NICU Registered Nurse
Roanoke, Virginia
Carilion Roanoke Memorial Hospital

NICU Registered Nurse Travel/Contract Job - Roanoke, Virginia

Job Summary

Seeking a Registered Nurse with NICU experience for a Level III NICU. This is a travel/contract position with 13-week contract length.

Schedule

• Shift: 3 shifts per week, 12 hours each (7 AM - 7 PM), days
• 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: Facility may call off 1 shift per 2 weeks
• Floating: Required to float within skillset

Experience & Skills

• Specialty: NICU Registered Nurse
• Required Years of Experience: Not explicitly stated; must have experience with Level III NICU and neonates 34 weeks and older
• Accepts first-time travelers (no prior travel experience required)
• EPIC charting experience required

Clinical Skills Required

• Neonatal care including extreme prematurity (22 weeks+), respiratory distress, and complex neonatal diagnoses
• IV therapy: blood/blood products administration, arterial line management, central line care and blood draws, UAC/UVC management, starting and maintaining IVs
• Medications: Anti-seizure meds, antibiotics/antivirals, IV vasopressors, neonatal dosage calculations, steroids, surfactants
• Respiratory support: Bubble CPAP, HFNC, high frequency ventilation, chest tube management, nitric oxide, oscillators, suctioning, tracheostomy care, ventilator management (AC/PC/SIMV/CPAP/BIPAP/PEEP)
• Gastrointestinal care: Breastfeeding support, colostomy/ileostomy care, feedings (bottle, breast, gavage), management of gastroschisis, omphalocele, NEC, oral/nasogastric/nasojejunal tubes, post abdominal surgery care
• Neurological care: Assist with lumbar puncture, intracranial pressure monitoring, neonatal abstinence syndrome, seizure disorders, therapeutic hypothermia, VP shunts

Unit Details

• Level III NICU with 60 beds divided into 5 pods
• Patient ratio goals: ICU 1:2, Intermediate 1:4
• Patient diagnoses include extreme prematurity, respiratory distress, congenital anomalies, neurological disorders, and more
• Equipment includes high-frequency jet ventilators, oscillators, cooling blankets, infusion pumps, incubators, phototherapy lights, and positioning aids

Required Certifications

• BLS (Basic Life Support)
• NRP (Neonatal Resuscitation Program)

License Requirements

• Active Virginia RN license or Compact RN license required
• Pending license accepted only if single-state from a non-compact state

Requirements/Qualifications

• Valid RN license in Virginia
• Associate of Science in Nursing / Associate Degree in Nursing
• Minimum 1 year of NICU (Neonatal Intensive Care) experience, including experience within the last year
• Experience working with neonate patients across gestational ages: under 24-28 weeks, 29-34 weeks, and over 34 weeks
• Experience with Level III NICU
• BLS certification issued by the American Heart Association
• NRP certification
• Experience administering blood and blood products as IV therapy
• Experience with arterial line management
• Experience with central line blood draws and care of central/implanted lines
• Experience with Umbilical Artery Catheter (UAC) and Umbilical Vein Catheter (UVC) management
• Neonatal dosage calculations experience
• Experience with surfactants
• Experience with Bubble CPAP respiratory support
• Experience with breastfeeding support and handling of breast milk
• Experience with gastroschisis and omphalocele care
• Experience with post abdominal surgery care
• Experience with seizure disorders

Additional Requirements

• Physical exam within 1 year, free from communicable diseases
• Negative TB test or chest X-ray within 1 year
• Drug screening (10-panel) within 30 days of start
• Immunizations or positive titers for measles, mumps, rubella, hepatitis B, varicella
• Background check covering 7 years of history required within 1 year of start
• Education verification of highest earned degree required
• Two clinical references required
• Skills checklist updated annually
• Photo for badge required (professional, plain background)
• Fit testing for masks required within 1 year and updated annually

Notes

• Locals are not accepted due to radius restrictions
• All requests for time off must be submitted with application
• Candidate must work within the specified radius as verified by driver's license/state ID address
• Floating within skillset expected

This position offers an opportunity to work in a high-acuity Level III NICU caring for critically ill neonates with a wide range of complex conditions, supported by advanced technology and a dedicated team.