Skills & Competencies Clinical Skills: Proficient in stroke care, neurological assessment, management of altered mental status, renal care (including dialysis patients), respiratory management (COPD, CHF, pneumonia), and general medical-surgical nursing. The patient population includes individuals recovering from stroke, as well as those presenting with altered mental status, renal conditions (including dialysis), COPD, CHF, pneumonia, and various general medical-surgical and pulmonary issues.