Registered Nurse

Registered Nurse

The Surgical Intensive Care Unit (SICU) caters to a specialized population that includes trauma patients, cardiovascular surgery patients such as those recovering from TAVRs and CABGs directly from the operating room, neurosurgery patients, and other complex surgical cases.

Responsibilities

• Interpret and manage dysrhythmias and arterial lines.
• Administer blood products and manage acute ventilator needs.
• Care for COVID+ patients with high oxygen demands, patients with DKA, severe sepsis, and unstable GI bleeds.
• Handle trauma cases, open heart recovery, and post-code blue situations.
• Manage patients with multi-system organ failure and those needing CRRT.
• Float within scope to meet facility needs.
• Work every other weekend as required.

Essential Skills

• Interpretation and management of dysrhythmias.
• Proficiency in arterial line management.
• Experience with blood product administration.
• Knowledge of acute ventilator management and care of ventilated patients.
• Ability to interpret arterial blood gases (ABGs).
• Experience with chronic/acute renal failure management.
• Proficiency in CVVHD/CRRT.
• Titration of cardiac and vasoactive drips.
• ICP monitoring skills.
• Experience with Impella, Intra-Aortic Balloon Pump (IABP), and Pulmonary Artery Line/Swan Ganz monitoring.

Additional Skills & Qualifications

• Active VA or compact nursing license.
• ACLS certification.
• NIH certification.
• At least 2 years of experience in surgical ICU settings.
• Proficiency in IV therapy and central line management.
• Experience with PICC line and thoracic care.
• Ability to assist with chest tube insertion and removal.
• Knowledge of infection prevention and isolation precautions.

Work Environment

This position is within a 38-bed ICU in a Level II Trauma Center, certified as one of the top 50 Cardiovascular Surgery Centers in the United States. The facility offers a medical and surgical environment, accommodating conscious sedation at the bedside. Procedures such as EGDs, chest tube insertions, and bronchoscopies are performed in-room. Nurses wear navy blue scrubs and utilize Epic for charting. The typical shift is 3x12 hours from 19:00 to 07:00, with a patient ratio of 1:2-3, adjusted according to skill level and patient acuity.

Job Type & Location

This is a Contract position based out of Fredericksburg, VA.

Pay and Benefits

The pay range for this position is $50.00 - $58.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully onsite position in Fredericksburg, VA.

Application Deadline

This position is anticipated to close on Aug 6, 2026.

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing winner for both client and talent service.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email View email address on click.appcast.io for other accommodation options.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.