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Shift: Days, 3x12hrs
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Hours: 36 hrs/wk
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Start Date: Apr 6, 2026
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Length: 13 weeks
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Openings: 1
American Traveler is seeking an experienced RN for an ICU position in Lexington, NC, requiring a minimum of 2 years of ICU experience and proficiency in critical care skills including vent management and vasoactive medication titration.
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16-bed ICU unit within a 96-bed community hospital that is part of a teaching health system and a primary stroke center
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Medical ICU patient population with common diagnoses including ARDS, sepsis, COPD, DKA, and stroke
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RN-to-patient ratio of 2:1 for ICU patients and 3:1 for IMC patients
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CNA support available on the unit for ADLs, transport, and receptionist duties
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Charge nurse, resource nurse, and respiratory therapy available 24/7; intensivist and hospitalist coverage 24/7
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PICC team available on-site during partial hours; no IV/VAT team
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EMR: Epic (experience preferred)
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IV pumps: Alaris; medication dispensing: Omnicell; patient monitors: GE
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Unit-specific equipment includes Bair Hugger, Verathon Bladder Scanner, and Blanketrol machine
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12-hour day shifts with a 0645 start time, on a 6-week scheduling cycle
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Every-other-weekend rotation required
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No on-call or call-back requirements
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Floating to Med Surg (4:1 ratio) required; ED float is resource-only with no patient assignment
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Active NC RN license or compact RN license currently in hand
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Current certifications required: BLS, ACLS, and NIH Stroke Scale (NIHSS)
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Minimum 2 years of ICU experience required, with most recent experience within the last year
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Proficiency in arterial line management, vasoactive medication titration, ventilator management and weaning, and chest tube management
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Strong critical thinking skills essential
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1 professional reference dated within the past year required, from a Supervisor, Manager, Director, or Charge RN
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Last 4 digits of SSN and full date of birth required for consideration
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Responsibilities include managing complex MICU-type patients with a focus on hemodynamic monitoring, ventilator support, and critical medication titration
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Unit culture is collaborative, with experienced nurses expected to support and mentor newer graduate nurses on the team
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Royal blue scrubs required
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Free parking available on-site
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Travelers are expected to work 75% of assigned holidays
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RTO requests require Resource Team approval
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Orientation includes facility NEO plus 2 days of departmental orientation
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First-time travelers will be considered with demonstrated strong ICU experience
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Candidates must reside more than 50 miles from the facility; local candidates are not accepted
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Candidates previously employed in a permanent position at an AHSE facility must have been separated for at least 1 year to be eligible