Works as a competent Band 4 Assistant Practitioners/Associate Practitioners, utilising specialist knowledge and decision-making skills to demonstrate clinical skills, to promote clinical excellence and ensure an optimum standard of nursing care is delivered from admission to discharge in a timely manner2. To carry out procedures such as wound management, assisting with the manipulation of minor bone dislocations and application of Plaster of Paris as part of treatment that includes management of children and vulnerable adults.3. To promote, maintain and monitor the best possible standards of care within the resources available, commensurate with Trust and Department policies and if registered within the framework of their governing bodys Professional Code of Conduct and the Band 4 Assistant Practitioners/Associate Practitioners competency framework.4. Identifies and manages child protection issues and raises awareness with medical and nursing staff.5. Identifies and manages issues related to mental health and vulnerable adults, raising awareness with medical, AHP and nursing staff.6. Awareness of de-escalation techniques, safety measures and raises alerts to staff when dealing with conflict or challenging conversations with patients and or relatives7. Liaises with appropriate agencies and members of the multidisciplinary team to ensure care in managed for at risk patients on leaving the emergency department and/or hospital.8. To undertake safe manual handling techniques in all aspects of patient care9. To work closely with members of the multi-disciplinary team both within the department and beyond to ensure care is delivered to the patient both effectively and efficiently.10. To liaise with the NPs to refer patients to other professionals such as clinical specialities, physiotherapy and occupational therapy.