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Shift: Nights, 3x12hrs
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Hours: 36 hrs/wk
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Start Date: Sep 8, 2026
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Length: 26 weeks
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Openings: 1
American Traveler is hiring an experienced RN for a Medical ICU position requiring active or pending MI licensure and at least 1 year of recent ICU experience.
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Work in the Medical ICU (MICU) of a hospital that also cares for a mix of ICU and PCU patients
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Patient ratios range from 1:1 up to 1:4 depending on acuity, with PCU/general med and transfer patients grouped at 4:1 or 4-3:1 based on acuity
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ICU and PCU patients may be combined in a 3:1 ratio based on acuity
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Ventilator patients are cared for at a 2:1 ratio
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Cooling, CRRT, or high-acuity patients are cared for at a 1:1 ratio
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Unit manages an average of 3 ventilated patients per day
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Common diagnoses include COPD, encephalopathy, drug overdose, DKA, AKI, respiratory failure, cardiac arrest, heart failure, and A-fib
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Performs and supports special procedures including CRRT, HD, A-line placement, CVC placement, trach placement, and chest tube placement
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Uses specialized equipment such as cooling machines, Bair Huggers, and massive transfusion protocols
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Epic EMR experience preferred
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Night shift schedule, 3x12-hour shifts from 19:00-7:30
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Every other weekend required
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Holiday coverage required
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Floats to other ICU and Med-Surg units as census needs dictate, with typical Med-Surg ratios of approximately 1:5-7 patients per RN
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Travelers float in rotation with staff RNs
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Active or pending Michigan RN license (must provide concrete ETA and proof of application if pending)
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Current certifications: BLS (AHA), ACLS (AHA), and NIHSS (must be renewed annually)
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Minimum of 1 year recent ICU experience required
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Charge RN experience preferred
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Community hospital experience preferred
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Skilled in IV therapy including arterial line management, blood product administration, central line care, and PICC line management
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Experienced in respiratory/thoracic care including BiPAP/CPAP management, ventilator management, HFNC, ABG interpretation, and suctioning
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Skilled in cardiac monitoring, dysrhythmia interpretation and management, and multisystem organ dysfunction care
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Experienced with continuous IV sedation, vasoactive and cardiac drip titration, and emergency medication administration
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Skilled in CVA/acute stroke management
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Experienced in chronic/acute renal failure and CVVHD/CRRT care
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Proof of flu vaccination required, or exemption request submitted within 48 hours of signing
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Supervisor-level references required
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Provide direct nursing care to critically ill patients with mixed ICU and PCU acuity levels
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ICU physicians may retain lower-acuity patients in the unit rather than transferring, requiring flexible grouping with 3-4 patient assignments
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Facility is designated as a Primary Stroke Destination by The Joint Commission
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Travelers are given priority for floating assignments
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No RTO permitted during the first two weeks of the assignment, and all RTO requests must be submitted prior to offer
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Locals accepted at the same rate with no radius restrictions
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Previous internal travelers may return after 6 months; previous permanent staff may return after 1 year
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First-time travelers are welcome to apply
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Annual self-reported training modules required, completed during orientation and annually
