Registered Nurse - Telemetry/Step-Down
Saint Louis, MO
Access Healthcare
3x12 hrs, Nights

Job Opportunity: Registered Nurse (Tele/Step-Down)

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

Position Details

• Specialty: Telemetry/Step-Down Unit
• Start Date: Approximately 3-4 weeks out (per compliance tier)
• Shift Options: Can sign for 36 or 48 hours per week
• Patient Ratios: 1:4-5
• Weekend Requirement: Every other weekend
• On-Call: Not required
• Floating: Yes, within scope to meet facility needs
• Block Schedule: Not accommodated
• Local Candidates: Not accepted (75 mile radius rule)
• Pending License: Accepted
• Guaranteed Hours: Yes
• Special Requirements:

  • Telemetry/step-down experience required
  • Experience with EKG and cardiac drips

Required Experience & Certifications

• Years of Experience: Minimum 2 years in specialty (Telemetry/Step-Down)
• Certifications Required:

  • ACLS (Advanced Cardiac Life Support)
  • BLS (Basic Life Support)

Facility Highlights

• Short Term Acute Care Facility
• Magnet & Teaching Hospital
• Level I Trauma Center
• Total Staffed Beds: 1,273
• Charting System: EPIC
• Scrub Color: Navy Blue

Compliance & Documentation Requirements

Background Checks

• Criminal background check within 6 months of start (7-year search including statewide, nationwide, and international if applicable)
• EPLS/GSA/SAM and HHS/OIG checks quarterly
• Education verification of highest nursing education
• State-specific searches and highway patrol checks as required

Certifications & Competencies

• ACLS and BLS certifications (AHA only)
• Dysrhythmia/EKG competency exam required within 1 year of start and updated annually
• Medication Test/Pharmacology Competency Exam as applicable
• Other certifications may be required based on unit (e.g., CPI, MAB, NIH Stroke Certification)

Health Documents

• Physical exam within 1 year of start
• Fit mask test (annual renewal required)
• Tetanus/Diphtheria/Tdap vaccine or declination
• Negative TB test or chest X-ray (2 negative PPDs or T-Spot/Q-Gold within 1 year)
• Immunizations or immunity documentation for Rubeola (Measles), Mumps, Rubella, Varicella
• Drug testing within 1 year of start, must include specific panels and be valid throughout assignment
• Seasonal flu vaccination or approved exemption required during flu season

Facility Specific Documents

• HIPAA Acknowledgement (annual)
• Latex Allergy Questionnaire (annual)
• Confidentiality Form (annual)
• Regulatory Compliance Education (annual, must score 80% or higher)
• Hepatitis B declination (annual)
• TB Questionnaire (annual)
• Hand Hygiene Policy acknowledgment
• Fingernail Policy acknowledgment
• Dress Code Policy acknowledgment
• Orientation Modules (approximately 16 hours, required prior to start)

Other Requirements

• Two professional references required (supervisors preferred)
• Unit-specific skills checklist within 1 year of start
• Employment application must be submitted and uploaded

Additional Notes

• No more than 7 days of Return to Origin (RTO) allowed per 13-week contract
• Candidates must adhere to all facility policies and complete required documentation prior to start
• Floating within scope is expected to meet facility needs

This position is ideal for experienced Telemetry/Step-Down Registered Nurses looking for a travel contract in a high-acuity, Magnet-designated, teaching hospital environment with a Level I trauma center.