PCU Float RN
Roanoke, Virginia
Carilion Roanoke Memorial Hospital

Registered Nurse - PCU Float (Travel/Contract)

Location: Roanoke, Virginia
Contract Length: 13 weeks
Shift: Night, 3 shifts per week, 12 hours each (6:45 PM – 7:15 AM)

Job Overview

• Must be comfortable working across all Progressive Care Unit (PCU) and Medical-Surgical (MS) units.
• Floating between units may occur 2-3 times per shift, with staffing needs re-evaluated every 4 hours.
• Weekend requirement: Every other weekend or 6 weekend shifts within a 6-week block.
• Must work one holiday per 13-week contract.
• First-time travelers and local candidates are accepted.

Required Qualifications

• Valid RN license in Virginia
• Minimum of 1 year of Progressive Care Unit (PCU) experience within the last year
• BLS (Basic Life Support) certification issued by the American Heart Association
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Experience with phlebotomy and blood product administration
• Skilled in central line care and tracheostomy management
• Proficient in non-invasive airway support including nasal cannula, CPAP/BiPAP, and chest tubes (Emerson/PleurEvac)
• Experience in dysrhythmia interpretation and management, including titrating cardiac drips
• Ability to manage PCA and heparin protocols
• Experience administering IV insulin
• Proficient in Epic electronic health record system

Staffing Ratios

• PCU average nurse-to-patient ratio: 1:5
• MS average nurse-to-patient ratio: 1:6 (may flex up to 1:7)

Compliance & Documentation Requirements

• Valid Driver’s License/State ID with an address within 100 miles of the facility required within 48 hours of signing.
• Background check covering the last 7 years required within 1 year of start date.
• E-Verify or attestation required.
• Education verification of highest earned degree required; transcript or diploma may be requested.
• Physical exam within 1 year confirming freedom from communicable diseases.
• Negative TB test or chest X-ray within 1 year; TB questionnaire required for all candidates.
• Fit mask test within 1 year, updated annually; onsite fit testing available if needed.
• Negative 10-panel drug screen within 30 days of start.
• Immunization or positive titer documentation required for: Measles, Mumps, Rubella, Hepatitis B, Varicella.
• Seasonal flu vaccination documentation or signed declination form required during flu season.
• Professional photo for badge required.
• Completion of new hire paperwork and compliance checklists prior to start.
• References: 2 clinical references required (hospital evaluations accepted).
• Employment application/resume required.
• Annual skills checklist update required.

Scheduling & Policies

• Staffing needs and floating assignments may change every 4 hours during shifts.
• Call-off policy allows 1 shift off per 2-week period.
• All requests for return to office (RTO), block scheduling, or special scheduling must be submitted with application.

Experience Requirements

• Specialty: Registered Nurse (PCU/Telemetry/Stepdown)
• Required years of experience: Not explicitly stated; implied competency in PCU/Telemetry and cardiovascular care expected.
• Prior travel experience: Not required; first-time travelers accepted.

Additional Notes

• This is a travel/contract position at a Level I Trauma Center with Magnet designation for nursing excellence.
• The hospital provides advanced specialty care including a dedicated children’s hospital and stroke center certification.