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Shift: Variable, 3x12hrs
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Hours: 36 hrs/wk
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Start Date: Sep 8, 2026
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Length: 13 weeks
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Openings: 1
American Traveler is hiring an experienced RN for an IMC (Stepdown) position requiring 2 years of experience, WI/Compact RN license, and NIHSS certification in hand.
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Work in the IMCU (Stepdown) unit of a community hospital
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Cares for cardiac telemetry, MS/Tele, and neuro stepdown patients
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Patient ratio of 1:3-4
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Variable schedule primarily nights, with potential shifts of 1500-0300, 0300-1500, or 2300-1100
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Epic charting system experience preferred
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Floating may be required
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Active WI or Compact RN license required (pending license accepted at submission, must be obtained during compliance)
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Minimum 2 years of RN experience required
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Required certifications: BLS, ACLS, and NIHSS (NIHSS must be in hand)
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Community hospital experience required
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Teaching hospital and Trauma Level II experience preferred
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Prior travel nursing experience required
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Charge nurse experience preferred
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Skilled in IV therapy, central/PICC/arterial line management, blood product administration, and phlebotomy
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Experience with cardiac monitoring, dysrhythmia interpretation, and rapid response protocols
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Experience managing chest tubes, tracheostomy care, and non-invasive airway management preferred
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Experience with CVA, pre/post neurosurgery, and seizure disorder care
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Experience with cardiac drips, insulin protocols, and wound care/wound vac
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Epic EMR experience preferred
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SSN and DOB required for consideration
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RTO must be submitted for consideration
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Provide comprehensive stepdown-level nursing care including cardiac monitoring, respiratory management, and neurological/psychiatric patient care
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Manage medication protocols including heparin, cardiac drips, and insulin titration
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Perform procedural sedation monitoring and administer PCA as needed
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Support patients with renal conditions including pre/post hemodialysis management
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Passport-style badge photo required within 24 hours of offer acceptance
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Two supervisor references required after offer acceptance, with one from the most recent assignment or permanent position
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Orientation includes modules averaging 3-4 hours
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Local candidates accepted at a lower rate
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First-time travelers will not be considered for this role
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Travelers may return only after a minimum 1-year separation from the facility
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Travel pairs are accepted
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Facility cannot accommodate candidates with latex allergies
