PCU Registered Nurse - Ventilator
Roanoke, Virginia
Carilion Roanoke Memorial Hospital

Registered Nurse – General Medicine PCU (Ventilator Experience Required)

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

Schedule & Shift Details

• Shift: Day shift, 4 shifts per week, 12 hours each (6:45 AM – 7:15 PM)
• Weekend Requirement: Either every other weekend or 6 weekend shifts within a 6-week block
• Holiday Requirement: Must work at least one holiday during the 13-week contract
• Call-off Policy: Facility may call off 1 shift every 2 weeks
• Floating: Required to float within skillset as needed

Unit & Patient Population

• Unit Type: Progressive Care Unit (PCU) with hybrid beds (10 PCU beds, 2 ICU beds)
• Patient Types: Ventilator and trach-dependent patients, chronic respiratory failure, DKA, COPD, sepsis, suicide/overdose, renal failure
• Nurse-to-Patient Ratio: Typically 1:5, goal 1:4
• Telemetry: Remote telemetry monitoring on unit; tele-sitting used to increase Patient Care Tech coverage

Required Certifications

• ACLS (Advanced Cardiac Life Support) – AHA only
• BLS (Basic Life Support) – AHA only
• NIHSS (National Institutes of Health Stroke Scale) Certification

Required Clinical Skills

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

Licensure Requirements

• Active Virginia 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 – General Medicine PCU with ventilator experience
• Years of Experience: Not explicitly stated; ventilator experience required
• Prior travel experience: Not required; first-time travelers accepted

Required Documentation & Compliance

• Valid Driver’s License/State ID with address within 100 miles of facility required within 48 hours of signing
• Background Check: 7-year history required within 1 year of start, including education verification and multiple federal/state checks
• E-Verify or attestation required
• Physical Exam within 1 year confirming freedom from communicable diseases
• Negative TB test or chest X-ray within 1 year, updated annually
• Fit mask test within 1 year, updated annually (specific mask types accepted)
• Drug Screen: Negative 10-panel within 30 days of start
• Immunizations or positive titers required for: Measles, Mumps, Rubella, Hepatitis B, Varicella
• Flu vaccination documentation or mask/declination form during flu season
• Photo for badge (professional, plain background)
• Completion of new hire paperwork and compliance checklists prior to start
• References: 2 clinical references required
• Skills checklist updated annually

Additional Notes

• EPIC charting experience required
• Locals accepted under radius rule
• Must review and acknowledge orientation materials prior to start (inpatient RNs exempt as of 7/10/23)
• Facility is a large acute care hospital with Level I Trauma Center designation and Magnet status

Requirements/Qualifications

• Valid RN license in Virginia
• Associate of Science in Nursing / Associate Degree in Nursing
• Minimum 1 year of Progressive Care Unit (PCU) experience within the last year
• Ventilator experience required, including care for chronic trach and ventilator-dependent patients
• ACLS certification issued by the American Heart Association
• BLS certification issued by the American Heart Association
• NIHSS certification
• Proficient in dysrhythmia interpretation and management
• Experience in emergency response and rapid response/code team activation
• Experience with Epic electronic health record system