Supplementary prescribing: A new way of working for psychiatrists and nurses

Abstract

Aims and Method: To describe the implementation of supplementary prescribing and nurse-led care in an acute in-patient unit. The issues of delegation and distribution of responsibility were explicitly addressed. Structures were developed for training and supervision, to ensure improved medicines management in the acute setting. Results: We present our five-step model of nurse-led in-patient care and our experience of using a clinical management plan for 33 patients. Clinical Implications: Implementation of supplementary prescribing provides a model for new ways of working, requiring engagement of both doctors and nurses, clear delegation and distribution of responsibilities, and well-developed governance structures.