Registered Nurse – Stroke/Neuro Telemetry PCU
Roanoke, Virginia
Carilion Roanoke Memorial Hospital

Registered Nurse – Stroke/Neuro PCU

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

Shift Details

• Night shift: 3 shifts of 12 hours each (6:45 PM – 7:15 AM)
• Option for 4 shifts of 12 hours available upon request
• Weekend requirement: Every other weekend or 6 weekend shifts within a 6-week block
• Must work one holiday per 13-week contract

Unit & Patient Population

• Telemetry Progressive Care Unit (PCU) specializing in stroke and neurology patients
• Joint Commission certified primary stroke center
• Typical nurse-to-patient ratio: 1:5 (staffing goal 1:4)
• Unit manages hospitalist medicine patients with neuro and stroke focus
• Remote telemetry monitoring with tele-sitting to support patient care tech coverage
• Floating within skillset required

Required Clinical Skills

• Cardiac monitoring, emergency response, and dysrhythmia interpretation/management
• IV therapy, phlebotomy, blood product administration, and central/peripheral line care
• Medication administration including cardiac drips (no titration)
• Respiratory support: nasal cannula, oxygen administration, non-invasive airway management
• Neuro PCU experience required
• Knowledge of isolation precautions and telemetry settings across PCU, IMC, and stepdown units
• Experience managing IV drips such as Cardizem, Heparin, Insulin, low-dose dopamine/dobutamine, Amiodarone, Nitro, Bumex, Lasix, Lidocaine, Ketamine

Required Certifications & Licenses

• Active Registered Nurse (RN) license for Virginia (single-state or compact)
• ACLS (American Heart Association Advanced Cardiac Life Support)
• BLS (Basic Life Support)
• NIHSS (National Institutes of Health Stroke Scale) certification
• Pending license accepted only if holding a single-state license from a non-compact state

Requirements/Qualifications

• Valid Registered Nurse (RN) license in Virginia
• Minimum 1 year of Neuro Progressive Care Unit (PCU) experience within the last year
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• ACLS certification
• BLS certification issued by the American Heart Association
• NIHSS certification
• Proficient in dysrhythmia interpretation and management
• Experience with Epic electronic health record system

Experience Requirements

• Specialty: Registered Nurse – Neuro/Stroke PCU
• Prior travel experience preferred but not required; first-time travelers accepted

Documentation & Compliance Requirements

• Valid Driver’s License/State ID with address within 100 miles of facility required within 48 hours of signing
• Background check covering 7 years of history, including education verification and multiple federal/state screenings
• E-Verify or attestation required
• Physical exam within 1 year confirming freedom from communicable diseases
• Negative 10-panel drug screen within 30 days of start
• Fit testing for masks within 1 year, updated annually
• Negative TB test or chest X-ray within 1 year, updated annually
• Immunization or positive titer documentation for Rubeola, Mumps, Rubella, Hepatitis B, Varicella
• Flu vaccination documentation or signed declination form during flu season
• Two clinical references required
• Completion of employment application/resume and annual skills checklist
• Photo for badge (professional, plain background)
• Completion of facility-specific compliance and confidentiality agreements prior to start

Additional Notes

• Facility allows one shift call-off per 2 weeks
• Requests for time off must be submitted with application
• Locals accepted within radius rule criteria
• Orientation manual review required prior to start (not required for inpatient RNs)

This position offers an opportunity to work in a specialized neuro/stroke telemetry PCU with a focus on critical cardiac and neurological care in a Level I Trauma Center environment.