PACU - Post Anesthesia Care RN
Saint Louis, Missouri
Barnes-Jewish Hospital

Registered Nurse – PACU (Night, 3x12)

Location: Saint Louis, Missouri Unit: PACU, Parkview Tower (Level I Trauma PACU) Contract Length: 13 weeks Facility Type: Short-term acute care, teaching, Level I trauma; 1,266 staffed beds Scrub Color: Navy

Schedule and Hours

• Shift: Night, 3x12 hours. Monday to Friday, with rotating start times of 18:00–06:30 or 20:00–08:30.
• Hours: 12 per day, 36 per week. Guaranteed hours are listed as 40. Cancelled shifts must be the regular shift length.
• Pre-op coverage: When there are no patients in the PACU, night nurses are expected to pre-op patients for first cases from 05:30 to 07:30.
• Call: 24 hours of on-call per 6-week period, as needed.
• Weekend requirement: None.
• Block schedule: Not accommodated.
• Return-to-off (RTO) restriction: No more than 7 days.

Patient Population and Unit Details

• Ratio: 1:2
• Surgical patients: GU, GYN, colorectal, minimally invasive procedures, bariatric, and some ENT. A separate IR pre/post area is included.
• Complex care: Patients may have multiple drains, vasoactive drips, mechanical ventilation, and recovery from general anesthesia. Even RNs receiving patients in pre-op may be managing multiple complex patients.
• Float: Within service line only.

Required Qualifications

• Valid RN license in Missouri
• One year of PACU (Post Anesthesia Care) experience, within the last year
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing (ADN)
• Critical care experience required
• Experience working with Level I Trauma patients
• Interpretation and management of dysrhythmias required
• ACLS (Advanced Cardiac Life Support) issued by the American Heart Association
• BLS (Basic Life Support) issued by the American Heart Association
• Experience with Epic

Onboarding and Compliance

• Background: Criminal background check within 6 months of start, with a 7-year search. Also an education verification, a government-issued ID, and an employment application.
• Health: Physical exam within 1 year of start. TB screening (two PPDs or a T-Spot or Q-Gold within 1 year). Drug screen within 1 year, including oxycodone. Tdap or declination. Measles, mumps, and rubella titers or vaccines. Hepatitis B declination. Flu vaccination or exemption during flu season (10/01–03/31). N95 fit test.
• Other: Two professional references. Unit-specific skills checklist within 1 year. Regulatory compliance education and orientation modules (about 16 hours), completed before start. Badge photo taken within 6 months of start. HIPAA acknowledgement, confidentiality form, latex allergy questionnaire, and hand hygiene, fingernail, and dress code policies.

Preferences and Other Details

• First-time travelers: Accepted.
• Charting: Electronic health record (EHR). The system is listed as required, but this is software familiarity, not a credential.
• Parking: Monthly passes available (at additional cost). Travelers should contact Public Safety for options.