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Implementing Safe Practices in Administering Pro re nata Medications in a Rural Hospital

Hogan, Kerry-Anne RN, PhD; Lapenskie, Julie HBHSc; Leclair, Joanne BScPharm, CGP; Thick, Naomi RN, MN; Gazarin, Mohamed DPharm; Webster, Penny RN; Devin, Brian MD, CFPC

doi: 10.1097/PTS.0000000000000276
Case Report

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.

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:

The authors disclose no conflict of interest.

Online date: June 22, 2016

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