She works for Kaiser in the DOU (direct observation unit, ICU stepdown). To get a calendar month off she schedules it almost a year in advance. 2 weeks off she can do with a month notice. A week off usually only requires switching a day or two with another nurse since she only works 3 days a week.
I've known a few medicos/1st responders, including a brother, who do this(take a month/week off, etc). It sounds enviable to most until you see/hear/experience what their 24 hour shift often entails.