Procedures: Post Op Thoracic procedures, VATs (Video-Assisted Thoracic Surgery, Esophagectomies, Lung resections, Intra-Aortic Balloon Pumps, Lumbar drains, Swan-Ganz catheters, CRRT (Continuous Renal Replacement Therapy, Vasoactive drips. Though temporary permits are valid for one year from the date of graduation, not one year from issue of permit (or until the results of the examination are known at which time it becomes null and void, UPMC requires that GNs take licensure examination within 6 months of their start date or they will be terminated or demoted from the GN position, at the discretion of the BU.