Emergency Department Registered Nurse
Dededo, Guam
Guam Regional Medical City

Job Opportunity: Registered Nurse (ER) - Travel/Contract

Location: Dededo, Guam
Contract Length: 13 weeks

Position Details

• Specialty: Registered Nurse - Emergency Department (ED)
• Experience Required: Minimum 5 years in specialty
• Employment Type: Travel/Contract
• Shift: Primarily one shift (day or night); no shift preference allowed
• Weekend Requirement: Every other weekend; flexibility required
• Holidays: Required to work holidays as scheduled; no holiday shift requests allowed
• Return to Office (RTO): Limited; no more than 3 consecutive days and max 7 days total during the 13-week contract
• Locals: Candidates residing in Guam are not eligible
• Licensure: Must have Compact or Guam RN license in hand at time of application
• Guaranteed Hours: Contracted hours with possible cancellation of up to 3 shifts during assignment
• Travel: Flights are not reimbursed; candidates should budget for round-trip airfare
• Additional: Travelers should be prepared to pick up additional shifts as needed due to census fluctuations

Facility Highlights

• Acute Care Facility
• Adult Trauma Level II
• Total Staffed Beds: 132
• Charting System: Allscripts/Sunrise
• Parking: Free (registration and decal required)
• Scrub Color: Navy blue preferred; any solid color acceptable; mixing colors allowed
• Cath Lab/OR/PACU scrubs provided

Required Certifications

• ACLS (Advanced Cardiac Life Support) - AHA Provider card required (Instructor cards not accepted)
• BLS (Basic Life Support) - AHA or American Red Cross preferred
• PALS (Pediatric Advanced Life Support) - AHA Provider card required (Instructor cards not accepted)
• Advanced NRP (Neonatal Resuscitation Program) - Required for ER; must be fully completed before start date
• Conscious Sedation (required for ER, ICU, Cath Lab) - Online course required; fee not covered by facility
• NIH Stroke Scale Certification (NIHSS)
• ESI (Emergency Severity Index) Triage Training - Required prior to start for ER
• Facility-specific modules including:

  • Pressure Injury Training
  • Alaris IV Pumps
  • Pyxis CareFusion
  • FEMA modules (completed onsite)

Testing and Competencies

• Drug Calculations and Basic Knowledge Assessment Tool (BKAT) exams administered onsite 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
• Medication Test/Pharmacology Competency Exam required for all RNs
• Competency exams as applicable by profession

Health and Background Requirements

• Background Check: 7-year criminal background check within 1 year of start; includes nationwide and international searches if applicable
• Physical Exam: Within 1 year of start (facility does not require but Aya does)
• Fit Mask Test: Must be completed within 1 year prior to start; specific mask types required; onsite fit testing available
• Negative TB Test or Chest X-Ray: Within 1 year of start; annual TB questionnaire if past positive
• Immunizations:

  • Measles (Rubeola), Mumps, Rubella: Proof of immunity or vaccination required
  • Hepatitis B: Immune titer or vaccine series required
  • Varicella: Positive titer or vaccination required
  • Flu Vaccine: Mandatory during flu season (Sept 1 - June 30); medical exemptions considered with facility form
  • COVID-19 Vaccine: Strongly preferred; declination requires facility-specific waiver form
• Drug Testing: 9-panel drug screen within 30 days of start; instant drug screen acceptable

Documentation and Compliance

• Government-issued photo ID (Driver’s License or State ID)
• Current US Passport (Canadian passports not accepted)
• Emergency Contact Form
• Work History Verification: Last 10 years required; attestations acceptable if verification unavailable
• Professional References: 2 for travel/allied/per diem acute care; 1 for per diem non-acute care
• Skills Checklist: Required annually
• Facility-specific documents and training certificates must be completed and uploaded by compliance deadlines

Additional Notes

• Candidates should plan to arrive in Guam by Thursday before the start date due to long travel times and time zone differences
• Travelers cannot request shift preferences or holiday schedules
• Overtime is at management discretion and not guaranteed
• Travelers must be flexible to support unit needs, including block scheduling if required

Prior Travel Experience: Not explicitly required for this position.