Patient Population: Deliver highly individualized care to medical, cardiac, and surgical complex patients requiring intermediate-level monitoring and intervention, including sepsis, stroke, myocardial infarction, angina, heart failure, atrial fibrillation, post-cardiac catheterization, post-operative day one CABG and valve surgery, post-thoracic and neurosurgery, acute and chronic respiratory failure, GI bleed, pneumonia, AKI, CKD, and diabetic ketoacidosis. Schedule: 48-hour guarantee per week, self-scheduling within reason, 3 weekend shifts per 4-week schedule, block scheduling available for night shift, schedule finalized 2 weeks in advance.