The nursing laws and rules do not prohibit the competent and appropriately trained licensed practical nurse from collecting the information for a pre-anesthesia assessment. The Centers for Medicare and Medicaid Services (CMS) does not allow the licensed practical nurse to perform a pre-anesthesia assessment. It is expected that the registered nurse would complete an appropriate age-specific nursing assessment and nursing care plan. The licensed practical nurse may assist in carrying out the assessment process and carrying out these plans. Frequency of assessment may be determined by institutional policy, patient condition, CMS requirements, and accreditation standards. See the NCQAC's Administration of Sedating, Analgesic, and Anesthetic Agents Advisory Opinion for more information.