ICU/PCU Float RN
Roanoke, Virginia
Carilion Roanoke Memorial Hospital

ICU Registered Nurse Travel/Contract Job - Roanoke, Virginia

Position Overview

• Role: Registered Nurse (RN) - ICU/PCU Float
• Must be comfortable working across all ICU and PCU units
• Shift: Night shift, 3 shifts per week, 12 hours each (6:45 PM - 7:15 AM)
• Floating: May float 2-3 times per shift (every 4 hours) based on staffing needs
• Weekend Requirement: Every other weekend or 6 weekend shifts in a 6-week block
• Holiday Requirement: Must work one holiday per 13-week contract
• Contract Length: 13 weeks

Required Qualifications

• Valid RN license in Virginia
• Minimum 1 year of ICU (Intensive Care Unit) experience within the last year
• Experience in PCU (Progressive Care Unit)
• Experience at a large Level 1 or Level 2 trauma facility
• 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)
• Experience with Epic electronic health record system

Clinical Skills

• IV therapy: arterial line management, central/PICC line care, blood product administration, IV initiation and maintenance
• Respiratory support: BiPAP, CPAP management, ventilated patient care
• Medication administration: continuous IV sedation, emergency medications, titration of cardiac and vasoactive drips
• Wound care: surgical wounds with drains or wound vacs
• Cardiac monitoring: dysrhythmia interpretation and management
• Endocrine/metabolic: adherence to IV insulin protocols

Unit Details

• PCU nurse-to-patient ratio: 5:1
• ICU nurse-to-patient ratio: 2:1

Scheduling and Policies

• Staffing needs reassessed every 4 hours for floating assignments
• Facility may call off 1 shift per 2 weeks
• All time off, block, and special scheduling requests must be submitted with application
• Accepts first-time travel nurses
• Local candidates accepted within radius rule (based on driver's license address)

Required Documentation & Compliance

• I-9 or attestation
• Valid Driver’s License/State ID with address within 100 miles of facility
• E-Verify or attestation
• 7-year background check (covering all locations lived/worked in past 7 years) within 1 year of start
• EPLS/GSA/SAM and HHS/OIG checks within 30 days of start and updated for renewals
• Education verification of highest earned degree (transcript/diploma required)
• Physical exam within 1 year confirming freedom from communicable diseases
• Negative 10-panel drug screen within 30 days of start
• Fit test within 1 year, updated annually (not required for students)
• Negative TB test or chest X-ray within 1 year, updated annually
• Required immunizations or positive titers: Measles (Rubeola), Mumps, Rubella, Hepatitis B, Varicella
• Flu vaccination or signed declination with masking during flu season
• Photo for badge (professional, plain background)
• Completion of new hire paperwork and compliance checklists prior to start
• References: 2 clinical references or hospital evaluations required
• Skills checklist updated annually

Additional Notes

• Orientation manual review required prior to start (not required for inpatient RNs)
• Candidates must sign compliance and confidentiality agreements within 48 hours of submission
• Radiation badges for new candidates are no longer provided; existing badge holders will continue to receive badges until assignment end

This position offers a challenging ICU/PCU float role in a high-acuity, Level 1 trauma center environment with a focus on advanced critical care nursing skills.