Competency in dysrhythmia interpretation and management, telemetry monitoring, central and peripheral line care, peripherally inserted central catheter management, intravenous therapy, blood product administration, heparin and intravenous insulin protocols, feeding tube care, phlebotomy, wound care, post-cardiac angiogram care, post-myocardial infarction care, renal failure management, and use of rapid response and code teams. The role includes telemetry monitoring, a 4:1 patient ratio, floating to medical-surgical and emergency department holding areas, and collaboration with interdisciplinary support services.