ICU Registered Nurse
Saint Louis, MO
Access Healthcare
3x12 hrs, Nights

Registered Nurse (ICU Nights) - Saint Louis, Missouri

Employment Type: Travel/Contract
Contract Length: 13 weeks (approximately 3 months)
Location: Saint Louis, Missouri
Facility Type: Acute Care Hospital
Total Staffed Beds: 233
Charting System: EPIC
Scrub Color: Navy
Parking: Free

Job Description

• Shift: ICU Nights
• Patient Ratio: 1:2
• Experience Required: Minimum 2 years ICU experience
• Certifications Required: ACLS, BCLS, NIH Stroke Certification
• License: Current and up-to-date nursing license required (Missouri license verifiable on NURSYS)
• Skills Required:

  • Experience with hemodynamics
  • Ability to titrate cardiac and vasoactive drips
  • Bedside tracheostomies (trachs) and PEG care
  • Frequent cardiac outpatient monitoring
• Preferred Experience: Machine experience and EPIC charting
• Weekend Requirement: 6 weekend shifts in a 6-week period, every other weekend
• On-call: Not required
• Floating: Floating within scope to meet facility needs is expected
• Block Schedule: Not accommodated
• Locals: Not accepted (local radius rule: 75 miles)
• Pending License: Accepted
• Return to Office (RTO) Restrictions: 7 days
• Guaranteed Hours: 36 hours per week for 3-12 hour shifts

Start Date

• Biweekly starts, with a 3-4 week compliance tier

Required Certifications & Competencies

• ACLS (AHA only)
• BLS (AHA only)
• NIH Stroke Certification (required for all nurses; must be updated annually)
• Basic Life Support (BLS)
• Medication Test/Pharmacology Competency Exam (must meet or exceed passing score)
• Unit Specific Competency Exam (updated annually)
• Other Possible Certifications:

  • PALS (if applicable)
  • NRP (Neonatal Resuscitation Program)
  • TNCC (Trauma Nursing Core Course)
  • EFM (Electronic Fetal Monitoring) if applicable
  • CPI or MAB (Management of Assaultive Behavior) if applicable

Compliance & Background Requirements

• Background Check:

  • Criminal background check within 6 months of start (7-year search including statewide and nationwide)
  • EPLS/GSA/SAM and HHS/OIG quarterly checks
  • Education verification of highest nursing degree (cannot pend at start)
  • State-specific searches (Missouri and Illinois) as applicable
• Fingerprinting: Required for Illinois long-term care or rehab units (not required for Missouri or BJC IL Home Care)
• Drug Testing: Required within 1 year of start, must include a full panel (amphetamines, benzodiazepines, cocaine, opiates, etc.)
• Physical Exam: Required within 1 year of start
• Fit Mask Testing: Annual N95 fit testing required; onsite testing available if needed
• Immunizations & Health Documentation:

  • Tdap vaccine or declination (expires every 10 years)
  • Negative TB test or chest x-ray (2 negative PPDs or T-Spot/Q-Gold within 1 year)
  • Measles, Mumps, Rubella, Varicella immunity or vaccination (with no exemptions allowed in certain units)
  • Hepatitis B declination form required (vaccination not mandatory)
  • Seasonal Flu vaccination or approved exemption required during flu season (Sept-April)

Facility Specific Requirements

• Photo for Badge: Head and shoulders photo on white background, no obstructions
• HIPAA Acknowledgement: Must be signed prior to start and updated annually
• Latex Allergy Questionnaire: Required annually
• Confidentiality Form: Required annually
• Regulatory Compliance Education: Completed through WorkRamp prior to start, must score 80% or higher
• Hand Hygiene, Fingernail, Dress Code Policies: Must be reviewed and acknowledged prior to start
• Orientation Modules: Required for all RNs and LVNs, completed through WorkRamp before start (approx. 16 hours)
• BJC Badge: Required for all per diem candidates

References & History

• Two professional references required (supervisors preferred)
• Employment application and unit-specific skills checklist required within 1 year of start
• Performance evaluations may be requested but are not mandatory for extensions or per diem

Additional Notes

• Candidates must be ACLS certified and have at least 2 years of ICU experience.
• Floating within scope is expected to meet facility needs.
• Weekend shifts are mandatory as specified.
• Locals within 75 miles are not accepted for this travel position.
• Pending licenses are accepted.
• Compliance documents and certifications must be current and uploaded prior to start.

This position offers an opportunity to work in a well-staffed acute care hospital with a focus on critical care nursing in the ICU setting during night shifts.