
• Competencies: Medication test/pharmacology competency exam and competency exam (as applicable). Core Parts I-III for subcontractors, unless a signed HIPAA form is provided; core testing must be updated annually.
• Credentials and history: Nursys verification within 30 days of start. Primary source license verification within 30 days of start. Two clinical references (hospital evaluation also accepted). Complete application or resume. Skills checklist, updated annually.