Skills needed include IV therapy/phlebotomy, central line blood draw, peripheral line care, PICC line management, BiPAP/CPAP management, chest tube management, high flow nasal cannula, oxygen administration, feeding tube care, continuous bladder irrigation, CVA care, substance withdrawal management, heparin and insulin administration, cardiac drip management, telemetry monitoring, dysrhythmia interpretation, and wound care. Patient population includes adults and geriatrics with diagnoses such as stroke/TIA, seizure, syncope, pneumonia, chest pain, dialysis, acute kidney failure, post heart cath, respiratory failure, encephalopathy, CHF, and sepsis.