Credentialed RNs, LVNs, and CNAs for med-surg, telemetry, emergency, ICU, and step-down units. When census climbs or a call-out hits, Hearthstone keeps your floors covered with clinicians who are ready for the pace and acuity of hospital care.
Hospital staffing means placing nurses and clinical staff who can step onto an acute care floor and perform from the first shift — at the pace, acuity, and documentation standard that hospital environments demand.
Hospitals run on tight ratios and unforgiving timelines. A single call-out on a telemetry floor or an unexpected ICU admission can put both patient safety and staff morale at risk. Hearthstone maintains a Houston-area network of acute-care-experienced clinicians who are credentialed and ready, so you can cover gaps without pulling exhausted staff into mandatory overtime.
We support med-surg, telemetry, step-down, emergency, and critical care units across Harris, Fort Bend, and Montgomery Counties — with per diem coverage for short-notice gaps and contract staffing for sustained needs during census surges, seasonal volume, or extended leaves. Every clinician is screened for the specific unit and acuity level before they are matched to your hospital.
Facilities with an active Hearthstone staffing agreement can request acute care coverage through a straightforward, ratio-aware process.
Hearthstone places clinicians with the right experience for the specific unit — because med-surg, telemetry, ER, and ICU each demand a different skill set.
Medical-surgical floors with high patient volume and turnover
Cardiac monitoring and progressive care unit coverage
ER nurses experienced with triage and high-acuity flow
Critical care RNs for intensive and specialty ICU settings
From bedside RNs to support staff, Hearthstone places the clinical team that keeps acute care units safe and moving.
Acute care RNs for med-surg, telemetry, ER, ICU, and step-down units. Day, evening, and night shifts including weekends and holidays.
LVNs to support hospital floors and observation units where scope allows. Medication administration and wound care competency available.
CNAs and patient care technicians for direct patient care, monitoring, and ADL support across hospital units.
Covering gaps with experienced agency clinicians instead of mandating overtime eliminates the 1.5–2x pay multiplier while protecting your core staff from burnout and turnover.
We don't send a clinician to telemetry who has only worked med-surg. Every placement is matched to the unit, acuity, and competencies you specify — so they perform from shift one.
Same-week response for most requests. For facilities with active agreements, Hearthstone functions as an extension of your staffing office — not a vendor you scramble to reach.
Different gaps call for different solutions. Here's how the most common hospital staffing models compare so you can match the right one to your need.
Which hospital units can Hearthstone staff?
We place clinicians across med-surg, telemetry and step-down, emergency, and ICU/critical care units. Every placement is matched to the specific unit and acuity level you request, so the clinician arrives with relevant experience.
How quickly can you provide hospital coverage?
For facilities with an active staffing agreement, same-week coverage is standard and same-day is possible for many roles depending on availability. The right unit match always takes priority over speed.
Do you offer contract and block-booked coverage, not just per diem?
Yes. We provide per diem coverage for short-notice gaps and contract or block-booked staffing for sustained needs such as census surges, seasonal volume, and extended leaves. We'll help you choose the model that fits the situation.
Are your clinicians credentialed for acute care?
Every clinician is pre-credentialed — active Texas licensure, background and OIG/SAM screening, BLS and any specialty certifications such as ACLS, and current health and immunization records — verified before the first shift. Specialty competencies are confirmed for the unit you're staffing.
What documentation do we receive for each placement?
Before each placement you receive a credentialing summary for the assigned clinician confirming licensure, screening clearance, and certifications. A signed timesheet and invoice follow after each shift.
Submit your open shift request and our team will match an acute-care-experienced clinician to your unit and ratio — same week for most requests, with per diem and contract options available.