ICU Registered Nurse
Saint Louis, Missouri
Barnes-Jewish Hospital

ICU Registered Nurse Travel/Contract Job - Saint Louis, Missouri

Position Overview

• Role: Registered Nurse (RN) - Intensive Care Unit (ICU)
• Shift: Night shift, 4 shifts of 12 hours each (7:00 PM to 7:30 AM)
• Weekly Hours: 48 hours (can sign for 36 or 48 hours per week)
• Patient Ratio: 1 nurse to 2 patients
• Contract Length: 13 weeks
• Employment Type: Travel/Contract
• Location: Saint Louis, Missouri
• Facility Type: Short Term Acute Care, Magnet & Teaching Hospital, Level I Trauma Center
• Staffed Beds: 1259

Required Experience & Qualifications

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

Required Certifications

• Basic Life Support (BLS) - AHA only
• Advanced Cardiac Life Support (ACLS) - AHA only
• National Institutes of Health (NIH) Stroke Certification (annual update required; additional stroke education on-site for Neuro ICU)
• Other Unit-Specific Certifications: May include PALS, NRP, TNCC, CPI/MAB, EFM depending on unit assignment (verify per unit)
• Competency Exams:

  • Dysrhythmia/EKG competency exam required annually (Relias Basic Dysrhythmia or equivalent)
  • Unit-specific competency exams required annually

Required Skills & Clinical Competencies

• Medical and Surgical ICU care
• Interpretation and management of dysrhythmias
• Management of multisystem organ dysfunction/failure
• 12-lead EKG/ECG acquisition
• Central Venous Pressure (CVP) and Pulmonary Artery Line (Swan Ganz) monitoring
• Management of acute and chronic renal failure, including CRRT/dialysis
• Arterial line and central line care/management, PICC line management
• IV therapy: starting and maintaining IVs, continuous IV sedation, titrating cardiac and vasoactive drips
• Blood product administration
• Emergency medication administration
• Stroke and CVA management
• Ventilator and BiPAP management, respiratory failure care, suctioning (ETT, NT)
• Interpretation of arterial blood gases (ABGs)
• Infection prevention and isolation precautions (PPE use)
• Phlebotomy
• Care of surgical wounds with drains and wound vacs

Patient Diagnoses Commonly Encountered

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

Equipment Used

• IV pumps with titration capabilities
• Continuous Renal Replacement Therapy (CRRT)/dialysis machines
• Ventilators and BiPAP machines
• Hemodynamic and invasive monitoring devices
• Defibrillators and crash carts

Licensure Requirements

• Must hold an active Registered Nurse (RN) license valid in Missouri
• Pending licenses accepted with appropriate documentation
• Primary source verification required (NURSYS for Missouri licenses)

Background and Compliance Requirements

• Criminal background check within 6 months (7-year search including statewide and nationwide)
• Quarterly EPLS/GSA/SAM and HHS/OIG checks
• Education verification of highest nursing degree
• State-specific searches and registries as applicable
• Fingerprinting required for assignments involving long-term care or rehab units in Illinois (not applicable here)
• Drug testing within 1 year of start, including comprehensive drug panel
• Physical exam within 1 year of start
• Fit mask testing (N95 respirators) with annual renewal
• Immunization and health screening including:

  • Tdap vaccine or declination
  • Negative TB test or chest x-ray with yearly questionnaire
  • Measles, Mumps, Rubella, Varicella immunity or vaccination/declination as applicable
  • Seasonal flu vaccination or approved exemption during flu season
• Required facility-specific documents including HIPAA acknowledgement, confidentiality form, latex allergy questionnaire, hand hygiene and dress code policies, and orientation modules (approx. 16 hours)

Additional Requirements

• Two professional references required (supervisors preferred)
• Unit-specific skills checklist within 1 year of start
• Employment application must be completed and uploaded
• No block scheduling accommodations
• Must comply with vehicle registration requirements if working day shifts (not applicable for night shift)

Notes

• Charting system used: Epic
• Scrub color: Navy
• Parking: Monthly passes available (contact facility Public Safety for details)
• No on-call duties required
• Floating limited to ICU service line units only

This position is ideal for experienced ICU RNs with strong critical care skills who have completed prior travel contracts and are seeking a night shift travel assignment in a high-acuity, Level I trauma center environment.