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Shift: Days, 3x12hrs
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Hours: 36 hrs/wk
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Start Date: Jul 6, 2026
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Length: 13 weeks
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Openings: 1
American Traveler is seeking an experienced RN for a Progressive Care Unit (PCU) position at a Level I Trauma, Magnet-designated teaching hospital, with ventilator/trach experience required and Epic proficiency.
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General Medicine PCU at a large acute care, Level I Trauma Center, Magnet-designated teaching hospital in Roanoke, VA
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Hybrid unit consisting of 10 PCU beds and 2 ICU beds, including 2 beds dedicated to chronic trach/vent-dependent patients
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Common diagnoses include DKA, COPD, sepsis, suicide/overdose, chronic respiratory failure, and renal failure
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Typical patient ratio of 1:5
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Remote telemetry monitoring with tele sitting used to supplement Patient Care Tech coverage
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Day shift, 3x12-hour shifts (6:45 AM – 7:15 PM)
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Every other weekend (EOW) or 6 weekend shifts per 6-week scheduling block required
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Floating within skillset required
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One holiday must be worked per 13-week contract
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Epic EMR experience required
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Active Virginia state or Compact RN license required; pending license accepted only for candidates holding a single-state license from a non-compact state
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Current certifications required: BLS, ACLS, and NIH Stroke Scale (NIHSS)
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Ventilator and tracheostomy patient care experience required
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Proficiency in cardiac monitoring, dysrhythmia interpretation and management, and emergency response
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Experience with IV therapy, phlebotomy, blood product administration, and central/peripheral line care
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Medication administration experience including cardiac drips (non-titrating)
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Respiratory support skills including nasal cannula, oxygen administration, and non-invasive airway management
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Familiarity with Rapid Response and Code team activation protocols
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Experience with isolation precautions and telemetry in PCU, DOU, IMC, or stepdown settings
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Two professional references required for consideration
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Valid driver's license and Social Security card required for consideration
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Responsibilities include caring for a diverse PCU population with cardiac, respiratory, and complex medical diagnoses, including chronic trach and vent-dependent patients
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Hospital is affiliated with Virginia Tech Carilion School of Medicine and offers advanced specialty services including bariatric, trauma, and surgical care
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First-time travelers are welcome to apply
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Local candidates are accepted
