PCU Registered Nurse
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, 3 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 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

Unit & Patient Population

• Unit Type: Progressive Care Unit (PCU) with 10 PCU beds and 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 monitors remain on unit; tele-sitting used to increase Patient Care Tech coverage

Required Clinical Skills

• Cardiac monitoring, emergency response, dysrhythmia interpretation/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 vent patients
• Rapid Response and Code team activation
• Isolation precautions and telemetry settings across PCU, DOU, IMC, and stepdown units

Required Certifications

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

Licensure & Experience Requirements

• Valid RN license in Virginia
• Minimum 1 year of Progressive Care Unit (PCU) experience within the last year
• Ventilator experience
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Experience with Epic electronic health record system

Documentation & Compliance Requirements

• Background Check: 7-year background check required within 1 year of start, covering all locations lived/worked in past 7 years
• E-Verify or attestation required
• Education Verification: Proof of highest earned degree required (transcript or diploma)
• NURSYS verification required for RN license within 30 days of start
• Physical Exam: Within 1 year of start, confirming freedom from communicable diseases
• Drug Testing: Negative 10-panel drug screen within 30 days of start
• Fit Testing: Fit test within 1 year of start, updated annually (masks 1860S, 1860, 1870+, 1804S acceptable)
• TB Testing: Negative PPD, QGold, or TSpot within 1 year; if past positive, clear chest X-ray within 1 year and annual TB questionnaire
• Immunizations: Proof of immunity or vaccination for Rubeola (Measles), Mumps, Rubella, Hepatitis B, Varicella
• Flu Vaccination: Not required but mask and declination form required if declined
• Photo for Badge: Professional photo required with plain background, no selfies or filters
• References: Two clinical references required (hospital evaluations accepted)
• Employment Application/Resume: Required
• Skills Checklist: Must be updated annually
• Orientation: Review of Contract Staff Orientation Manual prior to start (not required for inpatient RNs)
• Compliance and confidentiality agreements must be completed within 48 hours of signing

Additional Notes

• Drivers License/State ID with an address within 100 miles of the facility is required within 48 hours of signing
• Locals accepted under radius rule criteria
• Hospital is a large acute care Level I Trauma Center, Magnet-designated, and teaching hospital with advanced specialty care

This position is ideal for RNs with ventilator experience seeking a travel contract in a progressive care setting with a focus on cardiac and respiratory patient care.