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

Job Opportunity: Registered Nurse (Travel/Contract)

Location: Saint Louis, Missouri
Specialty: Registered Nurse (RN) – Telemetry/Step-Down Unit
Contract Length: 13 weeks

Job Details

• Start Date: Approximately 3-4 weeks out (based on compliance tier)
• Patient Ratios: 1:4-5
• Experience Required: Minimum 2 years in specialty (Telemetry/Step-Down experience required)
• Weekend Requirement: Every other weekend
• On-Call: Not required
• Floating: Yes, within scope to meet facility needs
• Block Scheduling: Not accommodated
• Local Candidates: Not accepted (75-mile radius rule)
• Pending License: Accepted
• Return to Origin (RTO) Restrictions: No more than 7 days of RTO per 13-week contract
• Guaranteed Hours: Yes

Required Certifications

• ACLS (Advanced Cardiac Life Support)
• BLS (Basic Life Support)
• Telemetry/Step-Down experience including EKG and cardiac drips competency

Facility Highlights

• Type: Short Term Acute Care
• Magnet & Teaching Hospital
• Level I Trauma Center
• Total Staffed Beds: 1,266
• Charting System: EPIC
• Scrub Color: Navy Blue

Compliance & Documentation Requirements

Background Checks

• Criminal background check within 6 months (7-year search including statewide and nationwide checks)
• EPLS/GSA/SAM quarterly checks
• HHS/OIG quarterly checks
• Fingerprinting required for Illinois long-term care or rehab units (not required for IL Home Care)
• Education verification of highest nursing education
• State-specific searches (Missouri and Illinois) as applicable

Licensure

• Primary source verification of professional nursing license (Missouri licenses verified via NURSYS)
• Missouri licenses require NURSYS verification and proof of IV certification for LPN/LVN if applicable
• Illinois temporary licenses require approval; permanent license needed for extension

Competency Exams

• Medication Test/Pharmacology Competency Exam (as applicable)
• Unit-specific competency exam, updated annually
• Dysrhythmia/EKG competency exam required for telemetry and related units, updated annually

Health Requirements

• Physical exam within 1 year of start
• Fit mask testing (N95) required and must be renewed annually
• 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 drug panels and be current 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, completed via WorkRamp)
• Hepatitis B declination form (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, completed prior to start)
• Vehicle Registration form for day shift workers

References & History

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

Additional Notes

• Prior travel experience is not explicitly required for this position.
• Floating within scope is expected to meet facility needs.
• No block scheduling accommodation.
• Parking available with monthly passes; free parking for straight night shifts.

This position is ideal for RNs with at least 2 years of telemetry or step-down experience who are comfortable working in a high-acuity, Magnet-designated, Level I Trauma teaching hospital. The role requires strong cardiac monitoring skills, including EKG and cardiac drip management, and adherence to strict compliance and credentialing standards.