Department support includes 2-3 CNAs per shift for vital signs, glucose checks, baths, feeding, ambulation, turning, hourly rounding, transport assistance, and blood bank pickup; a unit secretary 7a-11p and a house-wide call secretary 11p-7a; charge nurse may have patients; nurses draw from CVLs; PICC team, discharge nurses, and central telemetry monitoring; and RT, hospitalist, and intensivist coverage 24/7. Skills and procedures include trach care, chest tube management, PIV starts, IV insertion and care, central line management, wound care, post-op monitoring, cardiac monitoring and telemetry interpretation, Glucommander, insulin drips, heparin drips, titratable heart-rate drips but not blood-pressure drips, and renal/fluid-management discharge education.