Additional clinical responsibilities include blood and blood product administration, arterial and central line management, intravenous therapy, umbilical artery catheter and umbilical vein catheter care, neonatal dosage calculations, medication administration, seizure management, lumbar puncture assistance, neonatal abstinence syndrome care, developmental care, family education, phlebotomy, and thermoregulation. Respiratory care responsibilities include bubble continuous positive airway pressure, endotracheal tube suctioning, high-flow nasal cannula, high-frequency ventilation, inhaled nitric oxide, chest tube management, oscillator use, respiratory distress syndrome management, tracheostomy care, Vapotherm, and ventilator management.