Utilizing specialized nursing knowledge, the Critical Care Registered Nurse, Intermediate ICU manages conditions of patients who have life-threatening illnesses or conditions; including before, during, and after major surgeries; Manage multiple traumatic injuries involving major systems (e.g., head, chest, abdomen); Make decisions about the use of aggressive interventions; Assess rapid hemodynamic and respiratory conditions and intervene to mitigate complications of pneumothorax in critically injured trauma patients; Handle protocol for sedating patients; shock protocol when organ dysfunction occurs and administering inotropes if in cardiogenic shock; Deliver renal therapy by assessing kidney status, priming renal therapy circuits, and managing electrolytes; Conduct pulmonary assessments to identify abnormal respiratory patterns or breathing sounds that indicate problems. Treat cardiogenic shock, acute coronary syndrome, severe heart failure, executing hemodynamic monitoring protocol; Manage intracranial pressure in patients with traumatic brain injury and subarachnoid hemorrhage by external ventricular drain protocol; Handle ICU Code Blue Protocol; ICU Sepsis Protocol.