Skills & Competencies Clinical Skills: Advanced cardiac monitoring, ventilator management (chronic vents with RT assistance), arterial line management, chest tube management, temporary pacemaker monitoring, BiPAP initiation and management, DKA management, sepsis protocols, post-operative care. The IMCU manages a diverse patient population with conditions including neurological disorders, cardiac issues, trauma, respiratory compromise (e.g., COPD), diabetic ketoacidosis (DKA), sepsis, myocardial infarction (MI), cardiovascular step-down, and post-operative recovery.