Travel Nurse RN - ICU - Intensive Care Unit
Saint Louis, Missouri
Barnes-Jewish Hospital

Registered Nurse – ICU-Onc

Location: Saint Louis, Missouri Facility type: Short-term acute care, Magnet and teaching hospital, Level I trauma center Total staffed beds: 1,266 Employment type: Travel/Contract Contract length: 13 weeks Start date: 3-4 weeks out, depending on compliance tier

Schedule and Hours

• Shift: Day, 4x12 hours (7:00 to 19:30)
• Hours: 12 per day; can sign for 36 or 48 hours per week
• Guaranteed hours: 36 per week
• Weekends: Every other weekend required
• On-call: Not required
• Block schedule: Not accommodated
• Return-to-office (RTO) restriction: No more than 7 days of RTO per 13-week contract

Unit and Assignment Details

• Ratio: 1:2
• Average daily census: 21; beds: 25
• Float scope: May float within scope to oncology floors, the oncology service line, and ICUs, with potential to float anywhere to meet facility needs
• Scrub color: Navy blue
• Procedures not performed on this unit: Chemotherapy, central lines, and chest tubes
• Phlebotomy: Nurses draw their own blood
• Provider support: Interpretation services, IV teams, pharmacy, physical therapy, social services, radiology, respiratory, rapid response teams, patient transport, and unit secretary
• Skills required (per listing): Dysrhythmia interpretation and management, multi-system organ failure, IV insulin protocols, arterial line management, blood product administration, central line and PICC care, starting IVs, continuous IV sedation, procedural sedation, cardiac and vasoactive drip titration, BiPAP, ventilated patient care, high-flow nasal cannula, ABG interpretation, suctioning, ventilator management, infection prevention and isolation/PPE, phlebotomy, and surgical wounds with drains or wound VAC
• Charting and workflow: Epic charting, Pyxis, and SBAR handoff

Required Qualifications

• Valid RN license in Missouri
• ICU - Intensive Care Unit (2 years of experience)
• ICU - Intensive Care Unit experience within the last year
• ACLS - Advanced Cardiac Life Support issued by American Heart Association
• BLS issued by American Heart Association
• Associate of Science in Nursing / Associate Degree in Nursing
• Interpretation and management of dysrhythmias
• IV insulin protocols
• Experience with arterial lines
• Experience with central line management
• PICC line management
• IV insertion skills
• Procedural Sedation Administration
• BiPAP
• Experience with ventilator management
• High Flow Nasal Cannula
• Experience with Epic

Compliance Requirements

• Background and screening: Criminal background check within 6 months of start (7-year search); sanctions searches (EPLS/SAM and HHS/OIG) renewed quarterly; Missouri state searches (EDL search, and Highway Patrol check renewed annually); education verification for nursing
• Licensure: Primary source verification of license; Nursys verification
• Health: Physical exam within 1 year of start; drug screen within 1 year of start that does not expire during the assignment (panel includes amphetamines, barbiturates, benzodiazepines, cocaine, methadone, opiates, oxycodone, and PCP); TB screening with two negative PPDs (one within 1 year, one within 30 days of start) or a T-Spot or Q-Gold within 1 year, plus a TB questionnaire; Tdap or declination; MMR and varicella immunity (positive titer, two vaccines, or MD statement, with booster rules for negative titers); hepatitis B declination form
• Flu: Flu vaccine or medical/religious exemption required during flu season (10/01 to 03/31)
• Respiratory: N95 fit test required; candidates with facial hair must be able to test or shave
• Competencies: Unit-specific competency exam (updated annually); unit-specific skills checklist within 1 year of start; EKG/dysrhythmia exam must be completed for each new contract within 1 week of assignment, with up to 3 attempts
• Training and policies: Regulatory compliance education (80% to pass, updated annually); about 16 hours of required orientation modules for RNs; HIPAA acknowledgement; confidentiality form; latex allergy questionnaire; hand hygiene policy; fingernail policy; dress code policy (all reviewed or signed before start)
• Documents: Employment application; two professional references (supervisors within the last year preferred); SSN and DOB confirmation; badge photo taken within 6 months of start
• Not required: Performance evaluation; fingerprinting; abuse registry search

Parking

• Paid parking passes are available at additional cost; straight night shifts have no parking charge.