Job Objective:

The House Supervisor is a Registered Nurse who is responsible for the coordination and evaluation of all phases of patient care. The House Supervisor works with all the units to facilitate the flow of patients in a timely and efficient manner.

Position Summary:

Responsible for supervising, coordinating and correlating the activities of nursing and ancillary services during the shift on behalf of Administrators and Department Directors in their absence. Coordinated patient admissions / transfers, staff the inpatient units and ED. Makes all necessary or emergent decisions and / or decisions which affect the delivery of patient care. Fosters an environment of open communication by providing direction and guidance to all staff and acts as a mentor / advisor / negotiator when needed.

Duties and Responsibilities:

A. Mission, Vision, Core Values and Strategic Plan

B. Financial Management

C. Labor Management

D. Competence

• Demonstrates and applies knowledge, skill and ability in the area of expertise to fulfill operating requirements, job description and department competencies.
• Stays current with healthcare industry technical / legal / regulatory changes through training and development.
• Adheres to all AVH Compliance and Integrity Program policies and procedures.

E. Supervision

• Supports and complies with the hospital’s policy and procedures. Able to direct others according to established policy.
• Deals effectively with diversity, creates a work environment that optimizes the ability of diverse groups working together effectively and manages all staff equitably.
• Establishes priorities and coordinates projects and resources in accordance with the Strategic Plan.
• Maintains a high level of productivity and delegates appropriately to meet deadlines for reports, huddles, etc.
• Fosters trust, respect and teamwork by setting department guidelines, communicates expectations and assists staff in the achievement of outcomes.
• Assists staff in meeting department goals and objectives. Provides ongoing feedback on performance indicators and feedback to Unit Manager / Director.
• Makes decisions consistent with overall organizational goals.
• Contributes to the ongoing assessment of competency of staff within the department and identifies competencies that need further development or growth through communication with Department Manager / Director and / or CNO.
• Identifies and recommends resources for Nursing Administration and assists with training of new staff as a positive role model.

F. Collaboration / Communication

• Ensures problem resolution by bringing individuals with different opinions together and encouraging the positive expression of their views.
• Problem solves using sound judgment, positively resolves problems in collaboration with staff and other members of the healthcare team.
• Encourages open communication between management and staff and maintains a plan for ensuring consistent communication within all departments and shifts in a proactive and positive manner.
• Encourages teamwork and collaboration to achieve the best results in operational improvements. Demonstrates progress in meeting customer service, quality, financial and productivity goals.
• Ensures that all staff understand and meet the department’s goals and objectives.

G. Customer Service

• Fosters an environment where staff maintain the highest standards of conduct.
• Ensures that staff demonstrate behavior based on Core Values performance standards in all customer interactions.
• Prioritizes patient admissions for urgency and acuity and assists staff with problematic patients for a positive experience and outcome.

H. Quality and Performance Improvement

• Ensures that the department’s quality indicators are implemented and measured.
• Provides guidance and direction to improve department’s performance on an ongoing basis.
• Has leadership oversight to improve quality metrics to decrease Falls, HAPI, CAUDI, etc.

I. Human Resources Management

• Oversees Float Pool staff and assists the Director of Nursing Office in retaining competent staff in accordance with the staffing needs of the department and Human Resources policies and procedures.
• Retains competent staff in accordance with the staffing needs of the department and Human Resources policies and procedures.
• Ensures adherence to ALL that Human Resources policies and procedures are followed.
• Provides an ongoing assessment of competency and performance for all staff with feedback to Managers / Directors.
• Ensure Float Pool performance evaluations are completed timely upon request.
• Provides direction and guidance to the Float Pool and all staff to maintain high levels of performance and quality service.
• Coaches and provides direction for improved performance and involves staff in meeting department goals and objectives.
• Develops staff by providing orientation, in-service training and continuing education opportunities.

J. Organizational Effectiveness

• Ensures that standards of accrediting / licensing agencies that impart the department and hospital are met.
• Participates with colleagues on hospital committees that assist the organization in achieving its objectives.

K. Risk Management

• Promotes cooperative involvement of staff in all risk management activities and investigations.
• Follows the policies related to safety and risk management (infection control, falls, codes, etc.).

L. Information Management

• Ensures that staff maintain the confidentiality of patient / hospital information and data.

M. Patient Safety

• Ensures that staff adhere to the hospital’s Patient Safety Program and Plan.
• Assists with prevention through observation and coaching staff accordingly.

N. Environment of Care

• Ensures that the delivery of services reflects efficient and effective utilization of resources.
• Ensures the use of safety, infection prevention and control policies and procedures and personal protective equipment are utilized properly.

O. Emergency and Capacity Management

• Assesses patients in various areas of the hospital to ensure proper placement. Responsible for insuring patient needs are being met while awaiting transfer.
• Completes patient transfers into and out of facility following EMTALA Regulations.
• Directs activities of the Rapid Response Team.
• Responds to various emergency codes in the hospital, such as code blue, code stroke and code gray. Responsible for the coordination of care during the code.
• Promotes an environment in which the healthcare team can function cooperatively.
• Communicates effectively intra- and inter-departmentally at all levels, including patients, visitors, and physicians.
• Responsible for problem-solving and crisis intervention related to physicians, patient, families and staff.
• Follows chain of command appropriately.
• Communicates with Administrator On-Call, ED Charge Nurse, and DHS for implementation of “Crisis Diversion” situations in the ED.

P. Population Specific Competencies (Patient Care / Patient Services)

• Demonstrates knowledge, skill and ability to provide care / service based on the specific patient population. Demonstrates, modifies and adapts work behavior in meeting the patient’s specific needs and / or providing the services required. Able to direct the Nursing Administration team accordingly.
• Demonstrates the ability to focus on the specific needs of the patient population and provide the care of service needed. Supports Charge Nurses with different situations.
• Demonstrates appropriate communication skills for the patient population served with all disciplines.
• Ensures ED patients get in inpatient bed according to established timeframes.

Q. Job Specific Duties

• Adheres to the department dress code and ensures other staff follow the dress code as well.
• Ability to arrange work with established priorities.
• Function as the Incident Commander and open the Incident Command Center as needed.
• Responds to all codes and oversees response, care coordination, level of care needs and post-code reports as required or requested.
• Resource for all staff regarding policies, procedures and processes.
• Provides service recovery when needed for patients and families.
• Rounds on all units a minimum of every four (4) hours, assessing patient safety, acuity and census changes. ED and ICU every two (2) hours.
• Problem solves using critical thinking with other Managers, Directors and Charge Nurses.
• Responsible for checking in with Float Pool staff and registry / travel staff as the nursing leader on shift.
• Staffing for all inpatient nursing units to include ED, WIP and PACU upon request.
• Knowledgeable on Decedent Affairs with correct paperwork, as well as Coroner’s requirements. Able to guide Nursing Office Secretary and to ensure accuracy and movement of decedents.
• Knowledgeable on how to staff nursing units (except OR and women’s unit) and able to communicate shortages to Manager, Director and Director of Nursing Office and / or CNO.
• Serves as the Bed Huddle Leader engaging nursing and ancillary staff for report to identify any obstacles for sate patient care or timely discharge as requested.
• Able to complete “ReddiNet” La County communication within established time frames and assist the Bed Control staff.
• Proficient with navigation through the patient chart, especially for bed tracking and assignment.

R. Leadership and Management

• Adheres to standards of practice.
• Promotes AVH Service Excellence mission and goals.
• Ensures staff adheres to AVH policies and procedures.
• Participates in Disciplinary Process as requested or required.

Non-Essential Duties:

• Faxing, photocopying and other clerical duties as needed.
• Other duties as assigned.

Knowledge, Skills and Abilities:

Knowledge

• Knowledgeable and competent in EMTALA regulation.
• Knowledgeable in EMR used in all areas of the hospital.
• Knowledge of applicable state and federal agencies and laws, and knowledge of sources available to interpret such laws.
• Knowledge of appropriate management practices and organizational behavior.
• Knowledge, understanding, and adherence of telephone etiquette standards.

Skills

• Meets all skills and abilities of a Critical Care or ED Registered Nurse.

Abilities

• Ability to communicate effectively while maintaining effective working relationships with staff members under one’s direction, other departments, families of patients, practitioners/physicians, volunteers, as well as other individuals.
• Demonstrated ability and willingness to apply the philosophy, purpose, and goals of Administration and the Nursing Services department.
• Ability to assess staffing needs of all Nursing divisions of the hospital.
• Ability to self-evaluate, as well as supervise and evaluate the work of others.
• Ability to develop and organize reports.
• Ability to design and conduct independent research for completion of project assignments.
• Ability to adhere to the Staff Code of Ethics of the department.

AVH Values: All AVH employees will effectively demonstrate these values:

• Patients Come First – We listen actively and communicate with our patients and families, placing safety as a top priority.
• Accountability & Ownership – We fully complete tasks, are transparent, effectively communicate, and recognize that what we do reflects on us.
• Teamwork – We build trusting relationships, promote a sense of community, and are respectful of everyone. Success is about the whole team.
• Integrity & Honesty – We tell the truth at all times, speak up when something is wrong, and do the right thing when no one is looking.
• Excellence – We take pride in our work, are goal-oriented, and on a never-ending quest for top tier quality.
• Initiative & Innovation – Our can-do attitudes, creativity, and resourcefulness empower us to improve the patient’s experience, solve our own problems, make timely decisions, and look for opportunities to add value.
• Tenderness & Compassion – We have genuine empathy, show kindness, and encourage and advocate for each other.

Management Competencies: All AVH management staff (Supervisor, Manager, and Assistant Director) will effectively demonstrate these behaviors:

• Conflict Management
• Problem Solving
• Timely Decision Making
• Process Management
• Fairness to Direct Reports
• Hiring & Staffing
• Developing Direct Reports

Education and Experience:

Education

• BSN preferred
• Leadership training or comparable experience.

Experience

• Minimum of five (5) years of experience in the hospital settings required.
• Minimum of three (3) years of supervisory experience in the hospital settings required.

Required Licensure and/or Certifications:

• Current licensure as a Registered Nurse in the State of California
• Current ACLS certification.
• Current BLS certification.
• PALS certification required within 6 months of hire.
• CPI certification required within 2 months of hire.

AVH Conduct / Compliance Expectations:

• Ability to adhere with AVH Absenteeism and Tardiness Policy.
• Ability to adhere with AVH Leaves of Absence Policy.
• Ability to adhere with AVH Paid Time Off (PTO) Policy.
• Ability to adhere with AVH Recording of Hours Worked Policy.
• Ability to adhere to the department dress code.
• Ability to organize work and establish priorities.
• Ability to expand on own initiative in performance of duties.
• Skill and ability to follow the telephone etiquette / standards.
• Conforms to AVH Standards of Excellence.
• Ability to function effectively under pressure and meet time parameters.
• Ability to communicate effectively while maintaining good working relationships with co-workers, managers and other hospital staff.
• Ability to adhere to the normal standards of courtesy and conduct as defined under the rules of hospitality at AVH.
• Ability to maintain the confidentiality of patient, hospital and department information.
• Ability to adhere to safety rules and regulations.
• Safely and effectively uses all equipment necessary to carry out duties.
• Ability to interpret and function under ALL hospital and department policies and procedures. Conforms with required and appropriate Joint Commission and CDPH requirements.
• Conforms with and supports hospital quality assurance and improvement guidelines.
• Ability to participate effectively in department and hospital staff education.
• Display a willingness to work as a team player.
• Ability to give and support the highest level of patient / customer satisfaction at all times.
• Supports and adheres to the values and mission statement established by the AVH Board of Directors.
• Ability to demonstrate knowledge and understanding of the Compliance & Integrity Program and its established policies.
• Ability to follow the Code of Conduct.

Physical Requirements and Working Conditions:

• Work is performed in hectic and changeable atmosphere of the hospital. Requires frequent walking and climbing stairs.

A detailed description of the physical requirements of this job is maintained in the Employee Health Department.

Education and Experience:

Education

• BSN preferred
• Leadership training or comparable experience.

Experience

• Minimum of five (5) years of experience in the hospital settings required.
• Minimum of three (3) years of supervisory experience in the hospital settings required.

Required Licensure and/or Certifications:

• Current licensure as a Registered Nurse in the State of California
• Current ACLS certification.
• Current BLS certification.
• PALS certification required within 6 months of hire.
• CPI certification required within 2 months of hire.