Clinical responsibilities may include open-heart recovery, heart transplant care, left ventricular assist device (LVAD) implants, extracorporeal membrane oxygenation (ECMO), Impella, intra-aortic balloon pump (IABP), continuous renal replacement therapy (CRRT), Swan-Ganz catheter management, and cardiac output monitoring. Responsibilities include managing complex cardiovascular patients, administering orders, supporting quality initiatives, and coordinating safe discharge planning with patients and the interdisciplinary team.