Additional clinical skills include cardiac drip management, heparin protocols, patient-controlled analgesia, procedural sedation, cerebrovascular accident care, peripheral nerve block catheter management, total joint replacement care, surgical drain management, chest tube care, noninvasive ventilation, high-flow nasal cannula, tracheostomy care, isolation precautions, and wound or wound vacuum care. Responsibilities include dysrhythmia interpretation and management, telemetry monitoring, rapid response participation, cardiac and post-cardiac care, intravenous insulin protocols, feeding tube care, hemodialysis management, renal failure care, blood product administration, central line care, phlebotomy, peripherally inserted central catheter management, and intravenous therapy.