Job Title
Registered Nurse – Neuro PCU (IMC/Stepdown)
Location
Roanoke, VA
Schedule / Job Type
Contract | Nights | 3x12-hour shifts, 6:45 PM – 7:15 AM | Weekend requirement applies (every other weekend or 6 weekend shifts per 6-week block) | One holiday required per 13-week contract
Key Responsibilities
- Provide direct nursing care to adult patients with neurological conditions including neurosurgical recovery, stroke management, neuro-specific diagnoses, and medical overflow
- Monitor and manage cardiac rhythms, including dysrhythmia interpretation, and participate in Rapid Response and Code teams
- Administer medications including cardiac drips (no titration required), IV therapy, and blood product administration; maintain central and peripheral line care
- Support patients in 5 dedicated continuous 24-hour epilepsy monitoring beds
- Provide respiratory support including nasal cannula, oxygen administration, and non-invasive airway management
- Float to other units within clinical skillset as needed; maintain isolation precautions per protocol
Required Qualifications
- Active Virginia State RN license or active Compact RN license (pending license considered only for candidates holding a single-state license from a non-compact state)
- Current ACLS, BLS, and NIHSS certifications
- Proficiency with EPIC electronic health records
- Demonstrated competency in cardiac monitoring, IV therapy, phlebotomy, and medication administration
- Comfort with a patient ratio of up to 1:5
Preferred Experience / Skills
- Prior experience in a PCU, IMC, or Stepdown unit setting
- Background in neurological or neurosurgical nursing care
- Experience with epilepsy monitoring or stroke care protocols
Why Join Us
- Opportunity to work in a high-acuity, Magnet-designated acute care teaching facility that is the region's only Level I Trauma Center and a certified Advanced Thrombectomy Capable Stroke Center
- First-time travelers are welcome, and blocked scheduling can be accommodated