Required competencies - Cardiac cath lab procedures: ASD closures, cardiac implant closure device, cardiac stent placement, diagnostic catheterizations (adult), IABP placement/removal, Impella insertion, interventional catheterizations, left heart catheterization, pacemaker/defibrillator lead extraction/removal, PCI, pulmonary artery line/Swan-Ganz monitoring, right heart catheterization, rotablator atherectomy, TAVR, transesophageal echocardiogram (TEE), valvuloplasty, ventricular assist device insertion, Watchman procedure. Professional knowledge/skills: activated clotting time (ACT), cardioversion, circulate procedures, end-tidal CO2 monitoring, external compression devices (C-clamp, sandbags), hypothermia protocol, infection prevention, interpretation/management of dysrhythmias, isolation precautions/PPE, monitoring procedural sedation, obtain 12-lead EKG/ECG, pressure ulcer assessment/prevention, radiation and laser safety, sheath removal/monitoring, topical hemostasis (D-Stat, Chito-Seal, Syvek Patch), vascular closure systems (Perclose, StarClose), ventilator management.