Uses advanced comprehensive assessment, diagnostic, treatment planning, implementation and evaluation skills.

Applies and adapts advanced skills in complex and / or unstable environments

Applies sound advanced clinical reasoning and decision making to inform, guide and teach in practice

Documents assessment, diagnosis, management and monitors treatment and follow-up care in partnership with the patient.

Administer drugs and treatments according to institutional protocols

Uses applicable communication, counseling, advocacy and interpersonal skills to initiate, develop and discontinue therapeutic relationships

Refers to and accepts referrals from other health care professionals to maintain continuity of care

Practices independently where authorizes and the regulatory framework allows in the interest of the patients, families and communities

Consults with and is consulted by other health care professionals and others

Works in collaboration with health team members in the interest of the patient

Develops a practice that is based on current scientific evidence and incorporated into the health management of patients, families and communities

Introduces, tests, evaluates and manages evidence based practice

Uses research to produce evidence based practice to improve the safety, efficiency and effectiveness of care through independent and inter-professional research.

Engages in ethical practice in all aspects of the APN role responsibility.

Accepts accountability and responsibility for own advanced professional judgment, actions, and continued competence

Creates and maintains a safe therapeutic environment through the use of risk management strategies and quality improvement

Assumes leadership and management responsibilities in the delivery of efficient advanced practice nursing services in a changing health care system.

Acts as an advocate for patients in the health care systems and the development of health policies that promote and protect the individual patient, family and community

Adapts practice to the contextual and cultural milieu