Skills required: Stroke experience/NIH assessments, Cardiac rhythm interpretation, ART lines and CVPs, experience with critical care drips, chest tubes, PIV starts, TNK administration (if not given in ED), vent management (RT will manage settings), trach care, NGT placement, drain/tube management (Dobhoff, PEG tubes, Hemovac, JP drains, flexiseals, foley insertion/management, etc), PCA pumps, wound care, ability to complete 12-lead EKG (will do STATs). Will be required to float per region needs – will require floating to all facilities listed below, as needed, within scope of practice – DECLINE if not agreeable Region 1 - Cabarrus, University City, Stanly, Lake Norman, Central Division (CMC Main Mercy LCH (peds only) -- could float to any of the facilities within region if the need arises.