ICU Registered Nurse
Saint Louis, MO
Access Healthcare
4x12 hrs, Nights

ICU Registered Nurse Travel/Contract Position

Location: Saint Louis, Missouri
Contract Length: 13 weeks

Job Details

• Employment Type: Travel/Contract
• Shift: Night (4 shifts of 12 hours each, 19:00 - 7:30)
• Weekly Hours: Up to 48 hours (can sign for 36 or 48 hours per week)
• Patient Ratio: 1:2
• Weekend Requirement: Every other weekend
• Floating: May float within ICU service line units
• Local Candidates: Not accepted (home must be at least 75 miles away)
• On-call: Not required
• Block Schedule: Not accommodated
• Return to Office (RTO) Restrictions: No more than 7 days
• Guaranteed Hours: 3 shifts per 13 weeks (cancelled shifts must be regular shift length)
• First-time Travel Nurses: Not accepted

Unit & Patient Population

• ICU setting including Medical and Surgical Intensive Care Units
• Patient Diagnoses:

  • Respiratory failure/ARDS
  • Acute chest pain, cardiac arrhythmias, cardiac arrest
  • Stroke, DKA, multi-organ failure, sepsis
• Unit Details:

  • Pre- and post-operative cardiac, thoracic, abdominal surgeries
  • Medicine and neuro-medicine overflow
  • Pre- and post-transplant care
  • End of life and organ donation care

Required Skills & Competencies

• Medical and Surgical ICU experience
• Interpretation and management of dysrhythmias
• Management of multisystem organ dysfunction/failure
• Obtaining 12-lead EKG/ECG
• Central Venous Pressure (CVP) and Pulmonary Artery Line/Swan Ganz monitoring
• Management of arterial lines, blood product administration, central line and PICC line care
• Starting and maintaining IVs, continuous IV sedation
• Emergency medication administration
• Titration of cardiac and vasoactive drips
• CVA/acute stroke management
• Ventilator and BiPAP management, respiratory failure care
• Interpretation of arterial blood gases (ABGs)
• Suctioning (ETT, NT)
• Infection prevention and isolation precautions including PPE use
• Phlebotomy
• Care of surgical wounds with drains and wound vac

Required Certifications & Qualifications

• Valid Registered Nurse (RN) license in Missouri
• Minimum 2 years of ICU (Intensive Care Unit) experience, including experience within the last year
• Basic Life Support (BLS) issued by the American Heart Association
• Advanced Cardiac Life Support (ACLS)
• National Institutes of Health Stroke Scale (NIHSS) certification
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)

Required Licenses & Experience

• Registered Nurse license valid in Missouri (pending licenses accepted)
• Minimum 2 years ICU experience required (highest stated requirement)
• Prior travel experience: Not accepted (first-timers not allowed)

Health & Compliance Requirements

• Physical exam within 1 year of start
• Drug testing within 1 year of start, must include specified panels and remain valid throughout assignment
• Fit mask testing (N95 respirators) with annual renewal
• Immunizations and titers:

  • Tetanus/Diphtheria/Tdap (or declination)
  • Negative TB test or chest x-ray with yearly TB questionnaire
  • Measles, Mumps, Rubella, Varicella immunity or vaccination/declination (with unit-specific exemptions)
• Seasonal flu vaccination or approved exemption required during flu season (09/30 - 04/01)
• Hepatitis B declination required (vaccination not mandatory)

Background & Screening

• Criminal background check within 6 months, including:

  • Statewide searches, MO Highway Patrol check, sex offender registry, nationwide and international if applicable
• EPLS/GSA/SAM and HHS/OIG quarterly checks
• Education verification of highest nursing degree
• Fingerprinting required for Illinois long-term care or rehab float assignments (not applicable here)
• State-specific exclusion and abuse registry checks as applicable

Documentation & Onboarding

• Government-issued ID required (driver’s license for home health not applicable here)
• Employment application and professional references (2 professional references preferred, supervisors within last year ideal)
• Unit-specific skills checklist within 1 year of start
• Competency exams and medication/pharmacology competency as applicable
• Facility-specific documents including:

  • HIPAA acknowledgement
  • Latex allergy questionnaire
  • Confidentiality form
  • Regulatory compliance education (annual quiz with 80% passing score)
  • Hand hygiene, fingernail, and dress code policies
  • Orientation modules (approximately 16 hours, required for all RNs)
  • Badge photo (head and shoulders, white background, no obstructions, taken within 6 months)
  • Vehicle registration form if working day shifts (not applicable for night shift)

Facility Highlights

• Type: Short Term Acute Care
• Magnet & Teaching Hospital
• Level I Trauma Center
• Total Staffed Beds: 1259
• Charting System: Epic
• Scrub Color: Navy

This position is ideal for experienced ICU RNs with at least 2 years of critical care experience who are not first-time travelers and are willing to work night shifts in a high-acuity, fast-paced ICU environment.