Abstract: Objective: To explore model and effects of utilizing nursing supervisor at night in geriatrics settings.Methods: Use position management method, analyze the position, define position requirements, job category, and job responsibility. Choose candidate according to position requirement, job responsibilities and process, job tasks and processes given by a dynamic management team management, reasonable scheduling, unified performance appraisal content and manner, six months after the implementation of the summary care two times on duty deal with the problem, and the results of the effect evaluation N1 level nurses with low seniority independent value late night of anxiety and mental pressure changes involved in nursing and two nurses on duty in professional responsibility personal sense of worth, self-confidence,problem solving skills, enthusiasm for work changes. Results: Second common duty of care site deal with the problem 23 times, N1 level nurse tension independent value late night when anxiety and psychological pressure is below established before (P<0.05). Scores, participation in second nursing staff on duty in professional responsibility and other aspects of high scores prior to the establishment, 68.6% saving human consumption. Conclusions: The establish of supervisor nurse institution in geriatrics at night can promptly and effectively deal with difficult clinical problems and emergency situations,improve quality of care, reduce the value of independent nurses with low seniority late night of nervous anxiety and mental stress, mobilize high qualification nurses enthusiasm, enhance the professional sense of achievement and save labor cost.