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

Registered Nurse - MS/Tele

Location: Saint Louis, Missouri Employment Type: Travel/Contract Contract Length: 13 weeks Start Date: 3-4 weeks out, depending on compliance tier Shift: Night, 3x12 hours (19:00-07:30) Hours: 12 hours per day, 36 hours per week (can sign for 36 or 48 hours per week) Ratio: 1:4-5 Weekends: Every other weekend

Assignment Details

• Guaranteed hours: 3 shifts per 13 weeks. Cancelled shifts must be the regular shift length the clinician is assigned.
• Clinician may float within scope to meet facility needs.
• Not open to a block schedule.
• No on-call requirement.
• Limit of 7 days of RTO (requested time off) per 13-week contract.
• Local candidates: No, with a 75-mile radius rule.
• Pending licenses are accepted.
• Scrub color: Navy blue

Experience and Clinical Focus

• Telemetry experience with patients who have:

  • Kidney, liver, or pancreas transplants
  • Abdominal surgeries for hepatobiliary diseases
  • Acute transplant rejection treatment
  • Trauma, orthopedic, and general medicine conditions

Required Qualifications

• Valid RN license in Missouri
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing (ADN)
• 1 year of Med Surg / Telemetry experience, completed within the last year
• ACLS (Advanced Cardiac Life Support) issued by the American Heart Association
• BLS issued by the American Heart Association
• Interpretation and management of dysrhythmias
• Experience working with renal transplant patients
• Experience working with liver transplant patients
• Experience working with trauma patients
• Experience working with orthopedics patients
• Experience working with medical patients

Certifications and Competencies

• BLS (AHA only). Certificates of completion are accepted for up to 1 month.
• ACLS (AHA only). Required for new candidates starting on or after 3/2/26.
• PALS (AHA only). AHA PALS RQI is acceptable.
• Medication/pharmacology competency exam. Requires an Angoff score to pass, or 80% if no Angoff score exists.
• Unit-specific competency exam, updated annually.
• Basic dysrhythmia exam, completed for each new contract.

Compliance and Health Requirements

• Criminal background check within 6 months of start, with a 7-year search
• Education verification of highest nursing-related education
• Quarterly EPLS/GSA/SAM and HHS/OIG searches
• Missouri EDL search (required for Missouri placements)
• Missouri Highway Patrol check, renewed annually
• Drug screen (within 1 year of start, must not expire during assignment)
• Physical exam within 1 year of start
• Tdap vaccine or declination
• TB: two negative PPDs (one within 1 year, one within 30 days of start), or a T-Spot or Q-Gold within 1 year
• Annual TB questionnaire
• Rubeola, mumps, rubella, and varicella immunity (positive titer, two vaccines, or MD statement)
• Flu vaccine or medical/religious exemption required during flu season (10/01-03/31)
• N95 fit test required (facial hair must allow proper testing)
• Two professional references
• Employment application
• Regulatory compliance education quiz, requiring a score of 80% or higher
• Facility orientation modules (approximately 16 hours)
• Badge photo taken within 6 months of start
• Signed HIPAA acknowledgement, latex allergy questionnaire, confidentiality form, hand hygiene policy, fingernail policy, and dress code policy