ICU RN
Saint Louis, Missouri
Barnes-Jewish Hospital

Registered Nurse (RN) ICU-Onc

Location: Saint Louis, Missouri Employment Type: Travel/Contract Contract Length: 13 weeks Start Date: 3-4 weeks out, per compliance tier Unit/Specialty: ICU-Onc (oncology ICU) Ratio: 1:2 Census/Beds: Average daily census of 21; 25 beds

Schedule and Assignment

• Shift: Day, 3x12 hours (7:00 to 19:30)
• Hours: Can sign for 36 or 48 hours per week; guaranteed 36 hours per week
• Weekends: Every other weekend
• On-call: Not required
• Block schedule: Not accommodated
• Floating: Within scope to oncology floors, the oncology service line, and ICUs, with potential to float anywhere
• Time off: No more than 7 days of RTO per 13-week contract

Required Qualifications

• Valid RN license in Missouri
• ICU - Intensive Care Unit (2 years of experience)
• ICU - Intensive Care Unit experience within the last year
• BLS issued by American Heart Association
• ACLS - Advanced Cardiac Life Support issued by American Heart Association
• Associate of Science in Nursing / Associate Degree in Nursing
• Interpretation/Management of Dysrhythmias required
• Experience with arterial lines
• Experience with central line management
• PICC line management
• IV insertion skills
• Procedural Sedation Administration
• Titrate Cardiac drips
• Titrate Vasoactive drips
• IV insulin protocols
• Blood Product Administration
• Experience with Epic

Clinical Skills and Unit Details

• Skills: Multi-system organ failure, IV insulin protocols, arterial line management, blood product administration, central line care and management, PICC line management, starting IVs, continuous IV sedation, procedural sedation administration, titrating cardiac and vasoactive drips, BiPAP, care of ventilated patients, high flow nasal cannula, interpretation of ABGs, suctioning (ETT, NT), ventilator management, infection prevention, isolation precautions and PPE use, phlebotomy, surgical wounds with drains or wound VAC
• Not included in unit: Chemotherapy, central lines, and chest tubes. Nurses draw their own phlebotomy.
• Provider support: Interpretation services, IV teams, pharmacy, PT, social services, radiology, respiratory, rapid response teams, patient transport, unit secretary

Facility Highlights

• Short-term acute care hospital
• Magnet and teaching hospital; Level I trauma center
• 1,266 staffed beds
• Navy blue scrubs
• Parking is paid. Monthly passes are available, and costs vary by lot and shift. Straight night shift parking is free.

Compliance and Onboarding

• Background: Criminal background check (7-year search) within 6 months of start; exclusion database checks (EPLS/GSA/SAM, HHS/OIG) run quarterly; Missouri EDL search; Missouri Highway Patrol check renewed annually
• Education: Verification of highest nursing-related education
• Licensure: Primary source license verification; Nursys verification required
• Health: Physical exam within 1 year of start; TB testing (2 PPDs, or a T-Spot or Q-Gold within 1 year); Tdap or declination; MMR titer, vaccines, or declination; hepatitis B declination; drug screen within 1 year of start; seasonal flu vaccine or exemption during flu season
• Fit testing: Required (N95 models 3M 1804 or 1860)
• Competencies: Unit-specific competency exam; medication/pharmacology competency exam as applicable; unit skills checklist within 1 year of start
• Training: About 16 hours of orientation modules, with a passing score of 80% on the regulatory compliance quiz; hand hygiene, dress code, and fingernail policy acknowledgments
• Documents: Employment application, two professional references, government-issued photo ID, SSN and DOB confirmation, HIPAA and confidentiality forms, latex allergy questionnaire, photo for badge taken within 6 months of start, vehicle registration form (day shifts)