Travel Step Down RN - $2,873 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: 08/17/2026
• Duration: 26 weeks
• 48 hours per week
• Shift: 12 hours, nights
• Employment Type: Travel

Assignment Overview

• Shift: Nights, 4x12hrs
• Hours: 48 hrs/wk
• Start Date: Aug 17, 2026
• Length: 26 weeks
• Openings: 1

Description

American Traveler is hiring an experienced RN for a Surgical PCU/Stepdown position at a Level I Trauma, Magnet-designated teaching hospital, with ventilator experience required and night shifts on a 4x12 schedule.

Details

• Large acute care hospital environment with over 700 licensed beds, designated as a Level I Trauma Center, Magnet facility, and academic teaching hospital affiliated with Virginia Tech Carilion School of Medicine
• Surgical PCU/Stepdown unit functioning as a stepdown from the General Surgical ICU, with bariatric specialty and backup to the trauma unit
• Patient population includes post-surgical, bariatric, and trauma overflow patients, including 2 beds dedicated to chronic trach patients (non-ICU level)
• Typical patient ratio is 1:5 with a staffing goal of 1:4
• Remote telemetry monitoring with tele sitting implemented to supplement Patient Care Tech coverage
• Equipment used includes ortho equipment, chest tubes, surgical drains, trach, endo tool, PICC lines, and multi-lumen catheters
• IV drips managed include Cardizem, Heparin, Insulin, low-dose Dopamine/Dobutamine, Amiodarone, Nitroglycerin, Bumex, Lasix, Lidocaine, and Ketamine (no titration)
• Respiratory support equipment includes nasal cannula, standard oxygen, CPAP, and BiPAP
• Night shift: 4x12-hour shifts, 6:45 PM – 7:15 AM
• Weekend requirement: every other weekend or 6 weekend shifts per 6-week scheduling block
• One holiday shift required per 13-week contract period
• Floating required within skillset
• Epic EMR experience required
• Contract length: up to 26 weeks available by request

Requirements

• Active Virginia state or Compact RN license required; pending licensure accepted only for candidates holding a single-state license from a non-compact state
• Current certifications required: BLS, ACLS, and NIH Stroke Scale (NIHSS)
• Ventilator care experience required, specifically for chronic trach patients
• Proficiency in cardiac monitoring, dysrhythmia interpretation and management, and emergency response
• Experience with IV therapy, phlebotomy, blood product administration, and central/peripheral line care
• Familiarity with cardiac drip management (no titration required)
• Experience with respiratory support modalities including CPAP and BiPAP
• Experience in isolation precautions and telemetry settings across PCU, DOU, IMC, and stepdown unit environments
• Epic EMR experience required
• Two professional references required for consideration
• Copy of driver's license and Social Security card required for consideration

Additional Information

• Responsibilities include Rapid Response and Code team activation
• First-time travelers are welcome to apply
• Local candidates are accepted for this position

American Traveler Job ID #P-735465. 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.