ICU RN
Iron Mountain, Michigan
Dickinson County Healthcare System

ICU RN

Location: Iron Mountain, Michigan Contract Length: 20 weeks Shift: Nights, 12-hour shifts (0700-1900 and 1900-0700), 4x12 hours (48 hours/week)

Required Qualifications

• Certifications: ACLS, BLS
• Minimum 2 years of ICU experience in an ICU setting
• Must be comfortable floating to MS-Tele
• Must be able to float to Med/Surg; may be asked to take ratios of 1:3-6
• Must be comfortable troubleshooting and assisting with RT equipment (vents, CPAP, BiPAP, heated high flow)
• Must be able to titrate drips
• Must note in submission if they have ever worked for the facility. If they previously worked there, their end date must be at least 6 months before their submission date.

Preferred Qualifications

• Critical Access or Trauma Level 3 or 4 experience, or experience in a rural setting

Unit Details

• Beds: 5-bed ICU (2 IMC beds in hallway)
• Patient ratios: 2:1 for ICU; 3:1 for IMC, depending on acuity
• Common diagnoses: Respiratory failure, septic shock, detox, DKA, A-fib, arrhythmias requiring pacing. Strong in vent management. No pulmonology, dialysis, or cardiac surgery.
• Titratable and set-rate drips: Levophed, propofol, Cardizem, esmolol, insulin
• Resources: Limited onsite resources (no IV team; RT oversees the entire hospital)
• Nurse aides: None on this unit
• Charge nurse: Takes a full assignment
• Physician coverage: Hospitalist or intensivist in house until 6 PM daily; ICU Tele physician coverage at night
• RT coverage: Available 24/7, not housed in the ICU
• Monitoring: Tele monitor techs present 0700-1900 daily; RN verifies strips. RN also watches and signs off on MS unit strips (training provided if needed).

Schedule and Expectations

• Scheduling: Shifts cannot be guaranteed as blocked; longer blocks of 6 shifts are considered when possible. Self-scheduling is accommodated when possible.
• Weekends: Rotating every other weekend (Friday, Saturday, Sunday)
• Holidays: Works 2 of 3 holidays
• On-call/standby: Potential opportunity to be placed on call or standby
• Dress code: Solid professional scrubs, no specific color
• Clocking: All clinicians must clock in and out at the facility

Orientation

• Day 1: Computer education for 8 hours, then shadowing for 4 hours
• Day 2: 12-hour orientation shift
• Day 3: Works independently