Med Surg / Telemetry RN
Saint Louis, MO
Access Healthcare
4x12 hrs, Nights

Registered Nurse – Medical Surgical

Location: Saint Louis, Missouri Unit: 6900 GI/GU Facility Type: Short-term acute care; Magnet and teaching hospital; Level I Trauma Center; 1,266 staffed beds Contract Length: 16 weeks Shift: Night (4x12 hours), 19:00–7:30 Hours: 12 hours per day, 48 hours per week; can sign for 36 or 48 hours per week; guaranteed hours: 36 Ratio: 1:4–6 Scrub Color: Navy

Patient Population and Unit Focus

• High-turnover surgical patient unit
• Patients with ostomy, colon resection, colon cancer, bladder cancer, GU conditions, and medical overflow
• Special procedures: Foley catheters, continuous bladder irrigation (CBI), TURPs, and protocols for colorectal patients

Clinical Responsibilities

• Administers heparin, lidocaine (pain only), bicarbonate, bivalirudin, and occasionally amiodarone (stable, non-titrated)
• Manages PCAs, epidurals, and CBIs with various irrigation solutions
• Required skills: Medical/surgical care, telemetry remote monitoring, colostomy care, feeding tube care and management, blood product administration, central line blood draws, peripheral line care, phlebotomy, PICC line management, starting IVs, heparin, insulin, and PCA
• Must have IV skills and phlebotomy skills

Required Qualifications

• Valid RN license in Missouri
• 2 years of Med Surg / Telemetry experience, with Med Surg / Telemetry experience within the last year
• One completed travel assignment
• Advanced Cardiac Life Support (ACLS), AHA only
• Basic Life Support (BLS), AHA only
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing (ADN)
• Experience with feeding tubes
• Phlebotomy skills
• Experience with PICC lines
• IV insertion skills
• Central line blood draw experience
• Blood product administration
• Colostomy care experience
• Patient-controlled analgesia (PCA) management
• Experience with titratable or cardiac IV medications
• Interpretation and management of dysrhythmias
• Experience with Epic

Scheduling and Float

• Weekend requirement: every other weekend
• Not on-call
• Does not accept block scheduling
• Float: within service line, as needed to meet facility needs
• Does not accept local candidates within a 75-mile radius
• Accepts pending licenses
• Return-to-office restriction: no more than 7 days
• Does not accept first-time travelers

Competencies and Exams

• Basic dysrhythmia (EKG) exam; a new exam is required for each new contract. The first attempt must be completed within 1 week of assignment; up to 3 attempts are allowed.
• Unit-specific competency exam, updated annually
• Unit-specific skills checklist, completed within 1 year of start
• Medication/pharmacology competency exam, as applicable by profession

Onboarding and Compliance Requirements

• Background and screening: Criminal background check (7-year search) within 6 months of start; exclusion screenings (EPLS/GSA/SAM and HHS/OIG) run quarterly; Missouri EDL search; Missouri Highway Patrol check, renewed annually
• Drug screen: Within 1 year of start and must not expire during the assignment; panel must include amphetamines, barbiturates, benzodiazepines, cocaine, methadone, opiates, oxycodone, and PCP
• Tuberculosis: Two negative PPDs (first within 1 year, second within 30 days of start), or a negative T-Spot or Q-Gold within 1 year of start; annual TB questionnaire required
• Immunizations and health: Tdap or declination; Rubeola, mumps, rubella, and varicella titers, vaccines, or immunity statement; Hepatitis B declination; flu vaccination or exemption during flu season (10/01–03/31); physical exam within 1 year of start
• Respirator fit test: N95 fit test using 3M 1804 or 1860 models, renewed annually
• Orientation: Approximately 16 hours of online orientation modules, required before start
• Other: Employment application, two professional references, government-issued ID, photo badge taken within 6 months of start, and signed facility policies (HIPAA, confidentiality, latex allergy, hand hygiene, fingernail, and dress code)