House Supervisor (PRN)

Bunkie General Hospital•Bunkie, LA

About The Position

The PRN House Supervisor is a current Bunkie General Hospital nursing employee selected, oriented, and approved by the Chief Nursing Officer to assume the full House Supervisor role when a House Supervisor is absent or additional supervisory coverage is required. The employee maintains a primary staff assignment in the Emergency Department or Medical/Swing Unit and serves as House Supervisor only when scheduled or called in. While assigned to the role, the employee has the same authority, responsibilities, and accountability as the full-time House Supervisor, including supervising, making decisions, documenting, and holding staff accountable, including peers. The position is PRN/as needed, non-exempt, and reports to the Chief Nursing Officer while serving in the House Supervisor role. The employee performs all duties described in Sections 1 through 10 of the House Supervisor job description, in addition to the responsibilities in this addendum. The role requires a clear transition between the supervisory assignment and the employee’s regular staff role. The employee must maintain competency in both the primary and opposite clinical units, preserve confidentiality, lead peers fairly and impartially, communicate professionally, follow the chain of command, and exercise sound judgment under pressure. Appointment requires full orientation, precepted shifts, written approval by the CNO, and ongoing performance review. The CNO may suspend or rescind the appointment at any time without affecting the employee’s primary position.

Requirements

Current, unencumbered Louisiana Registered Nurse license.
Current employment at 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.
Willingness and ability 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.
Agreement to work the minimum number of House Supervisor shifts per quarter set by the CNO.

Nice To Haves

Bachelor of Science in Nursing (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

Report directly to the Chief Nursing Officer during House Supervisor shifts and notify the CNO when accepting, releasing, or unable to fill a scheduled shift.
Avoid carrying a primary patient assignment while serving as House Supervisor, except as directed by staffing-matrix escalation triggers.
Receive and provide shift handoffs covering open items, admissions and transfers, staffing issues, active plans of correction, and other follow-up needs.
Complete the Supervisor Shift Log and LERN portal entry for every House Supervisor shift and document unresolved items in writing at shift end.
Resume the regular staff role at the end of the assignment and relinquish supervisory authority, access, and decision-making.
Maintain documented competency in the primary unit and work at least four hours per calendar month in the opposite unit; log and submit cross-unit hours to the CNO.
Complete annual competency validations, skills days, and unit-specific education required for both units, and maintain working knowledge of swing bed regulations, EMTALA, LERN reporting, downtime procedures, and the OPCQ staffing tool.
Maintain confidentiality of patient, personnel, performance, staffing, investigation, disciplinary, and administrative information learned in the supervisory role.
Supervise and evaluate peers impartially, apply policy consistently, and promptly and accurately document and report performance concerns to the CNO.
Disclose conflicts that could prevent impartial decision-making to the CNO and recuse from the affected decision.
Avoid using supervisory authority for personal advantage, favors, disputes, or personal influence over assignments, scheduling, or floating decisions.
Avoid gossip and inappropriate discussion of staff performance or hospital business, and maintain professional distance while remaining approachable.
Communicate clearly and professionally with patients, families, staff, providers, EMS, and outside agencies, using therapeutic communication when appropriate.
Use verbal de-escalation as the first-line response to escalating patients, families, or visitors; use restraint, security, or law enforcement only after less restrictive measures fail or when safety is immediately threatened.
Follow and model the chain of command, promptly escalating situations beyond the role’s authority to the CNO.
Use critical thinking and independent judgment to anticipate and prioritize needs, act within scope and authority, and recognize limitations.
Represent hospital and leadership decisions accurately and supportively, address conflict directly and privately, and escalate concerns through the chain of command.
Give and receive feedback constructively and maintain professional composure under pressure and during disagreement.
Complete the full House Supervisor orientation curriculum and at least three precepted shifts before independent assignment.
Sign both 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.
Meet performance targets for shift documentation, cross-unit hours, competency, certifications, confidentiality, de-escalation documentation, safe staffing, and shifts worked.