Med Surg RN
Saint Louis, Missouri
Barnes-Jewish Hospital

Overview

• Location: Saint Louis, Missouri
• Facility type: Short-term acute care
• Teaching / Trauma: Teaching facility, Trauma Level I
• Total staffed beds: 1,273
• Employment type: Travel/Contract
• Start date: 3-4 weeks out, per compliance tier
• Contract length: 13 weeks

Schedule and Hours

• Shift: Night, 19:00-07:30 (4x12-hour shifts)
• Hours: Can sign for 36 or 48 hours per week; 36 guaranteed hours
• Weekends: Every other weekend
• On-call: Not required
• Scrub color: Navy

Unit and Assignment Details

• Patient ratio: 1:3.5
• Clinical focus: Elective spine surgery, traumatic spine issues from the emergency department, cervical-to-sacral procedures, lumbar drains, pain management, mobility three times per day, and Hoyer lift use
• Float scope: May float within scope between the two spine units to meet facility needs
• Restrictions: Two RTO requests per contract

Required Qualifications

• Valid RN license in Missouri
• Associate of Science in Nursing / Associate Degree in Nursing
• 1 year of Med Surg experience, with experience within the last year
• Elective spine surgery experience, including experience working with spine patients
• Lumbar drains experience
• ACLS (Advanced Cardiac Life Support) issued by the American Heart Association
• BLS issued by the American Heart Association

Required Certifications

• ACLS: Required (AHA only)
• BLS: Required (AHA only)
• Certificate timing: Certificates of completion are accepted for up to 1 month until the official card is issued.
• Unit-specific certifications: Listed in the unit descriptions on the facility profile

Competencies

• Basic Dysrhythmia (EKG) exam: Required for Medical Surgical RNs. Must be completed for each new contract. Relias Basic Dysrhythmia is the accepted exam.
• Unit-specific competency exam: Required and updated annually
• Medication/Pharmacology competency exam: Required as applicable by profession

Health and Pre-Assignment Requirements

• Physical exam: Within 1 year of start
• Tdap: Vaccine or declination required; Tdap expires every 10 years
• TB: Two negative PPDs (first within 1 year, second within 30 days of start), or a T-Spot or Q-Gold within 1 year of start. Annual retesting is not required.
• MMR and varicella: Positive titer, two vaccines, or MD statement of immunity required. Negative or equivocal titers require two boosters or a signed declination.
• Hepatitis B: Declination required
• Flu vaccine: Vaccine or medical/religious exemption required during flu season (10/01-03/31)
• Drug screen: Required within 1 year of start and must not expire during the assignment
• N95 fit test: Required. Acceptable models are 3M VFlex 1804 and 3M 1860.
• Hand hygiene, fingernail, and dress code policies: Must be reviewed and signed or initialed before start

Background and Compliance

• Criminal background check: Required within 6 months of start (7-year search)
• Exclusion checks: EPLS/GSA/SAM and HHS/OIG required quarterly
• Education verification: Highest nursing-related education required
• References: Two professional references required; supervisors within the last year are preferred
• Employment application: Required
• Skills checklist: Unit-specific skills checklist required within 1 year of start
• Orientation modules: Required for all RNs; approximately 16 hours, completed online
• Regulatory compliance education: Required and updated annually
• HIPAA acknowledgement, confidentiality form, and latex allergy questionnaire: Required before start and updated annually
• Badge photo: Required, taken within 6 months of start

Work Environment

• Charting system: Epic (software familiarity, not a credential)