Skills: Interpretation of dysrhythmias, multisystem organ failure, intra-aortic balloon pump, post cardiac surgery, pulmonary artery line/swan ganz monitoring, arterial line management, central line care/management, PICC Line management, Continuous IV sedation, titrate cardiac drips, titrate vasoactive drips, care of the ventilated patient, interpretation of ABGs. No local We do not contract staff residing in the following counties : Henderson, Anderson, Cherokee, Rusk, Panola, Smith, Gregg, Van Zandt, Wood, Upshur, Camp, Hopkins, Franklin, Titus, and Morris.