Required clinical skills include arterial line management, blood product administration, central line care, chest tube management, epidural analgesia, feeding tube management, heparin protocols, dysrhythmia interpretation and management, isolation precautions, intravenous insulin protocols, oxygen administration, phlebotomy, peripheral line management, telemetry monitoring, intravenous initiation and maintenance, surgical drain care, rapid response and code team participation, wound care, and ostomy care. Clinical responsibilities may include nasogastric tube care, tube feeding, peripherally inserted central catheter line management, total parenteral nutrition, jejunostomy and gastrostomy tubes, surgical drains, ileostomy and colostomy care, patient-controlled analgesia, epidural care, wound vacuum systems, wound care, and patient education.