The Progressive Care nurse primarily treats patients with the following diagnosis: compromised airway requiring intensive respiratory therapy, controlled infusion of antiarrhythmic or vasoactive IV drug therapy, acute poisoning, suicide attempts, multisystem failure, neurologic abnormalities, metabolic crisis, multiple trauma, chest pain, myocardial infarction, heart failure, hemodynamic instability, invasive hemodynamic monitoring, post-anesthesia care, mechanical ventilation, cardiac monitoring, arrhythmia analysis, thrombolytic therapy, GI bleeding, internal/external pacing, electrical cardioversion, acute dialysis (peritoneal, hemodialysis) and post-cardiac arrest. The Champlain Valley is characterized by its working landscapes; undulating hills, meadows and pastures rolling down to the waters of giant Lake Champlain, the largest lake in the U.S. behind the Great Lakes.