Competency in cardiac telemetry, dysrhythmia interpretation, cardiac drips, vasoactive drips, ventilated patient care, tracheostomy management, central and peripheral line care, chest tubes, arterial lines, blood products, insulin protocols, post-cardiac catheterization care, and pre- and post-cardiac surgery care. Clinical conditions may include atrial fibrillation with rapid ventricular response, non-ST-elevation myocardial infarction, acute respiratory failure, sepsis, pneumonia, chronic obstructive pulmonary disease, congestive heart failure, cerebrovascular accident, transient ischemic attack, gastrointestinal bleeding, and trauma.