Skills utilized include administering chemotherapy, continuous infusion medication management, pain management, wound vac dressing changes, wound drains, central lines, care of tracheotomy patients, chest tubes, IV start skills, peripheral lab draws, arterial blood draws, various intravenous drips i.e. cardiac, insulin, heparin, and cardiac monitoring. Primarily adult patients with hematologic or oncologic concerns, immunocompromised, radiation complications, cardiac arrhythmia, complex fluid and medication management, and single and/or multi-system complications.