RN-House Supervisor

Position Overview

Part‑Time, 12–23 hours per week, Night shift (7 p.m.–7 a.m.). Variable days Monday‑Friday and variable weekends.

Salary: $38.09–$47.46 per hour. Shift differential premiums paid.

Location: Boone County Hospital (Boone, IA).

Position Summary: Provides leadership and continuity in decision making for the organization by performing the following essential functions. On duty 24/7 with administrative oversight in the absence of management and administrative teams. Maintains personal and professional growth in specialized skills, leadership, and ongoing education of high quality care to all patients. Committed to consistent standards of clinical excellence and nursing practice.

• Must be able to perform each essential function satisfactorily.
• Minimum of two years acute care experience, including ER. Prior supervisory experience preferred. ICU/OB experience preferred.
• Graduate of an accredited RN program. Valid Iowa RN license. Current BLS, ACLS, NRP, and TNCC. STABLE optional. PALS optional.
• CEU maintenance as required for licensure. Mandatory reporter training.
• Must demonstrate effective leadership skills with high degree of empathetic listening, tact, and kindness toward others. Work effectively as a member of the team.
• Ability to communicate effectively to all customers. Proficient in service recovery.
• Basic computer knowledge. Sound technical skills in relation to medical equipment.
• Technical and critical thinking nursing practices in relation to nursing judgement.

• Provides oversight and leadership and represents administration and management during hours they are not present and is authorized to act on their behalf.
• Coordination of staffing for current and on‑coming shifts by reallocating or calling in additional staff. Notifying OR team and/or anesthesia providers after hours of emergency cases and/or additions to next day schedule.
• Maintains accurate records of staffing and bed counts.
• Receives and documents all call‑ins and reports this to appropriate department manager.
• Makes rounds to all departments ensuring support for patient care. Identifies and utilizes available resources within nursing, delegating as necessary.
• Collaborates with charge nurse for admissions and bed placements.
• Reviews all transfers forms for completion and compliance with EMTALA regulations, cosigns forms. Coordinates transfers based on patient acuity and available EMS.
• Assists with tele‑psychiatry consults and transfers.
• Assists with patient care in all departments, including ER. Responds effectively and appropriately in emergent or critical situations including MET calls and codes.
• Leads daily house‑wide huddle to increase communication throughout hospital and participates in inpatient unit discharge huddles each day.
• Reviews all patient falls during shift, and responsible for completion of the post‑fall huddles with staff and documentation of the huddle.
• Medication retrieval from Pyxis units or pharmacy after department hours, including mixing of intravenous medications for immediate use. Notification of on‑call pharmacist with needs of high‑risk medications.
• After department hours, handles immediate medical records release when requested, supplies from Nutritional Services, CMS and/or Materials Management for patient care.
• Provides Notary Public services as requested.
• Provides relief for switchboard.
• Notifies appropriate on‑call staff of various departments, including engineering, housekeeping and information technology, of pertinent needs after hours.
• Notifies appropriate entities if facility on diversion for any reason.
• Identifies need for and initiates Incident Command for disaster situations.
• Coordinates resources and equipment utilized by multiple departments, including interpretation services equipment, computer, vein finder, and in‑house sleep rooms.
• Assures that BCH policies and procedures are followed. Acts as a role model/mentor and provides staff education as appropriate.
• Maintains clinical competencies for all clinical areas. Applies the nursing process and performs clinical skills for the direct delivery of quality patient care.
• Participates in process improvement…