Required Cardiac Cath Lab Procedure Skills/Experience: ASD Closures, Cardiac Implant Closure Device, Cardiac Stent Placement, Circulate Procedures, Diagnostic Catheterizations Adult, IABP Placement/Removal, Impella insertion, Interventional Catheterizations, Left heart catheterization, Pacemaker/Defibrillator lead extraction/removal, Percutaneous Coronary Interventions (PCI), Pulmonary Artery Line/Swan Ganz monitoring, Right heart catheterization, Rotablator atherectomy, Scrub Procedures, Transesophageal Echocardiography (TEE), Valvuloplasty, Ventricular Assist Device Insertion. Required Professional Knowledge and Skills: 12 Lead EKG, Activated Clotting Time (ACT), Cardioversion, External Compression Devices (C-Clamp, Sandbags), Hypothermia protocols, Infection Prevention, Interpretation/Management of Dysrhythmias, Isolation Precautions, Monitoring Procedural Sedation, Radiation and Laser Safety, Richmond Agitation-Sedation Scale, Sheath Removal and Monitoring, Topical Hemostasis (D-Stat, Chito-Seal, Syvek Patch), Vascular Closure Systems (Perclose, StarClose), Ventilator Monitoring.