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Practices in the Surgical Service to the full extent of education, training, and certification. PREFERRED EXPERIENCE: demonstrated competency in first-line management of critically ill cardiovascular/surgical ICU patients-immediate postop cardiac surgery, acute coronary syndrome, heart failure, arrhythmias, hemodynamic instability; proficiency with invasive hemodynamic monitoring, mechanical ventilation, vasoactive/inotropic drips, and mechanical circulatory support devices (IABP, Impella).