Emergency Department Registered Nurse
Dededo, GU
Access Healthcare
3x12 hrs, Rotating

Registered Nurse (ED) - Travel/Contract Position

Location: Dededo, Guam
Facility Type: Acute Care, Adult Trauma II
Beds: 132 staffed beds

Contract Details

• Length: 13 weeks
• Employment Type: Travel/Contract
• Shift: Primarily one shift (day or night), no shift preference allowed
• Weekend Requirement: Every other weekend, flexibility required
• Holiday Requirement: Must work holidays as scheduled, no holiday preference
• Return to Office (RTO): No more than 3 consecutive days and max 7 days total during the 13-week contract
• Guaranteed Hours: Contracted hours with up to 3 shifts cancellable by client during assignment
• Locals: Candidates residing in Guam are not eligible
• Pending License: Not accepted; must have Compact or Guam RN license at time of application
• Travel: Flights are not reimbursed; candidates should plan accordingly and not book return flights until contract completion
• Overtime: At management discretion, not guaranteed
• Additional: Candidates should be prepared to pick up additional shifts as needed

Experience & Specialty

• Required Experience: Minimum 5 years
• Specialty: Emergency Department (ED)

Certifications Required

• Mandatory:

  • ACLS (Advanced Cardiac Life Support) - AHA provider card required (no instructor cards)
  • BLS (Basic Life Support)
  • PALS (Pediatric Advanced Life Support) - AHA provider card required
  • Conscious Sedation (per HR)
  • NIH Stroke Scale (NIHSS)
  • Advanced Neonatal Resuscitation Program (NRP) - Advanced NRP required, must be fully completed before start date
• Notes:

  • Certifications expiring within 6 months of start must be renewed prior to assignment (renewal can be done onsite)
  • Facility provides conscious sedation and ESI pediatric training reimbursement
  • Facility-specific training modules (see below) are mandatory

Facility-Specific Training & Requirements

• Mandatory Modules for RNs:

  • Pressure Injury Training (NPIAP)
  • NIH Stroke Scale Training (NIHSS)
  • Alaris IV Pumps (BD Alaris System v12.x)
  • Pyxis CareFusion Medication System
  • FEMA modules (completed onsite)
• Testing:

  • Pass/Fail drug calculation and Basic Knowledge Assessment Tool (BKAT) onsite during orientation
  • Two attempts allowed; 80% passing score required
• Other:

  • Candidates must complete facility-specific nursing modules (8-12 hours) by compliance deadline
  • Must upload certificates of completion for each module
  • Candidates should plan to arrive at least one day before start due to long travel times and time zone differences

Health & Immunization Requirements

• Physical Exam: Within 1 year (facility does not require but Aya recommends)
• Fit Mask Test: Within 1 year, must use approved masks (3M 1860/1860s, 1804/1804s, 1870+); onsite fit testing available if needed
• TB Testing: Negative PPD, Quantiferon Gold, or T-spot within 1 year; if past positive, negative chest x-ray within 5 years plus annual TB questionnaire
• Immunizations:

  • Measles (Rubeola), Mumps, Rubella: Proof of immunity by titer or vaccination (2 doses MMR)
  • Hepatitis B: Immune titer or full vaccine series (3 doses) required
  • Varicella: Positive titer or 2 vaccines or history of chickenpox
  • Flu Vaccine: Mandatory during flu season (Sept 1 - June 30); medical exemptions considered with facility form
  • COVID-19 Vaccine: Strongly preferred full vaccination; medical or declination exemptions require facility-specific forms and approval
• Drug Testing: Instant 9-panel drug screen within 30 days of start; not required annually unless gap >30 days between assignments

Background & Verification

• Background Check:

  • 7-year search including SS trace, county, nationwide, sex offender registry
  • International background checks if candidate lived/worked outside U.S.
  • No pending background checks allowed at start
• Work History: Verification of last 10 years required; attestations accepted if verification unavailable
• References:

  • 2 professional references for travel, allied, per diem acute care
  • 1 professional reference for per diem non-acute care

Additional Information

• Scrub Color: Navy blue preferred; any solid color acceptable; jackets of any color allowed
• Charting System: Allscripts/Sunrise
• Parking: Free with registration and decal from HR
• Travelers: Cannot request shift preferences but have a 4-day window to switch or find coverage before schedule finalization

Summary

This is a 13-week travel contract RN position in the Emergency Department at an acute care, Level II adult trauma facility in Guam. Candidates must have at least 5 years of experience, hold current Guam or Compact RN licensure, and possess required certifications including ACLS, BLS, PALS, NIHSS, Conscious Sedation, and Advanced NRP. The role requires flexibility for weekend and holiday shifts, adherence to facility-specific training and testing, and compliance with health and immunization requirements. Local candidates are not eligible, and travel expenses are not reimbursed.