IMC/PCU/Stepdown – RN

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Job ID: 901560

Job Title

Registered Nurse – IMC/PCU/Stepdown (General Medicine/Observation)

Location

Roanoke, VA | Acute Care

Schedule / Job Type

Contract | Nights | 3×12-hour shifts, 6:45 PM – 7:15 AM | Weekend requirement: every other weekend or 6 weekend shifts per 6-week scheduling block | One holiday required per 13-week contract

Key Responsibilities

• Provide direct patient care in a PCU/stepdown setting with a patient ratio of 1:4–5
• Perform cardiac monitoring, interpret and manage dysrhythmias, and coordinate with Rapid Response and Code teams
• Administer cardiac drips (including Cardizem, Heparin, Insulin, low-dose dopamine/dobutamine, Amiodarone, Nitro, Bumex, and Lasix) without titration
• Perform IV therapy, phlebotomy, blood product administration, and central/peripheral line care including PICC line management
• Manage chest tubes, trach care, and respiratory support including nasal cannula, oxygen administration, CPAP, BiPAP, and non-invasive airway management
• Float within skillset as required by unit needs

Required Qualifications

• Active Virginia state RN license or active Compact RN license; pending license accepted only if candidate holds a single-state license from a non-compact state
• ACLS, BLS, and NIHSS certifications required
• Minimum experience in Tele, PCU, DOU, IMC, or stepdown clinical settings
• Epic EMR experience required
• Candidates residing within 50 miles of the facility are considered local and are not eligible for a standard assignment; candidates residing 50–99.9 miles away may be considered for one 13-week assignment with no eligibility to extend

Preferred Experience / Skills

• Experience with remote telemetry monitoring environments
• Familiarity with tele-sitting workflows and Patient Care Tech collaboration
• Prior travel nursing experience welcomed; first-time travelers are also encouraged to apply

Why Join Us

• Opportunity to work at a Magnet-designated, Level I Trauma Center that is nationally recognized for advanced cardiac care and nursing excellence
• Join a large, respected acute care facility offering comprehensive specialty services and a robust clinical environment

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