Clinical nurse managers and administrative supervisors

Abstract

Administrative supervisors (AS)-also known as house managers, house supervisors, and clinical operations administrators-play a key role in managing patient flow and staffing; addressing complaints from patients, families, and staff, as well as any unexpected crisis; facilitating downstream bed availability, among other responsibilities. 1 This is no small task, especially in larger facilities where the average daily census (ADC) is greater than 300.This article discusses a quality improvement study that analyzed how AS contribute to the efficient management of the clinical environment and identified barriers to their performance. The current health environment at the facility where this study was conducted dictates that all nonbedside or nondirect patient-care positions are subject to periodic and intense evaluation. These reviews are conducted biennially before a new fiscal year. Notably, limited research exists on this role and the applicable metrics to measure performance. Prior to this study, there were no formal metrics or measures specific to the role besides the usual time and attendance requirements.This article discusses a quality improvement study that analyzed how AS contribute to the efficient management of the clinical environment and identified barriers to their performance.