The role requires strong critical care expertise, cardiac monitoring and intervention skills, and the ability to manage complex cardiac patients, invasive lines, ventilated patients, vasoactive medications, and advanced circulatory support. Experience with airway management, chest tubes, Continuous Positive Airway Pressure (CPAP), bilevel positive airway pressure (BiPAP), high-frequency ventilation, procedural sedation, tracheostomy care, and mechanical ventilation.