A plethora of literature is written about non-medical prescribing, directed towards community nurses, specialist or advanced practice roles. There is a lack of literature, however, regarding the use of non-medical prescribing with the open formulary in the acute ward setting. The experiences of two nurses reveal that non-medical prescribing is a valuable addition to patient care within the acute cardiac ward setting. It ensures that patients receive timely access to medications. This article reveals that the development of non-medical prescribing develops through clinical experience and with it, professional and clinical competence. Non-medical prescribing has been an invaluable addition to ward-based holistic patient care. It has ensured safety is maintained, and supported multidisciplinary working for the benefit of patients. It also provides the opportunity to develop service provision further.