Emergency Room Registered Nurse
Lees Summit, MO
Access Healthcare
3x12 hrs, Nights

Job Opportunity: Registered Nurse (RN) - Emergency Room (ER)

Location: Lees Summit, Missouri
Employment Type: Travel/Contract
Contract Length: 13 weeks

Job Summary

Seeking an experienced Registered Nurse for the Emergency Room with a focus on pediatric and psychiatric care, IV therapy, respiratory support, neurological and cardiac monitoring, and orthopedic management. This is a community hospital setting with 240 staffed beds.

Experience Requirements

• Minimum 2 years of RN experience required (highest stated requirement)
• First-time travelers not accepted
• Prior travel experience not explicitly required

Work Schedule

• Weekend shifts required: every third weekend or 8 weekend shifts per 6-week schedule period (Friday/Saturday/Sunday combination)
• Holiday shifts and Charge RN assignments as needed
• Floating required within scope to all metro Emergency Departments and possibly other units/facilities
• No block scheduling accommodation
• Must live at least 75 miles from the facility (no locals accepted)
• Return to Office (RTO) restrictions: no more than 7 days

Patient Ratios

• Nurse to patient ratio: 1:4

Required Certifications

• BLS (Basic Life Support)
• ACLS (Advanced Cardiac Life Support)
• PALS (Pediatric Advanced Life Support)
• NIH Stroke Scale Certification (NIHSS)

Required Skills

Pediatrics

• Abdominal pain, asthma, burns, epiglottitis, head injury, hyperglycemia
• Identifying and reporting abuse
• Infections, mental/behavioral health conditions
• Poison ingestion, respiratory infections, seizures, sickle cell crisis
• Skin disorders, urinary tract infections

Psychiatric

• Acute psychosis, drug overdose
• Managing violent behavior, psychiatric holds
• Suicidal patients

IV Therapy / Phlebotomy

• Arterial line management
• Blood product administration
• Central line care/management
• Phlebotomy, starting IVs

Respiratory

• Chest tube insertion/management
• CPAP/BiPAP
• Interpretation of ABGs
• Intubation, ventilated patients

Medications

• Continuous IV paralytics and sedation
• Emergency medications
• IV vasopressors

Neurological

• Stroke (CVA) care

Cardiac Monitoring & Emergency Response

• Interpretation and management of dysrhythmias
• Management of multisystem organ dysfunction/failure
• Obtaining 12 lead EKGs

Professional Topics & Skills

• Isolation precautions
• Triage

Orthopedics

• Manage and apply splints

Preferred Skills

• Near drowning pediatric cases
• Procedural sedation administration

Facility & Work Environment

• Community hospital with 240 staffed beds and 32 rooms
• STEMI and Stroke Certified Facility
• Charting system: EPIC
• Scrub color: Navy

Floating & On-Call

• Floating required within scope to all metro EDs and possibly other units
• No on-call requirement

Licensure & Compliance

• Missouri RN license required (no pending licenses accepted)
• Primary source verification of professional license required
• NURSYS verification required for Missouri licenses
• IV certification required for LPN/LVN if applicable (not for RNs)

Background & Compliance Requirements

• Criminal background check within 6 months required (7-year search including statewide and nationwide)
• Quarterly EPLS/GSA/SAM and HHS/OIG checks required
• Education verification of highest nursing degree required (cannot pend at start)
• Drug testing within 1 year of start, must include a full panel (amphetamines, barbiturates, benzodiazepines, cocaine, methadone, opiates, oxycodone, PCP)
• Physical exam within 1 year of start required
• Fit mask testing (N95) required and must be renewed annually
• Immunizations and titers required:

  • Tetanus/Diphtheria/Tdap (Tdap every 10 years)
  • Negative TB test or chest x-ray (2-step PPD or equivalent)
  • Rubeola (Measles), Mumps, Rubella, Varicella (positive titer, vaccination, or declination)
  • Hepatitis B declination required (not vaccination)
• Seasonal flu vaccination or approved exemption required during flu season (Sept-April)

Competency Exams

• Medication test/pharmacology competency exam required
• Unit-specific competency exams required annually
• Dysrhythmia/EKG competency exam required within 12 months of start (80% pass rate)
• Color blindness testing required within 12 months of start

Additional Requirements

• Two professional references required (supervisors preferred)
• Employment application required
• Unit-specific skills checklist required within 1 year of start
• Completion of facility-specific orientation and regulatory compliance education modules prior to start
• Review and sign facility policies including HIPAA, latex allergy, confidentiality, hand hygiene, fingernail, and dress code policies

Summary

This is a travel RN contract position in an Emergency Room setting requiring a minimum of 2 years of RN experience, multiple certifications (BLS, ACLS, PALS, NIHSS), and a broad skill set in pediatric, psychiatric, respiratory, neurological, cardiac, and orthopedic care. The role requires weekend and holiday shifts, floating between units, and strict compliance with background checks, immunizations, and competency exams. Candidates must live at least 75 miles from the facility and cannot be first-time travelers.

This summary excludes any contact information, pay details, or facility-specific names as per instructions.