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

Critical Care Float - Registered Nurse

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

Job Description

• ICU Float position covering multiple ICUs: Trauma, Oncology, Cardiac/Heart and Vascular, Neurology, Medicine, and COVID units.
• When ICU needs are low, float to inpatient floors (Med Surg, Oncology, Neurology, Medicine, Trauma, Heart and Vascular, COVID) as a staff nurse.
• ICU nurse-to-patient ratio: 2:1 for all shifts.
• Inpatient floor ratio: no more than 1:3.
• May be asked to serve as a patient sitter if needed.
• Every other weekend required, minimum 6 weekend shifts per 6-week schedule, plus holiday rotation.
• No specific CVICU experience required, but preferred cardiac skills include Swans-hemodynamic interpretation, IABP, Impella, ECMO, vasoactive drips, CRRT.
• Required skills: ventilator management, IV starts, telemetry, conscious sedation, BCLS, ACLS, NIH Stroke Certification.
• Preferred certifications: CCRN, ONS, TNCC, CPI, chemo administration, triage, ICP, PA lines, Level 1 Trauma experience.
• Must have 2 years ICU experience plus a minimum of 1 year CV ICU experience.
• Prior travel experience required; first-time travelers will not be accepted.
• EPIC charting experience preferred.

Shift Details

• Night shift: 3 shifts per week, 12 hours each (18:45 to 7:15).
• Total hours per week: 36.

Required Qualifications

• Valid Registered Nurse (RN) license in Missouri.
• Minimum 2 years of ICU (Intensive Care Unit) experience, including ICU experience within the last year.
• Completion of at least one travel nursing assignment.
• Float experience across multiple units.
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN).
• Current BLS certification issued by the American Heart Association.
• Current ACLS certification.

Compliance and Documentation Requirements

• Government-issued ID required.
• Criminal background check within 6 months, including statewide and nationwide searches, plus international if applicable.
• Quarterly EPLS/GSA/SAM and HHS/OIG checks required.
• Education verification of highest nursing degree required before start.
• Professional license primary source verification (NURSYS for Missouri).
• Drug testing within 1 year, including a comprehensive panel (amphetamines, barbiturates, benzodiazepines, cocaine, methadone, opiates, oxycodone, PCP). Must be current throughout assignment.
• Physical exam within 1 year of start.
• Fit mask testing (N95) required annually; facial hair must allow proper fit.
• Immunizations and health screenings:

  • Tdap vaccine or declination (expires every 10 years)
  • Negative TB test or chest x-ray within 1 year (2 negative PPDs or T-Spot/Q-Gold acceptable)
  • Measles, Mumps, Rubella, Varicella immunity or vaccination/declination as applicable
  • Seasonal flu vaccination or medical/religious exemption required during flu season (09/30 - 04/01)
• Required facility-specific documents prior to start:

  • HIPAA Acknowledgement (annual)
  • Latex Allergy Questionnaire (annual)
  • Confidentiality Form (annual)
  • Regulatory Compliance Education and quiz (annual, 80% passing score)
  • TB Questionnaire (annual)
  • Hand Hygiene Policy acknowledgment
  • Fingernail Policy acknowledgment
  • Dress Code Policy acknowledgment
  • Orientation modules completion (approx. 16 hours) through facility learning system, required for all RNs.

Additional Requirements

• Two professional references required; supervisors preferred if within last year.
• Unit-specific competency exams and skills checklists required and must be current within 1 year. Oncology competency exam required if assigned to Oncology unit.
• Employment application must be completed and uploaded.

Facility Highlights

• Short Term Acute Care facility.
• Charting system: EPIC.
• Free parking available.
• Scrub color: Navy Blue.

This position is ideal for experienced ICU RNs with prior travel nursing experience who are comfortable floating across multiple critical care units and inpatient floors during night shifts.