Certified Registered Nurse Anesthetist: How to Become One

Healthcare Courses

If you're considering a fulfilling career in nursing that offers both high pay and growth potential, becoming a Certified Registered Nurse Anesthetist (CRNA) might be a great path for you.

Aug 18
Dr Raj Patel
Uro-oncologist & Robotic Surgeon, Zydus Cancer Centre, Ahmedabad
Certified Registered Nurse Anesthetist: How to Become One

CRNAs are advanced nurses who administer anesthesia during surgical procedures, collaborating closely with medical teams to ensure top-notch patient care. 

This blog sheds light on the role of CRNA, their earnings, and job prospects. It also outlines the steps to become a CRNA and highlights cost-effective online courses for foundational knowledge. 

Nursing is a rewarding field with room for advancement, and becoming a CRNA allows you to provide crucial care while playing a vital role in healthcare teams.


What is Certified Registered Nurse Anesthetist?

CRNA stands for Certified Registered Nurse Anesthetist. They are highly trained nurses who give anesthesia, watch over important signs, and take care of patients after surgery. 

CRNAs are skilled professionals who work in various healthcare settings such as hospitals, emergency rooms, and clinics. They require time management, organization, emotional intelligence, teamwork, and effective communication. 

CRNAs play a crucial role in anesthesia administration, pain management, and post-operative recovery. 

To become a CRNA, registered nurses need advanced training like a Doctor of Nursing Practice (DNP) or Doctor of Nursing Anesthetics Practice (DNAP), along with certification from the National Board of Certification and Recertification for Nurse Anesthetics (NBCRNA). The role commands a higher-than-average salary and is highly sought after in the medical field.


Roles and Responsibilities of a Nurse Anesthetist

The roles and responsibilities of a Certified Registered Nurse Anesthetist (CRNA) encompass a range of critical tasks in patient care and pain management. Their tasks include:

  • Providing pain management through the safe administration of anesthetics.
  • Monitoring patient vital signs during surgery.
  • Overseeing the anesthesia process.
  • Delivering post-operative specialized care.
  • Assessing medical histories and creating customized anesthetic plans.
  • Administering local, regional, and general anesthesia.
  • Swiftly responding during emergencies with medication and life support.
  • Educating patients about medication effects and potential risks.
  • Managing departmental finances and medical supply inventory.
  • Participating in medical training and nursing board activities.


The responsibilities span across three stages: preoperative, intraoperative, and postoperative, including tasks such as:

  • Assessing the patient's medical history and condition.
  • Providing preoperative teaching and physical assessments.
  • Select appropriate anesthesia types and amounts.
  • Monitoring vital signs and adjusting anesthesia levels.
  • Administering anesthesia via gas and intravenous methods.
  • Managing anesthesia intraoperatively and responding to complications.
  • Administering pain-blocking medications and ensuring pain management.
  • Overseeing recovery from anesthesia for controlled patient recuperation.


Certified Registered Nurse Anesthetist: How to become one?

If you aspire to become a Certified Registered Nurse Anesthetist (CRNA), it's important to prepare by acquiring a comprehensive education and valuable experience due to the significant decision-making and attention to detail required. Here's how you can pursue a career as a CRNA:

To become a Nurse Anesthetist, you'll need to build experience in acute medical or surgical environments, attain the necessary qualifications, secure licensure, and continue your education to maintain your license. Here's an overview of the path to becoming a Nurse Anesthetist:


Get a Bachelor of Science in Nursing degree

The first step towards becoming a CRNA is to complete a Bachelor of Science in Nursing (BSN) program. This usually takes around four years, though the process might be quicker if you already have an associate degree or diploma in nursing. 

While pursuing your BSN, it's essential to maintain a GPA of at least 3.0, as this will be important for future CRNA program applications.


Obtain RN State Licensure

If you haven't become a licensed Registered Nurse (RN) yet, it's a necessary step after completing your BSN. 

To get your license, you'll need to pass the National Council Licensure Examination for Registered Nurses (NCLEX-RN). 

Make sure to take the exam in the state where you plan to work as a nurse and familiarize yourself with the state's licensing and renewal requirements.


Gain Acute Care Setting Experience

Before you apply to a nurse anesthesia program, it's essential to work in an acute care setting for about a year. While all programs require at least a year of nursing experience in acute care, having expertise in critical care can enhance your chances of acceptance. 

Working in places like Intensive Care Units or Emergency Departments exposes you to the kind of care CRNAs provide, such as managing airways and adjusting medication drips. This experience also allows you to collaborate with experienced CRNAs.

Additionally, you can boost your application by earning the Critical Care Registered Nurse Certification (CCRN) while working as an RN. 

While not mandatory for all programs, having this certification on your resume can significantly enhance your chances. To qualify for the CCRN exam, you must have spent 1,750 hours caring for acute or critically ill patients within the past year.


Earn a Master's or Doctoral Degree

Becoming a nurse anesthetist requires obtaining a master's or doctoral degree. Currently, you can pursue a Master of Science in nurse anesthesia, a two-year program. 

By 2025, a Doctorate of Anesthesia Practice (DNAP) will be the minimum requirement for CRNA practice. Existing CRNAs with a master's degree can continue, but new CRNAs will need a DNAP. 

  • A valid RN license
  • One to two years experience as an ICU RN
  • BSN degree
  • 3.0 GPA in BSN courses
  • Completion of prerequisites
  • Job shadowing with a CRNA or anesthesiologist
  • College transcripts
  • Relevant certifications
  • Personal essay or goal statement
  • Background check upon admission


Research admission requirements of schools, ensure accreditation and choose a program that prepares you for upcoming practice changes. Consider factors like requirements, educational approach, and costs when selecting a CRNA program.


Get Certified by NBCRNA

After completing your CRNA program, the final step is to pass the National Certification Examination. This computerized test usually takes around three hours to finish. Once you pass the exam, you're qualified to work as a CRNA.

Your resume's clinical experiences may set you apart from other candidates. During your schooling, seek unique experiences to stand out. For instance, consider shadowing a pediatric cardiac anesthesia team member for specialized clinical exposure.


Sustaining Your CRNA

After becoming a CRNA, it's important to uphold your status. CRNAs must renew their certification every two years to stay in their role. 

This process entails completing 40 hours of further education over two years. This ensures you stay updated and continue to excel in your career.


Certified Registered Nurse Anesthetist: Skills

This role demands specific skills and qualities that contribute to your success in the field:

  • Critical Thinking: You must excel at quick problem-solving under pressure, especially in situations where a patient's condition can change suddenly during surgery.
  • Attention to Detail: From equipment use to patients' unique circumstances and subtle condition changes, precision is crucial.
  • Communication: Compassionate communication with patients and families, along with effective collaboration with other healthcare professionals, is vital.
  • Leadership: CRNAs often hold authoritative roles, particularly when they're the sole providers of anesthesia.


Nurse Anesthetist Skills

As a nurse anesthetist, you'll need professionalism, critical thinking, strong communication, and technical nursing expertise. Here are the core competencies of a nurse anesthetist:

  • Nursing Expertise: Skillful administration of anesthesia, vital sign monitoring, and staying current with anesthesia practices and pain management advancements.
  • Specialized Proficiency: Performing tasks like spinals, epidurals, tracheal intubations, and arterial line placements, setting CRNAs apart from RNs.
  • Critical Skills: Making swift decisions based on patient observations and test results.
  • Attention to Detail: Precise data interpretation, adjusting treatments as necessary, and administering accurate medication doses.
  • Effective Communication: Explaining procedures while administering anesthesia, and providing post-surgery updates on patient conditions.


Certified Registered Nurse Anesthetist: Average Salary

Certified Registered Nurse Anesthetists (CRNAs) earn a progressive salary throughout their careers. 

As they embark on this profession, recent graduates of CRNAs can expect an average starting salary ranging from 5 to 10 lakhs per annum. 

With the accumulation of experience and expertise over the years, the average annual salary tends to increase significantly, stabilizing at approximately 12 lakhs per annum. 

For CRNAs who have garnered over a decade of experience, their dedication and skillfulness often lead to substantial rewards, with salaries reaching between 15 to 20 lakhs per annum. 

This salary progression reflects the value of CRNAs in the healthcare sector and recognizes their crucial role in ensuring safe anesthesia administration and patient well-being.


Certified Registered Nurse Anesthetist: Job Prospects

The job outlook for Certified Registered Nurse Anesthetists (CRNAs) is really positive. With healthcare changing and more focused on patient care, the need for skilled anesthesia providers is growing. 

The Bureau of Labor Statistics predicts a 40% job growth for CRNAs from 2021 to 2031, much faster than average. This is because they're important in surgeries and medical settings, and their expertise is in demand. 

As healthcare keeps changing, CRNAs will be essential for providing safe anesthesia, making their job prospects bright.



This rewarding and lucrative career of becoming a CRNA is easy with Docthub.com where you can apply for this job.




1. Is BSc nursing better than anesthesia?

Both BSc Nursing and Anesthesia are valuable fields, each with its own focus; BSc Nursing focuses on broader patient care while Anesthesia specializes in administering anesthesia and critical care.


2. Is NEET required for BSc anesthesia?

Some institutes in India offer admission to BSc Anesthesia programs without requiring the NEET exam.


3. What is a Certified Registered Nurse Anesthetist (CRNA)?

A Certified Registered Nurse Anesthetist (CRNA) is an advanced practice registered nurse (APRN) who administers anesthesia and provides specialized care to patients before, during, and after surgical procedures.


4. What are the responsibilities of a CRNA during surgical procedures?

The responsibilities of a CRNA during surgical procedures include administering anesthesia, monitoring patients' vital signs, ensuring their comfort and safety, and making critical decisions to adjust anesthesia levels as needed.


5. What is the scope of practice for anesthesiologists?

Anesthesiologists manage clinics before surgeries and handle administrative tasks for scheduling operations in the operating room.