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Trauma Nurse

Major mechanism injury from resuscitation through ICU and step-down, often with surgical and orthopedic involvement.

Who these nurses care for

Major mechanism injury from resuscitation through ICU and step-down, often with surgical and orthopedic involvement.

What the shift actually looks like

Activation-driven. Long stretches of routine care punctuated by bay resuscitations that pull the whole team. Orthopedic and surgical services are heavily involved and the patient often moves through several units in days.

Credentials and certifications

Typically required
BLS, ACLS, TNCC; CEN or CCRN depending on placement
Typical ratio
Varies by phase of care

What to specify when you send the req

ACS trauma level designation and whether the role sits in the bay, the ICU or the floor.

Why this role is hard to fill

Level I experience is a genuine differentiator and commands a premium. Do not write 'trauma experience preferred' and expect it.

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: Activation volume, level designation, and where in the pathway the role actually sits.

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 Trauma nurse need?

BLS, ACLS, TNCC; CEN or CCRN depending on placement.

What is the typical typical ratio in Trauma?

Varies by phase of care.

Why is Trauma hard to fill?

Level I experience is a genuine differentiator and commands a premium. Do not write 'trauma experience preferred' and expect it.

What do candidates ask before accepting a Trauma assignment?

Activation volume, level designation, and where in the pathway the role actually sits.

Other units in Critical & Acute Care

See all nursing specialties or our nursing staffing overview.

Need Trauma coverage?

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