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

Registered Nurse – Medical Surgical

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

Job Details

• Shift: Night (4 shifts of 12 hours each; 19:00–7:30)
• Weekly Hours: 48 hours (can sign for 36 or 48 hours per week)
• Patient Census: Average daily census of 15 patients
• Unit Size: 12 rooms, 17 beds
• Nurse-to-Patient Ratio: 1:4 for all shifts
• Floating: Will float within the service line as needed
• Weekend Requirement: Every other weekend required
• Charting System: EPIC
• Scrub Color: Navy

Required Qualifications

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

Health Requirements

• TB Testing: Two negative PPDs or T-Spot/Q-Gold within 1 year of start
• Immunizations:

  • Measles (Rubeola), Mumps, Rubella, Varicella – Positive titer, vaccination, or medical exemption required
  • Tdap vaccine or declination required (Td acceptable for renewals)
  • Seasonal Flu vaccination or medical/religious exemption required during flu season (09/30–04/01)
• Drug Testing: Must include amphetamines, barbiturates, benzodiazepines, cocaine, methadone, opiates, oxycodone, PCP
• Fit Mask Testing: Annual N95 fit test required; facial hair must allow proper testing or be shaved

Competency & Training Requirements

• Dysrhythmia/EKG Competency Exam: Must be completed for each new contract; remediation process in place for failures
• Unit-Specific Competency Exam: Required annually; Oncology competency required for Med Surg-Oncology unit
• Orientation Modules: Required for all RNs; completed through online platform; approximately 16 hours
• Medication/Pharmacology Competency Exam: Required as applicable by profession
• Additional Certifications (if applicable by unit):

  • PALS (Pediatric Advanced Life Support)
  • NRP (Neonatal Resuscitation Program)
  • TNCC (Trauma Nursing Core Course) – Required for extensions past 9 months in Burn ICU
  • CPI or MAB (Crisis Prevention Institute or Management of Assaultive Behavior) if applicable
  • NIH Stroke Certification for Neuro ICU RNs

Compliance & Documentation

• Government-issued ID required (Driver’s license for Home Health positions)
• Background Checks: Criminal background check within 6 months, including statewide and nationwide searches, plus education verification
• State-specific checks for Missouri (EDL, Highway Patrol, Family Care Safety Registry)
• Professional license primary source verification (NURSYS for Missouri)
• Employment application and professional references (two required; supervisors preferred)
• Skills checklist: Unit-specific, required within 1 year of start
• Facility-specific documents: HIPAA acknowledgement, confidentiality form, latex allergy questionnaire, hand hygiene, fingernail, and dress code policies
• Vehicle registration form required for day shift workers
• Badge photo: Recent (within 6 months), head and shoulders, white background, no obstructions

Additional Notes

• Nurses will float within the service line as needed
• Every other weekend work is required
• Parking: Monthly passes available; no charge for straight night shifts parking in employee lots
• Facility Type: Short Term Acute Care, Teaching hospital, Level Trauma Center
• Total staffed beds in facility: 1266

This position offers an opportunity to work in a high-acuity medical surgical unit with a supportive nurse-to-patient ratio and a structured competency and compliance program. First-time travel nurses are welcome to apply.