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Leading with Purpose: Insights and Innovations in Perioperative Leadership

Healthcare Business Review

Sara Daulong, BSN, RN CNOR, Director of Surgical Services, Lake Charles Memorial Health System
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My journey to becoming the Clinical Director of Perioperative Services has been both unconventional and deeply rewarding. After a fulfilling and varied career in human resources management, including owning a small HR consulting business, I decided to pursue my lifelong dream of becoming a nurse. This midlife career switch was not a decision I took lightly, but I knew it was the right path. I had always envisioned myself as a perioperative nurse and leader, and I was determined to make that vision a reality.


During nursing school, I interned on weekends in the surgical department, immersing myself in the perioperative environment even before graduation. This hands-on experience solidified my passion for surgery and prepared me for the challenges ahead. In 2020, at the height of the COVID-19 pandemic, I officially began my nursing career as a circulator in the operating room. The pandemic brought immense challenges, but it also underscored the critical role of teamwork and adaptability in surgical services. Drawing on my multifaceted skills from HR and my innate drive to lead, I quickly took on roles such as charge nurse, educator, and quality coordinator for perioperative services. Each role added a new layer of expertise and prepared me for the natural next step in my career: becoming a Clinical Director of Perioperative Services.


A few pivotal moments have shaped my leadership style and philosophy. One of the most significant has been gaining real-life, hands-on experience in the perioperative environment. Starting as a circulator nurse during the height of the COVID-19 pandemic gave me an invaluable perspective on the complexities of surgical services. Being on the front lines during such a critical time taught me the importance of resilience, empathy, and effective communication. Leading through crises and navigating rapidly changing situations reinforced my belief that strong leadership is grounded in practical experience and a deep understanding of the challenges faced by the team.


Equally important has been keeping the patient at the center of all we do. In perioperative care, it is essential to view the patient as a whole person, considering their physical, emotional, and psychological needs. This perspective extends to recognizing the struggles of their families, who often face uncertainty and fear without the medical knowledge to understand what is happening. Supporting families through clear communication, empathy, and reassurance has become a core element of my leadership philosophy.


Leadership in this field is not just about managing processes; it’s about inspiring excellence and driving meaningful change.


Additionally, mentoring new nurses and stepping into roles like charge nurse and educator allowed me to see the profound impact of empowering others, further shaping my collaborative and servant-leadership approach.


Looking ahead, I believe the perioperative sector is on the cusp of transformative change. Innovations in technology, such as robotic-assisted surgery, augmented reality for preoperative planning, and artificial intelligence (AI)-driven analytics, are reshaping how we approach surgical care. These advancements promise to enhance precision, reduce recovery times, and improve overall patient outcomes.


Telemedicine is another trend with significant implications for surgical services. Virtual consultations and remote monitoring are already making it easier for patients in rural or underserved areas to access preoperative and postoperative care. As these technologies become more sophisticated, they will likely play an even greater role in improving access and efficiency.


Additionally, the focus on enhancing the workplace culture in healthcare is gaining traction. The “joy in work” framework, which I’ve embraced in my leadership, emphasizes creating a positive, engaged, and supportive environment for staff. I foresee this cultural shift becoming a cornerstone for retaining top talent and ensuring high-quality care.


For nurses aspiring to leadership roles in surgical services, my first advice is to embrace lifelong learning. The perioperative field is ever-evolving, and staying ahead requires a commitment to professional growth. Seek certifications, attend conferences, and stay informed about emerging trends and technologies.


Second, prioritize building strong relationships. Effective leadership is rooted in trust and collaboration. Whether you're mentoring a novice nurse or working alongside a seasoned surgeon, cultivating mutual respect and open communication will elevate your impact.


Lastly, don’t underestimate the value of self-awareness. Understanding your strengths, weaknesses, and emotional triggers allows you to lead with authenticity and resilience. Reflecting on your experiences and being willing to adapt is key to personal and professional growth.


Becoming a leader in perioperative services is not without its hurdles, but it is deeply fulfilling. By embracing innovation, fostering a positive culture, and committing to the development of others, we can ensure that surgical services continue to advance and thrive.


For those considering this path, know that your impact can extend far beyond the operating room—to your team, your patients, and the broader healthcare community. Leadership in this field is not just about managing processes; it’s about inspiring excellence and driving meaningful change.


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