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Shift: Days, 4x12hrs
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Hours: 48 hrs/wk
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Start Date: Jul 20, 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 in Roanoke, VA, with ventilator/trach experience and Epic proficiency required.
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General Medicine PCU in a large acute care hospital (700+ licensed beds) designated as a Level I Trauma Center, Magnet facility, and academic teaching hospital affiliated with Virginia Tech Carilion School of Medicine
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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 is 1:5 with a goal of 1:4
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Remote telemetry monitoring with tele sitting implemented to support Patient Care Tech coverage
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Schedule: 4x12-hour day shifts, 6:45 AM – 7:15 PM
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Weekend requirement: every other weekend or 6 weekend shifts per 6-week scheduling block
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Must work one holiday per 13-week contract
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Floating required within skillset
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Epic EMR experience required
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Active Virginia state RN license or Compact RN license currently in hand; pending license accepted only for candidates holding a single-state license from a non-compact state
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Current certifications: BLS, ACLS, and NIH Stroke Scale (NIHSS)
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Ventilator and trach care experience required
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Experience with cardiac monitoring, dysrhythmia interpretation and management, and emergency response
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Proficiency in IV therapy, phlebotomy, blood product administration, and central/peripheral line care
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Experience administering 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
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Experience with isolation precautions and telemetry settings across PCU, DOU, IMC, and stepdown environments
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Valid driver's license and Social Security card required for consideration
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Responsibilities include caring for a complex PCU/hybrid population with chronic vent and trach dependencies alongside general medical PCU patients
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First-time travelers are welcome to apply
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Local candidates are accepted
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Two professional references required for consideration
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All RTO, block scheduling, and special scheduling requests must be submitted upfront at time of consideration
