A proficient to expert nurse in cardiac catheterization is able to independently a) grasp the complete clinical picture, b) see the patient as a whole while prioritizing most relevant and pertinent needs, c) anticipate patients' needs based on past experiences while advocating and empowering patients accordingly, d) utilize their knowledge about the system and diverse resources appropriately, e) seek opportunities to teach, coach, and mentor novice nurses and opportunities to be taught as well.