PCU Progressive Care Unit RN
Dededo, Guam
Guam Regional Medical City

PCU/Tele RN

Location: Dededo, Guam Specialty: Registered Nurse Employment Type: Travel/Contract Contract Length: 13 weeks (guaranteed hours; client may cancel 3 shifts per assignment) Facility Type: Acute Care, Adult Trauma II, 132 total staffed beds Passport: Passport in hand required. Travel partners accepted case by case.

Schedule

• Shifts: Night (4x12 hours, 19:00-7:00) or Day (4x12 hours, 7:00-19:00)
• Hours: 12 hours per day, 48 hours per week
• Travelers are scheduled primarily one shift (day or night) and cannot request a shift preference.
• Travelers have a four-day window to switch, pick up, or find coverage before the schedule is finalized.
• Overtime is at management's discretion and not guaranteed.
• Weekends: every other weekend required; must be flexible to support facility needs.
• Holidays required; exact dates are set by unit needs, and travelers cannot request holidays.
• Block schedule: TBD by unit needs.
• On-call: not required.
• Travelers should be prepared to pick up additional shifts due to census in all units.
• Time off: must be approved and included in the contract before the start date. No time off may be added after the contract starts. Maximum of 3 consecutive days per two weeks and 7 total days.

Required Qualifications

• Minimum 2 years of experience (required)
• Compact or Guam RN licensure in hand at time of submittal
• ACLS and BCLS certifications
• US passport (Canadian passports not accepted)
• Driver's license or state ID (government-issued photo ID)
• Does not accept first-time RNs
• Does not accept pending licenses; licensure must be in hand at submittal
• Does not accept local candidates; Guam residents are considered local and will not be considered.

Preferred Qualifications

• 3-5 years of experience (preferred)
• PALS certification (preferably from AHA or American Red Cross)

Unit and Role Details

• Tele unit where the level of care is PCU, with ICU-level care when needed.
• Ratio: 1:4-5
• Patients may include those after routine, uncomplicated cardiac procedures, non-cardiac thoracic surgery, and nonurgent PCI with complications.
• Float scope: must be willing to float to Med-Surg and ED Tele overflow as needed. If floated to ICU, the traveler will not care for patients outside their scope of practice.
• Facility-required modules and exams for RNs: medication/pharmacology competency exam, NIHSS training, pressure injury training, Alaris IV pump training, and Pyxis training. Onsite drug calculation and Basic Knowledge Assessment Tool (BKAT) exams are required for all candidates.

Health and Compliance Requirements

• Background check within 1 year of start, including 7-year criminal, county, and SSN trace searches, with national sex offender and OIG/SAM checks. Facility will not consider employment if a background hit occurs within 7 years of start. Candidates cannot start with pending searches, though placeholders may be considered case by case.
• Physical exam within 1 year of start (facility does not require it, but the staffing agency does).
• TB screening (PPD, Quantiferon Gold, or T-SPOT) within 1 year of start, or a negative chest X-ray for past positives. Annual TB questionnaire is required for past positives.
• Measles, mumps, rubella, hepatitis B, and varicella immunity via titer or vaccine series. Declinations are not accepted unless the candidate was born before 1957.
• Instant 9-panel drug screen completed within 30 days of start; can be pending at start with proof of completion.
• Flu vaccine or approved medical/religious exemption required for starts on or after 11/30. Declinations are not allowed. Approved exemptions require masking in patient-care areas during flu season.
• COVID vaccination is strongly preferred before start. Candidates who decline must complete a facility waiver form.
• N95 fit test within 1 year before start, using an approved mask model, and renewed annually. Candidates with beards must bring their own PAPR or shave for onsite testing.

Onboarding and Testing

• Drug calculation exam (30 minutes) and BKAT (1 hour) are taken onsite during orientation. Both are pen-and-paper, must be completed in person, and cannot be completed before start. Passing score is 80%. Candidates have two attempts. No pretest or study guide is provided.
• Modules take 8-12 hours for RNs. Certificates must be uploaded individually to the designated spots.
• Work history verification for the last 10 years; the application must include this period.
• Two professional references (acute care travel).
• Annual skills checklist required.
• Candidates should plan to fly in the Thursday before start at the latest because of long flight times and time change.

Logistics

• Scrubs: any solid color; navy blue preferred. Cath Lab, OR, and PACU scrubs are provided.
• Parking is free; travelers must register vehicles with HR to receive a decal.
• Guaranteed hours: contracted hours only.
• Travelers will be scheduled through the last day of the contract and should not book return flights until the contract ends.