House Supervisor PRN

Job Summary

The House Supervisor is responsible for monitoring the activities of the care center staff to ensure that departmental
functions are performed within the vision and mission of the hospital and regulatory guidelines. Utilizing the Nursing
Process, the House Supervisor will coordinate total patient-centered care, both meeting the physical, age-specific, social,
mental status, cultural and spiritual of the patients, and ensuring optimal care and service in accordance with physician
orders, The Joint Commission, OSHA, nursing and department guidelines. The House Supervisor fulfills these duties to
ensure continuity and quality of care, which fosters all patients and their families' best interests and well-being.

Responsibilities

Ensures unit is in compliance with regulatory standards.Ensures patients are assigned appropriate level of care and bed, based on patient care needs. Admits, transfers and discharges are facilitated in a timely manner, to maintain patient flow.Makes assignments based on patient acuity and competency of staff, considering staffing ratio. Serves as a department resource and assists in problem solving. Performs additional charge nurse tasks as assigned (schedules, notes orders, maintains quality control logs, etc.) Is a role model by demonstrating professionalism at all times. Supports organizational decisions and changes. Effectively communicates and collaborates with others.Participates in departmental policy, procedure and performance improvement development.Encourages staff participation in unit-based project development, committees and educational offerings. Evaluates the quality of patient care by conducting informal rounds, through direct staff observation and review of nursing documentation. Communicates changes to physician and staff. Coordinates OR cases; schedule changes and emergency cases. Coordinates pronouncement of death and completion of death certificates, autopsy requests and organ donations. Meets all deadlines. Reviews individual staff performance and provides feedback. Oversees the orientation, supervision, and training of all staff. Manages staff equitably. Follows organizational policies and procedures in dealing with staff issues. Clearly communicatespolicies, standards of performance, and departmental objectives to staff frequently. Identifies and coordinates the educational/orientation needs of staff in consultation with Director. Ensures all floats, registry, students have received appropriate orientation and have assigned resource person. Completes charge nurse duties, as assigned. Is flexible in staffing the unit and in commitment of time to meeting management demands. Appropriately communicates needs and changes to the staffing patterns.Participates in communication of department and hospital information through effective methods, i.e.communication book, bulletin board, memo, verbal instructions, etc. Intervenes as necessary in promoting positive, constructive interactions between staff members. Participates in the orientation of new employees. Accurately collects vital signs and patient history including medications. Initiates and completes primary and secondary assessments per policy at shift transition and appropriately throughout shift, based on accurate and systematic data collection. Performs thorough physical assessment through observation and palpation. Accurately assesses safety level of patients, their physical, social and mental status, and their cultural and spiritual needs. Is able to recognize lab results that necessitate physician consultation; takes appropriate action. Consistently identifies subtleties in patient condition. Always follows through. Accurately assesses medical stability and presenting symptoms. Consistently demonstrates critical thinking skills to ensure impressions and conclusions reflect status of patient at time of assessment.Patients are reassessed based on changes in status, or upon intervention to determine response. Obtains appropriate referrals (i.e. social service, dietary) based on assessment. Communicates detailed and accurate assessment of patient's physical and psychosocial status tophysician in a timely manner.Ensures that learning, teaching and discharge needs are identified on assessment.Accurately documents assessment and/or educational needs of patient. Documentation is always accurate and complete. Operates equipment safely, according to policy and procedure and/or manufacturer directions.Obtains blood specimens from indwelling lines, placentas and heelsticks according to hospital procedure, working independently. Creates and maintains a sterile field. Keeps all supplies and medications in a secured environment. Performs sponge, sharps, and instrument counts.Observes care and handling of surgical instruments according to policy and procedure.Serves as a functional member of the neonatal resuscitation team according to AAP and AHA standards.Demonstrates the ability to provide care in an efficient and professional manner. Always completes patient care assignments. Functions as an integral team member and contributes to the completion of patient care activities within the team. Takes iniatitive to assist other staff.Coordinates admission, discharge and transfer activities of assigned patients. Always knows where to find appropriate resources for patient needs (i.e., language translation, etc.).Performs nursing procedures appropriately according to nursing policy/procedures. Is consistently organized and completes assignments independently within shift timeframe.Initiates initial assessment according to established policies and procedures. Conludes shift report within timeframe allotted. Communicates relevant and pertinent patient information and shares with appropriate members of the healthcare team. Uses clinical, office and computer equipment effectively in the practice. Uses computer system independently; always is able to access patient information. Always uses proper body mechanics when assisting patients in ambulating, lifting or transfer.Initiates a plan of care based on multidisciplinary assessment data; updates as the treatment plan changes with input from all care providers. Demonstrates thorough documentation and awareness of legal implications of delivering nursing care as evidenced by content and legibility of documentation. Identifies discharge planning needs and initiates referrals to meet those needs on admission. Assists and/or initiates procedures and treatments according to physician's orders in a timely manner.Maintains open communication with healthcare team and applies appropriate interventions in problem situations. Reports issues to Director/Resource Nurse/Clinical Facilitator.Adapts communication style to meet age specific needs of patient.Reports staff/patient situations appropriately to Director/Resource Nurse/Clinical Facilitator.Always utilizes good time management skills, as observed by Supervisor/peers.Always communicates orders thoroughly and appropriately within practice. Explains practice policies on dissemination of patient information in a compassionate manner. Always follows confidentiality policy. Effectively handles patient complaints and uses appropriate reporting process to ensure satisfactory resolution. Assesses level of understanding and provides individualized patient/family teaching. Documents appropriate patient teaching, as per random chart audit by peers/Supervisor. Effectively teaches patient and caregivers on safe medication administration per The Joint Commission standards. Documents teaching (pre-op, pre-procedure, discharge) and enters in the computer system and Plan of Care.Obtains all required certifications for specific unit (i.e. BLS, ACLS, PALS).Completes interdisciplinary education records for all patients. Effectively utilizes hospital resources for patient and staff education.Assists new staff members/students with procedures and/or orientation. Maintains continuing education and reviews professional literature. Ensures telephone/verbal orders and nursing progress notes contain pertinent, non-duplicated information regarding patient's conditions, response to treatment and progress towards outcome goal, including level of patient understanding.Documents responses to PRN treatment completely and accurately.Demonstrates competency in verification process of physician orders. Evaluates plan of care as documented in policy. Initial care plan is accurate and relevant to patient condition. Care plan goals are revised with changed conditions. Ensures documents always follow plan of care, as per random chart audit. Uses appropriate forms are utilized, and completes accurately and in a timely manner.Completes read-back process on all verbal orders. Makes entries into patients record in a timely manner; documentation is not left until shift ends. Documents pharmacy wastage per established policy. Demonstrates competency in all medication administration, IV therapy and blood product transfusion according to hospital policy. Accurately documents patient response to medication.Recognizes unique responses to medication based upon age of patient.Ensures patient's response to medication/IV assessment site is accurately documented on 100% of the charts audited.Confirms that IV solution is infusing at the correct rate. Proactively recognizes unclear medication orders and acts as a patient advocate.Recognizes adverse drug reactions and reports as per established procedures. Stays current on medication issues and knowledge (i.e. side effects).Utilizes drug reference materials. Consistently utilizes sharp safety devices.Consistently documents medication teaching.Properly disposes of sharps and pharmaceutical wastes.Follows the five rights of medication administration.Documents patient's response to medication on at least 90% of charts audited. Identifies appropriate cases of abuse and neglect and demonstrates knowledge of mandatory reporting requirements. Satisfactorily completes mandatory in-service training within established timeframe. Assesses patient for pain upon admission and documents.Reassesses patient pain per policy and documents.Provides patient/family education on pain management. Assesses patient to provide a realistic comfort goal. Documents pain rating by using 0-10 pain scale.Reassesses prior to intervention and one (1) hour after intervention and documents. Documents on PCA/Narcotic Flow Sheet as per policy. Completes annual mandatory pain assessment competency on time. Describes his/her role in reporting patient pain at Mon Health System. Reports information received from patient about pain according to Mon Health System policy. Satisfactorily completes mandatory in-service training within established timeframe.Demonstrates understanding of physical and psychological impact of restraints and seclusion.Satisfactorily completes mandatory competency or in-service training within established timeframe. Provides assessment and supportive documentation for application of restraint.Ensures order is time limited with type of restraint used; reason for restraint is documented. Provides alternative to restraint, as evident in documentation. Notifies family of need for restraint. Reassesses patient following restraint application. Assesses patient every one (1) hour for correct restraint application. Offers CMS, nourishing, toileting every two hours. Reassesses patient and obtains new order every 24 hours.Consistently assesses/reassesses patient for restraint need.Rescinds restraint order as soon as possible or does not utilize for 24 hours.Ensures documents consistently meets policy standard. Completes annual competency standard on time.Attends mandatory in-services, staff meetings, and actively participates in self-education. Attends a minimum of 6 staff meetings per year. Completes all required competency assessments on time.Maintains required job knowledge (e.g. licensure and credentials, continuing education etc.).Performs other duties as required.

Knowledge, Skills & Abilities

Effective interpersonal communication skills in order to effectively collaborate with physicians, and instruct patients and their families. At least 3-5 years of acute care experience

Education

Credentials

• Registered Nurse (Required)

Work Schedule: Days

Status: PRN

Location: Stonewall Jackson Memorial Hospital

Location of Job: WV:Weston:Stonewall Jackson Memorial Hospital

Talent Acquisition Specialist: Tara D. Larew tara.larew@vandaliahealth.org