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

With over 25 years of experience, American Traveler has established a reputation for outstanding customer service. Our team ensures a smooth, worry-free experience for those starting on or expanding their travel nursing and allied careers.

With thousands of travel nursing and allied jobs nationwide, our attentive and approachable recruiters find positions that align perfectly with your career aspirations and personal requirements.

American Traveler offers exceptional benefits, including premium medical, dental, vision and life insurance beginning day one of your assignment, generous 401(k) match, substantial housing stipends, and more. Additionally, with 24/7 support and access to our in-house clinicians, you are assured confidence and comfort throughout your assignment.

With our team behind you, you can relax and enjoy a rewarding travel career.