I'm the technical lead for desktop IT support at a hospital. I basically do everything, including things that are not in my job description, such as: kick off and implement projects, provide direct support to local and visiting VIPs, routine support ticket work, assist the network/server administrator to identify the purpose and functionality of servers (yes...), maintain the site inventory, perform annual software and hardware audits, complete annual risk assessments, etc etc.
I should really have a managerial title and pay, but because individual sites don't get departmental IT managers, I get screwed.
I'm actively looking for a new job, preferably managerial. Departmental manager, project manager, that kind of thing. You guys posting above or below this who are excited to get into IT, beware. Find a really good workplace or prepare to hate your life.