Emergency Department Registered Nurse
Dededo, Guam
Guam Regional Medical City

Registered Nurse – Emergency Department (ED)

Location: Dededo, Guam
Employment Type: Travel/Contract
Contract Length: 13 weeks

Job Overview

• Acute Care facility with Adult Trauma Level II designation
• 132 staffed beds
• Shift options: Day (7:00 AM – 7:00 PM) or Night (7:00 PM – 7:00 AM), 3 shifts per week, 12 hours each
• Weekend requirement: Every other weekend, flexible to support facility needs
• Holiday work required (dates determined by unit, no requests for specific holidays)
• No shift preference allowed; travelers have a 4-day window to switch or find coverage before schedule finalization
• Overtime is at management discretion and not guaranteed
• No local candidates accepted (must not reside in Guam)
• Travelers must have passport in hand prior to start
• Flights are not reimbursed; candidates should plan accordingly
• Travelers should be prepared to pick up additional shifts as needed due to census fluctuations
• Parking is free; vehicle registration with HR required

Required Qualifications

• Minimum 5 years of Registered Nurse experience in Emergency Department (ED)
• Valid RN license for Guam or Compact RN license in hand at time of application (pending licenses not accepted)
• Current US passport (Canadian passports not accepted)
• Certifications (must have digital provider cards; printed or screenshots not accepted):

  • ACLS (American Heart Association only)
  • BLS (American Heart Association only)
  • PALS (American Heart Association only)
  • Advanced Neonatal Resuscitation Program (NRP) – Advanced level, completed in full prior to start
  • NIH Stroke Scale (NIHSS) Certification (required for RNs)
  • Conscious Sedation Certification (required for ER)
  • Emergency Severity Index (ESI) Pediatrics 2.0 Training (required for ER)
• Facility-specific mandatory trainings and competencies:

  • Pressure Injury Training (NPIAP/NDNQI)
  • Alaris IV Pumps Certification
  • Pyxis CareFusion Certification
  • Medication Test/Pharmacology Competency Exam
  • Drug Calculations and Basic Knowledge Assessment Tool (BKAT) exams (onsite, pen and paper, must pass with 80% or higher)
• Background checks within 1 year prior to start, including 7-year criminal history and international checks if applicable
• Negative TB test or chest X-ray within 1 year prior to start (annual TB questionnaire if past positive)
• Fit mask test within 1 year prior to start (specific N95 masks required; PAPR must be provided by candidate if needed)
• Physical exam (not required by facility but required by agency)
• 9-panel drug screen within 30 days of start (instant drug screen acceptable)
• Immunizations and titers required:

  • Measles (Rubeola), Mumps, Rubella (born 1957 or later require proof of immunity or vaccination)
  • Hepatitis B (immune titer or vaccine series)
  • Varicella (immune titer or 2 vaccines or history of chickenpox)
  • Seasonal Flu vaccine required during flu season (medical exemptions considered with facility form)
  • COVID-19 vaccination strongly preferred; declination requires facility-specific waiver form
• Professional references:

  • 2 references required for travel, allied, or per diem acute care roles (within last 3 years)
• Work history verification for last 10 years required

Additional Information

• Travelers must arrive no later than the Thursday before the start date due to long travel times and time zone differences
• Charting system used: Allscripts/Sunrise
• Scrub color: Navy blue preferred; solid colors acceptable; jacket color flexible
• Facility will not cover fees for required certifications such as Conscious Sedation
• Travelers will be scheduled through the last day of the contract and should not book return flights before contract completion
• Return to Office (RTO) limits: No more than 3 consecutive days off and a maximum of 7 days off during the 13-week contract

This position is ideal for experienced Emergency Department Registered Nurses who are flexible, able to work required weekends and holidays, and prepared for a fast-paced acute care trauma environment in Guam.