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Shift: Nights, 4x12hrs
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Hours: 48 hrs/wk
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Start Date: Jul 27, 2026
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Length: 13 weeks
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Openings: 1
American Traveler is seeking an experienced RN for a Surgical Progressive Care Unit (PCU) position at a Level I Trauma, Magnet-designated teaching hospital in Roanoke, VA, with ventilator experience required.
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Night shift, 4x12-hour shifts (6:45 PM – 7:15 AM)
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Typical patient ratio is 1:5, with a staffing goal of 1:4
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Unit functions as a stepdown from the General Surgical ICU, with a bariatric specialty and backup support to the trauma unit
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Includes 2 beds designated for chronic trach patients (non-ICU level)
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Respiratory support modalities in use include CPAP, BiPAP, nasal cannula, and supplemental oxygen
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Equipment in use includes ortho equipment, chest tubes, surgical drains, trach, endo tools, PICC lines, and MML
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IV drips managed on unit include Cardizem, Heparin, Insulin, low-dose Dopamine/Dobutamine, Amiodarone, Nitroglycerin, Bumex, Lasix, Lidocaine, and Ketamine (no titration)
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Remote telemetry monitoring with tele sitting implemented to support Patient Care Tech coverage
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Floating required within skillset
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Weekend requirement: every other weekend (EOW) or 6 weekend shifts per 6-week scheduling block
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Must work one holiday during the 13-week contract
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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 if candidate holds a single-state license from a non-compact state
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Current certifications: BLS, ACLS, and NIHSS
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Minimum 1 year of RN experience required; experience at a hospital with 250+ beds strongly preferred
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Strong post-operative patient care experience required
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Ventilator care experience required, specifically with chronic trach patients
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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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Experience managing cardiac drips (no titration required)
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Familiarity with isolation precautions and PPE protocols
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Epic EMR experience required
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Copy of driver's license and Social Security card required for consideration
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Two professional references required for consideration
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Large acute care facility with 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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Advanced specialty services include bariatric, trauma, and surgical care
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Experience in telemetry, PCU, DOU, IMC, or stepdown unit settings is applicable to this role
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Prior travel experience preferred but not required; first-time travelers with strong experience at a comparable facility will be considered
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Local candidates are accepted
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Rapid Response and Code team activation is part of the role's responsibilities
