PACU Registered Nurse Job in Roanoke, VA

Carilion Roanoke Memorial Hospital is seeking a Registered Nurse for its Post Anesthesia Care Unit (PACU). This is a 91-day travel assignment beginning November 2, 2026.

Schedule and Compensation

• Three 12-hour night shifts per week, 6:45 PM to 7:15 AM
• Weekly pay: $2,084
• Every other weekend or six weekend shifts within a 6-week scheduling block
• On-call rotation based on sign-up sheet
• Facility may call off one shift per 2-week period
• One holiday shift required per 13-week contract

Requirements and Experience

• Current RN license and travel healthcare experience required; first-time travelers not accepted
• ACLS, BLS, and PALS certifications required
• EPIC charting system experience required
• Patient ratio: 1:2 across all shifts

Clinical Skills and Responsibilities

You will care for diverse patient populations including adolescents, infants, adults, pediatrics, and geriatrics. Required clinical competencies include IV therapy with blood products, central line and PICC line care, IV starts, and comprehensive respiratory care including ventilator management, chest tube care, airway management, tracheostomy, extubation, and End-Tidal CO2 monitoring.

You must demonstrate neuro skills including craniotomy care, external ventricular drain management, spine surgery recovery, and stroke scale assessment. Cardiac skills include management of antiarrhythmics, antihypertensives, vasopressors, opioids, and reversal agents; arterial line management; dysrhythmia recognition; and CPR proficiency.

Surgical experience across ENT, general, neuro, orthopedic, total joint, cholecystectomy, and spinal procedures is required. Additional monitoring and assessment skills include lab value interpretation, isolation precautions, malignant hyperthermia protocol, pain assessment, PCA pump management, and RASS scoring.

Pediatric patient management experience is required. Pre- and post-operative skills include EKG interpretation, operative consent procedures, cath and endoscopy recovery, and straight catheterization for male and female patients.

Facility Support

Interdisciplinary support is available through physical therapy, respiratory services, interpretation services, phlebotomy, radiology, social services, rapid response teams, and pharmacy. Floating within skillset may be required.