Skills required include dysrhythmia interpretation/management, multi-system organ failure care, thermoregulation, CABG, IABP, Impella, post cardiac surgery care, pre/post cardiac cath intervention, PA line/Swan Ganz monitoring, valve replacement/repair, LVAD/RVAD, CVVHD/CRRT. Medication management including continuous IV paralytics/neuromuscular blockade, continuous IV sedation, emergency medications, procedural sedation, and titration of cardiac/vasoactive drips.