To be professionally accountable for the maintenance of standards of professional practice and behaviours as set by the Nursing & Midwifery Council, national legislation and local standards To take personal responsibility for actions and omissions, and fully recognise personal accountability To practise within an ethical framework based upon dignity and respect for the well-being and safety of patients and clients To demonstrate expert and extensive knowledge in areas such as diagnostics, therapeutics, the biological, social and epidemiological sciences, and enhanced skills in areas such as consultation and clinical decision-making in a variety of settings Undertake interventional procedures/ highly specialist diagnostics with appropriate consent Act as a change agent, developing clinically effective practice through the effective utilisation and integration of evidence based practice, setting implementing and monitoring evidence based standards of care, policies, procedures and protocols Ensure a culture of continuous quality improvement through the use of audit, patient feedback and reflection on practice by self and other members of the team. Promote a clean and safe environment for staff, patients and visitors by ensuring compliance with legislation, policies and protocols including health and safety, healthcare associated infection prevention, clinical governance, including risk management and critical incident reporting and root cause analysis. Ensure a high standard of compassionate clinical care and record keeping in accordance with Nursing and Midwifery Council, national legislation and local standards Lead effective communication with the multi-professional team regarding patient care. Assess the risks involved in the care of patients and ensure utilisation of practices and protocols to minimise those risks, including safe use of medical devices. To monitor the standards of care and take appropriate actions when standards fall below expected levels. Report incidents and near misses promptly and appropriately and take effective action to minimise future risk. Identify and implement systems to promote contribution of advanced level nursing and demonstrate the impact of advanced level nursing to the healthcare team and the wider health and social care sector Continually evaluate and audit the practice of self and others at individual and systems levels, selecting and applying valid and reliable approaches and methods which are appropriate to needs and context, and acting on the findings Continually assess and monitor risk in own and others practice and challenge others about wider risk factors Critically appraise and synthesise the outcomes of relevant research, evaluations and audits and apply the information when seeking to improve practice