ICU RN
St. Louis, Missouri
Barnes-Jewish Hospital

RN / ICU-Onc

Location: Saint Louis, Missouri Employment Type: Travel/Contract Contract Length: 13 weeks Start Date: 3-4 weeks out, per compliance tier Shift: Day (4x12 hours), 7:00 to 19:30 Hours: 36 or 48 per week (guaranteed 36 hours)

Unit and Facility

• Unit: ICU-Onc
• Ratio: 1:2
• Average daily census: 21; Beds: 25
• Facility type: Short-term acute care
• Designations: Magnet and teaching hospital, Level I trauma center
• Total staffed beds: 1,266
• Scrub color: Navy blue

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
• Experience with arterial lines
• Experience with central line management
• PICC line management
• IV insertion skills
• Experience with conscious or moderate sedation
• Continuous IV sedation
• Experience with ventilator management
• BiPAP
• High Flow Nasal Cannula
• IV insulin protocols
• Experience with Epic

Schedule and Assignment Details

• Weekend requirement: every other weekend
• On-call: not required
• Block schedule: not accommodated
• Local radius rule: does not accept candidates within a 75-mile radius
• RTO: no more than 7 days of RTO per 13-week contract
• First-time travelers: accepted
• Float scope: oncology floors, oncology service line, and ICUs, with potential to float anywhere in the facility

Unit Details

• No chemotherapy, central lines, or chest tubes
• Nurses draw their own phlebotomy
• Skills include: multi-system organ failure, IV insulin protocols, arterial line management, blood product administration, central line and PICC care, procedural sedation, cardiac and vasoactive drip titration, BiPAP, ventilator management, ABG interpretation, high-flow nasal cannula, and wound VAC care
• Provider support: interpretation services, IV team, pharmacy, PT, social services, radiology, respiratory, rapid response, patient transport, unit secretary

Onboarding Requirements

• Unit-specific competency exam (updated annually)
• Unit-specific skills checklist (within 1 year of start)
• Physical exam within 1 year of start
• TB: two negative PPDs (one within 1 year, one within 30 days of start), or a T-Spot or Q-Gold within 1 year; yearly TB questionnaire
• Tdap vaccine or declination
• Measles, mumps, rubella, and varicella immunity (titer, vaccines, or MD statement)
• Drug screen within 1 year of start, covering the panels listed by the facility
• Flu vaccine or medical/religious exemption during flu season
• N95 fit test
• Criminal background check within 6 months of start, plus state-specific searches (Missouri EDL search, Missouri Highway Patrol check)
• Education verification
• Two professional references
• Employment application
• Badge photo taken within 6 months of start
• Approximately 16 hours of facility orientation modules, completed before start
• Facility policies to review and sign: HIPAA, confidentiality, hand hygiene, fingernail, dress code, and regulatory compliance education