Travel Nurse RN - Intermediate Care in Roanoke, VA

Job Title

Registered Nurse – IMC/PCU/Stepdown (Surgical PCU)

Roanoke, VA

Contract | Nights | 3x12-hour shifts, 6:45 PM – 7:15 AM | Weekend requirement applies (every other weekend or 6 weekend shifts per 6-week block) | One holiday required per 13-week contract

• Provide nursing care in a surgical progressive care/stepdown unit that functions as a stepdown from the General Surgical ICU, including bariatric specialty care and backup to the trauma unit
• Manage ventilator care for chronic trach patients (non-ICU level) and provide respiratory support including nasal cannula, oxygen administration, CPAP, and BiPAP
• Administer and monitor IV drips including cardiac medications (no titration required) and perform IV therapy, phlebotomy, blood product administration, and central/peripheral line care
• Perform cardiac monitoring, telemetry interpretation, dysrhythmia recognition, and emergency response including Rapid Response and Code team activation
• Operate and manage unit equipment including ortho equipment, chest tubes, surgical drains, trach, PICC lines, and multi-lumen catheters
• Maintain isolation precautions and float within skillset to comparable PCU, DOU, IMC, and stepdown settings as needed

• Active Virginia State RN license or valid Compact RN license (pending license considered only for candidates holding a single-state license from a non-compact state)
• Current ACLS, BLS, and NIHSS certifications
• Ventilator experience required (chronic trach patient population)
• Proficiency with EPIC electronic health records
• Experience in PCU, stepdown, IMC, or DOU nursing settings

• Experience with bariatric or surgical patient populations
• Familiarity with remote telemetry monitoring environments
• Prior travel nursing experience welcomed; first-time travelers accepted

• Opportunity to work at a large, Level I Trauma Center with Magnet designation offering advanced specialty care in a high-acuity environment
• Typical nurse-to-patient ratio of 1:5 with a staffing goal of 1:4, supporting quality patient care delivery