responsibility and authority for the practice of nursing; personal development; The role contributes to the establishment and maintenance of practices that ensure excellence in patient care, provides for the efficient use of resources, and undertakes leadership task such as staff schedules, unit patient flow, subject matter expertise for clinical concerns, physician rounding, committee involvement, survey readiness, and other task as assigned by the manager, which are basic to the department's ability to function in a smooth and effective manner. * Provides or provides oversight for relationship based care delivery patient-centered care by partnering with the patient and significant others (as appropriate) using comprehensive hand-off communication processes; unit rounds, case reviews, peer review, etc.); keeping the patient informed using appropriate communication tools and making the patient's goals the focus of the plan of care.