RN: PCU/Stepdown

Location: Roanoke, Virginia
Job Type: Local
Start Date: 2026-10-19
End Date: 2027-01-18

Weekly Pay: $1,715.60
Profession: RN
Specialty: PCU/Stepdown
Duration: 12H Days ( 7:00 AM-7:00 PM )

Registered Nurse (RN) – Neuro PCU

Position Overview

We are seeking a dedicated and skilled Registered Nurse for our Neuro Progressive Care Unit (PCU). The ideal candidate will be responsible for providing high-quality patient care to adults with neurological conditions, including neurosurgical recovery and stroke management.

Scheduling Details

  • Shift: 3×12 hours, 06:45 AM – 07:15 PM
  • Weekend Requirement: Every other weekend (may vary) or 6 weekend shifts within a 6-week scheduling block
  • Holiday Requirement: Must work one holiday per 13-week contract
  • All scheduling requests must be submitted with application

Charting and Call Off Policy

  • Charting: Experience with EPIC is required
  • Call Off Policy: Facility may call off one shift every two weeks

Qualifications

  • Licensure: Must hold an active Virginia State or Compact RN/LPN license, or a pending license if holding a single-state license from a non-compact state
  • Certifications:
    • ACLS (Advanced Cardiovascular Life Support)
    • BLS (Basic Life Support)
    • NIHSS (National Institutes of Health Stroke Scale)

Clinical Skills Required

  • Cardiac monitoring and emergency response (dysrhythmia interpretation/management, Rapid Response/Code teams)
  • IV therapy, phlebotomy, blood product administration, central/peripheral line care
  • Medication administration and management of cardiac drips (non-titration)
  • Respiratory support (including nasal cannula and non-invasive airway management)
  • Knowledge of isolation precautions
  • Ability to participate in Rapid Response situations

Patient Care and Unit Details

  • Patient-to-nurse ratios: 1:4–5 (comfort with a 1:5 ratio is essential)
  • Patient population: Adults with neurological conditions
  • Unit includes dedicated beds for continuous 24-hour epilepsy monitoring
  • Care includes management of neurosurgical recovery, stroke care, and neuro-specific diagnoses, as well as medical overflow
  • Floating: Candidates may be required to float to other units within their clinical skillset

About the Facility

This position is located in a 703-bed acute care teaching facility that serves as a regional Level I Trauma Center and is recognized for nursing excellence. The facility provides advanced specialty care, including comprehensive stroke care with 24/7 neurointerventional coverage and advanced endovascular procedures.

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