Medical ICU RN
Council Bluffs, IA
American Traveler
3x12 hrs, Nights

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Aug 3, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is seeking an experienced ICU RN for a 13-week night shift travel contract at a Level III trauma acute care facility, requiring a minimum of 2 years of ICU experience and proficiency with vents, drips, and BiPAP.

Details

• Level III trauma acute care hospital ICU setting with 16 beds
• Medical ICU patient population including sepsis, respiratory failure, stroke, MI, DKA, STEMI, A-fib with RVR, PE, COPD exacerbation, and COVID
• Nurse-to-patient ratio is 1:2, occasionally stretching to 1:3 based on census
• No nurse aides or patient care techs on the unit
• Charge nurse present on every shift and takes a patient assignment
• Hospitalist available in-house 24/7; intensivist in-house during day hours with telemedicine coverage overnight
• Respiratory therapy is shared with the ER (not dedicated to ICU)
• Centralized telemetry monitor techs are not located in-house; nurses must be able to read and verify rhythm strips (Draeger monitors)
• 12-hour night shifts, 6:30 PM – 7:00 AM
• Every third weekend requirement
• July 4th holiday coverage required
• No on-call or standby requirement
• Floating required to lower levels of care (PCU and Med-Surg); training provided
• EMR: Epic experience required

Requirements

• Active IA RN license or Compact (NLC) RN license, must be active at time of consideration — pending licenses not accepted
• Current BLS and ACLS certifications required — pending certifications not accepted
• NIHSS certification required
• PALS and TNCC preferred
• Minimum 2 years of ICU experience preferred
• Prior travel nursing experience preferred
• Proficiency with drips, mechanical ventilators, and BiPAP required
• Experience titrating vasoactive and sedation drips (e.g., levophed, neosynephrine, cardene, precedex, propofol) required
• 2 professional references required: one supervisor from within the last 12 months and one peer or supervisor from within the last 3 years, each including dates of employment and eligibility for rehire
• Driver's license required for consideration

Additional Information

• RNs are responsible for titrating vasoactive and sedation drips independently
• Nurses must be able to read and verify telemetry rhythm strips, though a remote monitor tech provides primary reading
• RT manages all ventilator adjustments; RNs are responsible for troubleshooting only
• Navy blue scrubs required
• Orientation consists of 1 shift in the ICU and 1 shift in the PCU
• A pass/fail open-book exam is administered during orientation — a score of 90% or higher is required to pass; failure results in contract termination
• Candidates must reside more than 50 miles from the facility; a driver's license is used to verify permanent address
• Candidates currently employed (full-time, part-time, or PRN) directly by any CommonSpirit, CHI, or Dignity facility within the past year are not eligible; candidates who worked PRN through outside staffing firms will be considered
• All RTO requests must be submitted upfront — no additional RTO will be approved after consideration, including post-placement requests
• Artificial nails are prohibited in all patient care areas; refusal to remove them will result to contract termination