ICU Registered Nurse Job in Roanoke, VA

Join Carilion Roanoke Memorial Hospital as a Registered Nurse in our Intensive Care Unit. This is a 91-day travel assignment offering 3x12-hour night shifts (6:45 PM–7:15 AM) at $2,084 weekly.

Role Overview

You'll provide direct care to critically ill patients in a large L1/L2 facility with a 1:2 patient ratio. This role requires experience in neurocritical care, with exposure to acute stroke, neurosurgery, and complex spine cases. You'll work every other weekend or fulfill 6 weekend shifts in a 6-week block, and commit to at least 1 holiday per 13-week contract period. The facility may call off up to 1 shift per 2-week period.

Required Skills & Experience

• Minimum 1 year of ICU experience with previous neuro-specific experience
• Large L1/L2 facility experience required
• Proficiency in EPIC charting system
• Current ACLS, BLS, and NIHSS certifications
• Cardiac monitoring and emergency response, including dysrhythmia interpretation and management
• Advanced IV therapy: peripheral and central lines, PICC line and port management, arterial line management
• Phlebotomy and blood product administration
• Medication management: continuous IV paralytics, neuromuscular blockade, sedation, emergency medications, and titration of cardiac and vasoactive drips
• Neuro-specific skills: CVA and acute stroke management, external ventricular drain (EVD) care, ICP monitoring, lumbar drains, hypothermia protocol and Arctic Sun operation, post-craniotomy and post-neurosurgery management
• Respiratory skills: BiPAP/CPAP management, ventilated patient care, airway suctioning (ETT, NT), and ventilator management
• Previous charge experience preferred

Work Environment

You'll manage patients with stroke, neurosurgery, neuro-specific diagnoses, and complex spine conditions. Floating within your skillset may be required. Interdisciplinary support is available through IV teams, physical therapy, respiratory services, phlebotomy, radiology, social services, rapid response teams, and pharmacy.

Applicant must be willing to float within ICU skillset as needed and demonstrate competency in high-acuity critical care.