Progressive Care Unit Telemetry Registered Nurse
Dededo, GU
Access Healthcare
3x12 hrs, Rotating

Job Opportunity: Registered Nurse - PCU/Tele

Location

• Dededo, Guam

Employment Type

• Travel/Contract

Contract Length

• 13 weeks

Position Overview

• Role: Registered Nurse for Progressive Care Unit (PCU) / Telemetry
• The unit functions as a telemetry unit but the level of care is Progressive Care Unit (PCU).
• Patient ratios typically 1:4-5.
• Care includes routine, uncomplicated cardiac procedures, non-cardiac thoracic surgery post-op care, and nonurgent percutaneous coronary interventions with complications.
• Nurses may be required to float within their scope to Med-Surg and Emergency Department Tele overflow as needed. ICU float only within scope of practice.

Shift Details

• Scheduled primarily for one shift (day or night) without shift preference.
• Four-day window to switch or find coverage before schedule finalization.
• Overtime is at management discretion and not guaranteed.
• Weekend work required every other weekend.
• Holidays are required; specific dates determined by unit needs. No holiday work preferences allowed.

Required Experience

• Minimum 2 years of RN experience required.
• Preferred 3-5 years of experience.
• First-time travelers are not accepted.

Licensure & Certifications

• Must have Compact or Guam RN licensure in hand at time of application.
• ACLS (Advanced Cardiac Life Support) certification required.
• BLS (Basic Life Support) certification required.
• Passport in hand is required for travel.
• Additional certifications may be required depending on unit assignment (e.g., PALS, NRP, Conscious Sedation, NIH Stroke Scale Training).

Additional Requirements

• Candidates must not be local residents of Guam.
• No pending licenses accepted.
• On-call is not required.
• Must be willing to float within scope to other units as needed.
• Return to Office (RTO) requests must be approved before contract start; limited days allowed.
• Travelers should be prepared to pick up additional shifts based on census.
• Flights are not reimbursed; candidates should budget for round-trip airfare.
• Candidates should plan to arrive at least one day before the start date due to travel time and time zone differences.

Orientation and Testing

• Onsite drug calculation and Basic Knowledge Assessment Tool (BKAT) exams required during orientation.
• Exams are pen and paper format, must be completed in person.
• Passing score is 80% or higher; two attempts allowed with remediation discussion after first attempt.

Health and Compliance Requirements

• Physical exam within 1 year of start (facility does not require but agency does).
• Fit test for approved masks within 1 year prior to start; may be completed onsite if necessary.
• Negative TB test or chest X-ray within 1 year.
• Required immunizations or proof of immunity: Measles (Rubeola), Mumps, Rubella, Varicella, Hepatitis B.
• Seasonal flu vaccination or approved medical declination required during flu season.
• COVID-19 vaccination strongly preferred; declination requires facility-specific waiver.
• 9-panel drug screen within 30 days of start; instant drug screens accepted.

Required Documentation

• Government-issued photo ID (Driver’s License or State ID).
• Current US Passport (Canadian passports not accepted).
• Emergency contact form.
• Background check within 1 year including criminal and nationwide searches.
• Annual federal exclusions and sanctions checks (EPLS/GSA/SAM, HHS/OIG).
• Professional references (2 for travel/per diem acute care).
• Work history verification for the last 10 years.

Facility Specific Training Modules (must be completed by compliance deadline)

• Pressure Injury Training
• NIH Stroke Scale Training (RNs only)
• Alaris IV Pumps Training (RNs only)
• Pyxis CareFusion Training (RNs only)
• FEMA modules (completed onsite)
• Conscious Sedation (required for ER, ICU, Cath Lab)
• Emergency Severity Index (ESI) training for ER

This position requires flexibility, strong clinical skills in PCU/Telemetry, and readiness to comply with all licensure, certification, and health requirements. Candidates must be prepared for travel logistics and facility-specific onboarding processes.