Telemetry Step-Down Registered Nurse
St. Louis, Missouri
Barnes-Jewish Hospital

Job Opportunity: Registered Nurse (Travel/Contract)

Location: Saint Louis, Missouri
Specialty: Registered Nurse (RN) – Telemetry/Step-Down Unit
Contract Length: 13 weeks

Job Details

• Start Date: Approximately 3-4 weeks from compliance clearance
• Patient Ratios: 1:4-5
• Experience Required: Minimum 2 years in specialty (Telemetry/Step-Down experience required)
• Weekend Requirement: Every other weekend
• Certifications Required:

  • ACLS (Advanced Cardiac Life Support)
  • BLS (Basic Life Support)
• On-Call: Not required
• Floating: Yes, within scope to meet facility needs
• Block Scheduling: Not accommodated
• Local Candidates: Not accepted (75-mile radius rule)
• Pending License: Accepted
• Return to Office (RTO) Restrictions: No more than 7 days off per 13-week contract
• Guaranteed Hours: Yes
• Special Requirements:

  • Telemetry/Step-Down experience
  • EKG competency
  • Experience with cardiac drips

Facility Highlights

• Type: Short Term Acute Care
• Designations: Magnet & Teaching Hospital, Level I Trauma Center
• Total Staffed Beds: 1,266
• Charting System: EPIC
• Scrub Color: Navy Blue

Required Documentation & Compliance

• Licenses:

  • Primary source verification of Missouri RN license (NURSYS verification required)
  • Pending licenses accepted
• Background Checks:

  • Criminal background check within 6 months (7-year search including statewide and nationwide)
  • EPLS/GSA/SAM quarterly checks
  • HHS/OIG quarterly checks
  • State-specific searches (Missouri EDL, Highway Patrol, Family Care Safety Registry)
  • Fingerprinting required for Illinois long-term care or rehab units (not required for Missouri)
• Certifications:

  • ACLS and BLS (AHA only)
  • Additional certifications may be required depending on unit (e.g., PALS, NRP, TNCC, CPI/MAB, NIH Stroke Certification)
• Competency Exams:

  • Medication/Pharmacology competency exam as applicable
  • Unit-specific competency exam (updated annually)
  • Dysrhythmia/EKG competency exam (updated annually)
• Health Requirements:

  • Physical exam within 1 year of start
  • Fit mask test (annual renewal required)
  • Immunizations and titers:

    • Tetanus/Diphtheria/Tdap (or declination)
    • Negative TB test or chest x-ray (with yearly questionnaire)
    • Rubeola (Measles), Mumps, Rubella, Varicella immunity or vaccination/declination
    • Hepatitis B declination required (not vaccination)
  • Drug testing within 1 year of start, must remain valid throughout assignment
  • Seasonal flu vaccination or approved exemption required during flu season (Sept-April)
• Facility-Specific Documents:

  • HIPAA Acknowledgement (annual)
  • Latex Allergy Questionnaire (annual)
  • Confidentiality Form (annual)
  • Regulatory Compliance Education (annual, via WorkRamp, 16 hours)
  • TB Questionnaire (annual)
  • Hand Hygiene Policy acknowledgment
  • Fingernail Policy acknowledgment
  • Dress Code Policy acknowledgment
  • Orientation Modules (required for all RNs and LVNs, except certain allied and West facilities)
  • Vehicle Registration form for day shift workers
  • Badge photo (head and shoulders, white background, no obstructions, taken within 6 months)

Additional Requirements

• References: Two professional references required (supervisors preferred)
• Skills Checklist: Unit-specific skills checklist required within 1 year of start
• Performance Evaluation: May be requested upon completion of assignment (not required for per diem or extensions)

Notes for Candidates

• Candidates must have telemetry/step-down experience including EKG and cardiac drip management.
• Floating within scope is expected to meet facility needs.
• No block scheduling accommodations.
• Local candidates within 75 miles are not accepted.
• Pending licenses are accepted to start.
• Compliance with all background checks, certifications, health documents, and facility-specific policies is mandatory.
• Orientation and regulatory education must be completed prior to start.

This position offers a guaranteed hours contract at a Magnet and Teaching Level I Trauma Center with a focus on telemetry and step-down nursing care.