RN: PCU/Stepdown
Location: Roanoke, Virginia
Job Type: Local
Start Date: 2026-11-16
End Date: 2027-02-15
Weekly Pay: $1,927.60
Profession: RN
Specialty: PCU/Stepdown
Duration: 12H Nights ( 7:00 PM-7:00 AM )
Registered Nurse (RN) – PCU Float
Position Overview
This role is for a Registered Nurse (RN) specializing in Patient Care Units (PCU) and Medical/Surgical (MS) Float nursing. The RN will be required to manage care across multiple units within the organization, providing critical support in various high-acuity environments.
Scheduling Details
- Contract Length/Shift: 3x12s, 6:45 PM – 7:15 AM
- Charting System: EPIC experience is required
- Floating Requirements: Staffing needs will be re-evaluated every 4 hours, with potential floating 2-3 times per shift
- Weekend Requirement: May include every other weekend or 6 weekend shifts in a 6-week scheduling block
- Holiday Requirement: Must work one holiday per 13-week contract
- First-Time Travelers: Accepted
- Local Candidates: Accepted with specific radius criteria
- RTO and Scheduling Requests: All requests must be included with submission
- Call-Off Policy: Facility may call off 1 shift per 2 weeks
Required Licenses & Certifications
- ACLS and BLS certifications
- Pending licenses are accepted if the candidate holds a single-state license from a non-compact state
- Active Virginia State or Compact RN/LPN license required for submission
Required Clinical Skills
- Experienced in IV therapy, phlebotomy, and blood product administration
- Skilled in central line care, trach management, and non-invasive airway support (nasal cannula, CPAP/BiPAP, and chest tubes)
- Proficient in cardiac monitoring, dysrhythmia interpretation and management, and titration of cardiac drips
- Ability to respond to emergencies as part of Rapid Response/Code teams
- Competent in managing PCA and heparin protocols, administering IV insulin, and addressing endocrine/metabolic conditions
- Background in telemetry and stepdown-level care with cardiovascular experience in pre/post cardiac catheterization settings
Unit Details
- PCU average patient ratio: 5:1
- MS average patient ratio: 6:1 (may flex up to 7:1)
About the Organization
This position is part of a large, advanced acute care system recognized for excellence in nursing and comprehensive specialty care, including emergency and stroke services.
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