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Registered Nurse

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Position Overview:
The Caswood Group is seeking a highly skilled and dedicated Registered Nurses to provide comprehensive care in a Pediatric Intensive Care Unit (PICU) in a military hospital in GUAM. This position is for a full year with the potential to extend. This role is critical in delivering life-saving, professional nursing care to critically ill pediatric patients with complex medical and surgical conditions. The ideal candidate will thrive in a fast-paced, team-oriented environment and be committed to the highest standards of patient safety and clinical excellence.

Key Responsibilities:

  • Provide a full range of RN duties including patient assessment, monitoring, triage, and the execution of physician orders.
  • Render professional intensive nursing care to critically ill pediatric patients, continually assessing for potential life-threatening crises.
  • Recover stable and unstable pediatric patients from general/regional anesthesia and deep sedation.
  • Administer a wide variety of rapid-acting medications, including direct IV administration, and monitor patient responses.
  • Operate, troubleshoot, and interpret data from sophisticated equipment such as mechanical ventilators and hemodynamic monitoring systems.
  • Formulate and implement goal-directed plans of care, involving the patient/family and ensuring an interdisciplinary approach.
  • Provide emotional support, patient/family education, and discharge instructions.
  • Participate in peer review, performance improvement, and staff development activities.
  • Maintain accurate, timely, and concise documentation in both manual and electronic health records (MHS Genesis).
  • Provide clinical oversight and guidance to LPNs/LVNs, nursing assistants, and ancillary personnel.
  • Be available for on-call coverage on a rotating basis and may provide RN coverage for medical transports of critically ill children.

Schedule & Hours:

  • Schedule: 365 days/year, 24-hours/day.
  • Shifts: Primarily 12-hour shifts (0645-1915 and 1845-0715).
  • Hours: Up to 400 coverage hours per two-week period.
  • On-Call: Required for one shift every 12 weeks on a rotating basis.
  • Holidays: Required to work 1 major and 1 minor holiday shift per year.

Required Qualifications:

  • Licensure: Current, active, full, and unrestricted RN license from any U.S. state or territory.
  • Experience: Minimum of 18 months of full-time experience as an RN in a PICU within the last 24 months.

Certifications:

  • Basic Life Support (BLS)
  • Pediatric Advanced Life Support (PALS)
  • Advanced Cardiac Life Support (ACLS)
  • Neonatal Resuscitation Program (NRP)
  • S.T.A.B.L.E. Certification
  • Citizenship: Must be a U.S. Citizen.

Additional Requirements:

  • Health & Safety: Must meet all MTF health requirements, including immunizations (Varicella, MMR, TDAP, Influenza, Hepatitis B), annual TB screening, and N95 respirator fit-testing.
  • Training: Must complete all MTF and DoD-required training (approx. 56 hours of orientation) within 60 days of start.
  • Professionalism: Adhere to strict ethical conduct, Joint Commission standards, and all MTF policies and procedures.
  • Dress Code: Professional scrubs.

Contractual Details:

  • This is a Personal Services arrangement, meaning the RN will be under the direct supervision and schedule of the US Government.
  • Contract personnel are designated as Emergency Essential and must report to work during government furloughs as directed.
  • The position is for a base period of 12 months with four 12-month option periods.

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