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

ICU Registered Nurse Travel/Contract Job - Saint Louis, Missouri

Position Overview

• Role: Registered Nurse (ICU)
• Employment Type: Travel/Contract
• Shift: Night shift, 4 shifts of 12 hours each (7:00 PM - 7:30 AM)
• Contract Length: 13 weeks
• Work Hours: Up to 48 hours per week (36 or 48 hours can be signed)
• Patient Ratio: 1 nurse to 2 patients
• Weekend Requirement: Every other weekend
• Floating: May float within ICU service line units as needed
• Local Candidates: Not accepted; home address must be at least 75 miles from the facility
• Pending License: Accepted
• Return to Office Restrictions: No more than 7 days off allowed
• Guaranteed Hours: Minimum 3 shifts per 13 weeks (cancelled shifts must be full shift length)
• On-call: Not required
• Block Schedule Accommodation: Not available
• First-time Travelers: Not accepted (prior travel experience required)

Required Experience & Skills

• Valid RN license in Missouri
• Associate of Science in Nursing / Associate Degree in Nursing
• Minimum 2 years of ICU (Intensive Care Unit) experience, including experience within the last year
• BLS issued by American Heart Association
• ACLS
• NIH Stroke Scale (NIHSS) certification
• Interpretation and management of dysrhythmias
• Central Venous Pressure (CVP) monitoring
• Pulmonary Artery Line/Swan Ganz monitoring
• PICC line management
• Continuous IV sedation
• Emergency medication administration
• Titration of cardiac drips
• Titration of vasoactive drips
• Care of ventilated patients

Patient Diagnoses Commonly Encountered

• Respiratory failure / ARDS
• Acute chest pain, cardiac conditions, arrhythmias
• Stroke
• Cardiac arrest
• Diabetic ketoacidosis (DKA)
• Multi-organ failure
• Sepsis

Unit & Equipment Details

• Units include pre- and post-operative cardiac, thoracic, abdominal surgeries, medicine and neuro-medicine overflow, pre- and post-transplant, end-of-life care, and organ donation
• Equipment used:

  • IV pumps with titration
  • Continuous renal replacement therapy (CRRT) / dialysis
  • Ventilators and BiPAP machines
  • Hemodynamic and invasive monitoring devices
  • Defibrillators and crash carts

Required Certifications & Licenses

• License: Valid Registered Nurse (RN) license for Missouri (pending licenses accepted)
• Certifications:

  • BLS (Basic Life Support) - AHA only
  • ACLS (Advanced Cardiac Life Support) - AHA only, required for ICU units
  • NIH Stroke Certification (annual update required)
• Additional certifications may be required depending on unit (e.g., TNCC for Burn ICU if extending beyond 9 months)
• Competency exams required:

  • Dysrhythmia/EKG competency exam (Relias Basic Dysrhythmia or equivalent)
  • Unit-specific competency exams (updated annually)

Health & Compliance Requirements

• Physical exam within 1 year of start
• Drug testing within 1 year of start, including panels for amphetamines, barbiturates, benzodiazepines, cocaine, methadone, opiates, oxycodone, PCP; must remain valid throughout assignment
• Immunizations and titers:

  • Tdap vaccine or declination (required every 10 years)
  • Negative TB test or chest X-ray (2 negative PPDs or T-Spot/Q-Gold within 1 year)
  • Measles, Mumps, Rubella, Varicella immunity or vaccination/declination (with unit-specific exemptions)
• Seasonal flu vaccination or approved medical/religious exemption required during flu season (Sept 30 - April 1)
• Fit mask testing (N95 respirators) required and must be renewed annually
• Annual review and signing of facility policies including hand hygiene, fingernail, dress code, confidentiality, latex allergy questionnaire, HIPAA acknowledgment, and regulatory compliance education
• Background checks including criminal, statewide, federal exclusions, and other state-specific searches as applicable
• Missouri Family Care Safety Registry (FCSR) and Highway Patrol checks required and must be renewed as specified

Documentation & Onboarding

• Government-issued ID required (driver’s license for home health roles)
• Employment application must be completed and uploaded
• Two professional references required (supervisors preferred within last year)
• Unit-specific skills checklist required within 1 year of start
• Badge photo required (head and shoulders, white background, no obstructions, taken within 6 months)
• Completion of orientation modules through online platform (approximately 16 hours)
• Various facility-specific forms and acknowledgments must be completed prior to start

Facility & Work Environment

• Facility Type: Short Term Acute Care, Magnet & Teaching Hospital, Level I Trauma Center
• Total Staffed Beds: 1259
• Charting System: Epic
• Scrub Color: Navy
• Parking: Monthly passes available (contact facility Public Safety for details)

This position is suited for experienced ICU RNs with prior travel contract experience who are comfortable working night shifts in a high-acuity, fast-paced environment requiring advanced critical care skills and certifications.