Travel ICU Registered Nurse
Saint Louis, MO
Access Healthcare
4x12 hrs, Nights

Registered Nurse (RN) - ICU

Location: Saint Louis, Missouri
Employment Type: Travel/Contract
Contract Length: 13 weeks

Job Details

• Unit: ICU (Medical and Surgical Intensive Care Unit)
• Patient Ratio: 1:2
• Experience Required: Minimum 2 years
• First-time Travelers: Not accepted
• Weekend Requirement: Every other weekend
• Guaranteed Hours: 3 shifts per 13 weeks (cancelled shifts must be regular shift length)
• On-call: Not required
• Floating: Yes, within ICU service line
• Block Schedule Accommodation: No
• Local Candidates: Not accepted (must live at least 75 miles from facility)
• Pending License: Accepted
• Return to Office Restrictions: No more than 7 days

Required Certifications

• BLS (Basic Life Support)
• ACLS (Advanced Cardiac Life Support)
• NIH Stroke Certification
• Other certifications may be required depending on unit (e.g., PALS, NRP, TNCC, CPI/MAB)

Required Skills and Competencies

• Medical and Surgical ICU experience
• Interpretation and management of dysrhythmias
• Management of multisystem organ dysfunction/failure
• Obtaining and interpreting 12 lead EKG/ECG
• Central Venous Pressure Monitoring (CVP)
• Pulmonary Artery Line/Swan Ganz monitoring
• Management of chronic/acute renal failure and CRRT/dialysis
• Arterial line management
• Blood product administration
• Central line and PICC line care/management
• Starting and maintaining IVs, continuous IV sedation
• Emergency medication administration
• Titration of cardiac and vasoactive drips
• CVA/Acute Stroke management
• BiPAP and ventilator management
• Interpretation of arterial blood gases (ABGs)
• Respiratory failure management and suctioning (ETT, NT)
• Infection prevention and isolation precautions (PPE use)
• Phlebotomy
• Care of surgical wounds with drains and wound vacs

Patient Diagnoses Commonly Seen

• Respiratory Failure/ARDS
• Acute chest pain, cardiac issues, arrhythmias
• Stroke
• Cardiac arrest
• Diabetic ketoacidosis (DKA)
• Multi-organ failure
• Sepsis

Unit Details

• Pre- and post-operative care for cardiac, thoracic, abdominal surgeries
• Medicine and neuro-medicine overflow
• Pre- and post-transplant care
• End of life and organ donation support

Special Equipment Used

• IV pumps and titration devices
• Continuous Renal Replacement Therapy (CRRT)/dialysis machines
• Ventilators and BiPAP machines
• Hemodynamic and invasive monitoring equipment
• Defibrillators and crash carts

Facility Highlights

• Type: Short Term Acute Care
• Magnet & Teaching Hospital
• Level I Trauma Center
• Total Staffed Beds: 1259
• Charting System: Epic
• Scrub Color: Navy

Compliance and Documentation Requirements

• Government-issued ID required
• Criminal background check within 6 months (7-year search including statewide, nationwide, and international if applicable)
• Quarterly EPLS/GSA/SAM and HHS/OIG checks
• Education verification of highest nursing degree required
• Fingerprinting required for Illinois long-term care or rehab assignments
• Professional license primary source verification (Missouri licenses via NURSYS)
• Drug testing within 1 year, must include specific panels and be current throughout assignment
• Physical exam within 1 year
• Fit mask testing annually (N95 models required)
• Immunizations and titers: Tdap, TB testing or questionnaire, Measles, Mumps, Rubella, Varicella (with specific unit exemptions)
• Seasonal flu vaccination or approved exemption required during flu season
• Unit-specific competency exams including medication, dysrhythmia/EKG, and others as applicable
• Various facility-specific documents including HIPAA acknowledgement, confidentiality form, hand hygiene, dress code, and latex allergy questionnaire
• References: Two professional references required (supervisors preferred)
• Employment application and skills checklist required

Additional Notes

• Candidates must adhere to facility policies including fingernail, dress code, and hand hygiene policies
• Candidates must complete required training and certifications prior to or shortly after start
• Floating within ICU service line may be required to meet facility needs
• No block scheduling accommodations available
• Local candidates within 75 miles are not eligible for this travel assignment

This position is ideal for experienced ICU RNs with strong critical care skills and certifications, seeking a travel contract in a high-acuity, Magnet-designated, Level I trauma teaching hospital.