PCU Registered Nurse
Roanoke, Virginia
Carilion Roanoke Memorial Hospital

Registered Nurse - PCU (Travel/Contract)

Location: Roanoke, Virginia
Contract Length: 13 weeks

Position Overview

• Work in the Emergency Department Transitional Care Unit (ED TCU) / Observation Unit (PCU)
• 3 shifts per week, 12 hours each (7:00 AM - 7:00 PM)
• Patient ratio approximately 1:5, dependent on hospital capacity and ED volume
• Unit holds med/surg or PCU level patients awaiting inpatient bed assignment; inpatient orders and admission documentation completed here
• Floating within skillset required

Required Qualifications

• Valid RN license in Virginia
• Minimum 1 year of Progressive Care Unit (PCU) experience within the last year
• Completion of at least one travel assignment
• Associate of Science in Nursing / Associate Degree in Nursing
• ACLS certification issued by the American Heart Association
• BLS certification issued by the American Heart Association
• Clinical skills including cardiac monitoring, emergency response, and interpretation and management of dysrhythmias
• Experience with chest tube care
• Management of cardiac/vasoactive drips (no titration)
• IV insulin protocol with titration
• Experience with Epic electronic health record system

Scheduling & Work Requirements

• Weekend shifts: Either every other weekend or 6 weekend shifts within a 6-week block
• Must work at least one holiday during the 13-week contract
• Facility may call off 1 shift every 2 weeks
• Locals accepted within a specified radius
• First-time travelers not accepted

Required Documentation & Compliance

• I-9 or attestation
• Driver’s License/State ID with address within 100 miles of facility (required within 48 hours of signing)
• E-Verify or attestation
• 7-year background check (covering all locations lived/worked in past 7 years), not required annually unless there is a 30+ day break between assignments
• EPLS/GSA/SAM and HHS/OIG checks within 30 days of start and updated for renewals
• Education verification of highest earned degree (transcript or diploma required)
• Physical exam within 1 year confirming freedom from communicable diseases
• Fit test within 1 year, updated annually (not required for students)
• Negative TB test or chest X-ray within 1 year, updated annually
• TB questionnaire required for all candidates
• Immunizations or positive titers for Rubeola (Measles), Mumps, Rubella, Varicella, Hepatitis B
• Negative 10-panel drug screen within 30 days of start
• Photo for badge (professional, plain background, no selfies or filters)
• Completion of new hire paperwork and compliance checklists prior to start
• Medication and competency exams as applicable
• Two clinical references required
• Complete employment application/resume
• Annual skills checklist update required

Additional Notes

• Must review and acknowledge orientation safety manual prior to start
• Candidates must complete fit testing regardless of prior fit on file (except students)
• Flu vaccination not required but mask and declination form required if declined
• Radiation badges for new candidates are not provided; existing badge holders grandfathered in
• VA State Police Search completed onsite first day of orientation for certain candidate types (no pre-action required)

This position offers an opportunity to work in a Level I Trauma Center with Magnet designation, recognized for nursing excellence. The role requires strong clinical skills in cardiac telemetry and emergency care within a fast-paced transitional care environment.