Neuro ICU Registered Nurse
Saint Louis, Missouri
Barnes-Jewish Hospital

Neuro ICU Registered Nurse Travel/Contract Position

Location: Saint Louis, Missouri
Employment Type: Travel/Contract
Shift: Night (4 shifts of 12 hours each, 7:00 PM – 7:30 AM)
Contract Length: 13 weeks

Job Details

• Specialty: Neuro ICU
• Nurse-to-patient ratio: 1:2
• Start date: Approximately 3-4 weeks from assignment, based on compliance tier
• Weekend requirement: Every other weekend
• Floating: May float within scope to meet facility needs
• Block scheduling: Not accommodated
• Local candidates: Not accepted within 75-mile radius
• Pending license accepted
• Maximum requested time off (RTO): No more than 7 days per 13-week contract
• Guaranteed hours: Yes, minimum 3 shifts per 13-week contract
• Must pass Relias EKG exam focusing on interpretation/management of dysrhythmias

Patient Population & Unit Details

• Patient diagnoses include ischemic strokes (post-thrombectomy, post-tPA), neuromuscular disorders, seizure disorders, CNS infections, hemorrhagic strokes, subdural/epidural hematomas, ICP monitoring (EVDs/bolts), neurotrauma (GSW, MVC, spinal cord injuries)
• Special procedures: Vasoactive medication administration, central line and arterial line management, ICP monitoring, CRRT, hypothermia/hyperthermia management, spinal precautions
• Special equipment used: EVD, bolt
• Stroke education: Complete 10 hours total during orientation (NIHSS can satisfy 3 hours; ACLS renewal/new provider points count toward hours)

Required Qualifications

• Valid Registered Nurse (RN) license in Missouri
• Minimum 2 years of Neuro ICU nursing experience, including experience within the last year
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• ACLS (Advanced Cardiac Life Support) certification
• BLS (Basic Life Support) certification issued by the American Heart Association
• NIH Stroke Scale (NIHSS) certification

Compliance & Competency Requirements

• Must pass Relias Basic Dysrhythmia/EKG competency exam for Neuro ICU
• Unit-specific competency exams required and must be updated annually
• Medication/pharmacology competency exam required
• Physical exam within 1 year of start
• Drug screening within 1 year of start, including panels for amphetamines, barbiturates, benzodiazepines, cocaine, methadone, opiates, oxycodone, PCP; must remain valid throughout assignment
• Fit mask testing required and must be renewed annually (facial hair must allow proper fit)
• Immunizations and health screenings required:

  • Negative TB test or chest x-ray (2 negative PPDs or T-Spot/Q-Gold within 1 year)
  • Tdap vaccine or declination (expires every 10 years)
  • Measles, Mumps, Rubella, Varicella immunity or vaccination/declination as applicable
  • Seasonal flu vaccination or approved exemption required during flu season (Sept 30 – Apr 1)
• Background checks required within 6 months of start, including criminal background, EPLS/GSA/SAM, HHS/OIG, and state-specific searches
• Education verification of highest nursing degree required
• Two professional references required (supervisors preferred)

Facility & Orientation Information

• Facility type: Short Term Acute Care, Magnet & Teaching Hospital, Level I Trauma Center
• Total staffed beds: 1,266
• Charting system: EPIC
• Scrub color: Navy Blue
• Orientation includes completion of stroke education hours and facility-specific modules (approximately 16 hours) via online platform
• Parking: Monthly parking passes available for a fee; free parking for straight night shifts in employee parking; day/night rotation requires paid parking pass

Additional Notes

• No on-call requirement
• Badge photo required within 6 months of start date (head and shoulders, white background, no obstructions)
• Must complete facility-required documents prior to start, including HIPAA acknowledgement, confidentiality form, hand hygiene policy, fingernail policy, dress code policy, latex allergy questionnaire, and regulatory compliance education
• Vehicle registration form required for day shift workers
• Must adhere to facility policies or risk being sent home from shifts

This position offers a challenging Neuro ICU nursing role with a focus on critical neurological patient care, requiring specialized certifications and competencies, with support for first-time travel nurses.