ICU Oncology Registered Nurse
St. Louis, Missouri
Barnes-Jewish Hospital

Job Opportunity: Registered Nurse (RN) - ICU Oncology

Location: Saint Louis, Missouri
Employment Type: Travel/Contract
Contract Length: 13 weeks

Job Summary

• Unit: ICU - Oncology
• Patient Ratio: 1:2
• Average Daily Census: 21 patients
• Beds: 25
• Start Date: Approximately 3-4 weeks from compliance clearance
• Guaranteed Hours: 36 hours/week
• Weekend Requirement: Every other weekend
• On-call: No
• Floating: Yes, within oncology floors, oncology service line, ICUs, and potentially other units
• Block Scheduling: Not accommodated
• Local Candidates: Not accepted (75-mile radius rule)
• Pending License: Accepted
• Return to Office (RTO) Restrictions: No more than 7 days off per 13-week contract

Experience & Certifications

• Required Specialty Experience: Minimum 2 years ICU experience (Bone Marrow Transplant experience NOT required)
• Prior Travel Experience: Not required; first-time travelers accepted
• Certifications Required:

  • BCLS (Basic Cardiac Life Support)
  • ACLS (Advanced Cardiac Life Support)
• Preferred Certification: BSN (Bachelor of Science in Nursing)
• Additional Required Certifications/Competencies:

  • Epic electronic health record experience required
  • Dysrhythmia/EKG competency exam (Relias Basic Dysrhythmia or equivalent) required within 1 year of start and updated annually
  • Unit-specific competency exams including oncology competency exam
• Other Preferred Skills: Teaching hospital experience

Clinical Skills & Responsibilities

• Must pass Relias EKG exam; interpretation and management of dysrhythmias required
• Skills required include:

  • Multi-system organ failure management
  • IV insulin protocols
  • Arterial line management
  • Blood product administration
  • Central line and PICC line care/management
  • Starting IVs and continuous IV sedation
  • Procedural sedation administration
  • Titration of cardiac and vasoactive drips
  • BiPAP and ventilator management including high flow nasal cannula
  • Interpretation of ABGs (arterial blood gases)
  • Suctioning (ETT, NT)
  • Infection prevention and isolation precautions including PPE use
  • Phlebotomy (nurses draw own labs)
  • Care of surgical wounds with drains and wound vac
• No chemotherapy administration required
• Use of Pyxis, EPIC, and SBAR handoff communication
• Provider support includes interpretation services, IV teams, pharmacy, PT, social services, radiology, respiratory therapy, rapid response teams, patient transport, and unit secretary

Facility Highlights

• Type: Short Term Acute Care
• Magnet & Teaching Hospital
• Level I Trauma Center
• Total Staffed Beds: 1,266
• Charting System: EPIC (required)
• Scrub Color: Navy Blue

Compliance & Requirements

• Government-issued ID required
• Criminal background check within 6 months required (7-year search including statewide and nationwide checks)
• Quarterly EPLS/GSA/SAM and HHS/OIG checks required
• Education verification of highest nursing degree required
• State license primary source verification required (Missouri license verifiable on NURSYS)
• Drug testing within 1 year of start, must include comprehensive panel and remain valid throughout assignment
• Physical exam within 1 year of start required
• Fit mask testing required and must be renewed annually
• Immunizations and health documents required:

  • Tdap vaccine or declination
  • Negative TB test or chest x-ray (2 negative PPDs or T-Spot/Q-Gold within 1 year)
  • Measles (Rubeola), Mumps, Rubella, Varicella immunity or vaccination/declination as applicable
  • Seasonal flu vaccination or approved exemption required during flu season
• Facility-specific documents including HIPAA acknowledgement, confidentiality form, latex allergy questionnaire, hand hygiene policy, fingernail policy, dress code policy, and orientation modules must be completed prior to start
• Unit-specific skills checklist required within 1 year of start (oncology skills checklist required for Med Surg-Oncology unit)
• Two professional references required (supervisors within last year preferred)

Additional Notes

• No on-call shifts required
• Floating within oncology and ICU units expected
• No block scheduling accommodation
• Locals within 75 miles not accepted
• Pending licenses accepted
• Return to office restrictions limit time off to 7 days per 13-week contract

This position is ideal for RNs with ICU experience looking to work in a high-acuity oncology ICU setting at a Magnet and Teaching Level I Trauma hospital. First-time travel nurses are welcome to apply.