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Shift: Nights, 3x12hrs
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Hours: 36 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 in Roanoke, VA, requiring Epic proficiency and neuro PCU clinical experience.
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Work in a Stroke/Neuroscience Progressive Care Unit (PCU) at a large acute care facility with over 700 licensed beds, designated as a Level I Trauma Center, Magnet facility, and teaching hospital affiliated with Virginia Tech Carilion School of Medicine
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Unit specializes in the care of hospitalist medicine patients including stroke and neurology patients, and is a Joint Commission certified primary stroke center
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Night shift: 3x12-hour shifts, 6:45 PM – 7:15 AM; 4x12 schedules available upon request
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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 is in place, with tele sitting implemented to support Patient Care Tech coverage
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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 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 or Compact RN license; 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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Neuro PCU clinical 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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Familiarity with isolation precautions and telemetry settings across PCU, IMC, and stepdown environments
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Two professional references required for consideration
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Copy of driver's license and Social Security card required for consideration
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First-time travelers are welcome to apply, though prior travel experience is preferred
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Local candidates are accepted
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All time-off (RTO) requests must be submitted upfront
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The facility reserves the right to call off 1 shift per 2-week period
