Med Surg / Telemetry RN
Saint Louis, MO
Access Healthcare
3x12 hrs, Nights

Registered Nurse – Medical Surgical

Assignment Overview

• Location: Saint Louis, Missouri
• Employment type: Travel/Contract
• Contract length: 16 weeks
• Shift: Night (3x12 hours), 19:00 to 07:30
• Hours: 36 guaranteed hours per week (can sign for 36 or 48 hours per week), 12 hours per day
• Unit: GI/GU (Med Surg)
• Ratio: 1:4 to 6
• Weekends: Every other weekend
• Float: Clinician may float within service line to meet facility needs
• Other scheduling: Not on-call; does not accommodate block scheduling
• RTO restrictions: No more than 7 days

Required Qualifications

• Valid RN license in Missouri
• Med Surg (2 years of experience)
• Med Surg experience within the last year
• One completed travel assignment
• ACLS - Advanced Cardiac Life Support issued by American Heart Association
• BLS issued by American Heart Association
• Associate of Science in Nursing / Associate Degree in Nursing
• IV insertion skills
• Phlebotomy skills
• Colostomy care
• Experience with feeding tubes
• Blood Product Administration
• Central line blood draw
• Experience with PICC lines
• Experience with titratable or cardiac IV medications
• PCA management
• Interpretation and management of dysrhythmias
• Experience with Epic

Unit and Clinical Details

• Patient population: Ostomy, colon resection, colon cancer, bladder cancer, GU, medical overflow; high turnover surgical patient unit
• Drips and medications: Heparin, lidocaine (pain only), bicarbonate, bivalirudin, amiodarone (stable, non-titrated, occasionally); PCAs, epidurals, and continuous bladder irrigation (CBI) with various irrigation solutions
• Procedures and protocols: Foley catheters, CBI, TURPS, colorectal patient protocols

Facility Details

• Type: Short-term acute care hospital
• Designations: Magnet, teaching hospital, Level I Trauma Center
• Total staffed beds: 1,266
• Scrub color: Navy
• Charting system: Epic (software familiarity, not a credential)
• Parking: Monthly passes available for purchase

Onboarding and Compliance Requirements

• Background checks: Criminal background check within 6 months of start (7-year search); EPLS/GSA/SAM and HHS/OIG searches run quarterly; Missouri EDL search required for Missouri placements; Missouri Highway Patrol check renewed annually
• Identification: Government-issued ID (driver's license or state ID); badge photo taken within 6 months of start
• Health documents:

  • Physical exam within 1 year of start
  • Tdap vaccine or declination
  • Rubeola, mumps, rubella, and varicella: positive titer, two vaccines, or MD statement of immunity (negative or equivocal titers require boosters or a declination)
  • Hepatitis B declination
  • TB: two negative PPDs (first within 1 year, second within 30 days of start), or a T-Spot or Q-Gold within 1 year; yearly TB questionnaire
  • Drug screen within 1 year, covering the required panel (must include oxycodone)
  • Flu vaccine or medical/religious exemption during flu season (10/1 to 3/31)
  • N95 fit test (acceptable models include 3M 1804 and 1860)
• Policies and forms: HIPAA acknowledgement, confidentiality form, latex allergy questionnaire, hand hygiene policy, fingernail policy, dress code policy, SSN and DOB confirmation
• Training: Regulatory compliance education quiz (80% or higher to pass, updated annually); orientation modules (approximately 16 hours, required for RNs, completed before start)
• Employment documents: Employment application; two professional references (supervisors within the last year preferred)