KEYWORDS: PA, NP, cardiothoracic, cardiovascular, cardiac, endoscopic vein harvest, EVH, CVOR, CABG, thoracentesis, central line, arterial line, chest tube, ICU, CVICU, CTICU, CCU, stepdown. We were founded and are managed by active and former cardiac staff, which means we know the needs, the skills, and the challenges of cardiac and critical care staffing.