Med Surg / Telemetry RN
St. Louis, Missouri
Barnes-Jewish Hospital

Registered Nurse – Medical Surgical

Location: Saint Louis, Missouri Facility type: Short-term acute care; Magnet and teaching hospital; Level I Trauma Center; 1,266 total staffed beds Contract length: 16 weeks Shift: Night, 4x12-hour shifts (19:00–07:30); 12 hours per day, 48 hours per week Guaranteed hours: 36 per week (can sign for 36 or 48 hours per week) Scrub color: Navy

Unit Details

• Unit: 6900 GI/GU (medical overflow and high-turnover surgical patient unit)
• Patient diagnoses: Ostomy, colon resection, colon cancer, bladder cancer, GU
• Ratio: 1:4–6
• Weekend requirement: Every other weekend
• Drips administered on unit: Heparin, lidocaine (pain only), bicarbonate, bivalirudin, amiodarone (stable, non-titrated, occasionally)
• Other therapies: PCAs, epidurals, and CBIs with different irrigation solutions
• Special procedures and protocols: Foley catheters, continuous bladder irrigation (CBI), TURPs, colorectal patient protocols
• Telemetry: Centralized telemetry; remote monitoring is a required skill

Required Qualifications

• Valid RN license in Missouri
• Associate of Science in Nursing / Associate Degree in Nursing
• 2 years of Med Surg / Telemetry experience, with Med Surg / Telemetry experience within the last year
• One completed travel assignment
• ACLS (Advanced Cardiac Life Support) certification issued by the American Heart Association
• BLS certification issued by the American Heart Association
• Experience with feeding tubes
• Experience with colostomy care
• Experience with blood product administration
• Experience with central line blood draws
• Experience with peripheral line care and management
• Phlebotomy skills
• Experience with PICC lines
• IV insertion skills
• Experience with titratable or cardiac IV medications
• Experience with PCA pumps
• Experience with Epic

Competencies and Skills Checklist

• Unit-specific competency exam, updated annually
• Medication test/pharmacology competency exam (Angoff score, or 80% if no Angoff score is available)
• Unit-specific skills checklist within 1 year of start
• Charting in Epic (software familiarity)

Work Logistics

• Float scope: May float within the service line
• On-call: Not required
• Block schedule: Not accommodated
• Local candidates: Not accepted within a 75-mile radius
• First-time travelers: Not accepted
• Return-to-off (RTO) restrictions: No more than 7 days

Compliance and Onboarding

• Background checks: Criminal background check within 6 months of start (7-year search), plus EPLS/GSA/SAM and HHS/OIG searches run quarterly, a Missouri EDL search, a Missouri Highway Patrol check, and education verification
• Drug screen: Within 1 year of start and must not expire during the assignment; panel includes amphetamines, barbiturates, benzodiazepines, cocaine, methadone, opiates, oxycodone, oxymorphone, and PCP
• Physical exam: Within 1 year of start
• TB: Two negative PPDs (one within 1 year, one within 30 days of start), or a negative T-Spot or Q-Gold within 1 year of start; yearly TB questionnaire
• Immunizations: Tdap (or declination); measles, mumps, rubella, and varicella immunity (titer, two vaccines, or MD statement); hepatitis B declination required
• Flu: Vaccine or medical/religious exemption required during flu season (October 1 – March 31)
• Fit test: Required; acceptable N95 respirators are 3M VFlex 1804 or 3M 1860; facial hair must allow proper testing
• Regulatory compliance education: Quiz with a score of 80% or higher, completed through the facility's online training system (about 16 hours)
• Other documents: Employment application, two professional references, photo for badge (taken within 6 months of start), HIPAA acknowledgement, latex allergy questionnaire, confidentiality form, hand hygiene policy, fingernail policy, dress code policy, SSN and DOB confirmation