Med Surg RN
St Louis, Missouri
Barnes-Jewish Hospital

Registered Nurse - Medical Surgical

Location: Saint Louis, Missouri Employment Type: Travel/Contract

Assignment Details

• Contract Length: 12 weeks
• Start Date: 3-4 weeks out, per compliance tier
• Shift: Day, 3x12 hours (7:00 to 19:30)
• Hours: 12 per day, 36 per week
• Schedule Flexibility: Can sign for 36 or 48 hours
• Weekends: Every other weekend
• Ratios: 1:3-5
• Unit Type: Medical Surgical
• Float Scope: Clinician may float within scope to meet facility needs, within service line
• Guaranteed Hours: Yes
• On-Call: Not required
• Block Schedule: Not accommodated
• Local Candidates: Not accepted; local radius rule is 75 miles
• Pending License: Accepted
• RTO: No more than 7 days of RTO per 13-week contract
• First-Time Travelers: Accepted
• Parking: Monthly passes available (at additional cost); straight night shifts have no parking charge

Required Qualifications

• Valid RN license in Missouri
• Associate of Science in Nursing / Associate Degree in Nursing
• Med Surg (1 year 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
• Interpretation/Management of Dysrhythmias required
• Experience with Epic

Competencies and Exams

• Basic Dysrhythmia (EKG) Exam: Required for Medical Surgical RNs. The first attempt must be completed within 1 week of assignment. Candidates have 3 attempts to pass. A new exam is required for each new contract.
• Unit-Specific Competency Exam: Required; updated annually
• Medication/Pharmacology Competency Exam: Required as applicable by profession
• Skills Checklist: Unit-specific skills checklist required within 1 year of start

Clinical Focus

Acute care medicine experience is listed for this role, including: acute renal failure, pneumonia, acute pancreatitis, UTI, encephalopathy/cirrhosis, sickle cell pain crisis, chest pain, COPD, acute asthma exacerbation, syncope/collapse, type I diabetes, and ketoacidosis. Interpretation and management of dysrhythmias is required.

Other Certifications (Unit-Dependent)

PALS, NRP, TNCC, EFM, MAB/CPI, and NIH Stroke certifications may apply by unit. Check the unit description to confirm.

Health and Immunization Requirements

• TB: Two negative PPDs (first within 1 year of start, second within 30 days of start), or a negative T-Spot or Q-Gold within 1 year of start. No annual retest required.
• Physical Exam: Required within 1 year of start; not required annually
• Drug Screen: Required within 1 year of start and must not expire during the assignment. Panel includes amphetamines/methamphetamine, barbiturates, benzodiazepines, cocaine, methadone, opiates/morphine, oxycodone/oxymorphone, and PCP. Must be updated annually.
• Tdap: Vaccine or declination required
• Measles, Mumps, Rubella, Varicella: Positive titer, two vaccines, or MD statement of immunity required. Negative or equivocal titers require two boosters or a signed declination.
• Hepatitis B: Declination required (completed via DocuSign)
• Influenza: Vaccine or medical/religious exemption required during flu season (10/01 to 03/31)
• N95 Fit Test: Required and renewed annually. Acceptable models are 3M VFlex 1804 and 3M 1860. Facial hair must allow proper testing.

Background and Compliance

• Criminal Background Check: Required within 6 months of start, with a 7-year search
• Required Screenings: EPLS/GSA/SAM and HHS/OIG, both run quarterly
• Missouri Screenings: MO EDL search required for all Missouri placements, renewed quarterly. MO Highway Patrol Check required, renewed annually.
• Education Verification: Highest nursing-related education must be verified and on file to clear
• Employment Application: Required
• References: Two professional references required; supervisors within the last year are preferred
• Badge Photo: Head and shoulders, against a white background, taken within 6 months of start
• Orientation Modules: Required for all RNs; approximately 16 hours, completed online before start
• Regulatory Compliance Education: Quiz requires 80% or higher; updated annually
• Vehicle Registration: Required for day shift candidates

Policies to Review and Sign Before Start

• HIPAA acknowledgement (updated annually)
• Latex allergy questionnaire (updated annually)
• Confidentiality form (updated annually)
• Hand hygiene policy
• Fingernail policy (non-adherence may result in being sent home from shifts)
• Dress code policy (navy blue scrubs)
• SSN and DOB confirmation

Facility Overview

• Facility Type: Short-term acute care
• Designations: Magnet & Teaching Hospital; Level I Trauma Center
• Staffed Beds: 1,266
• Charting System: EPIC