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

  • Giles Harborne (a1) and Adrian Jones (a2)
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.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Department of Health (2006a) From Values to Action: the Chief Nursing Officer's Review of Mental Health Nursing. Department of Health.
Department of Health (2006b) Improving Patients' Access to Medicines: a Guide to Implementing Nurse and Pharmacist Independent Prescribing within the NHS in England. Department of Health.
General Medical Council (2005) Accountability in multi-disciplinary and multi-agency mental health teams. GMC Today, 4, 10.
General Medical Council (2006) Good Medical Practice. Working with Colleagues: Delegation and Referral. 5455. General Medical Council.
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Taylor, D., Paton, C. & Kerwin, R. (2006) 2005–2006 Prescribing Guidelines, 8th edition. Taylor & Francis.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Supplementary prescribing: a new way of working for psychiatrists and nurses

  • Giles Harborne (a1) and Adrian Jones (a2)
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