Medical-Surgical Registered Nurse
Saint Louis, MO
Access Healthcare
4x12 hrs, Nights

Medical Surgical Registered Nurse Travel/Contract Job - Saint Louis, Missouri

Position Overview

• Employment Type: Travel/Contract
• Specialty: Registered Nurse (Medical Surgical)
• Shift: Night shift, 4 shifts per week, 12 hours each (19:00 - 7:30)
• Guaranteed Hours: 36 hours per week (can sign for 36 or 48 hours)
• Patient Ratio: 1:4-5 on all shifts except nights
• Start Date: Approximately 3-4 weeks out depending on compliance tier
• Contract Length: 13 weeks
• Weekend Requirement: Every other weekend required
• On-call: Not required
• Floating: Will float within service line as needed
• Local Candidates: Not accepted within 75-mile radius
• Pending License: Accepted

Patient Population & Unit Details

• Patient Diagnoses: Acute care patients including infection, renal, cardiac, pulmonary, oncology, orthopedic, bariatric, pre-transplant, observation, psychology, long stay, and COVID
• Patient Turnover: High turnover; patients may stay only a few hours to a day during high census periods
• Special Procedures/Equipment: Alaris pumps, CPAPs, BIPAPs, bladder scanners, lifts, hover mats, EKGs, scales
• Role may include primary care duties and care for tracheostomy patients
• Additional training provided to manage a wide variety of patient conditions

Required Qualifications

• Valid RN license in Missouri
• Minimum 1 year of Medical-Surgical nursing experience within the last year
• ACLS certification
• BLS certification issued by the American Heart Association
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)

Schedule & Work Conditions

• Block scheduling: Not accommodated
• Weekend work: Every other weekend required
• On-call: Not required
• Floating: Within service line as needed
• Restrictions on time off: No more than 7 days of time off per 13-week contract

Compliance & Background Requirements

• Government-issued ID required (driver’s license for home health roles)
• Criminal background check within 6 months, including statewide and nationwide searches
• Quarterly EPLS/GSA/SAM and HHS/OIG checks required
• Fingerprinting required for assignments in Illinois long-term care or rehab units
• Education verification of highest nursing degree required prior to start
• State-specific background checks required for Missouri and Illinois placements
• Drug testing within 1 year of start, must include specific panels and be current throughout assignment
• Physical exam within 1 year of start (not required annually)
• Fit mask testing required annually (N95 respirators)
• Immunizations and health screenings:

  • Negative TB test or chest x-ray within 1 year
  • Tdap vaccine or declination required (cannot decline in Bone Marrow Transplant Unit)
  • Measles, Mumps, Rubella, Varicella immunity or vaccination required (no exemptions in certain units)
  • Seasonal flu vaccination or approved exemption required during flu season
  • Hepatitis B declination required (vaccination not mandatory)
• Required facility-specific documents include HIPAA acknowledgement, confidentiality form, latex allergy questionnaire, hand hygiene policy, fingernail policy, dress code policy, and regulatory compliance education (annual quiz with 80% passing score)

Orientation & Training

• Orientation modules required for all RNs, completed through online platform (approx. 16 hours)
• Additional unit-specific certifications may be required (e.g., Trauma Nursing Core Course for extended Burn ICU assignments)
• On-site CPI training available if needed

References & History

• Two professional references required (supervisors preferred)
• Unit-specific skills checklist required within 1 year of start
• Employment application must be submitted and uploaded for facility review
• Performance evaluations may be requested but are not mandatory for extensions or per diem

Facility & Work Environment

• Facility Type: Short Term Acute Care, Magnet & Teaching Hospital, Level I Trauma Center
• Total Staffed Beds: 1266
• Charting System: Epic
• Scrub Color: Navy
• Parking: Monthly parking passes available; no charge for straight night shifts parking in employee lots

This position offers a challenging and diverse acute care nursing experience with a high patient turnover and a wide variety of patient diagnoses. It is ideal for RNs with at least 2 years of experience who are comfortable with medical-surgical nursing, telemetry skills, and dysrhythmia interpretation.