Job Title Registered Nurse – Pediatric Emergency Room Location Saint Louis, MO | Acute Care (Children's Hospital) Schedule / Job Type Contract | 12-Hour Rotating Days/Nights | Day Shift: 7:00–19:30 | Night Shift: 19:00–7:30 | Every other weekend required Key Responsibilities • Provide direct nursing care to pediatric patients in a high-acuity emergency department setting within a Level 1 Trauma Center • Manage patient assignments at a ratio of 4:1 or 5:1 in a 32-bed emergency unit • Participate in and support conscious sedation procedures performed within the unit • Document all patient care accurately using EPIC electronic health records • Maintain availability to work during designated holiday weeks per scheduling requirements • Float within service line as needed to support facility staffing needs Required Qualifications • Active RN license in Missouri or a qualifying compact state (pending license submissions accepted; compact license must match permanent residence state) • Minimum of 2 years of emergency room nursing experience required; first-time travelers not accepted • Required certifications: BLS, PALS, ACLS, ENPC, and TNCC or ATLS • Must be available to work during holiday weeks; no time off permitted during the first week of assignment • Candidates must reside more than 75 miles from the facility to be eligible — local candidates are not accepted • Charting proficiency with EPIC preferred; EPIC is the system used on unit Preferred Experience / Skills • Prior experience in a Level 1 Trauma Center or high-volume pediatric emergency department • Familiarity with conscious sedation protocols in an acute care setting • Experience working in a teaching hospital environment • Strong adaptability to rotating day and night shift schedules Why Join Us • Opportunity to work in a nationally recognized children's acute care and teaching hospital with a Level 1 Trauma designation, offering a dynamic and clinically rich environment • Expected weekly hours of 36 hours (3x12) or 48 hours (4x12) provide a structured and consistent schedule throughout the contract