Critical Care Float Registered Nurse
Saint Louis, MO
Access Healthcare
3x12 hrs, Nights

Job Opportunity: Critical Care Float - Registered Nurse

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

Job Description

• Float to multiple ICUs including Trauma, Oncology, Cardiac/Heart and Vascular, Neurology, Medicine, and COVID units.
• When ICU needs are low, float to inpatient floors as a staff nurse (ratio no more than 1:3).
• May be asked to float to non-critical care units or serve as a patient sitter if needed.
• ICU nurse-to-patient ratio: 2:1 for all shifts.
• Weekend requirement: every other weekend or 6 weekend shifts per 6-week schedule, plus holiday rotation.

Required Experience

• Minimum of 2 years ICU experience.
• Minimum of 1 year Cardiac ICU (CV ICU) experience.
• Past EPIC electronic health record experience strongly preferred.
• Will not accept first-time travelers (prior travel experience required).

Preferred Skills and Certifications

• Cardiac skill set preferred but not required:

  • Swan-Ganz catheter hemodynamic interpretation
  • IABP, Impella, ECMO experience
  • Vasoactive drips, CRRT
• Required certifications:

  • BLS (Basic Life Support)
  • ACLS (Advanced Cardiac Life Support)
  • Vents, IV start, Telemetry, Conscious Sedation
• Preferred certifications:

  • Chemo, CCRN, NIH Stroke Certification, ONS, TNCC, CPI (Crisis Prevention Institute)
  • Triage, ICP monitoring, PA lines, Level 1 Trauma experience

Facility & Work Environment

• Type of Facility: Short Term Acute Care
• Charting system: EPIC
• Scrub color: Navy Blue
• Free parking available

Compliance & Requirements

Licensure & Background

• Valid Registered Nurse license with primary source verification required.
• Government-issued ID required.
• Criminal background check within 6 months, including statewide and nationwide searches.
• Quarterly EPLS/GSA/SAM and HHS/OIG checks required.
• Education verification of highest nursing degree required.
• State-specific searches and registries as applicable.

Certifications

• BLS and ACLS (AHA only) required.
• Other certifications as applicable by unit (e.g., TNCC, CPI, NIH Stroke Certification).
• IV Certification required for LPNs/LVNs if applicable.
• MAB or CPI required if applicable.

Health & Immunizations

• Physical exam within 1 year of start.
• Fit mask testing (N95) required and must be renewed annually.
• Tdap vaccine or declination required.
• Negative TB test or chest X-ray per facility protocol.
• 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 current throughout assignment.
• Seasonal flu vaccination or approved exemption required during flu season.

Facility Specific Documents & Training

• Badge photo required (head and shoulders, white background, recent within 6 months).
• HIPAA Acknowledgement, Latex Allergy Questionnaire, Confidentiality Form, Regulatory Compliance Education, Hep B Declination, TB Questionnaire, Hand Hygiene Policy, Fingernail Policy, Dress Code Policy must be reviewed and signed prior to start.
• Completion of facility orientation modules (~16 hours) through WorkRamp required unless completed within the last year or recently worked at the facility.

Competency Exams

• Medication/Pharmacology competency exam required.
• Unit-specific competency exams required and must be updated annually.
• Oncology competency exam required for Med Surg-Oncology unit.

References & History

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

Additional Notes

• Prior travel experience is required; first-time travelers will not be accepted.
• Floating assignments require flexibility to work across multiple ICU specialties and inpatient floors.
• Strong independent nursing skills are essential.

This position is ideal for experienced ICU nurses with cardiac ICU background and prior travel nursing experience looking for a diverse float role in a short-term acute care setting.