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

Registered Nurse (ED) - Travel/Contract Position in Dededo, Guam

Contract Details

• Length: 13 weeks
• Employment Type: Travel/Contract
• Location: Dededo, Guam
• Facility Type: Acute Care, Adult Trauma Level II
• Total Staffed Beds: 132

Experience Requirements

• Specialty: Emergency Department (ED)
• Years of Experience Required: 5 years
• Prior Travel Experience: Not explicitly required

Licensure & Certifications

• Licensure: Must have Compact or Guam RN license in hand at time of application (no pending licenses accepted)
• Required Certifications:

  • ACLS (American Heart Association provider card required; instructor cards not accepted)
  • BLS (Basic Life Support)
  • PALS (Pediatric Advanced Life Support)
  • NIH Stroke Scale (NIHSS)
  • Advanced Neonatal Resuscitation Program (NRP) – Advanced NRP required for ER; must be fully completed before start date
  • Conscious Sedation (required for ER, ICU, Cath Lab)
  • ESI (Emergency Severity Index) training (required for ER)
• Certification Notes:

  • Certifications expiring within 6 months of assignment start must be renewed prior to start (renewals can be done onsite)
  • Conscious Sedation and ESI trainings are mandatory and not reimbursed by the facility
  • Facility-specific training modules (e.g., Pressure Injury, Alaris IV Pumps, Pyxis CareFusion) must be completed by compliance deadlines

Shift & Scheduling

• Travelers are scheduled primarily for one shift (day or night) but cannot request shift preference
• Schedule finalized after a 4-day window for shift swaps or coverage
• Return to Office (RTO) restrictions: no more than 3 consecutive days off and max 7 days off during the 13-week contract
• Weekend work required every other weekend; flexibility needed to support facility needs
• Holiday work required; specific dates determined by unit needs; no holiday shift preferences allowed
• Overtime is at management discretion and not guaranteed
• Travelers should be prepared to pick up additional shifts based on census needs

Candidate Restrictions

• Local candidates residing in Guam will not be considered
• Passport in hand (current US passport required; Canadian passports not accepted)
• Flights are not reimbursed; candidates should plan accordingly
• Travelers must remain on assignment through the last day before booking return flights

Required Background & Health Checks

• 7-year background check within 1 year of start (including criminal and international searches if applicable)
• EPLS/GSA/SAM and HHS/OIG checks must be done annually
• Drug screen: 9-panel instant drug screen within 30 days of start (not required annually unless gap between assignments)
• Physical exam within 1 year (facility does not require but Aya recommends)
• Fit mask test within 1 year prior to start; must use approved masks or complete fit test onsite
• Negative TB test or chest X-ray within 1 year; annual TB questionnaire if past positive
• Immunizations and titers required:

  • Measles (Rubeola), Mumps, Rubella: Immune titer or vaccination proof; boosters required for negative/equivocal titers
  • Hepatitis B: Immune titer or full vaccine series; declinations considered only if born before 1957
  • Varicella: Positive titer or 2 vaccines; booster required for negative/equivocal titers
• Seasonal Flu vaccine mandatory during flu season (Sept 1 - June 30); medical exemptions considered with facility-specific form
• COVID vaccination strongly preferred; declination requires facility-specific waiver form

Orientation & Testing

• Onsite drug calculations and Basic Knowledge Assessment Tool (BKAT) exams required during orientation

  • Pen and paper format, must be completed in person
  • 10 questions each, 80% passing score required
  • Two attempts allowed with remediation discussion after first attempt
• Facility-specific modules (8-12 hours) must be completed by compliance deadline before start
• Facility-specific competency exams and medication tests required

Additional Notes

• Candidates should plan to arrive in Guam by Thursday before the start date due to long travel times and time zone differences
• Parking is free for travelers (registration and decal required)
• Scrub color: Navy blue preferred; any solid color acceptable; jackets of any color allowed
• Charting system: Allscripts/Sunrise
• Cath Lab/OR/PACU scrubs provided

This position requires a highly experienced ED Registered Nurse with all required certifications current and in hand, flexibility in scheduling including weekends and holidays, and readiness to comply with extensive facility-specific training and testing requirements.