PCU Registered Nurse
Roanoke, Virginia
Carilion Roanoke Memorial Hospital

Registered Nurse - PCU (General Medicine/Observation)

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

Shift & Scheduling Details

• Shift: 3 shifts per week, 12 hours each (6:45 PM – 7:15 AM)
• Weekend Requirement: Every other weekend or 6 weekend shifts in a 6-week block
• Holiday Requirement: Must work one holiday per 13-week contract
• Call-off Policy: Allowed 1 call-off shift per 2 weeks
• Floating: Required to float within skillset
• Charting system experience required: EPIC
• Accepts first-time travelers and local candidates within radius rules
• Pending license accepted only if holding a single-state license from a non-compact state; otherwise, active Virginia RN license required

Required Certifications

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

Required Clinical Skills

• Experience in Telemetry, PCU, DOU, IMC, and stepdown units
• Proficient in cardiac monitoring, emergency response, dysrhythmia management, use of Rapid Response and Code teams
• Administration of cardiac drips (e.g., Cardizem, Heparin, Insulin, low-dose dopamine/dobutamine, Amiodarone, Nitro, Bumex, Lasix) without titration
• IV therapy, phlebotomy, blood product administration, central and peripheral line care
• Competency in chest tubes, tracheostomy care, PICC line management, medication administration
• Respiratory skills including nasal cannula, oxygen administration, CPAP, BiPAP, and non-invasive airway management

Unit Details

• Nurse-to-patient ratio: Goal 4:1, typically 5:1
• Telemetry monitoring is remote but monitors remain on the unit
• Tele-sitting support provided by Patient Care Techs

Required Licensure

• Active Registered Nurse (RN) license in Virginia (or compact state license accepted)

Requirements/Qualifications

• Valid Registered Nurse (RN) license in Virginia
• Minimum of 1 year of recent experience in Progressive Care Unit (PCU)
• Telemetry experience
• Experience with EPIC charting system
• ACLS certification issued by the American Heart Association
• BLS certification issued by the American Heart Association
• NIHSS certification
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)

Additional Requirements

• Physical exam within 1 year, free from communicable diseases
• Negative 10-panel drug screen within 30 days of start
• Fit test within 1 year, updated annually
• Negative TB test or chest X-ray within 1 year, updated annually
• Required immunizations or positive titers: Measles, Mumps, Rubella, Hepatitis B, Varicella
• Background checks including 7-year history, EPLS/GSA/SAM, HHS/OIG
• Education verification and transcript/diploma required
• Two clinical references required
• Skills checklist updated annually
• Photo for badge required

Notes

• Must work within specified scheduling and call-off policies
• Floating within skillset expected
• EPIC charting experience required
• Accepts first-time travel nurses
• Weekend and holiday shifts required as specified

This position is ideal for an RN with telemetry and stepdown experience seeking a travel contract in Virginia with a reputable acute care setting.