Maintain and care for advanced vascular access including PICC lines, central lines, Port-A-Cath, triple lumen catheters , and syringe pumps; manage epidural pumps, PCA pumps, feeding tubes, wound vacs, and drains. Provide intermediate care nursing for adult and geriatric patients with diagnoses including general respiratory failure, cardiac, renal, CIWA, and GI conditions across mixed Telemetry and IMCU units.