This course further develops the acute care nurse practitioner competency knowledge, skills, and attitudes through continual enhancement of evidence-based care of the acutely or critically ill individual. A laboratory/simulation component will focus on specific skill development such as working with inserting and managing chest tubes, inserting central lines, and specialized oxygen-delivery (e.g. mechanical ventilation). Advanced therapeutic communication regarding end-of-life care in a culturally and spiritually sensitive manner is incorporated. Prerequisite: 620.