The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to focus on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation. The unit is a 22-bed Neuro/Surgical ICU, with neuro being the primary focus. We admit a vast array of patients including Strokes with and without TNK administration, head trauma, craniotomies, aneurysm repairs, ICP monitoring, EVD placement/monitoring, and organ procurement. From a surgical standpoint, we care for all patients out of PACU (GI, ORTHO, SPINAL, etc.) with exception to any open hearts. We also admit medical ICU patients and on occasion will take overflow cardiac patients. The floor often has many bedside procedures; chest tube, bronchoscopy, and EGD, to name a few. We have great teamwork and a family atmosphere.