The Advanced Cardiac & Vascular APRN or PA-C provides direct patient care services for complex critically ill adult patients in the ICU-CV setting in collaboration with and under the supervision of the indicated surgeon, EP or Cardiologist. The APN or PA performs physical exams, collects and documents data, conducts diagnostic and therapeutic procedures, orders and schedules laboratory studies and professional consultations, prescribes appropriate interventions and medications, coordinates the care and discharge of patients, and provides direct patient care services. The role contributes to excellence in patient care. The APRN or PA collaborates with the Intensivist and the Intensivist Program members to ensure coordination of care. This role is able to care for and provide consultation for advanced mechanical support such as ECMO, LVAD, IMPELLA etc.