Travel Nurse RN - Cardiac PCU - Progressive Care Unit
Roanoke, Virginia
Carilion Roanoke Memorial Hospital

Registered Nurse: ED TCU/Observation Unit (PCU)

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

Schedule and Scheduling Rules

• Shifts: 3x12-hour day shifts, 7a-7p (36 hours per week)
• Weekends: Either every other weekend (EOW) or 6 weekend shifts in a 6-week scheduling block
• Holidays: One holiday required per 13-week contract
• Call-offs: The facility may call off 1 shift per 2 weeks
• Requests: All RTO, block, and special scheduling requests must be included with the submission
• Software: Charting in Epic is requested (software familiarity, not a qualification)

Required Qualifications

• Valid RN license in Virginia
• ASN (Associate of Science in Nursing) or ADN (Associate Degree in Nursing)
• PCU (Progressive Care Unit) experience of at least 1 year, completed within the last year
• Completion of one travel assignment (first-time travelers are not accepted)
• ACLS (Advanced Cardiac Life Support) issued by the American Heart Association
• BLS issued by the American Heart Association
• Experience working with cardiac patients
• Cardiac monitoring and emergency response, including interpretation and management of dysrhythmias
• Blood product administration
• Experience with the care and management of invasive lines
• Accessing and managing ports
• PICC line management
• Non-invasive airway management
• Chest tube management
• Heparin protocol
• Experience with cardiac drips
• Experience with Epic

Clinical Skills

• Cardiac: Cardiac monitoring and emergency response; interpretation and management of dysrhythmias
• IV/Line: IV therapy and phlebotomy; blood product administration; central and peripheral line care and management; accessing and managing ports; PICC line management
• Respiratory: Respiratory support via nasal cannula and oxygen administration; non-invasive airway management; chest tubes
• Rapid response/isolation: Use of rapid response and code teams; maintaining isolation precautions
• Medications: Heparin protocol; managing cardiac/vasoactive drips (no titration); IV insulin protocol (titration); PCA

Unit and Assignment Details

• Unit name: ED Transitional Care Unit (TCU), an ED-owned 16-bed admission unit for med/surg or PCU-level patients awaiting inpatient bed assignment. Inpatient orders are carried out and admission databases are completed before inpatient transfer.
• Ratio: 1:5, contingent on hospital capacity and ED volume
• Float: Required to float within skillset

Onboarding and Compliance Requirements

Time-sensitive (within 48 hours of signing):

• Driver's license or state ID. The address on it must be within 100 miles of the contracted facility, or the assignment will be canceled.
• Access and confidentiality agreement. The name must match the legal name on the state ID, and the SSN must match records.

Background and eligibility:

• E-Verify or attestation
• 7-year background check within 1 year of start, covering all locations lived or worked in the past 7 years. A new check is required within 30 days of a new start date after a gap of 30+ days.
• Education verification of highest earned degree for all travelers
• Copy of diploma or unofficial transcript (required for ER/PCU/TCU)
• EPLS/GSA/SAM and HHS/OIG checks within 30 days of start, updated with each renewal or extension

Health:

• Physical exam within 1 year of start, stating the candidate is free from communicable diseases
• Negative TB screen (PPD, QuantiFERON Gold, or T-SPOT) within 1 year of start, updated annually; TB questionnaire required
• Measles, mumps, rubella, varicella: positive titer or 2 vaccines
• Hepatitis B: positive titer, vaccine series, or declination
• Negative 10-panel drug screen within 30 days of start
• Flu vaccination: candidates who decline must mask for the entire flu season and sign a declination form
• Fit test within 1 year of start, updated annually (onsite fit testing available as a last resort)

Other:

• Two clinical references (hospital evaluation also accepted)
• Complete employment application or resume
• Skills checklist, updated annually
• Professional photo for badge (plain light background, no selfies or filters)
• New hire paperwork, completed before start
• Contract staff orientation manual, reviewed before start with a screenshot of the acknowledgment submitted
• For subcontractors: signed HIPAA form (preferred) or passing core testing, updated annually

Facility Highlights

• Private, not-for-profit, general acute care teaching hospital in Roanoke, Virginia, with 703 licensed beds
• Region's only Level I Trauma Center (adult and pediatric)
• Certified stroke center
• Magnet designated by the American Nurses Credentialing Center