Oncology Registered Nurse
St Louis, Missouri
Barnes-Jewish Hospital

Job Opportunity: Oncology Registered Nurse (Travel/Contract)

Location: Saint Louis, Missouri
Contract Length: 13 weeks

Position Details

• Shift: 3x12 hour shifts, 7:00 PM to 7:30 AM
• Start Date: Approximately 3-4 weeks from compliance clearance
• Patient Ratios: 1 nurse to 3-4 patients
• Experience Required: Minimum 1 year in specialty (Oncology)
• First-time travelers: Accepted
• Weekend Requirement: Approximately 4 weekend shifts per contract (may vary)
• On-call: Not required
• Floating: Yes, within scope to meet facility needs
• Block Schedule: Not accommodated
• Local Candidates: Not accepted (must live at least 75 miles from facility)
• Pending License: Accepted
• Return to Office (RTO) Restrictions: No more than 7 days RTO per 13-week contract
• Guaranteed Hours: Yes

Unit Description

• Outpatient oncology department with 8 treatment chairs operating 7:00 AM to 11:00 PM
• 7 private rooms/beds for isolation and evaluations
• Care includes chemotherapy, biotherapy, antibiotics, fluids, injections, blood transfusions, and symptom management
• Unit operates 24/7 with provider onsite at all times
• Patients may be held overnight awaiting inpatient beds

Required Certifications

• BLS (Basic Life Support)
• Chemotherapy certification (ONS/ONCC)
• Preferred: OCN (Oncology Certified Nurse)

Required Skills & Competencies

• Biotherapy: Recognize and manage side effects
• Chemotherapy: Recognize and communicate abnormal lab values
• Accessing and managing ports and central lines (including blood draws)
• Administration of coagulation factors, antifungals, antivirals, antibiotics, corticosteroids, antiemetics, Neupogen, IV push narcotics
• Blood and blood product administration
• Infusion pump management
• IV hydration and electrolyte replacement
• Starting IVs and PICC line care
• Isolation and neutropenic precautions
• Telemetry monitoring
• Patient and family education and support
• Symptom management including altered mental status, nausea/vomiting, neuropathy, edema, constipation/diarrhea, dysphagia, skin and mucous membrane alterations

Special Procedures / Unit Details

• Chemotherapy and biotherapy administration
• Blood transfusions
• Injections and IV fluids
• Electrolyte replacement
• EKGs and dysrhythmia monitoring
• Phlebotomy and blood glucose monitoring

Required Qualifications

• Valid Registered Nurse (RN) license in Missouri
• Minimum 1 year of Hematology/Oncology nursing experience within the last year
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Central line care and PICC line care experience
• Infusion pump management skills
• BLS and Chemotherapy certification required
• Ability to work night shifts and weekends as required
• Ability to float within scope of practice
• Must meet all background checks and compliance requirements

Compliance & Background Requirements

• Government-issued ID required
• Criminal background check within 6 months (7-year search including statewide and nationwide)
• Education verification of highest nursing degree
• Quarterly EPLS/GSA/SAM and HHS/OIG checks
• State-specific searches and registries as applicable
• Drug testing within 1 year, including multiple substances
• Physical exam within 1 year
• Fit mask testing (N95) with annual renewal
• Immunizations and titers: Tdap, TB screening, Measles, Mumps, Rubella, Varicella (with boosters or declinations as applicable)
• Seasonal flu vaccination or approved exemption required during flu season
• Various facility-specific documents including HIPAA acknowledgement, confidentiality, hand hygiene, dress code, and orientation modules

Additional Notes

• Candidates must complete unit-specific competency exams including oncology and dysrhythmia/EKG competency
• References: Two professional references required, preferably supervisors within the last year
• Skills checklist specific to oncology/outpatient infusion required within 1 year of start
• No on-call requirement, but floating within scope is expected
• No block scheduling accommodation
• Local candidates not accepted (must live 75+ miles away)

This position offers a challenging and rewarding opportunity to work in a high-acuity outpatient oncology setting with a supportive team and comprehensive patient care responsibilities.