Medical ICU Registered Nurse
Saint Louis, MO
Access Healthcare
3x12 hrs, Nights

ICU Registered Nurse Travel/Contract Position

Location: Saint Louis, Missouri
Employment Type: Travel/Contract
Shift: Night (3 shifts per week, 12 hours each; 19:00 - 7:30)
Guaranteed Hours: Yes
Contract Length: 13 weeks

Unit & Patient Care Details

• Specialty: Medical Intensive Care Unit (MICU)
• Nurse-to-patient ratio: 1:2
• Must have experience in a 20+ bed ICU
• Floating: May float within ICU service line to other medical-surgical areas
• Weekend Requirement: Every other weekend
• Block scheduling: Not accommodated
• Local candidates not accepted (home must be at least 75 miles away)
• On-call: Not required

Requirements/Qualifications

• Valid Registered Nurse (RN) license in Missouri
• Minimum 1.5 years of Medical Intensive Care Unit (MICU) experience, with experience within the last year
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Advanced Cardiac Life Support (ACLS) certification
• Basic Life Support (BLS) certification issued by the American Heart Association
• Clinical skills including paracentesis, bedside tracheostomy placement, and bronchoscopy

Required Certifications & Licenses

• Current Registered Nurse (RN) license for Missouri accepted; pending license accepted
• ACLS (Advanced Cardiac Life Support) - AHA only
• BLS (Basic Life Support) - AHA only
• Must pass Relias EKG exam (Interpretation and Management of Dysrhythmias required)
• Other preferred certifications/skills: CRRT, Swan-Ganz catheter, inhaled and IV Flolan, CVVHD, proning, MTP-Level 1 Rapid Transfuser

Clinical Skills & Special Requirements

• Experience with pressor support, endotracheal tubes (ETT), tracheostomies, feeding tubes, chest tubes, wound care
• Sterile technique for line insertion, paracentesis, bedside trach placement, chest tubes, bronchoscopy, phlebotomy
• Must demonstrate competency in dysrhythmia/EKG interpretation
• Medication and unit-specific competency exams required and must be updated annually

Compliance & Background Requirements

• Government-issued ID required (e.g., driver’s license or state ID)
• 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 before start
• Missouri Family Care Safety Registry (FCSR) and Highway Patrol checks required and must be renewed as specified
• Drug testing within 1 year of start, including a comprehensive panel (amphetamines, barbiturates, benzodiazepines, cocaine, methadone, opiates, oxycodone, PCP)
• Physical exam within 1 year of start
• Fit mask testing (N95) required and must be renewed annually
• Immunizations and health documentation required:

  • Negative TB test or chest x-ray (2 negative PPDs or T-Spot/Q-Gold within 1 year)
  • Tdap vaccine or declination (expires every 10 years)
  • Measles, Mumps, Rubella, Varicella immunity or vaccination/declination as applicable
  • Seasonal flu vaccination or approved exemption required during flu season (09/30 - 04/01)
• HIPAA acknowledgement, confidentiality form, hand hygiene, fingernail, and dress code policies must be reviewed and signed prior to start
• Facility-specific orientation modules (~16 hours) required unless completed in current calendar year

Documentation & Other Requirements

• Two professional references required (supervisors preferred)
• Employment application must be submitted and uploaded
• Unit-specific skills checklist required within 1 year of start
• Badge photo required (head and shoulders, white background, no obstructions, taken within 6 months)
• Vehicle registration form required for day shift workers
• Various state-specific background and registry checks depending on assignment location

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

Additional Notes

• Return to office (RTO) restrictions: No more than 7 days off per 13-week contract
• Parking: Monthly passes available; no charge for straight night shifts parking in employee lots
• Candidates must adhere to all facility policies or risk being sent home from shifts

This position is ideal for RNs with solid ICU experience seeking a travel contract in a high-acuity MICU setting with strong clinical skill requirements and comprehensive compliance standards.