Demonstrate competence in a range of high-level technical skills in A&E and provide support to the clinical team in the delivery of care. Act as a resource person for novice users. Provide advice and instruction for patients from different backgrounds and age groups. Obtain verbal consent from the patients before any clinical intervention is undertaken; where this is not given, reports this to a registered nurse. Measure and record visual acuity using Complog, Snellen, logmar and other visual acuity tests. Use an Auto-Refractor, Pinhole or the patients distance refractive correction if required for best corrected Visual Acuity Test. Provide clinical support for patients who have visual impairment, hearing loss, physical or mental disabilities, learning difficulties as required including risk assessments. Be aware of different age groups cultural differences and non-English speaking patients. Floor walking to identify potential problems before they occur, rectify if possible, or alert patients to them as potential causes for delay. Identify and ensure that priority patients are seen in a timely manner. Communicate with nurse in charge, (Coordinator), other technicians regarding patient flow. When required, escort patients from A&E to clinics so staff can carry on testing and patients do not get lost. Assist clinical staff / patients and act as a chaperone when required. Escort patients to toilet and hygiene facilities, providing support and assistance and care where required. Respond appropriately following departmental guidance to emergency situations or sudden unexpected events. (Have basic knowledge of hypoglycaemic episodes, collapse or injury). Measure patients vital signs, calculate NEWS score and know when to escalate to a senior member of the team.