Skills required: ventilator management, arterial line management, central line care, vasoactive drip titration, cardiac drip titration, blood product administration, continuous IV sedation, ABG interpretation, dysrhythmia management, chest tube assistance, and ventricular assist device experience. Diverse case mix including vascular surgeries (AAA, carotid, cardiac catheterization), general surgeries, respiratory failure, DKA, sepsis, and multisystem organ failure.