Skills required: breathing treatments, chest tube set-up/care, CPAP/BiPAP, trach care, sternal precautions, blood/blood product administration, cardioversion/defibrillation, epicardial pacer management, LVAD and open heart 24-28 hours post-op care, telemetry and dysrhythmia interpretation/management. Patient population includes myocardial infarction, rule out MI, primary arrhythmias, pre/post open-heart surgery, vascular surgery, coronary artery disease, heart failure, pre/post cath lab, and stroke patients with cardiac involvement.