Cardiovascular ICU RN – CRRT Specialist
Fredericksburg, Virginia
Mary Washington Hospital

Job Opportunity: Registered Nurse (Travel/Contract)

Location: Fredericksburg, Virginia
Unit: CVICU (Cardiovascular Intensive Care Unit)

Job Summary

• Specialty: Registered Nurse
• Employment Type: Travel/Contract
• Contract Length: 13 weeks
• Start Date: ASAP
• Facility Type: Short-Term Acute Care, Level II Trauma Center
• Total Staffed Beds: 431
• Charting System: Epic
• Scrub Color: Navy Blue

Unit Details

• CVICU unit does NOT allow travel pairs
• No holiday requests off (RTO) will be approved
• Manager prefers RNs with skills in:

  • CRRT (Continuous Renal Replacement Therapy) – mandatory
  • At least one of the following: IABP, Impella, Prismax CRRT, EVD Drain
• Patient population includes trauma, cardiovascular surgery (TAVRs, CABGs), neurosurgery, and other complex surgical patients
• Common diagnoses: acute ventilator needs, COVID+ with high O2 demand, DKA, severe sepsis, unstable GI bleed, trauma, open heart recovery, TAVR recovery, post-code blue, multi-system organ failure, CRRT needs

Requirements

• Licensure: Virginia or Compact Nursing License
• Certifications:

  • ACLS (AHA provider card required)
  • NIH Stroke Certification (AHA, APEX, or Blue Cloud accepted)
• Experience: Minimum 2 years in relevant critical care setting
• Skills:

  • Interpretation and management of dysrhythmias
  • Arterial line management
  • Blood product administration
• Ratios:

  • CVICU: 1:2-3
  • Floating to step-down unit: 1:3-4 (appropriate to skill and acuity)
• Floating: Yes, within scope to meet facility needs
• Weekend Requirement: Every other weekend
• On-call: No
• Block schedule: Not accommodated
• Locals accepted

Certifications & Competencies

• BLS (AHA provider card required)
• ACLS (mandatory)
• NIH Stroke Certification (required for CCU, ICU, Med Surg, ER, PCU)
• Medication Test/Pharmacology Competency Exam (required for RNs)
• Competency Exam (required for all clinical candidates)
• TNCC (Trauma Nursing Core Course) required for ER; may be required as applicable
• Other certifications as applicable to specialty and unit

Health & Compliance Requirements

• Physical exam within 1 year prior to start
• Fit mask (N95) with annual update required (except Sterile Processing and Non-Clinical Supply Chain Techs)
• Negative TB test or chest X-ray as applicable
• Annual TB questionnaire if past positive TB history
• Immunizations or immunity documentation required for:

  • Rubeola (Measles)
  • Mumps
  • Rubella
  • Hepatitis B
  • Varicella
• Drug testing within 30 days prior to start (includes AMP, BAR, BZP, COC, MTD, METH, OPI, OXC, PCP)
• Seasonal flu vaccination/documentation required during flu season (9/1 - 3/31) or approved medical/religious exemption
• COVID-19 vaccination documentation required but not mandatory; declination accepted

Documentation & Background Checks

• Background check including lifetime package within 1 year prior to start
• Education verification of highest degree (diploma or official transcript required if verification delayed)
• NURSYS verification for all RNs
• State license primary source verification (VA license required)
• References: 2 required (one current year, one within last 2 years) from supervisors or equivalent
• Employment application and work history verification (minimum 2 years)
• Skills checklist required for all clinical candidates
• Facility-specific documents including code of conduct, confidentiality agreement, orientation packet, and Epic experience screening form must be completed prior to start
• Completion of mandatory WorkRamp orientation modules within one week of signing (approx. 8 hours)

Additional Notes

• No travel pairs allowed on this unit
• Manager discretion on requests off (RTO)
• Guaranteed hours per billing rules
• Parking cost: N/A

This position is ideal for experienced critical care RNs with strong skills in CRRT and cardiovascular ICU care, ready to work in a fast-paced, specialized trauma and surgical ICU environment.