A professional who directs, through head nurses, activities of nursing staff. Responsibilities include:

• Plans and organizes activities in nursing services, such as obstetrics, pediatrics, or surgery, or for two or more patient-care units to ensure patient needs are met in accordance with instructions of physician and hospital administrative procedures.
• Coordinates activities with other patient care units.
• Consults with nurse, head on nursing problems and interpretation of hospital policies to ensure patient needs are met.
• Plans and organizes orientation and in-service training for unit staff members, and participates in guidance and educational programs.
• Assists in formulating budget.
• Engages in studies and investigations related to improving nursing care.