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Bunkie General Hospital

House Supervisor

Nursing & Frontline Patient CarePosted on Nov 9
Full-timeBunkie, LA, USANo salary listedIn-person

About the Job

Requirements

  • Current, unencumbered Louisiana Registered Nurse license.
  • BLS, ACLS, PALS, and TNCC or equivalent trauma training must be obtained within three months of the start date.
  • At least five years of acute care, emergency, or combined experience.
  • Prior charge nurse or comparable shift-leadership experience.
  • Demonstrated clinical competency in the previously assigned setting and willingness to maintain competency in both the inpatient/swing bed unit and the Emergency Department.
  • Ability to maintain confidentiality regarding patient, personnel, and administrative matters.
  • Professional and therapeutic communication skills and verbal de-escalation technique.
  • Fair, impartial, and consistent leadership.
  • Adherence to the chain of command.
  • Critical thinking and independent clinical judgment under pressure.

Responsibilities

  • Serve as the ranking on-site administrative representative when the Chief Nursing Officer, Chief Executive Officer, and department leadership are absent.
  • Conduct and document a shift-start huddle covering census, acuity, pending admissions, discharges and transfers, staffing gaps, equipment or facility issues, and open safety concerns.
  • Maintain the Supervisor Shift Log for every shift and forward it to the Chief Nursing Officer.
  • Make real-time staffing decisions within Chief Nursing Officer-approved parameters and escalate decisions outside those parameters.
  • Authorize call-ins and overtime within approved thresholds.
  • Serve as the after-hours point of contact for visitors and staff.
  • Initiate the unannounced survey protocol after hours by verifying surveyor credentials, immediately notifying the Chief Executive Officer and Chief Nursing Officer, providing access, and beginning the document pull.
  • Own bed control and bed assignment, monitoring the bed count against the 25-bed limit and unit-specific capacity.
  • Communicate Emergency Department admissions to Utilization Review and coordinate with Utilization Review, the Emergency Department physician, and the Chief Nursing Officer to determine appropriate admissions based on staffing and facility capability.
  • Review admissions for correct inpatient, observation, or swing bed status when Utilization Review is unavailable, confirm orders match clinical documentation, and escalate status mismatches before they age.
  • Supervise swing bed conversions and support completion of acute discharge orders and summaries and swing bed admission orders.
  • Coordinate transfers out by confirming the accepting facility and physician, ensuring the Emergency Medical Treatment and Labor Act transfer certification is signed, arranging transport, and completing the records packet before departure.
  • Coordinate direct admissions from clinics and physician offices.
  • Support discharge-readiness rounds and remove barriers involving transport, durable medical equipment, home health referrals, medication access, and family availability.
  • Respond to Emergency Department volume surges, high-acuity arrivals, trauma, STEMI, stroke, and sepsis activations, pediatric arrivals, and multiple-simultaneous-patient events.
  • Provide second-RN coverage when the Emergency Department RN is committed to a critical patient and another Emergency Department staff member is outside the RN scope required.
  • Assist with triage during surges, performing only functions within RN scope.
  • Verify Emergency Medical Treatment and Labor Act compliance each shift, including complete and legible central log entries, documented medical screening examinations by qualified medical personnel, a current posted on-call physician roster, complete transfer forms and physician certifications, and posted signage.
  • Support behavioral health holds and restraint events through assistance with application, monitoring, documentation, sitter coverage, and law enforcement coordination.
  • Coordinate with EMS and LERN regarding incoming patients, diversion status, and drop-offs, and update the LERN portal every shift.
  • Handle point-of-care logistics so licensed Emergency Department staff can remain at the bedside during surges.
  • Round on inpatients at least once per shift and document the round.
  • Spot-check nursing documentation, including completed and signed RN assessments, current nursing care plans, reconciled orders, documented allergies and code status, and completed fall, skin, and nutrition risk screenings; check appropriate electronic health record use.
  • Provide immediate support during surges or when staff need guidance.
  • Conduct environment-of-care rounds, including crash cart checks and seals, medication room and refrigerator temperature logs, egress and life-safety checks, unit stock checks, and expired-supply sweeps.
  • Track open items in active plans of correction and report status to the Chief Nursing Officer and Quality Improvement and Risk Management RN.
  • Provide direction and supervision for LPN practice consistent with Louisiana LPN scope and hospital policy.
  • Ensure assignments match documented competencies on file, including LPN IV therapy and IV push, blood product administration, paramedic-performed Emergency Department tasks, and delegated functions.
  • Directly supervise orientees, agency and contract staff, and cross-trained floats; validate competency checklists before independent assignments.
  • Provide real-time coaching and correction, document performance concerns, and route them to the Chief Nursing Officer.
  • Ensure structured, documented handoffs at each shift change and transfer of care between departments.
  • Respond to all hospital-wide codes and lead resuscitation until a provider assumes the code, per policy.
  • Assign or perform the code recorder role.
  • Lead post-event debriefs, complete event reports, and forward them to QAPI.
  • Serve as after-hours incident commander for internal and external emergencies, including severe weather, utility failures, mass casualties, IT or EHR downtime, and facility evacuations.
  • Initiate downtime procedures for EHR outages and maintain downtime packet readiness.
  • Serve as the hospital's designated after-hours contact for local EMS, the sheriff's office, and parish emergency preparedness.
  • Build and adjust the daily assignment sheet across the floor and Emergency Department.
  • Manage call-ins, replacement staffing, float decisions, and mandatory-hold decisions according to policy.
  • Maintain shift staffing records showing personnel on duty, verified licenses and certifications, hours worked, census, and acuity for each shift.
  • Track and flag overtime and exceptions involving consecutive hours worked.
  • Work as an RN during call-ins when census does not allow another nurse to be called in.
  • Initiate incident and event reports and secure immediate patient safety before documentation.
  • Perform small-sample, rotating-focus chart audits assigned by the Chief Nursing Officer.
  • Collect and submit shift-level QAPI indicator data.
  • Report suspected abuse, neglect, or exploitation under Louisiana mandatory reporter law and swing bed freedom-from-abuse requirements.
  • Preserve evidence and initiate serious event review for sentinel or near-sentinel events.
  • Respond to patient and family complaints and grievances after hours, document them, and route them into the formal grievance process within required timeframes.
  • Round on patients and families for service recovery.
  • Manage real-time physician, staff, and family conflict and escalate unresolved matters.
  • Communicate professionally with patients, families, staff, providers, EMS, and outside agencies, adjusting communication to the audience and urgency.
  • Use therapeutic communication with patients and families during grief, agitation, intoxication, behavioral crises, and delivery of difficult news.
  • Use verbal de-escalation as the first-line response to escalating patients, families, or visitors; use restraints, security, or law enforcement only after less restrictive measures fail or when safety is immediately threatened.
  • Maintain strict confidentiality of patient information, personnel matters, performance concerns, staffing decisions, investigations, and administrative discussions, including not sharing supervisory information with staff worked alongside in another capacity.
  • Maintain professional composure under pressure, during conflict, and when personally disagreeing with a decision.
  • Apply policy fairly and consistently regardless of personal relationships, tenure, department, or employee history.
  • Avoid gossip, side conversations about staff performance, and discussion of hospital business in patient-care areas or public spaces.
  • Follow and model the chain of command when escalating issues and receiving direction.
  • Address conflict directly with the individual involved and escalate concerns to the Chief Nursing Officer rather than discussing them with uninvolved staff.
  • Represent hospital and leadership decisions accurately and supportively to staff, raising disagreement through the chain of command rather than in front of the team.
  • Anticipate problems, prioritize competing demands, act decisively within scope and authority, and recognize when a situation exceeds that authority.
  • Give and receive feedback constructively and privately while preserving employee dignity.

Desired Qualifications

  • Bachelor of Science in Nursing (BSN).
  • NRP, TNCC, or ENPC certification.
  • Swing bed or skilled nursing experience.
  • Prior formal supervisory experience.
  • Stroke scale certification.
  • Formal crisis prevention and de-escalation training, such as CPI, MOAB, or equivalent.

About the Company

Bunkie General Hospital

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