Because this comprehensive PICU serves as the central critical care hub without separate dedicated trauma or pediatric cardiothoracic units, the nursing team manages a wide spectrum of acute pediatric critical illnesses: ECMO management, continuous renal replacement therapy (CRRT), post-op congenital heart surgery, acute neurosurgery, burn care, and multi-organ dysfunction across infants, children, adolescents, and young adults (up to age 26). Floating Scope: Travelers are first to float to competent inpatient acute care floors, the Burn Center (predominantly acute/non-ICU status), and NICU (accompanied by home-unit staff support when floating to NICU).