KEYWORDS: PA, NP, cardiothoracic, cardiovascular, cardiac, endoscopic vein harvest, EVH, CVOR, CABG, thoracentesis, central line, arterial line, chest tube, ICU, CVICU, CTICU, CCU, stepdown . We were founded and are managed by active and former cardiac staff, which means we know the needs, the skills, and the challenges of cardiac and critical care staffing.