House Supervisor-RN, Full-Time (Sacramento)

Key Responsibilities

• Works closely with Assessment and Referrals (A&R) to provide oversight of admissions and discharges, including timely assessments and inpatient admissions.
• Oversees unit operations including timely completion and review of multidisciplinary treatment plans (MDTP), checking logs (refrigerator, emergency cart log, POC testing, legal tracking logs) and accuracy of patient Kardex.
• Audits all seclusion or restraints interventions on assigned shift.
• Monitors inventory of office, medical, and patient care supplies and requests replenishment as needed.
• Alerts the Administrator on Call (AOC) when urgent or extreme events occur, such as AWOL patients, 911 or urgent ambulance transfers, patient injuries, staff injuries, and incidents involving law enforcement.
• Gathers and compiles data for daily shift and routine reporting; prepares shift report and reviews with oncoming Nurse Manager or House Charge and forwards copy to the Chief Nursing Officer (CNO).
• Prepares and investigates Incident Reports (IR) accurately and timely; follows up with staff education to prevent recurring incidents.
• Maintains a clutter free working environment.
• Oversees staff assignments to prevent unnecessary overtime and ensure appropriate staffing levels based on census and acuity assessments; manages staffing levels with the Staffing Coordinator and reports concerns to Nurse Manager or AOC.
• Directly supervises nursing staff on assigned shift, provides performance feedback, and contributes to formal introductory and annual employee evaluations.
• Supports the CNO, Director of Nursing, Nurse Manager, and RNs to provide high-quality orientation and ongoing education for clinical staff.
• Ensures accurate and timely shift-to-shift reports.
• Monitors clinical issues for high acuity patients or patients with unusual problems.
• Coordinates off site tests, emergency room visits, admission and discharges, lab processes, work orders and audits.
• Addresses and resolves patient and family complaints; works with NM when a complaint becomes a potential grievance and alerts the hospital's Internal Patient Advocate.

Education/Licensure

• Current license as a Registered Nurse in the State of California.
• Current BLS or obtained during initial orientation period.
• Current Handle with Care or obtained during initial orientation period.
• Knowledge and experience of psychiatric diagnosis and associated risks, medications, biological systems, nursing process, treatment planning, and leadership.
• BSN degree preferred.

Skills and Competencies

The House Supervisor completes all required initial and annual competencies, including suicide prevention, de-escalation, safe restraint use, medication safety, code blue response, infection prevention, and the appropriate use of seclusion and restraints. The role also requires advanced competencies in patient care management, staffing systems, and internal reporting. The House Supervisor maintains expert knowledge of hospital policies, procedures, unit operations, and regulatory requirements, and provides staff education as needed.