Proficiency with ventilated patients, tracheostomies, chest tubes, critical drips, central lines, arterial lines, wound care, wound vacuums, drains, cardiac rhythm interpretation, peripheral intravenous starts, and nasogastric tube insertion and maintenance. Patient populations include adults with sepsis, diabetic ketoacidosis, strokes, alcohol withdrawal, respiratory, kidney, or liver failure, gastrointestinal bleeding, surgical conditions, congestive heart failure, and chronic obstructive pulmonary disease.