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-timers Accepted: No
• Weekend Requirement: Every other weekend
• On-call: No
• Floating: Yes, within ICU service line
• Block Schedule Accommodation: No
• Locals Accepted: No (must live at least 75 miles from facility)
• Pending License Accepted: Yes
• Return to Origin Restrictions: No more than 7 days
• Guaranteed Hours: 3 shifts per 13 weeks (cancelled shifts must be regular shift length)
• Shift Hours: 36 or 48 hours per week
• Contract Length Options: 13 or 26 weeks

Required Certifications

• BLS (Basic Life Support)
• ACLS (Advanced Cardiac Life Support)
• NIH Stroke Certification
• Additional certifications may be required based 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 assistance 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 cardiac, thoracic, abdominal surgeries
• Medicine and neuro-medicine overflow
• Pre- and post-transplant care
• End of life and organ donation care

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 and nationwide checks)
• Quarterly EPLS/GSA/SAM and HHS/OIG checks
• Education verification of highest nursing degree required
• Fingerprinting required for Illinois long-term care or rehab float assignments
• Primary source verification of professional nursing license (Missouri licenses verified via NURSYS)
• Drug testing within 1 year of start, must include standard panels and be current throughout assignment
• Physical exam within 1 year of start
• Fit mask testing required annually (N95 models specified)
• Immunizations and titers required or declinations accepted for:

  • Tetanus/Diphtheria/Tdap
  • TB testing or questionnaire
  • Measles (Rubeola), Mumps, Rubella, Varicella
  • Seasonal flu vaccination or exemption during flu season
• Facility-specific documents including HIPAA acknowledgement, confidentiality form, latex allergy questionnaire, hand hygiene, fingernail, and dress code policies must be reviewed and signed prior to start
• Unit-specific competency exams required annually, including medication/pharmacology and dysrhythmia/EKG competency exams
• References: Two professional references required (supervisors preferred)
• Employment application and unit-specific skills checklist required within 1 year of start

Additional Notes

• Candidates must adhere to facility policies including dress code, hand hygiene, and fingernail policies or risk being sent home
• Floating within ICU service line expected to meet facility needs
• No block scheduling accommodations available
• Locals not accepted; must live at least 75 miles away from the facility

This position is ideal for experienced ICU RNs with strong critical care skills and certifications, looking for a travel contract in a Magnet, Level I Trauma teaching hospital setting.