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

Registered Nurse – Med Surg

Location: Saint Louis, Missouri Employment Type: Travel/Contract Contract Length: 13 weeks Start Date: 3-4 weeks out, depending on compliance tier

Schedule and Assignment

• Shift: Night, 19:00-07:30 (4x12 hours, 48 hours per week)
• Hours: Can sign for 36 or 48 hours per week; guaranteed hours: 36
• Weekends: Every other weekend
• Ratio: 1:3.5
• On-call: Not required
• Float: Clinician will float within scope between the two spine units
• Restrictions: 2 time-off requests per contract

Facility and Unit

• Facility Type: Short-term acute care
• Designations: Teaching facility, Trauma Level I
• Total Staffed Beds: 1,273
• Scrub Color: Navy
• Charting System: Epic
• Parking: Daily charges apply for day or rotating shifts (a parking pass is required). Night-only shifts have no parking charge and use employee parking.

Patient Population and Clinical Focus

• Elective spine surgery
• Traumatic spine issues from the emergency department
• Cervical-to-sacrum procedures
• Lumbar drains
• Mobility assistance three times per day
• Pain management
• Hoyer lift use

Required Qualifications

• Valid RN license in Missouri
• Minimum of 1 year of Med Surg experience, with Med Surg experience within the last year
• ACLS (Advanced Cardiac Life Support) issued by the American Heart Association
• BLS issued by the American Heart Association
• Associate of Science in Nursing (Associate Degree in Nursing)
• Experience working with spine patients
• Experience with lumbar drains
• Experience with elective spine surgery

Hiring Policies

• First-time travelers are accepted.
• Candidates with pending licenses are accepted.
• Local candidates are accepted if their home address is at least 75 miles from the facility.

Compliance and Health Requirements

• Background check: Criminal background check within 6 months of start, with a 7-year search covering statewide, Missouri Highway Patrol, sex offender, and international searches (if applicable)
• Exclusion checks: Federal exclusion list (EPLS/GSA/SAM and HHS/OIG) run quarterly; Missouri EDL search required for Missouri placements
• Education verification: Highest nursing-related education must be verified and on file before clearing
• Drug testing: Required within 1 year of start and must not expire during the assignment; panel includes amphetamines, barbiturates, benzodiazepines, cocaine, methadone, opiates, oxycodone, and PCP
• TB: 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; a yearly TB questionnaire is required
• Immunizations and titers: Tdap, measles, mumps, rubella, and varicella (positive titer, two vaccines, or MD statement of immunity; negative titers require boosters or a signed declination)
• Hepatitis B: Not required; a facility-specific declination is completed instead
• Flu: Vaccine or medical/religious exemption required during flu season (10/01-03/31)
• Physical exam: Within 1 year of start
• Fit test: N95 fit test required; candidates must be clean-shaven where needed for proper seal
• References: Two professional references required
• Training: Regulatory compliance education (quiz with 80% passing score) and orientation modules (approximately 16 hours), both completed before start
• Other documents: Employment application, photo for badge (taken within 6 months of start), HIPAA acknowledgement, latex allergy questionnaire, confidentiality form, hand hygiene policy, fingernail policy, dress code policy, and SSN/DOB confirmation