Progressive Care/Telemetry RN
Dededo, GU
Access Healthcare
3x12 hrs, Rotating

Travel/Contract Registered Nurse (PCU/Tele RN)

Location: Dededo, Guam
Contract Length: 13 weeks

Job Summary

• Position on a Progressive Care Unit (PCU) / Telemetry unit with PCU level of care.
• Shift assignment is primarily one shift (day or night) without shift preference requests.
• Weekend work required every other weekend; must be flexible to support facility needs.
• Holidays are required; specific dates determined by unit needs, no holiday work requests accepted.
• Overtime is at management discretion and not guaranteed.
• Float within scope to Med-Surg and ED Tele overflow as needed; no ICU patient care outside scope.
• No local candidates accepted (must not reside in Guam).
• Passport in hand required for travel.

Required Experience

• Minimum 2 years of RN experience required; 3-5 years preferred.
• First-time travelers NOT accepted (prior travel experience required).

Patient Ratios

• 1:4-5 patient ratio.

Required Certifications & Licensure

• Current Compact or Guam RN license in hand at time of application (no pending licenses accepted).
• ACLS (American Heart Association provider card, digital certificate required).
• BLS (American Heart Association provider card, digital certificate required).

Additional Certifications (Preferred/As Applicable)

• PALS (preferred, AHA digital certificate).
• NRP (for ER; full completion required prior to start).
• Conscious Sedation (required for ER, ICU, Cath Lab).
• ESI (Emergency Severity Index) training for ER.
• NIH Stroke Scale Training (required for RNs).
• Medication/Pharmacology Competency Exam.

Orientation & Testing Requirements

• Onsite drug calculations and Basic Knowledge Assessment Tool (BKAT) testing during orientation.
• Tests are pen and paper, must be completed in person on the first day.
• Passing score: 80% or higher; two attempts allowed with remediation discussion after first attempt.

Work Environment & Unit Details

• Acute Care facility with Adult Trauma II designation.
• 132 staffed beds.
• Unit provides care for routine, uncomplicated cardiac procedures and nonurgent percutaneous coronary interventions with complications.
• Scrub color: Navy blue preferred; any solid color acceptable for most areas.
• Charting system: Allscripts/Sunrise.
• Free parking with registration and decal.

Travel & Scheduling Notes

• Travelers must be prepared to pick up additional shifts based on census.
• Return to Office (RTO) requests must be approved and included in contract before start; max 3 consecutive days per 2 weeks, max 7 total days.
• Flights are not reimbursed; plan accordingly.
• Travelers scheduled through entire contract; do not book return flights before contract completion.

Health & Compliance Requirements

• Physical exam within 1 year (facility does not require but Aya does).
• Negative TB test or chest X-ray within 1 year; annual TB questionnaire if past positive.
• Immunizations or titers required for:

  • Rubeola (Measles)
  • Mumps
  • Rubella
  • Hepatitis B (titer, vaccine series, or declination)
  • Varicella (titer or vaccine)
• Seasonal flu vaccine required during flu season (Sept 1 - June 30); medical exemptions considered with facility form.
• COVID vaccination strongly preferred; declination requires facility-specific waiver.
• Fit test for N95 masks within 1 year; must use approved mask types or complete fit test onsite.
• 9-panel drug screen within 30 days of start; instant drug screen acceptable.

Documentation & Compliance

• Government-issued photo ID required.
• Current US passport required (Canadian passports not accepted).
• Background check within 1 year including nationwide and sex offender searches.
• Annual EPLS/GSA/SAM and HHS/OIG checks required.
• Facility-specific nursing modules (8-12 hours) must be completed by compliance deadline, including:

  • Pressure Injury Training
  • NIH Stroke Scale Training
  • Alaris IV Pumps
  • Pyxis CareFusion
  • FEMA modules (completed onsite)
• Facility-specific certificates must be uploaded as required.

References & Work History

• Two professional references required for travel/per diem acute care.
• Verification of last 10 years of work history required; attestations acceptable if verification unavailable.

Summary

This is a 13-week travel contract for an experienced Registered Nurse with PCU/Telemetry experience in Guam. The role requires flexibility for weekends, holidays, and floating within scope. Prior travel experience is mandatory, along with current Compact or Guam RN licensure and ACLS/BLS certifications. Compliance with extensive health, immunization, and facility-specific training requirements is essential. Passport in hand and readiness for travel logistics are required.