The Surgical and Neuroscience Intensive Care Units (SICU and Neuro ICU) have a combined total of 30 intensive care beds designed to provide specialized care to the critically ill adult (14 and older) patient. The unit has a usual 50/50 split of patient population between the neuro and surgical patient population. The focus of care includes patients with life-threatening conditions related to major elective and emergency surgical procedures, multi-trauma, traumatic brain injury, spinal injury, stroke, seizure, sepsis/multi-organ system failure, hemodynamic instability and failure to wean. The SICU and Neuro ICU patient needs encompass but are not limited to comprehensive physical assessments, intensive monitoring, treatment of laboratory values, ventilator management and hemodynamic monitoring. SICU-Neuro ICU nurses require or will develop the following skill set - ICP monitoring via EVD or bolt, spinal drains/catheters, brain oxygen monitoring, Artic Sun therapy, continuous EEG, intra-arterial catheter, non-invasive cardiac output, mechanical ventilation, continuous renal replacement therapy, reconstructive flap monitoring, and massive blood transfusion among others. Nursing will support the following on-unit procedures including placement of arterial lines, central lines, external ventricular drains and ICP monitors, SEPS drains, bedside bronchoscopy, abdominal washouts, tracheostomy, percutaneous endoscopic gastrostomy tube placement, lumbar punctures, chest tubes, pigtail drains and others.