Which nursing role is responsible for ordering pre-anesthesia medication under protocol?

The role responsible for ordering pre-anesthesia medication under protocol is the Certified Registered Nurse Anesthetist (CRNA). CRNAs are advanced practice registered nurses who have completed specialized education and training in anesthesia. They are highly skilled in the administration of anesthesia and the management of patient care related to anesthesia procedures.

Due to their extensive training, CRNAs have the authority to make important clinical decisions, including the ordering of medications required for the anesthesia process. This involves assessing patients, determining the appropriate pre-anesthesia medications, and closely monitoring their effects on patients prior to a surgical procedure.

In contrast, other roles such as the Registered Nurse First Assistant (RN 1st Assistant), Certified Nursing Assistant (CNA), and Licensed Practical Nurse (LPN) have different scopes of practice. RNs and LPNs work under the supervision of licensed practitioners and typically do not have the authority to order medications. CNAs primarily assist with patient care tasks and do not engage in medication management at all. Thus, the CRNA stands out as the only role with the capacity and training to carry out this specific responsibility.