Supplementary prescribing in hospital settings

Mental health nurse prescribing: issues for the UK

“…The majority of the nurse prescribers’ time would be focused upon prescription of medication, management of adverse reactions and the application of evidence‐based psychological interventions during the users’ inpatient episode of care. One session could provide a service to patients within an outreach clinic once the user has been discharged from inpatient services (Jones & Harborne in press).…”

“…The nurse prescriber would lead on multidisciplinary clinical reviews and cover for the CP during times of sickness and study leave. This would release the CP to provide clinical consultation for patients who have particularly complex medication needs (Jones & Harborne in press). The model will provide additional support and partnership working with the junior psychiatrists and may impact on meeting European Working Time Directives.…”

Delivering the choice agenda as a framework to manage adverse effects: a mental health nurse perspective on prescribing psychiatric medication

“…In the scenario to be discussed here, the implementation of supplementary nurse prescribing on acute psychiatric wards followed a process described by Jones & Harborne (2005). A Consultant Psychiatrist (CP) oversaw clinical supervision of the clinical management plan, which included the prescription of medication.…”

“…SP allows a suitably qualified nurse to prescribe medication from a CMP (DH 2006c). Nurse prescribing on acute psychiatric wards has not been fully developed but there are models that have been developed to support nurses and CP's to use the new prescribing framework (Jones & Harborne 2005). The benefits of this model is that it enables the nurse prescriber to see the patient more frequently and where decisions can be made without waiting for weekly reviews (see Table 1).…”

“…As indicated earlier, when care is delegated from the CP to the NC, care and treatment review is likely to be carried out more frequently (Jones & Harborne 2005). During these review meetings, it became apparent that although he disliked taking his medication, he had identified several areas where medication had been helpful.…”