Travel Step Down RN - $2,769 per week

American Traveler is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Roanoke, Virginia.

Job Description & Requirements

• Specialty: PCU - Progressive Care Unit
• Discipline: RN
• Start Date: 08/24/2026
• Duration: 13 weeks
• 48 hours per week
• Shift: 12 hours, nights
• Employment Type: Travel

Assignment Overview

• Shift: Nights, 4x12hrs
• Hours: 48 hrs/wk
• Start Date: Aug 24, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring an experienced RN for a Surgical PCU/Stepdown position requiring ventilator care experience and an active VA or compact RN license.

Details

• Work in the Surgical PCU/Stepdown unit of a large acute care hospital
• Unit functions as a stepdown from the General Surgical ICU, with a bariatric specialty and backup coverage for the trauma unit
• Patient ratios typically 1:5 with a staffing goal of 1:4
• Two beds designated for chronic trach patients (non-ICU level)
• Uses ortho equipment, chest tubes, surgical drains, trach care, endo tools, PICC lines, and MML
• Manages IV drips including Cardizem, Heparin, Insulin, low-dose dopamine/dobutamine, Amiodarone, Nitro, Bumex, Lasix, Lidocaine, and Ketamine
• Provides respiratory support including nasal cannula, oxygen administration, CPAP, and BiPAP
• Utilizes remote telemetry monitoring with tele sitting to increase Patient Care Tech coverage
• EPIC charting experience required
• Night shift schedule of 4x12 hours, 6:45pm-7:15am
• Weekend requirement of every other weekend or 6 weekend shifts per 6-week block
• Must work one holiday per 13-week contract
• Floating required within skillset across PCU, DOU, IMC, and stepdown units

Requirements

• Active RN license (Virginia State or Compact) required, or pending license accepted only for candidates from a non-compact single-state license
• Current certifications: BLS, ACLS, and NIHSS
• Minimum 1 year of RN experience, preferably at a 250+ bed hospital or larger facility
• Strong post-op patient care experience required
• Ventilator care experience for chronic trach patients required
• EPIC charting experience required
• Experience with cardiac monitoring, emergency response, and dysrhythmia interpretation/management required
• Experience with IV therapy, phlebotomy, blood product administration, and central/peripheral line care required
• Experience managing cardiac drips (no titration) required
• Experience with rapid response and code team activation required
• Experience with isolation precautions and telemetry settings required

Additional Information

• Provide stepdown-level nursing care to post-surgical and bariatric patients, including ventilator management for chronic trach cases
• Facility is a Level I Trauma Center, Magnet-designated, and a teaching hospital affiliated with Virginia Tech Carilion School of Medicine
• Facility may call off up to 1 shift per 2-week period
• First-time travelers will be considered if candidates have strong post-op experience at a similar facility, though at least one prior travel assignment is preferred
• Local candidates are accepted according to facility radius rules
• Previous employees (per diem or permanent) must have a minimum one-year break before returning as a traveler
• Travelers who have worked 365 days on assignment are not eligible to return, regardless of separation period, with exceptions reviewed case by case

American Traveler Job ID #P-735463. Pay package is based on 12 hour shifts and 48 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Travel RN - Telemetry - Stepdown

About American Traveler