Patient population includes general medical (COVID, sepsis, ETOH, IVDA, OD, SI, delirium, GIB, stroke w/ TPA, ARF), surgical (general, open abdomen, ortho total joints, ENT, OBGYN), and cardiac/vascular cases (fem-pop bypass, CABG, valves, post cath radial approach, AAA, amputations). General ICU skills required including vent/trach management, invasive line management (A-line, CVP, Swan), drain/tube management, foley management, chest tubes, post-surgical recovery, and post cath experience.