Registered Nurse​/Step down

POSITION: RN Surgical PCU (Vent Experience Required)

SCHEDULING DETAILS AND CHARTING
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" Shift hours: 4x12s, 645p-715a
UP TO 26 WEEKS AVAILABLE BY REQUEST

" Charting: EPIC experience required

" Weekend Requirement:
May be EOW or 6 weekend shifts in a 6-week scheduling block

" RTO, Block & Special Scheduling Requests: ALL requests must be included with the submission.

" Call off Policy:
Facility is allowed to call off 1 shift per 2-weeks.

" Holiday Requirement:
Must work one holiday per 13-week contract.

" Accept First-Time Travelers:
Yes.

" Locals Accepted? Radius Rule:
Yes, locals accepted. Refer to Submittal Instructions for radius rule criteria.

" Pending License Accepted:
Yes, only if the candidate holds a single-state license from a non-compact state. Otherwise, submission must include an active Virginia State or Compact RN/LPN license.

REQUIRED CERTIFICATIONS
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" ACLS, BLS, NIHSS

REQUIRED CLINICAL SKILLS
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" Cardiac monitoring, emergency response, and dysrhythmia interpretation/management

" IV therapy, phlebotomy, blood product administration, and central/peripheral line care

" Ventilator care for chronic trach patients

" Medication administration including cardiac drips (no titration)

" Respiratory support: nasal cannula, oxygen administration, CPAP, and BiPAP

" Rapid Response and Code team activation

" Isolation precautions and telemetry settings across PCU, DOU, IMC, and stepdown units

UNIT DETAILS AND FLOATING
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" Ratios:
Typically 1:5. Staffing goal is 1:4.

" Functions as a stepdown from the General Surgical ICU, with bariatric specialty and backup to the trauma unit

" 2 beds for chronic trach patients (not ICU level);
Oxygen Support: CPAP and BiPAP

" Equipment:
Ortho equipment, chest tubes, surgical drains, trach, endo tool, PICC line, and MML

" IV Drips Managed:
Cardizem, Heparin, Insulin, low-dose dopamine/dobutamine, Amiodarone, Nitro, Bumex, Lasix, Lidocaine, Ketamine

" Remote telemetry (monitors remain on unit); tele sitting implemented to increase Patient Care Tech coverage

" Floating:
Will be required to float within skillset

HOSPITAL HIGHLIGHTS
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Carilion Roanoke Memorial Hospital is a large acute care facility in Roanoke, Virginia, with over 700 licensed beds. It is recognized as a Level I Trauma Center, Magnet-designated, and a teaching hospital affiliated with Virginia Tech Carilion School of Medicine. The hospital offers advanced specialty care, including bariatric, trauma, and surgical services.