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Shift: Nights, 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 Stroke/Neuro PCU position at a Level I Trauma, Magnet-designated teaching hospital, requiring Epic experience and active VA or Compact RN license.
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Work setting is a large acute care, Level I Trauma Center, Magnet-designated teaching hospital in Roanoke, VA
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Unit is a telemetry PCU (12 West) specializing in stroke, neurology, and hospitalist medicine patients
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Joint Commission certified primary stroke center
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Typical patient ratio is 1:5 with a staffing goal of 1:4
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IV drips managed include Cardizem, Heparin, Insulin, low-dose Dopamine/Dobutamine, Amiodarone, Nitro, Bumex, Lasix, Lidocaine, and Ketamine (no titration required)
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Remote telemetry monitoring with tele sitting implemented to support Patient Care Tech coverage
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Primary schedule is 3x12-hour night shifts (6:45 PM – 7:15 AM); 4x12 schedule available by request
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Epic EMR experience is required
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Weekend requirement is every other weekend or 6 weekend shifts per 6-week scheduling block
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Floating within skillset is required
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One holiday must be worked per 13-week contract
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Active Virginia state 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 required: BLS, ACLS, and NIH Stroke Scale (NIHSS)
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Neuro PCU or Stroke/Neuro unit 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
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Respiratory support skills including nasal cannula, oxygen administration, and non-invasive airway management
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Experience with isolation precautions and telemetry across PCU, IMC, and stepdown settings
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Epic EMR experience required
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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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Provide nursing care to stroke, neurology, and hospitalist medicine patients in a telemetry PCU environment
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First-time travelers are welcome to apply, though travel experience is preferred
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Local candidates are accepted
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All RTO requests must be submitted at the time of initial consideration
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Facility may call off up to 1 shift per 2-week period
