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How to Become a CRNA (Nurse Anesthetist)

The complete path to becoming a Certified Registered Nurse Anesthetist. One of the highest-paying and most autonomous nursing specialties.

Timeline: 7-10 years
Median Salary: $214,000
$214K
Median Salary
58K+
CRNAs Nationwide
13%
Job Growth
50M
Anesthetics/Year

What Do CRNAs Do?

CRNAs are advanced practice nurses who administer anesthesia for surgeries, diagnostic procedures, and pain management. They provide the same anesthesia services as physician anesthesiologists.

Pre-Anesthesia

  • Patient assessment
  • Anesthesia planning
  • Risk evaluation
  • Informed consent

During Procedure

  • Administer anesthesia
  • Monitor vital signs
  • Adjust medications
  • Airway management

Post-Anesthesia

  • Recovery monitoring
  • Pain management
  • Complication response
  • Patient discharge

Steps to Become a CRNA

1

Earn Your BSN

4 years

Complete a Bachelor of Science in Nursing from an accredited program. A strong foundation in sciences is essential for CRNA programs.

Pro Tip: Maintain a high GPA (3.5+) and focus on pathophysiology, pharmacology, and chemistry. CRNA programs are highly competitive.
2

Gain Critical Care ICU Experience

1-3 years

Work as an RN in an intensive care unit. This is the most critical step for CRNA admission. Programs require a minimum of 1 year, but most successful applicants have 2-3 years.

Preferred ICU Settings:

  • Surgical ICU (SICU)
  • Medical ICU (MICU)
  • Cardiovascular ICU (CVICU)
  • Neuro ICU

Additional Recommendations:

  • Obtain CCRN certification (highly recommended)
  • Shadow CRNAs to confirm your interest
  • Gain experience with ventilators, hemodynamic monitoring, and vasoactive drips
3

Complete a CRNA Doctoral Program

3-4 years

As of 2022, all CRNA programs must award a doctoral degree (DNP or DNAP). Programs are accredited by the Council on Accreditation of Nurse Anesthesia Educational Programs (COA).

Program Requirements:

Duration
36-42 months
Clinical Hours
2,000+ minimum
Anesthesia Cases
600+ cases
Degree Awarded
DNP or DNAP

Programs are extremely rigorous. Many students do not work during the program due to the demanding schedule.

Application Requirements:

  • BSN from accredited program
  • Minimum 1 year ICU experience (2-3 preferred)
  • GPA 3.0+ (competitive applicants: 3.5+)
  • GRE scores (some programs)
  • CCRN certification (highly recommended)
  • Letters of recommendation
4

Pass the NCE Certification Exam

1-2 months

The National Certification Examination (NCE) is administered by the NBCRNA. Passing is required for CRNA practice.

NCE Exam Details:

Questions
170 questions
Time
3 hours
Cost
$695
Pass Rate
~89%
5

Obtain State APRN License

2-8 weeks

Apply for APRN licensure as a CRNA through your state board of nursing.

Requirements:

  • Active RN license
  • NBCRNA certification
  • Doctoral degree verification
  • DEA registration

CRNA Salary Potential

CRNAs are among the highest-paid nursing professionals. Salary varies by location, setting, and experience.

$214,200
Median Salary
$280,000+
Top Earners
$103/hr
Average Hourly
Rural +
Higher Rural Pay
View CRNA Requirements by State

Not Sure Yet?

Still exploring your options? Learn about the salary, career outlook, and whether this career is right for you.

Thinking of Becoming a CRNA? →