REGISTERED NURSE - EMERGENCY
SITE OF SERVICE:
Naval Hospital Guam
POSITION QUALIFICATION/REQUIREMENTS:
· Degree: Bachelors of Science in Nursing.
· Education: Be graduate of a school of nursing by the Accreditation Commission for Education in Nursing (ACEN), formerly known as the National League for Nursing Accrediting Commission (NLNAC), or the Commission on Collegiate Nursing Education (CCNE)
· Cardiac Certification: Must hold current certifications through American Heart or American Red Cross:
o Basic Life Support Certification (BLS)
o Advanced Cardiac Life Support (ACLS)
o Pediatric Advanced Life Support (PALS)
o Neonatal Resuscitation Program (NRP)
· Experience: Possess a minimum of three years of experience within the last five years as a Registered Nurse in an Emergency Room setting.
· Licensure: Current, full, active, and unrestricted license to practice as a Registered Nurse.
· U.S. Citizenship: Worker performing under this contract shall be U.S. citizens.
· English Language: Able to read, write, and speak English well enough to effectively communicate.
· Physical: Shall be physically capable of standing and/or sitting for extended periods of time and physically capable of performing all services required under the contract and TO.
DUTIES:
· Shall provide services within the scope of their competencies and the applicable duties provided in the basic contract as well as the following:
· Ensure patient care is carried out in accordance with the Standards of Nursing Care and the policies and procedures of the Hospital and/or Clinic.
· Check patients into the clinic and triage using clinic guidelines. Inform the nurse, physician extender, or physician of the patient’s condition and potential problems.
· Obtain and document patient and pertinent family history.
· Perform a full range of diagnostic support duties which include taking vital signs, collecting specimens, obtaining, recording, and tracking results of diagnostics tools.
· Assist the physician in a variety of diagnostic examinations such as lumber punctures, colposcopies, and sigmoidoscopies, by preparing, positioning, and monitoring patients, and setting out and handling instruments and equipment.
· Perform, record, and report results for laboratory tests such as checking urine for sugar and stool for blood and record and report results.
· Perform a range of treatment procedures that include sterile dressing changes, applying compresses, monitoring IV fluids, inserting catheters and suctions, inserting nasogastric tubes, administering medications, giving enemas, setting up and giving treatment that requires auxiliary equipment such as oxygen and suction. Ambulate patients to other areas to include Radiology, various clinics, and physical therapy.
· Prepare patients to test, examinations, treatments, and/or surgery. Collect specimens such as urine sputum, and stool. Label specimens for laboratory examination and follow up by using MHS Genesis or by calling the laboratory for reports. Alert provider to conditions which deviate from expected findings.
· Prepare, start, monitor, and discontinue intravenous fluids with accuracy and in accordance with established procedures.
· Observe, report, and document all observed symptoms, reactions, treatments, and changes in the patient condition to the registered nurse, physician extender or physician. Make careful observations to assess that nursing procedures and treatment do not cause additional distress.
· Perform routine nursing care activities such as taking blood pressures, temperatures, baths, and hygiene care, passing and removal of trays, changing linen, and otherwise assist in the care of the physical need of the patient.
· Operate basic equipment required in delivery of patient care such as pumps, IV pumps, oxygen administration apparatus, and incentive spirometers.
· Execute physician’s orders within the guidelines of standard nursing practice. Ensure accurate medication is administered in correct form and dosage to the proper patient as directed by the physician.
· Maintain records of nursing care, dose, and time of medication administered, and indicate if the medication was not administered and the reason.
· Recognize conditions which require isolation. Ensure universal precautions are used in all patients encounters.
· Recognize emergency situations and assist with, or institute emergency measures for sudden adverse developments in patients such as cardiac arrest.
· Perform preoperative procedures for minor surgery and fill out pre-op checklist.
· Assist patients in admission, transfer, and perform discharge planning follows up and documentation.
· Support the patient and/or family members toward the achievement of treatment plan goals. Provide instructions to the patient on invasive procedures, surgical procedures, and post-surgical conditions which were previously provided to the patient by a nurse, physician extender, or physician.
HOURS:
Services shall be provided Sunday through Saturday between 0630 -1900 hours and/or 1830-0700 hours for three 12.5 hour shifts each week and one 8.5-hour shift within the two-week work period. Each shift includes a 30-minute meal break
SPECIAL REQUIREMENTS/SKILLS
Must be comfortable in a fast-paced, dynamic environment. Must be able and willing to reprioritize on short notice and work on multiple simultaneous projects. Flexible and able to work with various personalities. Team work skills required. Time management skills required. The ability to meet deadlines in a deadline intensive environment is essential. High level of adaptability and willingness to embrace change in a fast-paced, demanding environment.
LUKE is an Equal Opportunity Employer.
Links:
To learn more about Luke, please visit our website at: http://www.lukestaffing.com
Read LessREGISTERED NURSE – NEONATAL INTENSIVE CARE UNIT
SITE OF SERVICE:
· The work to be performed under this contract will be at the United States Naval Hospital Guam and associated branch medical clinics within a 40-mile radius of their assigned MTF.
· HCWs shall receive notification 48 hours prior to reassignment.
· Start Date: Targeted for 11/01/2025. Please be advised that onboarding and security clearance processing may take 1–4+ months.
· Please Note: This is not a travel assignment. However, we welcome all qualified candidates, including those willing to relocate or commute, to apply.
POSITION QUALIFICATION/REQUIREMENTS:
· Degree: Associates Degree of Nursing.
· Education: Graduate from a college or university accredited by Accreditation Commission for Education in Nursing (ACEN), the Commission on Collegiate Nursing Education (CCNE)
· Experience: Possess a minimum of two years’ experience within the last five years as a Registered Nurse in NICU setting.
· Licensure: Current, full, active, and unrestricted license to practice as a Registered Nurse.
· Certificate: MUST HAVE ALL:
o Possess and maintain certification in Basic Life Support (BLS).
o Possess and maintain certification in Neonatal Resuscitation Program (NRP).
o Possess and maintain a S.T.A.B.L.E Program Certification.
· U.S. Citizenship: HCWs performing under this contract shall be U.S. citizens.
· English Language Requirement: Able to read, write, and speak English well enough to effectively communicate.
· Physical Capability: Shall be physically capable of standing and/or sitting for extended periods of time and physically capable of performing all services required under the contract.
Core Duties:
· Shall provide services within the scope of their competencies and the applicable duties provided in the basic contract as well as the following:
· Assess each patient and perform triage duties as assigned.
· Formulate and carry out a goal directed plan of care which based on determined nursing diagnosis and patient outcomes and which is prioritized according to patient needs and available resources including time, personnel, equipment, and supplies.
· Evaluate effectiveness of patient self-care and ensure all aspects of clinical care support the progression of patient toward set outcomes.
· Provide treatment and discharge instructions upon patient release.
· Perform assessment/data collection in an ongoing and systematic manner, focusing on physiological, and cognitive status.
· Provide a safe and clean environment for each patient.
· Identify patient/significant other learning needs and implement appropriate measures to meet identified needs.
· Assist in planning, provide clinical direction, and provide instruction to LPNs/LVNs, nursing assistants and ancillary personnel.
· Demonstrate sound knowledge base and action in the care and decision making for designated patient situations. If weaknesses or deficiencies are identified either by peer reviews, quality control retorts (QCRs), or evaluations the HCW will be required to complete refresher training (in-services, competency reviews, continuing education, etc.) at Contractor expense.
· Perform documentation (manually and/or by use of computer) duties on unit and inpatient record that are timely, accurate, and concise.
· Participate actively in staff development for unit and Directorate personnel.
· Seek validation of knowledge base, skill level, and decision making as necessary and assertively seek guidance in areas of question.
· Implement care in a knowledgeable, skillful, consistent, and continuous manner.
· Establish priorities of patient care based on essential patient needs and available unit, command, and community resources including time, personnel, equipment, and supplies.
· Demonstrate competency in medication and intravenous (IV) administration to include blood products and Total Parental Nutrition (TPN) intramuscular (IM) and subcutaneous (SQ) administration and demonstrate competency in phlebotomy as specific to the position.
· Safely administers prescribed medications to include intravenous drugs.
· Identify patient/significant other learning needs and implement appropriate measures to meet identified needs.
· Perform documentation (manually and/or by use of computer) duties on unit and inpatient record which are timely, accurate, and concise.
· Participate actively in multifaceted staff development activities at the unit, Director, and command level such as clinically mentoring to paraprofessional personnel. Assist the facilitator of training sessions such as Command’s Basic Cardiac Life Support classes and other training that promotes staff competency and efficiency in emergent situations, and by participating in cross-training initiatives.
· Demonstrate self-directed learning.
· Demonstrate effective and professional communication methods, and skills, using lines of authority appropriately.
· Formulate and use effective working relationships with all health care team members, patients, and significant others. Refer unsolved complaints or infractions to the Division Head with recommendations for appropriate action.
· Practice effective problem identification and resolution skills as a method of sound decision making.
· Remain flexible in staffing patterns and resolution of staffing conflicts; participate in temporary assignment measures.
· Provide individual, group, and family/significant other counseling and health teaching in relation to the patient’s condition and his/her ability for self-care. Provide accessibility to various literature resources dealing with subjects related to specific patient health problems. Provide physical and psychological support to patients and significant others, explain procedures and treatments, and promote cooperation among staff, patients, and significant others.
· Participate in the orientation and training of newly assigned unit personnel. Participate in cross-training initiatives.
· Provide input into competency assessments of newly assigned unit personnel. 5.1.19.1.28 Collaborate in the review of unit standing operating procedures.
· If directed, perform triage based on protocols and assist as needed in accessing appropriate ambulatory/emergency care for beneficiaries.
· Provide training and/or technical direction as applicable to supporting government employees (i.e. hospital corpsmen, technicians, students) assigned to the HCW during the performance of clinical procedures. Such direction and interaction will adhere to Government and professional clinical standards and clinical protocols.
HOURS:
Services shall be provided Sunday through Saturday between 0630-1900 hours or 1830-0700 hours. Each two-week period will consist of 12.5-hour and/or 8.5-hour shifts to includes an uncompensated 30-minute meal break
SPECIAL REQUIREMENTS/SKILLS
Must be comfortable in a fast-paced, dynamic environment. Must be able and willing to reprioritize on short notice and work on multiple simultaneous projects. Flexible and able to work with various personalities. Teamwork skills required. Time management skills required. The ability to meet deadlines in a deadline intensive environment is essential. High level of adaptability and willingness to embrace change in a fast-paced, demanding environment.
LUKE is an Equal Opportunity employer
Links:
To learn more about LUKE please visit our website at:
https://lukestaffing.com/
Read LessPHARMACIST
SITE OF SERVICE:
· U.S. Naval Hospital Guam
· Full Time
MINIMUM QUALIFICATIONS
· Degree: Bachelor's degree in pharmacy.
· Education: Graduate from a college or university accredited by the Accreditation Council on Pharmaceutical Education (ACPE).
· Experience: Possess a minimum of 3 years’ experience in outpatient and inpatient pharmacy to include ICU, Med/Surg, NICU, Pediatric, and sterile compounding.
· Licensure: Current, full, active, and unrestricted license to practice as a pharmacist.
· U.S. Citizenship: Shall be a U.S. citizen
· English Language Requirement: Shall be able to read, write, speak and understand English well enough to effectively communicate with all patients and other health care providers.
· Physical Capability: Shall be physically capable of standing and/or sitting for extended periods of time and physically capable of performing all services required under the contract.
SPECIFIC DUTIES:
· The HCW shall provide services within the scope of their competencies and the applicable duties provided in the basic contract as well as the following:
· The HCWs shall provide services within the scope of clinical privileges granted by the Department Head, and applicable duties provided in the basic contract.
· Formulate and carry out a goal directed plan of care which based on determined nursing diagnosis and patient outcomes, and which is prioritized according to patient needs and available resources including time, personnel, equipment, and supplies.
· Evaluate effectiveness of patient self-care and ensure all aspects of clinical care support the progression of patient toward set outcomes.
· Perform assessment/data collection in an ongoing and systematic manner, focusing on physiological, and cognitive status.
· Provide a safe and clean environment for each patient.
· Identify patient/significant other learning needs and implement appropriate measures to meet identified needs.
· Assist in planning to LPNs/LVNs, nursing assistants and ancillary personnel.
· Demonstrate sound knowledge base and action in the care and decision making for designated patient situations. If weaknesses or deficiencies are identified either by peer reviews, quality control retorts (QCRs), or evaluations the HCW will be required to complete refresher training (in-services, competency reviews, continuing education, etc.) at Contractor expense.
· Perform documentation (manually and/or by use of computer) duties on unit and in-patient record that are timely, accurate, and concise.
· Participate actively in staff development for unit and Directorate personnel.
· Seek validation of knowledge base, skill level, and decision making as necessary and assertively seek guidance in areas of question.
· Implement care in a knowledgeable, skillful, consistent, and continuous manner.
· Establish priorities of patient care based on essential patient needs and available unit, MTF, and community resources including time, personnel, equipment, and supplies.
· Demonstrate competency in medication and intravenous (IV) administration to include blood products and Total Parental Nutrition (TPN) intramuscular (IM) and subcutaneous (SQ) administration.
· Safely prepares prescribed medications to include intravenous drugs.
· Identify patient/significant other learning needs and implement appropriate measures to meet identified needs.
· Perform documentation (manually and/or by use of computer) duties on unit and in-patient record which are timely, accurate, and concise.
· Participate actively in multifaceted staff development activities at the unit, Director, and MTF level such as clinically mentoring to paraprofessional personnel. Assist the facilitator of training sessions such as MTF’s Basic Cardiac Life Support classes and other training that promotes staff competency and efficiency in emergent situations, and by participating in cross-training initiatives.
· Demonstrate self-directed learning.
· Demonstrate effective and professional communication methods, and skills, using lines of authority appropriately.
· Formulate and use effective working relationships with all health care team members, patients, and significant others. Refer unsolved complaints or infractions to the Division Head with recommendations for appropriate action.
· Practice effective problem identification and resolution skills as a method of sound decision making.
· Remain flexible in staffing patterns and resolution of staffing conflicts; participate in temporary assignment measures.
· Provide individual, group, and family/significant other counseling and health teaching in relation to the patient’s condition and his/her ability for self-care. Provide accessibility to various literature resources dealing with subjects related to specific patient health problems. Provide physical and psychological support to patients and significant others, explain procedures and treatments, and promote cooperation among staff, patients, and significant others.
· Participate in the orientation and training of newly assigned unit personnel. Participate in cross-training initiatives.
· Provide input into competency assessments of newly assigned unit personnel.
· Collaborate in the review of clinic standing operating procedures.
· If directed, perform triage based on protocols and assist as needed in accessing appropriate ambulatory/emergency care for beneficiaries.
· The HCW shall assist during the performance of clinical procedures. Such direction and interaction will adhere to Government and professional clinical standards and clinical protocols.
DUTIES:
· Perform a full range of pharmacist procedures.
· Deliver comprehensive pharmaceutical services within the personnel, supply, and equipment capabilities of the facility.
· Counsel patients regarding appropriate use of medications.
· Review patient profiles at the time of dispensing in order to closely monitor medication therapy.
· Ensure prescription directions for use, dose, medication interactions, therapeutic duplications or overlaps, allergy information, age specific dosage, and other pertinent data are appropriate for individual patients. Intervention with providers shall be made for
noted discrepancy of above listed items.
· Compound medications as required.
· Ensure accuracy of all pharmaceutical products prepared or processed by technical staff.
· Supervise inventory control of all pharmaceuticals in the pharmacy, especially scheduled
· pharmaceuticals, and ensure pharmacy security. Maintain appropriate records and security of all scheduled controlled substances according to applicable regulations.
HOURS:
Services shall be provided Sunday through Saturday, between the hours of 0000 and 2359 hours. Shifts will normally be scheduled for a six 12.5-hour period and one 8.5-hour period, to include an uncompensated 30-minute lunch break. The Government does not anticipate scheduling each HCW more than 5 Federal holidays a year. For weekend service, the Government may schedule the HCW to work a minimum of two weekends per month (Saturday and/or Sunday). At the mutual agreement of the Contractor and the Government, alternative scheduled may be implemented such as a compressed work schedule. In no instance will the HCW be required to provide services in excess of 80 hours per two-week period.
Base Bown Days:
During a planned closure of the facility due to training, closures before or after holidays family down days, Employee will only be compensated for the actual hours worked. If clinic is closed and employee is not able to work, employee will be required to use leave or take Leave Without Pay (LWOP) without penalty.
SPECIAL REQUIREMENTS/SKILLS
Must be comfortable in a fast-paced, dynamic environment. Must be able and willing to reprioritize on short notice and work on multiple simultaneous projects. Flexible and able to work with various personalities. Team work skills required. Time management skills required. The ability to meet deadlines in a deadline intensive environment is essential. High level of adaptability and willingness to embrace change in a fast-paced, demanding environment.
LUKE is an Equal Opportunity employer
Links: To learn more about LUKE please visit our website at: http://www.lukestaffing.com
Read Less
PHYSICIAN EXTENDER (PHYSICIAN ASSISTANT/NURSE PRACTITIONER)
SITE OF SERVICE:
U.S. Naval Hospital Guam and associated Branch Health Clinics.
POSITION QUALIFICATION/REQUIREMENTS:
· Degree/Education:
o Physician Assistant: Bachelor’s degree from an accredited college or university certified by the Accreditation Review Commission on Education of the Physician Assistant (ARC-PA).
o Nurse Practitioner: Nurse Practitioner: Possess a Master’s, Post-Master’s or Doctorate degree from an advanced practice nursing program accredited by the Accreditation Commission for Education in Nursing (ACEN), formerly known as the National League for Nursing Accrediting Commission (NLNAC), or the Commission on Collegiate Nursing Education (CCNE).
• Certification: Certified by the National Commission on Certification of Physician’s
Assistants (NCCPA) or Possess current certification as a Nurse Practitioner by the American Nurses Credentialing Center (ANCC) or American Academy of Nurse Practitioners (AANP)
· Experience: Shall be required to demonstrate clinical competency within the past two years
· Additional Certifications:
o Possess current Basic Life Saver (BLS) hands on certification through the AHA.
o Current certification in Advanced Cardiac Life Support (ACLS).
· Licensure: Current, full, active, and unrestricted license to practice as a Physician Assistant or Nurse Practitioner in any one of the 50 States, the District of Columbia, the Commonwealth of Puerto Rico, Guam or the U.S. Virgin Islands.
· U.S. Citizenship: HCWs performing under this contract shall be U.S. citizens.
· English Language Requirement: The Contractor shall ensure that all HCWs providing services under this contract are able to read, write, and speak English well enough to effectively communicate.
· HCW Physical Capability: HCWs shall be physically capable of standing and/or sitting for extended periods of time and physically capable of performing all services required under the contract.
CORE DUTIES:
· Provide a full range of Family Nurse Practitioner or Physician Assistant services in primary and specialty medical care within the limits of their training and privileges granted by the MTF (e.g., supervise and provide general screening and medical care and examinations of patients for routine, acute and chronic conditions involving any and all organ systems; provide immunizations; diagnose, treat, and counsel patients as indicated).
· Technically direct and provide care for a variety of diseases and types of injuries (i.e., acute, chronic and minor trauma), and the skills to recognize emergency conditions in order to diagnose, prescribe for and treat diseases, disorders and injuries, and refer the more complex cases and serious conditions to qualified medical personnel and perform designated treatment.
· Technically direct and teach other staff, provide educational lectures and participate in in-service training to staff members.
· Promote preventive care and health maintenance including annual physicals, positive health behaviors and self-care through both formal and individual education and counseling.
· Prescribe in accordance with approved treatment protocols and the Pharmacy and Therapeutics Committee approved medications and immunizations.
· Identify a medical problem and determine appropriate action to meet the problem, including referral to a physician.
· Perform specific diagnostic and therapeutic practices and procedures in accordance with scope of practice.
· Establish collaborative rapport with physician, nursing and others in order to promote and facilitate primary care services.
· Teach patients and family member's healthy regimen and responsibility for achieving wellness.
· Attend staff meetings to provide case discussion, continuing education, and continuous quality improvement.
HOURS:
· Services shall normally be provided Monday through Friday between the hours of 0700 and 1800.
· Shifts will normally be scheduled for an 8.5 to 9 hour period, to include an uncompensated 30 to 60 minute lunch break, respectively.
· In no instance will the HCW be required to provide services in excess of 80 hours per two-week period.
Base Down Days:
· During a planned closure of the facility due to training, closures before or after holidays family down days, Employee will only be compensated for the actual hours worked. If clinic is closed and employee is not able to work, employee will be required to use leave or take LWOP (without penalty).
SPECIAL REQUIREMENTS/SKILLS
Must be comfortable in a fast-paced, dynamic environment. Must be able and willing to reprioritize on short notice and work on multiple simultaneous projects. Flexible and able to work with various personalities. Team work skills required. Time management skills required. The ability to meet deadlines in a deadline intensive environment is essential. High level of adaptability and willingness to embrace change in a fast-paced, demanding environment.
LUKE is an Equal Opportunity employer.
Links:
To learn more about LUKE, please visit our website at:http://www.lukestaffing.com
Read Less