PCU RN – Medical/Pulmonary with Renal Overflow
Roanoke, Virginia
Carilion Roanoke Memorial Hospital

Job Opportunity: Registered Nurse – PCU Medical/Pulmonary with Renal Overflow

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

Position Overview

Seeking a Registered Nurse for a Progressive Care Unit (PCU) specializing in Medical/Pulmonary care with renal overflow patients. This role includes care for chronic ventilated patients (not ICU level).

Schedule

• 3 shifts per week, 12 hours each (6:45 AM – 7:15 PM)
• Weekend requirement: Every other weekend or 6 weekend shifts within a 6-week block
• Facility allows 1 call-off shift per 2 weeks
• Floating within skillset required

Required Certifications

• ACLS (Advanced Cardiac Life Support)
• BLS (Basic Life Support)
• NIH Stroke Scale Certification (NIHSS)

Required Clinical Skills

• Cardiac monitoring, including interpretation and management of dysrhythmias
• Administration of cardiac drips (e.g., Cardizem, Heparin, Insulin, low dose dopamine and dobutamine, Amiodarone, Nitro, Bumex, Lasix; no titration)
• IV therapy, phlebotomy, blood product administration, and central/peripheral line care
• Ventilator care for chronic ventilated patients (non-ICU level)
• Respiratory support including nasal cannula, oxygen administration, and non-invasive airway management
• Participation in Rapid Response and Code teams
• Adherence to isolation precautions

Unit Details

• Nurse-to-patient ratio: 1:5
• Patient population: Adult and geriatric patients with pulmonary and other medicine-related conditions, including renal overflow
• Can accommodate up to two ventilated patients
• Use of remote telemetry and tele-sitting technology for patient monitoring

Experience Requirements

• Specialty: Registered Nurse
• Minimum years of experience: Not explicitly stated; assume standard RN competency with PCU/pulmonary experience preferred
• Prior travel experience: Not required; first-time travelers accepted

Licensing Requirements

• Active RN license required
• Pending licenses accepted only if a single-state license from a non-compact state
• Otherwise, must hold an active Virginia State or Compact RN license

Additional Requirements

• EPIC charting experience required
• Must provide professional photo for badge
• Background checks including 7-year history, EPLS/GSA/SAM, HHS/OIG required
• Physical exam within 1 year of start, free from communicable diseases
• Fit testing within 1 year, updated annually
• Negative TB test or chest X-ray within 1 year, updated annually
• Drug screening (10-panel) within 30 days of start
• Immunizations or positive titers for Rubeola, Mumps, Rubella, Hepatitis B, Varicella required
• Flu vaccination or mask/declination form during flu season
• Education verification and transcript/diploma required
• Two clinical references required
• Skills checklist updated annually

Requirements/Qualifications

• Valid RN license in Virginia
• Minimum of 1 year of Progressive Care Unit (PCU) experience within the last year
• ACLS certification issued by the American Heart Association
• BLS certification issued by the American Heart Association
• NIH Stroke Scale (NIHSS) certification
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Experience caring for chronic ventilated patients (chronic vented patient ventilator care)

Notes

• Locals within a certain radius accepted
• All scheduling and special requests must be submitted upfront
• Orientation manual review required prior to start (not required for inpatient RNs)
• Floating within skillset expected

This position offers an opportunity to work in a high-acuity PCU setting with a focus on pulmonary, renal, and chronic ventilator care in a supportive team environment.