Medical Surgical RN
Saint Louis, Missouri
Barnes-Jewish Hospital

Registered Nurse - Medical Surgical

Assignment Overview

• Location: Saint Louis, Missouri
• Unit: 6900 GI/GU (medical overflow and high-turnover surgical patient unit)
• Contract length: 16 weeks
• Schedule: Day shift, 3x12-hour shifts (7:00 to 19:30), 36 guaranteed hours per week (can sign for 36 or 48 hours per week)
• Ratio: 1:4 to 6
• Weekend requirement: Every other weekend
• Float: Within service line
• Facility: Short-term acute care, magnet and teaching hospital, Level I trauma center, 1,266 staffed beds
• Scrub color: Navy

Required Qualifications

• Valid RN license in Missouri
• Med Surg experience (2 years)
• Med Surg experience within the last year
• One completed travel assignment
• ACLS (Advanced Cardiac Life Support)
• BLS issued by the American Heart Association
• Associate of Science in Nursing / Associate Degree in Nursing
• Experience with PICC lines
• IV insertion skills
• Phlebotomy skills
• Experience with feeding tubes
• Remote telemetry monitoring
• Colostomy care
• Blood product administration
• Central line blood draw
• Peripheral line care and management
• Heparin administration
• Experience with Epic

Clinical Details

• Drips and infusions: Heparin, lidocaine (pain only), bicarbonate, bivalirudin, and amiodarone (stable, non-titrated, occasionally). Also PCAs, epidurals, and continuous bladder irrigation (CBI) with various irrigation solutions.
• Patient diagnoses: Ostomy, colon resection, colon cancer, bladder cancer, GU, and medical overflow
• Procedures and protocols: Foley catheters, CBI, TURPS, and colorectal patient protocols

Work Restrictions and Policies

• Not on-call
• Does not accommodate block schedules
• Does not accept first-time travelers
• Does not accept local candidates within a 75-mile radius
• Return-to-office restriction: no more than 7 days

Onboarding and Compliance

• Background checks: Criminal background check within 6 months of start, with a 7-year search, plus federal exclusion database checks (updated quarterly), state-specific checks (Missouri Family Care Safety Registry, Missouri Highway Patrol, Missouri EDL), and education verification
• Drug screen: Within 1 year of start, must not expire during assignment; includes standard panel (amphetamines, barbiturates, benzodiazepines, cocaine, methadone, opiates, oxycodone, PCP)
• Health records: Physical exam within 1 year of start; two-step TB test within 1 year (or T-Spot/Q-Gold), or TB questionnaire if applicable
• Immunizations: Tdap or declination; measles, mumps, rubella, and varicella immunity (titer, two vaccines, or MD statement, with booster requirements for negative titers); hepatitis B declination
• Flu: Vaccine or medical/religious exemption required during flu season (10/01 to 03/31)
• Respirator fit test: N95 fit test; acceptable models are 3M VFlex 1804 and 3M 1860
• Training: Regulatory compliance education (quiz, 80% to pass, annual update), about 16 hours of orientation modules, HIPAA acknowledgment, hand hygiene, fingernail, and dress code policies, latex allergy questionnaire, and confidentiality form
• Documents: Government-issued ID, employment application, two professional references (supervisors within the last year preferred), unit-specific skills checklist within 1 year, and badge photo taken within 6 months of start