Required clinical skills include arterial line management, noninvasive ventilation management, blood product administration, care of ventilated patients, central line care, continuous intravenous sedation, cerebrovascular accident care, gunshot wound management, head injury care, intracranial pressure monitoring, arterial blood gas interpretation, dysrhythmia interpretation and management, isolation precautions, intravenous vasopressor administration, orthopedic trauma care, phlebotomy, procedural sedation, spinal cord injury care, intravenous access, triage, traumatic amputation care, and traumatic brain injury care. Required certifications: Advanced Cardiovascular Life Support (ACLS), Basic Life Support (BLS), Crisis Prevention Institute (CPI), National Institutes of Health Stroke Scale (NIHSS), Pediatric Advanced Life Support (PALS), and Trauma Nursing Core Course (TNCC).