The role reflects the functional competencies described in the American Organization for Nursing Leadership's (AONL) Nurse Executive Competencies, spanning business skills and principles, communication and relationship building, knowledge of the health care environment, professionalism, and leadership (American Organization for Nursing Leadership [AONL], 2023). The System Nursing Director, Perioperative Services provides strategic and operational leadership for all perioperative service lines, including the Operating Room, Post-Anesthesia Care Unit (PACU), Endoscopy, and Pre-Surgical Testing (PST), across the health system.