Med Surg RN
Saint Louis, MO
Access Healthcare
3x12 hrs, Days

RN/MS - Trauma

Job Overview

• Location: Saint Louis, Missouri
• Facility type: Short-term acute care; Magnet and teaching hospital; Level I trauma center
• Total staffed beds: 1,266
• Contract length: 13 weeks
• Start date: 3-4 weeks out, depending on compliance tier
• Ratio: 1:4-6
• Scrub color: Navy blue
• Charting system: EPIC

Schedule and Assignment

• Shift: Day, 3 x 12-hour shifts (7:00 to 19:30)
• Hours: 36 or 48 hours per week; 12 hours per day
• Weekends: Every other weekend
• Guaranteed hours: Yes
• Time off: No more than 7 days of RTO per 13-week contract. If a shift is missed, make it up as soon as possible if able.
• On-call: Not required
• Block schedule: Not accepted
• Float: Clinician will float within scope to meet facility needs
• Local candidates: Not accepted; 75-mile local radius rule
• Pending license: Accepted

Required Qualifications

• Valid RN license in Missouri
• Med Surg (5 years of experience)
• Med Surg experience within the last year
• 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
• Experience working with Level 1 Trauma patients
• Blood product administration
• Phlebotomy skills
• IV insertion skills
• PCA (patient-controlled analgesia)
• Peripheral nerve block catheters
• Surgical drains
• Chest tubes (Emerson/Pleur-evac)
• Experience with CPAP
• Experience with BiPAP

Patient Population and Services

• Patients admitted from: ED, OR, or ICU
• Geriatric trauma: Patients 55 and older with trauma
• Trauma: Abuse/violence victims, motor vehicle accidents, falls
• Acute care surgery: Appendicitis, gallbladder, hernia repair, fistulas, wounds, burns, TBI

Special Equipment

• Lifts, restraints, wound vacs, traction, external fixators

Compliance and Onboarding Requirements

• Identification: Government-issued ID; photo for badge taken within 6 months of start
• Background checks: Criminal background check within 6 months of start (7-year search); EPLS/GSA/SAM and HHS/OIG checks run quarterly; education verification; state-specific searches (MO EDL, Missouri Highway Patrol, MO FCSR; fingerprinting for Illinois placements)
• Licensing and certifications: Nursys verification; Basic Dysrhythmia/EKG competency exam, required for each new contract; first attempt within 1 week of assignment; up to 3 attempts allowed
• Health: Physical exam within 1 year of start; drug screen within 1 year of start, including oxycodone; Tdap or declination; measles, mumps, rubella, and varicella immunity documentation (titer, 2 vaccines, or MD statement); TB testing (2 negative PPDs, or a negative T-Spot/Q-Gold within 1 year), with yearly TB questionnaire; hepatitis B declination; annual flu vaccine or exemption during flu season (10/01 to 03/31)
• Respirator fit test: N95 fit test required (3M VFlex 1804 or 3M 1860); facial hair must allow proper fit
• Documents: HIPAA acknowledgement, latex allergy questionnaire, confidentiality form, hand hygiene policy, fingernail policy, dress code policy (all signed or initialed before start); employment application; two professional references; unit-specific skills checklist within 1 year of start
• Training: Regulatory compliance education quiz (80% or higher to pass); orientation modules, approximately 16 hours, to be completed before start

Other Details

• Parking: Monthly parking passes available for a fee; details provided by Public Safety. Straight night shift parking has no charge. Bring license plate number on first day of day/night rotation.
• Orientation: Wear scrubs; parking ticket required from designated garage