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

Registered Nurse – Medical Surgical

Location: Saint Louis, Missouri Contract Length: 16 weeks Employment Type: Travel/Contract Facility Type: Short-term acute care; Magnet and Teaching Hospital; Level I Trauma Center; 1,266 staffed beds Scrub Color: Navy

Schedule and Logistics

• Shift: Night, 4x12-hour shifts, 19:00 to 07:30
• Hours: 12 hours per day; 36 or 48 hours per week; guaranteed 36 hours
• Weekends: Every other weekend
• RTO Restrictions: No more than 7 days
• On-call: Not required
• Block schedule: Not accommodated
• Float: Within service line only
• Parking: Monthly passes available for purchase; no parking charge for straight night shifts

Unit and Patient Population

• Unit: 6900 GI/GU, a high turnover surgical unit that also takes medical overflow
• Ratio: 1:4 to 1:6
• Patient diagnoses: Ostomy, colon resection, colon cancer, bladder cancer, GU patients
• Procedures and care: Foley catheters, continuous bladder irrigation (CBI), TURP, colorectal protocols, PCAs, epidural infusions
• Drips on unit: Lidocaine (pain only), bicarbonate, bivalirudin, and amiodarone (stable, non-titrated, occasionally)
• Telemetry: Centralized telemetry

Required Qualifications

• Valid RN license in Missouri
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing (ADN)
• Med Surg / Telemetry experience: minimum 2 years
• Med Surg / Telemetry experience within the last year
• One completed travel assignment
• ACLS (Advanced Cardiac Life Support) certification issued by the American Heart Association
• BLS (Basic Life Support) certification issued by the American Heart Association
• IV insertion skills
• Phlebotomy skills
• Experience with feeding tubes
• Experience with PICC lines
• Blood product administration
• Central line blood draw
• Peripheral line care and management
• PCA (patient-controlled analgesia) management
• Colostomy care
• Heparin drip management
• Experience with Epic

Licensing and Hiring Criteria

• Pending license accepted
• First-time travelers not accepted
• Local candidates within a 75-mile radius not accepted

Compliance Requirements

• Background checks: Criminal background check within 6 months of start (7-year search); exclusion list checks (EPLS/GSA/SAM, HHS/OIG) run quarterly; Missouri EDL search for each assignment, renewed quarterly; Missouri Highway Patrol check renewed annually; education verification
• Drug screen: Required within 1 year of start, must not expire during assignment; panel includes amphetamines, barbiturates, benzodiazepines, cocaine, methadone, opiates, oxycodone, and PCP
• Physical exam: Within 1 year of start
• TB: Two negative PPDs (first within 1 year, second within 30 days of start), or a T-Spot or Q-Gold within 1 year of start; yearly TB questionnaire
• Immunizations: Tdap or declination; measles, mumps, rubella, and varicella titers, vaccines, or declination; Hepatitis B declination required
• Flu: Vaccine or medical/religious exemption required during flu season (10/01 to 03/31)
• N95 fit test: Required; acceptable models are 3M VFlex 1804 and 3M 1860
• Documents: Employment application; two professional references; photo for badge (taken within 6 months of start); HIPAA acknowledgement; confidentiality form; latex allergy questionnaire; hand hygiene, fingernail, and dress code policy acknowledgements
• Training: Regulatory compliance education quiz (80% or higher to pass); orientation modules for RNs (about 16 hours)