Case ReportImplementing Safe Practices in Administering Pro re nata Medications in a Rural HospitalHogan, Kerry-Anne RN, PhD; Lapenskie, Julie HBHSc; Leclair, Joanne BScPharm, CGP; Thick, Naomi RN, MN; Gazarin, Mohamed DPharm; Webster, Penny RN; Devin, Brian MD, CFPCAuthor Information From the Winchester District Memorial Hospital, Winchester; and University of Ottawa, Ottawa, Ontario, Canada. Correspondence: Kerry-Anne Hogan, RN, PhD, Chief Research Officer, 566 Louise Street, Winchester District Memorial Hospital, Winchester, Ontario, Canada, K0C 2K0 (e-mail: [email protected]). The authors disclose no conflict of interest. Journal of Patient Safety: December 2019 - Volume 15 - Issue 4 - p 302-304 doi: 10.1097/PTS.0000000000000276 Buy Metrics Abstract Developing and implementing a policy for safe pro re nata medications practices became a priority when 1 nurse questioned a regularly occurring double-range narcotic order. This article describes how double-range medications can compromise patient safety and how a small rural hospital with minimal resources was able to develop an interdisciplinary practice standard to ensure safe medication practices. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.