This job works under the supervision of the Medical Director or approved staff physician and in association with the PCCs, staff nurses, and discharge coordinator in the planning, implementation and evaluation of medical and nursing care; and assumes responsibility for primary and urgent medical management, emergency stabilization of all critically ill patients, teaching of residents and medical students, staff development and education, patient education and discharge planning. Knowledge of APRN procedures specific to the role: chest tube placement, endotracheal intubation, lumbar puncture, needle thoracotomy, percutaneous central line placement, peripheral artery puncture and cannulation, removal of thoracotomy tube, suprapubic bladder aspiration, umbilical artery catheterization, umbilical vein catheterization, and ventricular catheter reservoir aspiration.