PCU Registered Nurse
Roanoke, Virginia
Carilion Roanoke Memorial Hospital

Registered Nurse – PCU (Ventilator Experience Required)

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

Shift Details

• Night shift, 3 shifts per week, 12 hours each (6:45 PM – 7:15 AM)
• Weekend requirement: Either every other weekend or 6 weekend shifts within a 6-week block
• Must work one holiday during the 13-week contract
• Facility may call off 1 shift every 2 weeks

Unit and Patient Population

• General Progressive Care Unit (PCU) with 10 PCU beds and 2 ICU beds
• Care for vent/trach-dependent patients, including 2 chronic trach beds
• Common diagnoses: DKA, COPD, Sepsis, Suicide/Overdose, Chronic respiratory failure, renal failure
• Remote telemetry monitoring on unit; tele-sitting used to increase Patient Care Tech coverage
• Nurse-to-patient ratio typically 1:5, goal 1:4
• Floating within skillset required

Required Certifications

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

Required Clinical Skills

• Cardiac monitoring, emergency response, dysrhythmia interpretation and management
• IV therapy, phlebotomy, blood product administration, central and 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 vent 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

Requirements/Qualifications

• Valid RN license in Virginia
• Minimum of 1 year of recent Progressive Care Unit (PCU) experience
• Ventilator (vent) experience required
• Current ACLS certification issued by the American Heart Association
• Current 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 with Epic electronic health record system

Documentation and Compliance Requirements

• Valid Driver’s License/State ID with address within 100 miles of facility required within 48 hours of signing
• Background check covering 7 years of history, including education verification and various federal/state checks, required within 1 year of start
• E-Verify or attestation required
• Primary source verification of state license within 30 days of start
• NURSYS verification required for RNs within 30 days of start
• Physical exam within 1 year confirming freedom from communicable diseases
• Negative TB test or chest X-ray within 1 year, updated annually
• Fit test for N95 masks within 1 year, updated annually (onsite fit testing possible if needed)
• Negative 10-panel drug screen within 30 days of start
• Immunizations or positive titers required for: Measles (Rubeola), Mumps, Rubella, Hepatitis B, Varicella
• Flu vaccination documentation or signed declination form required during flu season
• Professional photo for badge required (no selfies or filters; plain background)
• Completion of facility-specific compliance and confidentiality agreements within 48 hours of signing
• Completion of new hire paperwork prior to start
• Review of contract staff orientation manual (not required for inpatient RNs)
• Two clinical references required
• Updated skills checklist annually

Additional Notes

• Locals accepted under radius rule criteria
• All scheduling requests must be submitted with application
• Facility allows one shift call-off per two weeks
• Floating within skillset expected
• Telemetry (Tele) refers to cardiac telemetry monitoring only

This position offers the opportunity to work in a Level I Trauma Center with Magnet designation and a teaching hospital environment, caring for complex patients requiring ventilator and advanced cardiac care.