What is it about?

This article examines the role of independent nurse prescribing in neonatal services. It discusses prescribing considerations during the ‘golden hour’, the immediate period following the baby’s admission to the neonatal unit in which expediate management is required to avoid potential long-term adverse outcomes.

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Why is it important?

Medication management in neonatal practice can involve prophylactic prescribing of drugs for the prevention of potential medical conditions, in the absence of haematological or radiographic investigations. This highlights the judicious use of evidence-based guidance and the importance of shared decision making with the neonate’s family and carers.

Perspectives

This article originates from a student case based portfolio submitted as part of an advanced clinical practice assignment. It reviews one of the most common presentations within neonatal practice - that of the admission of a preterm infant requiring prophylactic medication for possible sepsis and support for inadequate respiratory function.

Dr Sonya MacVicar
Edinburgh Napier University

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This page is a summary of: Prescribing considerations in neonatal practice: a case study, Journal of Prescribing Practice, September 2026, Mark Allen Group,
DOI: 10.12968/jprp.2026.0036.
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