PCU Registered Nurse (Ventilator Experience)
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: Allowed 1 call-off shift per 2 weeks
• Floating: Required to float within skillset

Unit & Patient Population

• Unit Type: Progressive Care Unit (PCU) with hybrid beds (10 PCU beds, 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 Certifications

• ACLS (American Heart Association only)
• BLS (American Heart Association only)
• NIH Stroke Scale Certification (NIHSS)

Required Clinical Skills

• Cardiac monitoring, emergency response, dysrhythmia interpretation/management
• IV therapy, phlebotomy, blood product administration, central/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 ventilator patients
• Rapid Response and Code team activation
• Isolation precautions and telemetry settings across PCU, DOU, IMC, and stepdown units

Licensure Requirements

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

Experience Requirements

• Specialty: Registered Nurse with ventilator experience (years of experience not explicitly stated, but ventilator experience required)
• Prior travel experience: Not required; first-time travelers accepted

Documentation & Compliance Requirements

• Drivers License/State ID with address within 100 miles of facility required within 48 hours of signing
• Background Check: 7-year history required within 1 year of start; must cover all locations lived/worked in past 7 years
• E-Verify or attestation required
• Education Verification: Highest earned degree verification required; transcript/diploma required for PCU
• NURSYS verification required for RN license within 30 days of start
• Physical Exam within 1 year of start, confirming free from communicable diseases
• Fit Mask Test within 1 year of start, updated annually (specific mask types accepted)
• Negative TB test or chest X-ray within 1 year, updated annually
• Drug Screen: Negative 10-panel drug screen within 30 days of start
• Immunizations or positive titers required for: Measles (Rubeola), Mumps, Rubella, Hepatitis B, Varicella
• TB Questionnaire required for all candidates
• Photo for badge required (professional quality, plain background)
• Completion of new hire paperwork and compliance documents prior to start
• Orientation Safety Manual review required (not mandatory for inpatient RNs)
• References: 2 clinical references required (hospital evaluations accepted)
• Employment application/resume required
• Annual skills checklist update required

Additional Notes

• EPIC charting experience required
• Locals accepted within radius rule
• Must submit all scheduling requests with application

This position offers an opportunity to work in a Level I Trauma Center with Magnet designation and a teaching hospital environment, caring for complex PCU patients requiring ventilator and telemetry expertise.

Requirements/Qualifications

• Valid RN license in Virginia
• Minimum 1 year of Progressive Care Unit (PCU) experience within the last year
• BLS certification issued by the American Heart Association
• NIH Stroke Scale Certification (NIHSS)
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Experience with Epic electronic health record system