The Cardiothoracic Intensive Care Unit is a high-acuity 36 bed cardiac surgical unit focused on fostering continuous learning while developing high level critical thinking and technical skills. Registered Nurses maintain significant competencies to operate at the top of the nursing license. Specialty device training includes the management of long term left ventricular assist devices, right and left sided Impellas, intra-aortic balloon pumps, continuous renal replacement therapy, and extracorporeal membrane oxygenation. The unit supports a culture of engagement and professional growth by encouraging participation in unit/organizational committees, councils, and other professional organizations. Teamwork, accountability, and collaboration are common practice expectations. Registered Nurses and Nurse Technicians work closely with physicians, advanced practice providers, respiratory therapists, physical and occupational therapy, amongst several other disciplines to ensure individualized high-quality care. Continuous quality improvement initiatives provide a landscape for innovation and drive the implementation of evidence-based practices. Peer to peer relationships is developed by working side by side to provide an exceptional experience for our patients and their loved ones.