PCU Registered Nurse Job in Roanoke, VA

You'll work as a Registered Nurse on a 20-bed Progressive Care Unit (PCU) at Carilion Roanoke Memorial Hospital, providing care to adult patients with neurological conditions. This is a 91-day travel assignment with 3x12-hour night shifts (6:45 PM to 7:15 AM), paying $2,220 weekly.

Unit Overview

The PCU specializes in neurosurgical recovery, stroke management, and neuro-specific diagnoses. You'll care for patients in medical overflow and manage 5 dedicated beds for 24-hour epilepsy monitoring. Patient ratios are 1:4; you must be comfortable working 1:5 ratios when needed. You may be required to float to other units within your clinical skillset.

Schedule & Flexibility

Self-scheduling is available. You'll work every other weekend or 6 weekend shifts within a 6-week scheduling block. One holiday per 13-week contract is required. The facility may call off up to 1 shift per 2 weeks.

Required Qualifications

• Active Virginia state or compact RN license
• Minimum 1 year nursing experience; previous charge experience preferred
• Current ACLS, BLS, and NIHSS certifications
• EPIC charting experience
• First-time travelers accepted

Clinical Skills & Responsibilities

You'll perform cardiac monitoring and dysrhythmia interpretation and management, IV therapy, phlebotomy, and blood product administration. Central and peripheral line care, medication administration, and cardiac drips (non-titrated) are core responsibilities. You'll manage respiratory support including nasal cannula and oxygen administration, non-invasive airway management, and isolation precautions. You'll use Rapid Response and Code teams as needed.

Support & Resources

The facility provides interdisciplinary support including IV teams, physical therapy, respiratory services, phlebotomy, radiology, social services, pharmacy, and rapid response teams.

Start date: October 19, 2026. An active Virginia state or compact RN license is required to apply.