House Supervisor (PRN)

Bunkie General Hospital•Bunkie, LA

18h

About The Position

The PRN House Supervisor is a current Bunkie General Hospital nursing employee selected, oriented, and approved by the Chief Nursing Officer (CNO) to assume the full House Supervisor role when a House Supervisor is absent or additional supervisory coverage is required. While working in this capacity, the employee has the same authority, responsibilities, and accountability as the full-time House Supervisor. This is a leadership assignment, not simply coverage of an empty position. The employee is expected to supervise, make decisions, document, and hold staff accountable, including peers from their regular role. The position is PRN/as needed. The employee maintains a primary assignment in the Emergency Department or Medical/Swing Unit and performs the House Supervisor role only when scheduled or called in. During a House Supervisor shift, the employee reports directly to the CNO, does not carry a primary patient assignment except as directed by staffing-matrix escalation triggers, completes shift handoffs and required documentation, and returns to the regular staff role when the assignment ends. The employee performs all duties in Sections 1 through 10 of the House Supervisor job description, incorporated by reference, in addition to the duties described in this addendum. The employee maintains competency in both the primary unit and the opposite unit, including at least four hours of work in the opposite unit per calendar month, logged and submitted to the CNO. The role requires strict confidentiality, impartial peer leadership, professional communication, therapeutic communication and verbal de-escalation, sound critical thinking and independent judgment, and adherence to the chain of command. The position reports directly to the Chief Nursing Officer while the employee is serving as House Supervisor. It is non-exempt.

Requirements

Current, unencumbered Louisiana Registered Nurse license.
Current employment with Bunkie General Hospital in the Emergency Department or Medical/Swing Unit.
At least twelve months of employment at Bunkie General Hospital, or equivalent experience accepted at the CNO’s discretion.
BLS, ACLS, PALS, and TNCC or equivalent trauma training; all certifications must be obtained within three months of appointment.
Documented proficient competency in the primary unit, validated within the preceding twelve months.
Ability and willingness to work at least four hours per calendar month in the opposite unit and maintain competency in both the inpatient/swing bed unit and Emergency Department.
No active disciplinary action or performance improvement plan within the preceding twelve months.
Demonstrated ability to maintain confidentiality regarding patient, personnel, and administrative matters.
Demonstrated fair, impartial, and consistent leadership in a peer environment.
Demonstrated professional and therapeutic communication skills and verbal de-escalation technique.
Demonstrated adherence to the chain of command.
Demonstrated critical thinking and independent clinical judgment under pressure.
Recommendation and written approval of the Chief Nursing Officer.
Completion of the full House Supervisor orientation curriculum and at least three precepted shifts before independent assignment.
Signature of both the House Supervisor job description and this PRN addendum before the first independent shift.
Work the minimum number of House Supervisor shifts per quarter set by the CNO to maintain the appointment.

Nice To Haves

BSN.
Prior charge nurse or comparable shift-leadership experience.
NRP, ENPC, or stroke scale certification.
Formal crisis prevention and de-escalation training, such as CPI, MOAB, or equivalent.
Swing bed or skilled nursing experience.

Responsibilities

Notify the CNO when accepting, releasing, or unable to fill a scheduled House Supervisor shift.
Receive and provide shift handoffs covering open items, pending admissions and transfers, staffing issues, active plans of correction, and follow-up needs.
Complete the Supervisor Shift Log and LERN portal entry for every House Supervisor shift and return unresolved items to the House Supervisor and CNO in writing.
Avoid carrying a primary patient assignment while serving as House Supervisor, except as directed by staffing-matrix escalation triggers.
Resume the regular staff role at the end of the House Supervisor assignment and do not carry supervisory authority, access, or decision-making into subsequent shifts.
Maintain documented competency in the primary unit, validated within the preceding twelve months.
Work at least four hours per calendar month in the unit opposite the primary assignment, log and submit the hours monthly to the CNO, and make up missed hours the following month.
Complete annual competency validations, skills days, and unit-specific education required for both units; maintain working knowledge of swing bed regulatory requirements, EMTALA, LERN reporting, downtime procedures, and the OPCQ staffing tool.
Maintain confidentiality of patient, personnel, performance, staffing, investigative, disciplinary, and administrative information learned in the supervisory role.
Supervise and evaluate peers impartially, apply policies consistently, and promptly and accurately report performance concerns to the CNO.
Disclose conflicts that prevent impartial decision-making to the CNO and be relieved of the decision in those situations.
Avoid gossip and unauthorized discussion of staff performance or hospital business, and maintain appropriate professional distance from peers.
Communicate clearly and professionally with patients, families, staff, providers, EMS, and outside agencies; use therapeutic communication and verbal de-escalation as appropriate.
Follow and model the chain of command; escalate issues that exceed the role’s authority to the CNO promptly.
Use sound critical thinking and independent judgment, prioritize competing demands, act within scope and authority, and represent hospital and leadership decisions accurately and supportively.
Address conflict directly and privately with the individual involved, escalate concerns to the CNO as appropriate, and give and receive feedback constructively.
Complete the full House Supervisor orientation curriculum and at least three precepted shifts alongside a House Supervisor before independent assignment.
Sign the House Supervisor job description and PRN addendum before the first independent shift, and work the minimum number of House Supervisor shifts per quarter set by the CNO to maintain the appointment.
Maintain required certifications and meet the performance expectations for documentation, cross-unit hours, competency, confidentiality, de-escalation, safe staffing, and quarterly House Supervisor shifts.