ICU Registered Nurse
Saint Louis, Missouri
Barnes-Jewish Hospital

Registered Nurse (ICU) - Travel/Contract

Location: Saint Louis, Missouri
Contract Length: 13 weeks

Job Details

• Unit: ICU (Medical and Surgical Intensive Care Unit)
• Ratio: 1:2
• Experience Required: Minimum 2 years
• First-timers Accepted: No
• Weekend Requirement: Every other weekend
• Shift Hours: 36 or 48 hours per week
• Guaranteed Hours: 3 shifts per 13 weeks (cancelled shifts must be regular shift length)
• On-call: No
• Floating: Yes, within ICU service line
• Block Schedule Accommodation: No
• Locals Accepted: No (must live at least 75 miles from facility)
• Pending License Accepted: Yes
• Return to Origin Restrictions: No more than 7 days

Required Certifications

• BLS (Basic Life Support)
• ACLS (Advanced Cardiac Life Support)
• NIH Stroke Certification
• Other certifications may be required based on unit (e.g., PALS, NRP, TNCC, CPI/MAB)

Required Skills and Competencies

• Medical and Surgical ICU experience
• Interpretation and management of dysrhythmias
• Management of multisystem organ dysfunction/failure
• Obtaining and interpreting 12 lead EKG/ECG
• Central Venous Pressure Monitoring (CVP)
• Pulmonary Artery Line/Swan Ganz monitoring
• Management of chronic/acute renal failure and CRRT/dialysis
• Arterial line management
• Blood product administration
• Central line and PICC line care/management
• Starting and maintaining IVs, continuous IV sedation
• Emergency medication administration
• Titration of cardiac and vasoactive drips
• CVA/Acute stroke management
• BiPAP and ventilator management
• Interpretation of arterial blood gases (ABGs)
• Respiratory failure management and suctioning (ETT, NT)
• Infection prevention and isolation precautions (PPE use)
• Phlebotomy
• Care of surgical wounds with drains and wound vacs

Patient Diagnoses Commonly Seen

• Respiratory failure/ARDS
• Acute chest pain, cardiac issues, arrhythmias
• Stroke
• Cardiac arrest
• Diabetic ketoacidosis (DKA)
• Multi-organ failure
• Sepsis

Unit Details

• Pre- and post-operative cardiac, thoracic, abdominal surgeries
• Medicine and neuro-medicine overflow
• Pre- and post-transplant care
• End of life and organ donation care

Special Equipment Used

• IV pumps with titration
• Continuous renal replacement therapy (CRRT)/dialysis machines
• Ventilators and BiPAP machines
• Hemodynamic and invasive monitoring devices
• Defibrillators and crash carts

Facility Highlights

• Type: Short Term Acute Care
• Magnet & Teaching Hospital
• Level I Trauma Center
• Total Staffed Beds: 1259
• Charting System: Epic
• Scrub Color: Navy

Compliance and Documentation Requirements

• Government-issued ID required
• Criminal background check within 6 months (7-year search including statewide and nationwide checks)
• Quarterly EPLS/GSA/SAM and HHS/OIG checks
• Education verification of highest nursing degree required
• State-specific background checks and registries as applicable
• Professional license primary source verification (Missouri licenses via NURSYS)
• Drug testing within 1 year, must include standard panels and be current throughout assignment
• Physical exam within 1 year
• Fit mask testing annually (N95 respirators required)
• Immunizations and titers: Tdap, TB screening, Measles, Mumps, Rubella, Varicella, Flu seasonal vaccination (or approved exemption)
• Facility-specific documents: HIPAA acknowledgement, confidentiality form, latex allergy questionnaire, hand hygiene policy, fingernail and dress code policies, regulatory compliance education, hepatitis B declination
• Competency exams including medication/pharmacology, unit-specific skills, and dysrhythmia/EKG competency (updated annually)
• References: Two professional references required (supervisors preferred)
• Employment application and skills checklist required

Additional Notes

• Candidates must adhere to facility policies including dress code, hand hygiene, and fingernail standards or risk being sent home
• Floating within ICU service line expected
• No block scheduling accommodation
• Locals not accepted (must live 75+ miles away)
• Pending licenses accepted with restrictions
• Return to origin limited to no more than 7 days during contract

This position is ideal for experienced ICU RNs with strong critical care skills and certifications, seeking a travel contract in a high-acuity, Magnet-designated, Level I trauma teaching hospital.