House Supervisor - RN License Needed (Sacramento)

POSITION TITLE: House Supervisor

REPORTS TO (TITLE): Chief Nursing Officer (CNO)

PAY SCALE: $57.00 - $64.50 (non-exempt)

DESCRIPTION OF POSITION:

The House Supervisor performs key responsibilities and meets position requirements as outlined in the hospital’s RN job description. 

Outside of regular business hours, the House Supervisor is also responsible for overseeing admissions and discharges, unit operations, fiscal and staff management, and managing patient care services. The House Supervisor supports and directs Nursing staff assignments and facilitate communication with other disciplines, departments and community resources.  

KEY RESPONSIBILITIES:

• Works closely with Assessment and Referrals (A&R) to provide oversight of admissions and discharges. This includes timely assessments and inpatient admissions.  
• Oversees unit operations including (and not limited to) timely completion and review of multidisciplinary treatment plans (MDTP), checking logs (refrigerator, emergency cart log, POC testing, legal tracking logs) and accuracy of patient Kardex.
• Audits all seclusion or restraints interventions on assigned shift.
• Monitors inventory of office, medical, and patient care supplies. Requests replenishment of supplies as needed.
• Alerts the Administrator on Call (AOC) when urgent or extreme events occur. Examples include, but are not limited to, AWOL patients, 911 or urgent ambulance transfers, patient injuries, staff injuries, and incidents involving law enforcement.
• Gathers and compiles data for daily shift and routine reporting. Prepares shift report and review with oncoming Nurse Manager or House Charge and forward copy to the Chief Nursing Officer (CNO). Routine reports include Shift Summary, Bed Control, and Incident Reports. 
• Prepares and investigates Incident Reports (IR) in an accurate and timely fashion; follows up with staff education to prevent reoccurring incidents.
• Maintains a clutter free working environment.
• Oversees staff assignments to prevent unnecessary overtime and ensure appropriate staffing levels based on census and acuity assessments. Manages appropriate staffing levels in conjunction with Staffing Coordinator. Reports any staffing concerns to Nurse Manager (NM) or AOC. Documents approved overtime on employee time adjustment forms.
• Directly supervises nursing staff on assigned shift. Provides staff feedback on performance. Contributes to formal introductory and annual employee evaluations as prepared by the Director of Nursing or Nurse Managers. 
• Supports the CNO, Director of Nursing, Nurse Manager, and RNs to provide a high-quality orientation and ongoing education for clinical staff. Continually educates staff on key issues relating to hospital policies and procedures and health care regulations.
• Ensure accurate and timely shift-to-shift reports.
• Monitor clinical issues for high acuity patients or patients with unusual problems.
• Coordinate off site tests, emergency room visits, admission and discharges, lab processes, work orders and audits.
• Address and resolve patient and family complaints. Proactively work with NM when a complaint becomes a potential grievance and alert the hospital’s Internal Patient Advocate.

POSITION Requirements:  

Education/Licensure

• Current license as a Registered Nurse in the State of California.
• Current BLS or obtained during initial orientation period.
• Current HWC or obtained during initial orientation period.
• Knowledge and experience of psychiatric diagnosis and associated risks, medications, biological systems, nursing process, treatment planning, and leadership.

SKILLS AND COMPETENCIES

The House Supervisor will pass initial and annual competency evaluations including (not limited to): suicide prevention, safe use of restraints, de-escalation interventions, medication knowledge, code blue/emergency interventions, infection prevention, and appropriate use of seclusion and restraints. The House Supervisor will need to complete additional competencies related to managing patient care, staffing systems, and internal reporting requirements. The House Supervisor has a high level of knowledge of Policies, Procedures, Unit Operations, Hospital Operations, Health Care Regulations and educates staff on key issues. The House Supervisor will demonstrate that, in addition to being competent, they are skilled in applying knowledge and competency in their daily nursing practice.

PHYSICAL REQUIREMENTS

While performing the duties of this job, this position is frequently required to do the following: 

• Stoop, kneel, crouch, reach, and stand for sustained period of time.
• Walk, push, pull, lift, carry objects from a lower to higher position or horizontally from position to position or otherwise move objects.
• Feel sizes, shapes, temperatures, and textures by touching with skin, particularly that of the fingertips.
• Express or exchange ideas orally and potentially loudly, accurately, or quickly.
• Perceive the nature of sound with no less than a 40 db loss @ 1000 Hz and 2000 Hz with or without correction.
• Exert up to 100 pounds of force occasionally, and/or up to 20 pounds of force frequently.
• Able to provide manual and mechanical restraints for patients who are physically acting out and are potentially dangerous (at times this occurs on the floor)
• Minimum standard of visual acuity with or without correction.
• While worker may possibly be subjected to temperature changes, the worker is generally not substantially exposed to adverse environmental conditions as the work is predominantly inside.