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Shift: Days, 3x12hrs
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Hours: 36 hrs/wk
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Start Date: Sep 21, 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 at least 1 year of recent ICU experience and NIHSS certification.
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Work in a Medical Intensive Care Unit (MICU) with a mix of ICU and PCU patients
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Day shift schedule (3x12 hours), 7:00 AM to 7:30 PM
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Assignment length of up to 26 weeks
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Patient ratios range from 1:1 to 1:4 based on acuity
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Vent patients cared for in a 2:1 ratio; cooling, CRRT, or high acuity patients in a 1:1 ratio
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PCU and general med/transfer patients may be grouped 4:1 or 3-4:1 based on acuity
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Required to work every other weekend
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Float requirement to other ICU and Med-Surg units as census flexes, in rotation with staff RNs
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Typical Med-Surg ratios during float assignments are approximately 1:5-7 patients per RN
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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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Unit performs procedures such as CRRT, HD, A-line placement, CVC placement, trach placement, and chest tube placement
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Uses specialized equipment including cooling machines, Bair Huggers, and CRRT machines
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Unit averages 3 ventilated patients per day
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Epic charting system experience preferred
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Active Michigan RN license required (pending license status may be considered with concrete ETA and proof of application)
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Current BLS (AHA), ACLS (AHA), and NIHSS certifications required
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NIHSS must be renewed annually
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Minimum of 1 year recent ICU experience required
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First-time travelers accepted
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Community hospital experience preferred
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Previous charge nurse experience preferred
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Skilled in IV therapy including arterial line management, blood product administration, central and PICC line care, and starting IVs
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Experience with ventilator management, BiPAP/CPAP, HFNC, ABG interpretation, and ETT/NT suctioning
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Experience managing dysrhythmias and multisystem organ dysfunction/failure
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Experience with continuous IV sedation, emergency medications, and titration of cardiac and vasoactive drips
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Experience with chronic/acute renal failure and CVVHD/CRRT
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Experience with CVA/acute stroke management
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Experience with IV insulin protocols
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Proof of flu vaccination required with submission, or exemption request within 48 hours of signing
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Supervisor-level references required
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Facility is designated as a Primary Stroke Destination by the Joint Commission
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Travelers are prioritized for floating assignments
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Holiday coverage is required with no guaranteed holiday time off
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No RTO permitted during the first two weeks of the assignment
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All RTO requests must be submitted prior to offer; requests after offer require discussion with the on-site manager
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Local candidates accepted at the same rate with no radius restrictions
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Previous Bronson travelers may return after 6 months; previous permanent staff may return after 1 year
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Annual self-reported training modules must be completed during orientation and annually thereafter