Experience with peripherally inserted central catheter (PICC) lines, central lines, feeding tubes, fistulas, patient-controlled analgesia (PCA) pumps, wound vacuum-assisted closure (VAC) devices, drains, and traction, halo, and pin care is required. Clinical responsibilities include airway and respiratory care, breathing treatments, chest tube care, continuous positive airway pressure (CPAP) and bilevel positive airway pressure (BiPAP) management, and tracheostomy care.