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

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
• Shift Hours: 36 or 48 hours per week
• Guaranteed Hours: 3 shifts per 13 weeks (cancelled shifts must be regular shift length)
• On-call: Not required
• Floating: Floating within ICU service line units required
• Block Schedule: Not accommodated
• Local Candidates: Not accepted (must live at least 75 miles from facility)
• Pending License: Accepted
• Return to Origin (RTO) 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 based on unit (e.g., CPI, MAB, TNCC, PALS, NRP)

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 acute and chronic renal failure, including 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, respiratory failure care
• Interpretation of arterial blood gases (ABGs)
• Suctioning (ETT, NT)
• Infection prevention and isolation precautions (PPE use)
• Phlebotomy
• Care of surgical wounds with drains and wound vac

Patient Diagnoses Commonly Seen

• Respiratory failure/ARDS
• Acute chest pain, cardiac arrhythmias, cardiac arrest
• Stroke
• 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, sex offender, 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 units (not for IL home care)
• Professional license primary source verification (Missouri licenses via NURSYS)
• Drug testing within 1 year, must include standard panels and not expire during assignment
• Physical exam within 1 year
• Fit mask testing annually (N95 models required)
• Immunizations and titers: Tdap, TB testing or questionnaire, Rubeola, Mumps, Rubella, Varicella (with specific unit exemptions)
• Seasonal flu vaccination or approved exemption required during flu season
• Unit-specific competency exams including dysrhythmia/EKG competency exam
• Skills checklist within 1 year of start
• References: Two professional references required (supervisors preferred)
• Employment application required
• Various facility-specific documents including HIPAA acknowledgement, confidentiality form, latex allergy questionnaire, hand hygiene, fingernail, and dress code policies

Additional Notes

• Candidates must adhere to all facility policies and complete required training and documentation prior to start.
• Floating within ICU units is expected to meet facility needs.
• No block scheduling accommodations.
• Local candidates within 75 miles are not accepted.
• Pending licenses are accepted with proper documentation.
• Return to origin travel restrictions limit time away to no more than 7 days.

This position is ideal for experienced ICU RNs with strong critical care skills and certifications, willing to travel and work in a high-acuity, teaching hospital environment.