Proficiency with ventilator management, tracheostomy care, continuous positive airway pressure and bilevel positive airway pressure, chest tubes, arterial and central lines, blood product administration, continuous renal replacement therapy, dysrhythmia management, vasoactive medication titration, emergency medications, surgical intensive care, and multisystem organ dysfunction or failure. The role supports adult and geriatric patients with complex conditions, including sepsis, respiratory failure, thoracic and vascular surgery, gastrointestinal bleeding, liver transplant, and multisystem organ failure.