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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 hiring an experienced RN for a Stroke/Neuro PCU position at a Level I Trauma, Magnet-designated teaching hospital, requiring EPIC experience and prior neuro PCU experience.
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Work in a 12-bed telemetry PCU (12 West) specializing in stroke, neurology, and hospitalist medicine patients at a large acute care facility in Roanoke, VA
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Unit is a Joint Commission certified primary stroke center within a Level I Trauma Center, Magnet-designated, academic teaching hospital affiliated with Virginia Tech Carilion School of Medicine
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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 monitors remaining on unit; tele sitting implemented to supplement Patient Care Tech coverage
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Primary shift is 3x12-hour nights, 6:45 PM – 7:15 AM; 4x12 schedule available by request
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Weekend requirement is every other weekend (EOW) or 6 weekend shifts per 6-week scheduling block
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One holiday must be worked 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 VA 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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Prior neuro PCU 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 skills including cardiac drips (no titration)
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Experience with respiratory support 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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Valid driver's license and Social Security card required for consideration
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Provide specialized nursing care to stroke and neurology patients in a certified primary stroke center environment
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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 for this position
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All requested time off (RTO) must be disclosed prior to consideration
