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ICU travel nurse

Also posted as MICU, SICU, CVICU, Neuro ICU and critical care.

Most hospitals want at least 2 years of recent ICU experience; CVICU, neuro and trauma ICUs often want it in that subspecialty. Most contracts require BLS and ACLS; many prefer CCRN and NIHSS (neuro and stroke units). California, the only state with ratios in law, caps ICU at 1 nurse to 2 patients (1:1 when a patient's condition requires it).

Updated October 2026

Critically ill adults on drips, ventilators and invasive lines. ICU is one of the most posted travel specialties.

What agencies ask for

Experience
Most hospitals want at least 2 years of recent ICU experience; CVICU, neuro and trauma ICUs often want it in that subspecialty.
Required on most contracts
BLS and ACLS
Also expect
A skills checklist and references from your recent ICU managers, and a license for the state (or a multistate license where it applies).

Ratios and floating

California minimum: 1 nurse to 2 patients (1:1 when a patient's condition requires it). Title 22 §70217

Traveler reports on ICU ratios and floating appear here once a hospital's ICU has 3 reports. Report a unit you worked on.

What ICU travelers were offered

No ICU offers shared yet. Pay is published as medians once 3 travelers have shared.

Ask before you sign

  1. Is this a closed unit with intensivists, or open?
  2. Will I take CRRT, Impella, ECMO or fresh hearts, and is that in my skills checklist?
  3. How often do travelers float, and to which units? Is floating limited to units like this one?
  4. What's the usual ratio on days and on nights, and who covers breaks?
  5. How many orientation shifts do travelers get, and are they paid?
  6. Which charting system does the unit use?

Questions

What experience do you need to be a ICU travel nurse?
Most hospitals want at least 2 years of recent ICU experience; CVICU, neuro and trauma ICUs often want it in that subspecialty. Requirements are set by each hospital, so check the job post.
What certifications do ICU travel nurses need?
Most ICU contracts require BLS and ACLS, and many prefer CCRN and NIHSS (neuro and stroke units). Bring current cards: agencies verify them before submitting you.
What is the nurse-to-patient ratio for ICU?
Only California sets ratios in law: 1 nurse to 2 patients (1:1 when a patient's condition requires it) (Title 22 CCR §70217). Elsewhere it's hospital policy, so ask on the interview.

Other specialties: ER · Labor & Delivery · Med-Surg · PCU / Stepdown · Telemetry · OR · Pediatrics · NICU · Psych

Experience and certifications are what travel job posts commonly ask for; each hospital sets its own. Ratios: California Code of Regulations Title 22 §70217, which applies only in California. Traveler numbers come from hospital units with 3+ reports and pay from 3+ shared offers, never from one person.