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Travel RN - Telemetry - Stepdown

Job in Roanoke, Roanoke County, Virginia, 24000, USA
Listing for: American Traveler
Per diem position
Listed on 2026-08-15
Job specializations:
  • Nursing
    ICU Nurse, Emergency Medicine, RN Nurse
Salary/Wage Range or Industry Benchmark: 85000 - 115000 USD Yearly USD 85000.00 115000.00 YEAR
Job Description & How to Apply Below

American Traveler is seeking an experienced RN for a Surgical PCU/Stepdown night shift position requiring ventilator care experience and an active VA or compact RN license.

Requirements
  • Active VA state or compact RN license required; single-state license from a non-compact state may be accepted pending licensure
  • Current certifications: BLS, ACLS, and NIHSS
  • Minimum 1 year of RN experience required
  • Prior charge nurse experience preferred
  • Ventilator care experience required for chronic trach patients
  • Experience with cardiac monitoring, dysrhythmia interpretation and management, and emergency response required
  • Experience with IV therapy, phlebotomy, blood product administration, and central/peripheral line care required
  • EPIC charting experience required
Responsibilities
  • Works in the Surgical PCU/Stepdown unit of a large acute care teaching hospital
  • Functions as a stepdown unit from the General Surgical ICU, with bariatric specialty and backup support to the trauma unit
  • Unit includes 2 beds for chronic trach patients (non-ICU level)
  • Typical patient ratio is 1:5 with a staffing goal of 1:4
  • Utilizes remote telemetry monitoring with tele-sitting support from Patient Care Techs
  • Manages equipment including ortho equipment, chest tubes, surgical drains, trach, endo tool, PICC lines, and MML
  • Manages cardiac drips including Cardizem, Heparin, Insulin, low-dose dopamine/dobutamine, Amiodarone, Nitro, Bumex, Lasix, Lidocaine, and Ketamine (no titration)
  • Provides respiratory support including nasal cannula, oxygen administration, CPAP, and BiPAP
  • Night shift schedule of 4x12 hours, 6:45pm-7:15am
  • Weekend requirement of every other weekend or 6 weekend shifts within a 6-week scheduling block
  • Floating required within skillset across PCU, DOU, IMC, and stepdown units
  • Requires EPIC charting experience
  • Provide stepdown-level nursing care to surgical, bariatric, and trauma backup patients
  • Activate Rapid Response and Code teams as needed
  • Follow isolation precautions and PPE protocols
  • Facility may call off up to 1 shift per 2-week period
  • Must work 1 holiday per 13-week contract, with 2 holidays required during winter holiday periods (Thanksgiving, Christmas/Christmas Eve, NYE/New Year's)
  • First-time travelers are welcome to apply
  • Local candidates are accepted; radius rules apply and may affect eligibility, assignment length, and bill rate based on distance from the facility
  • Previous employees (per diem or permanent) must have a minimum one-year gap before returning as a traveler
  • Travelers who have worked 365 days on assignment are not eligible to return, with exceptions reviewed case-by-case by facility leadership
  • Hospital is a Level I Trauma Center, Magnet-designated, and a teaching hospital affiliated with a medical school
  • All RTO and scheduling requests must be submitted in advance
Benefits
  • High Pay and Bonuses
  • Medical, Dental and Vision Insurance with Day 1 Options
  • 401(k) Plan
  • Weekly Payroll Deposit
  • Free Online CEUs
  • Generous Housing Allowance
  • Travel and Licensure Reimbursements Non-taxed Per Diem and Subsidy
  • Traveler Rewards and Discounts
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