FT House Supervisor RN

Huntsville Memorial Hospital•Huntsville, TX

About The Position

Under the general supervision of the Chief Nursing Officer, the House Supervisor allocates and assigns nursing staff during the shift to support safe patient care. The role provides a resource for staff, physicians, patients, families, and visitors; maintains administrative continuity; advocates for patients; and directs, supervises, coordinates, and evaluates hospital activities and care in clinical areas. In a consultative capacity, the House Supervisor helps ensure care meets legal, ethical, institutional, and professional standards and follows departmental and organizational policies and procedures. The House Supervisor coordinates staffing and shift operations, supports and evaluates nursing staff, assists with patient care as needed, and responds to emergencies and resuscitations. The role oversees medication-record practices, crash carts and supplies, patient flow, admissions, transfers, discharges, and bed assignments. It also addresses complaints and conflicts, communicates important information across shifts and to leadership, supports regulatory readiness and infection prevention, and contributes to quality improvement and professional development.

Requirements

Graduate of a school of professional nursing.
Current Registered Nurse licensure in Texas, or immediate eligibility for Texas licensure.
Basic Life Support certification required within 60 days of employment.
Advanced Cardiac Life Support and Pediatric Advanced Cardiac Life Support certifications required within 90 days of employment.
Excellent interpersonal, oral and written communication, organizational, and leadership skills.
Ability to perform effectively in highly stressful situations, work in a fast-paced environment, and function independently.
Visual and hearing acuity; color vision to perceive changes in patients' skin color and colors of medicines and solutions.
Frequent standing, walking, lifting, carrying, pushing, pulling, and reaching; occasional sitting, bending, squatting, climbing, kneeling, and twisting.
Possible exposure to toxic or caustic chemicals or detergents, moving mechanical parts, potential electric shock, radiant energy, communicable diseases, and bloodborne pathogens.

Nice To Haves

Bachelor of Science in Nursing (BSN).
Three years of clinical nursing experience and one year of Charge RN experience.
TNCC certification.
STABLE certification.

Responsibilities

Collaborate with the Staffing Coordinator and Nurse Managers to plan staffing for the next shift according to nursing care needs and standards; provide written justification to the Chief Nursing Officer for deviations from standards.
Adjust daily schedules for illness, emergencies, or increased census; document sick calls, tardiness, absenteeism, and dress-code problems; maintain accurate on-call and extra-staff call lists.
Function in a staff role when other resources are exhausted and assist with patient care in all areas as required; assume responsibility for the ER when ER staff are absent.
Evaluate nursing care across areas through patient rounds as able, oversee staff performance during the shift, participate in in-service planning and delivery as appropriate, and serve as a nursing resource and teacher for staff.
Act as the nursing staff representative to physicians.
Document potential disciplinary or behavioral problems and send information to the appropriate director or manager and/or Chief Nursing Officer; provide performance-evaluation feedback through anecdotal notes of positive and negative observations.
Supervise maintenance of adequate drug records and initiate action to correct narcotic-count errors.
Oversee crash-cart checks and documentation, stock crash carts daily as appropriate, and manage supplies, including carrying stock-room keys.
Respond to emergencies and resuscitations and serve as team leader unless the ER, ICU, or OB charge nurse is already performing that role.
Liaise between the Administrator-On-Call and external agencies, consulting with a Nurse Manager, Director, or other administrative representative about matters requiring immediate attention beyond the House Supervisor's authority.
Communicate pertinent information to the incoming House Supervisor or Nurse Manager and the Chief Nursing Officer or Administrator-On-Call as appropriate; read and document in the Supervisor's Communication Book.
Respond to patient and family complaints, physician complaints, and employee conflicts and provide resolution; initiate incident reports when indicated and follow up with appropriate leadership.
Maintain knowledge of and adhere to HMH policies and procedures, support administrative and nurse manager/director decisions and policies, and follow the proper chain of command.
Oversee admissions, transfers, and discharges; act as the hospital incoming transfer center; assign beds based on availability while balancing direct admits, procedures, and ER admissions; follow up on admitted ER patients to support timely transfer to floors; and monitor Bed Watch with EVS to place patients efficiently.
Adhere to and ensure compliance with infection-prevention protocols.
Demonstrate understanding of patient rights, including confidentiality, informed consent, and privacy.
Participate in systemic, interdisciplinary, ongoing evaluation of programs, process improvement, and desired client-centered outcomes.
Pursue professional growth and development by meeting mandatory and continuing-education and competence-validation requirements; support organizational goals; and serve as a preceptor, mentor, and resource to less experienced staff.
Participate in survey-readiness activities and help assure compliance with regulatory standards.
Use the nursing process to assess, plan, provide, document, and evaluate care when functioning in a staff role.
Demonstrate adaptability, problem-solving, and professional behavior; abide by the HMH Legal Compliance Code of Conduct.
Interact effectively as part of an interdisciplinary team, primarily with hospital staff, medical staff, patients, and visitors.