Certified Registered Nurse Anesthetist

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What is a Certified Registered Nurse Anesthetist (CRNA)? What Do CRNAs Do? Nurse Anesthetist Salary Where Can CRNA's Work? How to Become a CRNA How Long Does it Take to Become a CRNA? Which Schools Have the Best CRNA Programs? Is There an Exam That CRNAs Must Pass? Advice For Future CRNAs A Day In The Life of a CRNA What is the Career Outlook for CRNAs? Where Can I Find More Information On CRNA Careers?


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If you’re a Registered Nurse (RN) looking for more autonomy working with patients in an operating room, intensive care unit, or surgical facility, then becoming a Certified Registered Nurse Anesthetist (CRNA) might be the perfect job for you.
Nursing students and RNs often set a long-term goal of becoming a CRNA, and for good reason. CRNAs are highly respected for their work and nurse anesthetists are the highest paid nurses of 2021 . They’re also an important part of our healthcare system.
CRNAs are advanced practice registered nurses (APRNs) who administer anesthesia and other medications. They also monitor patients who are receiving and later recovering from anesthesia. CRNAs have acquired a minimum of a Master’s degree focusing on anesthesia, have completed extensive clinical training, and have passed a certification exam approved by the National Boards of Certification and Recertification of Nurse Anesthetists ( NBCRNA ).
CRNAs care for patients from all walks of life. Some patients are scheduled for surgery, while others come in for emergency surgeries related to trauma or other potentially life-threatening events.
Enrollment: Nationwide, excluding NY, RI, OK, OR, NH, ID, SD, AK, and MA
At Purdue Global, discover a faster, more affordable way to earn your Nursing degree. Purdue Global is committed to keeping your tuition costs as low as possible and helping you find the most efficient path to your degree.
Enrollment: Nationwide, except for IA, IL, and WI.
Earn your DNP online, at your own pace, with FlexPath, our award-winning learning format. The faster you move, the more you save. Shape systems of care, solve complex health care problems, and educate future generations of nurses. No GRE required.
GCU 's College of Nursing and Health Care Professions has a nearly 35-year tradition of preparing students to fill evolving healthcare roles as highly qualified professionals. GCU offers a full spectrum of nursing degrees, from a pre-licensure BSN degree to a Doctor of Nursing Practice (DNP) program.
In many states, CRNAs work in complete autonomy. In other team models, they work with anesthesiologists, surgeons, dentists, and other physicians in serving patients who are to receive anesthesia. CRNAs usually work in hospital operating rooms (ORs), emergency rooms (ERs), intensive care units (ICUs), cardiac care units (CCUs), or outpatient surgical clinics.
CRNAs work with surgical teams, with most surgical procedures occurring from early morning (6 am) to late afternoons/evenings (6-7 pm), Monday through Friday. However, emergency surgery and unplanned cases can occur at any moment, thus it is not unusual to see CRNAs working evenings, nights, weekends, and holidays. 
CRNAs have specific duties, which include but are not limited to:
Nurse Anesthetists are a vital part of today’s medical facilities, and the need for CRNAs is expected to grow.
Nurse Anesthetist salaries are some of the highest in the field. Depending on the work setting and state where they are employed, the U.S. Bureau of Labor Statistics ( BLS ) reports that the mean average nurse anesthetist salary in 2020 was $189,190.
In comparison, the median average annual salary for an RN in 2020 was $75,330, less than half the earning potential of a CRNA. Note that conditions in your area may vary.
The top 5 states with the highest mean annual average salaries for nurse anesthetists in 2020 were:
Here's a map of all the United States and the average CRNA salary for each per the BLS. 
High salaries may often be accompanied by high costs of living. Below is a comprehensive listing of average Certified Registered Nurse Anesthetist salaries by state along with the cost of living percentage for each one:
Source BLS , Date extracted: Oct 19, 2020. Cost of Living reflects percentage above or below the national average cost of living.
Metropolitan areas tend to pay higher salaries to CRNAs. The highest paying cities for CRNAs as of 2020 include:
Though metropolitan areas often offer the highest compensation, non-metropolitan and/or rural areas also need CRNAs, and working in these locales often offers CRNAs the ability to work independently. CRNAs frequently are the only anesthesia providers.
Non-metropolitan areas with the highest employment of CRNAs include: 
CRNAs typically work in healthcare settings that have operating rooms, emergency rooms, and intensive care units.
While most CRNAs choose to practice at the bedside, there are also numerous administrative jobs available for Nurse Anesthetists. Individuals can work in a managerial role that includes personnel and resource management, financial management, quality assurance, risk management, department meetings, continuing education, and staff development.
Furthermore, CRNAs may hold positions within state and federal government agencies including the state boards of nursing, U.S. Food and Drug Administration, and for professional testing organizations such as the American Society for Testing and Materials.
The rewards of being a nurse anesthetist are remarkable, and like anything worth having it requires a significant amount of dedication and commitment. Here are the steps you'll need to take in order to become a CRNA:
Did you know you can become a CRNA, even if you have a low G.P.A.? You can! Read Wali Khan's article, 7 steps to take if your grades are not ideal.
Let’s take a closer look at what each step entails.
Though there are several paths to becoming a Registered Nurse, the one that will provide you with the greatest opportunity and the educational background that is fast becoming the standard is the Bachelor of Science in Nursing (BSN).
This four-year degree provides you with foundational knowledge in topics ranging from health assessments and pathophysiology to anatomy and pharmacology. BSN programs incorporate clinical rotations through the various care departments in hospitals and clinics, exposing you to a wide range of patients and colleagues to give you a well-rounded nursing education.  
Keep in mind as you are pursuing your undergraduate studies that early academic achievement will be rewarded with greater opportunities and more options in the future. The better your grades and recommendations you receive from undergraduate faculty, the better your chances of being accepted into the accredited nurse anesthetist program of your choice.
Most programs have a minimum GPA requirement of 3.0, and acceptance is becoming increasingly competitive. Don't let the G.P.A requirement scare you away - here are 7 Tips To Getting Into CRNA School, Even With a Low G.P.A. 
Once you have earned your Bachelor of Science in Nursing you will be eligible to take the examination required to become a Registered Nurse.
This test, called the NCLEX-RN, or National Council Licensure Examination for Registered Nurses, is administered by the National Council of State Boards of Nursing (NCSBN). Every state has its own requirements for licensure and process for exam registration, so make sure that you are familiar with the requirements as they apply to you and your locale. 
Though your undergraduate clinical rotations will have exposed you to a wide range of care settings, nurse anesthesia programs generally prefer candidates who have experience appropriate to the field - those who have worked in the intensive critical care unit (ICU) with adult patients. 
You will put yourself in the most optimal position for being accepted to a program if you have a minimum of one year (greater than 1 year is preferred) of experience working in an adult intensive critical care unit (ICU). 
Pursuing certifications that demonstrate this experience (such as a Critical Care Registered Nurse Certification) will further enhance your resume and make you more attractive to those who will review your nurse anesthesia program application.
Another way to boost your chances is to shadow a working nurse anesthetist. This will not only demonstrate your commitment to the field but will also provide you with valuable insights into what your future as a nurse anesthetist holds.
As the need for nurse anesthetists has grown, so too have the number of accredited nurse anesthesia programs. CRNAs historically have been able to earn either an MSN or DNP; however, by 2025 CRNAs will need a doctorate degree.
As of February of 2020, the AANA website indicates 123 accredited nurse anesthesia programs available. Getting accepted into these programs requires that applicants demonstrate a commitment to the field of nursing and to the study of nursing practice. Though every program has its own unique focus and requirements, most have certain elements in common, including: 
Nurse anesthesia programs value candidates who demonstrate attention to detail. Make certain that you read each school’s application requirements carefully to ensure that you are providing the exact information that they are looking for.
In recent years, a growing number of accredited nurse anesthesia programs have moved beyond the standard of educating towards a Master’s Degree upon graduation, and instead are providing a didactic level geared towards a doctoral degree.
Depending upon which accredited nurse anesthesia program you are accepted by and choose to attend, earning your degree will take between two and three years and will provide both high-level classroom work and clinical practice.
The final step required before applying for an entry-level position as a nurse anesthetist is passing the National Certification Examination (NCE).
This three-hour test is conducted on a computer and evaluates the knowledge, skills and abilities that every accredited nurse anesthesia program provides. 
Once you pass the exam and have become a CRNA, you must maintain certification, which involves recertifying every four years and taking a new test every eight years. Recertification requires the completion of 100 units of continuing education in a variety of areas including pathophysiology and anesthesia technologies.
There are numerous CRNA programs throughout the country, our panel of nurses ranked them based on reputation, certification pass rate, cost, accreditation, and acceptance rates and determined these are some of the best options out there. Because nursing careers take different forms, the top 10 CRNA programs are ranked in no particular order.
Total Program Cost: $69,736 (based on per-credit tuition rate)
Among the most competitive and well-respected nursing programs in the nation, Duke University's School of Nursing routinely graduates some of the top nurses. Duke's DNP in nurse anesthesia (NA-DNP) sees graduates find careers across the United States, though most stay in North Carolina. Graduates also enjoy a 100% pass rate for the CRNA certification exam, and every nursing student finds employment after graduating. 
The Mayo Clinic in Rochester, Minnesota, offers a 42-month doctor of nurse anesthesia practice (DNAP) program to current RNs. Students complete clinical experiences on Mayo Clinic's campus, though rotations might be completed off-campus. Those who completed the Mayo Clinic master of nurse anesthesia or those currently employed as nurse anesthetists by Mayo Clinic may enroll in a post-graduate doctoral program . 
Villanova University offers its DNP in nurse anesthesia through the M. Louise Fitzpatrick College of Nursing, in conjunction with Prospect Medical Holdings - Crozer-Chester Medical Center. Applicants don't need a master's degree but must have a BSN with a 3.4 GPA or higher and be currently-practicing RNs with five years of experience. Villanova selects 24 new students each year out of nearly 100 applications, making this a highly competitive program. 
Total In-State Program Cost: $52,272 Total Out-of-State Program Cost: $94,446 
Intended for current RNs with a BSN, the DNAP entry-to-practice program utilizes a hybrid on- and off-campus format for the first two semesters of study. The final seven semesters are completed on-site, including five semesters gaining clinical experience. Students gain clinical experience across Richmond, interacting with various types of patients in different settings. VCU also offers a postmaster's DNAP for current CRNAs. 
Total Program Cost: $103,774 (based on per-credit tuition rate)
Rush University's 89-credit DNP in nurse anesthesia may seem expensive, but the university does not charge any fees on top of its per-credit tuition rate. Over the course of the 36-month program, students begin in a simulation lab and gradually move into clinical rotations. Most of the coursework is available entirely online, except for 756 hours of specialty curriculum and 2,300 hours of clinical immersion. DNP students complete their rotations at major Illinois hospitals, or at the University of Washington Medical Center in Seattle, Washington. 
Considered as the home to one of the best nursing schools in the nation, Georgetown University also boasts one of the top DNAP programs. The program begins with 12 months of coursework, followed by two years of clinical immersion at hospitals in the Washington, D.C. area. To apply, nurses must hold a bachelor's degree and be licensed RNs. All graduates eventually passed the CRNA certification exam, and graduates enjoy a 100% employment rate within three months of graduating. 
Baylor University has two DNP in nurse anesthesia programs: a BSN-DNP and an MSN-DNP, though the second option is reserved for current CRNAs. The BSN-DNP is a 36-month program, and some of the courses in the program require online study. Those planning on applying must have a BSN, an active RN license to work in Texas, and several years of professional experience. Baylor's College of Medicine does an excellent job preparing CRNAs as 97% of graduates in the past five years passed the National Certification Exam on their first attempt. 
Total In-State Program Cost: $46,242 Total Out-of-State Program Cost: $81,468
The University of Cincinnati offers one of the oldest -- and best -- DNP in nurse anesthesia programs in the nation. After completing didactic courses and simulations (some of which can be completed online), students complete clinicals at a variety of hospitals within 45 miles of the university, some of which are within walking distance. At the end of the 36-month program, nurses complete UC's mandatory DNP Project, a project which students work on throughout their studies and defend upon graduation. Graduates also enjoy a 100% licensure exam pass rate. 
While Northeastern University offers both a master's and doctoral nurse anesthesia degree, the BSN-DNP in nurse anesthesia meets future accrediting standards and best prepares nurses for a successful career. This program places students in clinical practices in different healthcare settings, exposing nurses to different patients and practices. The class of 2018 saw a 100% job placement rate, though only 74% of students passed the licensure exam on their first try. 
Total In-State Program Cost: $82,770 Total Out-of-State Program Cost: $98,844
Pitt's DNP in nurse anesthesia program has been considered among the best for decades. The three-year program places RNs in clinicals around the area (including University of Pittsburgh Medical Center hospitals, considered some of the top hospitals in the nation. Students begin the program with coursework, then gradually begin clinical practice. Once accepted, students are paired with faculty advisors to figure out how to quickly finish coursework so students can progress to clinical practices without worrying about courses. 
Enrollment: Nationwide, excluding NY, RI, OK, OR, NH, ID, SD, AK, and MA
At Purdue Global, discover a faster, more affordable way to earn your Nursing degree. Purdue Global is committed to keeping your tuition costs as low as possible and helping you find the most efficient path to your degree.
Enrollment: Nationwide, except for IA, IL, and WI.
Earn your DNP online, at your own pace, with FlexPath, our award-winning learning format. The faster you move, the more you save. Shape systems of care, solve complex health care problems, and educate future generations of nurses. No GRE required.
GCU 's College of Nursing and Health Care Professions has a nearly 35-year tradition of preparing students to fill evolving healthcare roles as highly qualified professionals. GCU offers a full spectrum of nursing degrees, from a pre-licensure BSN degree to a Doctor of Nursing Practice (DNP) program.
This list is based on a number of factors including:
Our selection panel is made up of 3 Registered Nurses with years of experience and multiple degrees:
All nurse anesthetists must pass the CRNA exam prior to beginning to practice. The National Board of Certification and Recertification for Nursing Anesthetists ( NBCRNA ) outlines eligibility, registration processes, exam details, and renewal procedures in its Examination Candidate Handbook .
We asked leaders in the nurse anesthesia field for the
https://nurse.org/resources/nurse-anesthetist/
https://nursingeducation.org/careers/certified-registered-nurse-anesthetist/
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