Proficiency in cardiac monitoring, chest tube management, fresh trach care, feeding tube management, post-op patient care, epidural management, non-titratable cardiac drips, IV insulin protocols/titration, external BiPAP/CPAP, total laryngectomy care, and doppler flap checks. Patient population includes ENT (neck dissections, mandibulectomy), Thoracic (esophagectomy, lobectomy, pneumonectomy), General Surgery (pancreatic, bowel/liver resections), Urology (urinary diversions, cystectomies, RPLND), and medical overflow.