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