Telemetry/Step-Down Registered Nurse
Saint Louis, MO
Access Healthcare
4x12 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
• Start Date: Approximately 3-4 weeks out (per compliance tier)
• Shift Options: 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: Yes
• Return to Office (RTO) Restrictions: No more than 7 days of RTO per 13-week contract
• Guaranteed Hours: Yes

Experience & Certifications

• Required Years of Experience: Minimum 2 years in specialty
• Special Requirements:

  • Telemetry/Step-Down experience required
  • Experience with EKG and cardiac drips
• 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 and nationwide checks)
• EPLS/GSA/SAM quarterly checks
• HHS/OIG quarterly checks
• Fingerprinting required for certain Illinois long-term care or rehab assignments
• Education verification of highest nursing degree required

Licensure

• Primary source verification of professional license required (Missouri licenses verified via NURSYS)
• Temporary licenses accepted but permanent license required for extensions in Illinois

Competency Exams

• Medication Test/Pharmacology Competency Exam (as applicable)
• Unit-specific Competency Exam (updated annually)
• Dysrhythmia/EKG Competency Exam required for Telemetry/Step-Down and related specialties (must be completed within 1 year of start and updated annually)

Health Requirements

• Physical exam within 1 year of start
• Fit mask test (N95) required and must be renewed annually
• Tdap vaccine or declination required (expires every 10 years)
• Negative TB test or chest X-ray within 1 year of start
• Required immunizations or proof of immunity 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 (09/30 - 04/01)

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 (required for all RNs and LVNs, approx. 16 hours, due prior to start)
• Badge photo required (head and shoulders, white background, no obstructions)

Additional Requirements

• Two professional references required (supervisors within last year preferred)
• Employment application must be submitted and uploaded for facility review
• Unit-specific skills checklist required within 1 year of start
• MO Family Care Safety Registry (FCSR) and other state-specific background checks required for Missouri placements

Summary

This is a travel contract Registered Nurse position in Telemetry/Step-Down at a large Magnet, Level I Trauma teaching hospital in Saint Louis, Missouri. The role requires at least 2 years of specialty experience, ACLS and BLS certifications, and compliance with extensive background, health, and competency requirements. The contract length is 13 weeks with guaranteed hours and a weekend rotation every other weekend. Prior travel experience is not explicitly required. Local candidates within 75 miles are not accepted.

Note: This summary excludes contact details, pay rates, and facility names per instructions.