Recruiters on call 24/7 for active shift coverage Looking for a role?  ·  Request staff

Cardiovascular ICU (CVICU) Nurse

Post-operative cardiac surgery — CABG, valve replacement, transplant — plus balloon pumps, Impella and often ECMO.

Who these nurses care for

Post-operative cardiac surgery — CABG, valve replacement, transplant — plus balloon pumps, Impella and often ECMO.

What the shift actually looks like

A fresh heart arrives from theatre and the first four hours are chest tubes, pacing wires, bleeding checks and titrating three or four drips at once. Once the patient stabilises the pace drops sharply. Units running ECMO or Impella add a second layer of monitoring that never quite lets up.

Credentials and certifications

Typically required
BLS, ACLS; CCRN preferred; CSC or CMC valued
Typical ratio
1:1 for fresh post-op hearts, 1:2 once stable

What to specify when you send the req

Whether the unit takes fresh hearts, which mechanical support devices are in use, and open-chest management expectations.

Why this role is hard to fill

Fresh post-op heart experience is a genuinely narrow skill set. A general ICU nurse is not a substitute, and submitting one wastes everyone's week.

What candidates ask before accepting

Answering these in the req itself shortens the process considerably, because they are the questions that otherwise surface at offer stage and cause declines: Whether they will be assigned fresh post-op hearts in the first week, device competency expectations, and open-chest protocols.

Contract or permanent?

Contract for census swings, leave coverage and seasonal surge. Per diem to protect ratios without expanding core FTE. Permanent when the seat is structural. The expensive mistake is running contract labour for eighteen months on a role that was always permanent.

Licensure

Registered nursing is covered by the Nurse Licensure Compact in most of the country, so a multistate license lets a nurse work across member states without a new application. Thirteen jurisdictions sit outside it — Alaska, California, DC, Hawaii, Illinois, Michigan, Minnesota, Nevada, New York, Oregon, Puerto Rico, American Samoa and the Northern Mariana Islands — and in those markets every out-of-state nurse needs a single-state license first. Those are the markets where reqs stay open longest.

How we work this req

Every candidate is spoken to before you see them, with licensure for your state, certifications and unit-specific competency confirmed before submittal. We screen to the credential the unit actually needs rather than the title on the posting. Rates sit inside the ranges on our published cost breakdown.

Common questions

What certifications does a CVICU nurse need?

BLS, ACLS; CCRN preferred; CSC or CMC valued.

What is the typical typical ratio in CVICU?

1:1 for fresh post-op hearts, 1:2 once stable.

Why is CVICU hard to fill?

Fresh post-op heart experience is a genuinely narrow skill set. A general ICU nurse is not a substitute, and submitting one wastes everyone's week.

What do candidates ask before accepting a CVICU assignment?

Whether they will be assigned fresh post-op hearts in the first week, device competency expectations, and open-chest protocols.

Other units in Critical & Acute Care

See all nursing specialties or our nursing staffing overview.

Need CVICU coverage?

Tell us the ratio, the equipment and the start date, and we will tell you the realistic fill window.