How To Become A Nurse Anesthetist | (2023)

Certified registered nurse anesthetists (CRNAs) administer anesthesia and pain relief to patients during surgery and other medical procedures. These highly respected advanced practice registered nurses (APRNs) earn some of the highest salaries in the nursing profession and enjoy considerable practice autonomy.

The demand for CRNAs has never been higher. The U.S. Bureau of Labor Statistics (BLS) projects CRNA jobs to grow by 12% between 2021 and 2031, which is much faster than the 6% expected increase for all registered nurses.

Explore this guide to learn how to become a CRNA and what to expect working in this challenging field.

How Long to Become

7-8 years

Degree Required



Certified Registered Nurse Anesthetist

What Is a Nurse Anesthetist?

CRNAs are APRNs trained in anesthesia and pain relief. As APRNs, they can determine anesthesia and pain relief needs, administer anesthesia, and prescribe pain medications, including controlled substances.

Nurse anesthetists work in hospitals, surgical centers, clinics, and private practices. In some settings, especially clinics and rural healthcare facilities, they may act as the only anesthesia specialist, while in settings like hospitals they typically work with physician anesthesiologists.

This guide describes nurse anesthetist education, credentialing, and work in detail, while our nurse anesthetist career overview offers a broader picture of the profession.

Steps to Becoming a Nurse Anesthetist

It takes 7-10 years of education and training to become a nurse anesthetist, depending on the licensing and certification requirements mandated by the board of nursing in the state where you intend to practice.

In addition to earning a four-year bachelor of science in nursing (BSN) and passing the National Council Licensure Examination for RNs (NCLEX-RN), you will need to complete a doctor of nursing practice (DNP) or doctor of nursing anesthesia practice (DNAP) degree, which takes around three years.

After completing the doctoral degree, you must pass the National Certification Exam (NCE) administered through the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA).

  1. 1

    Earn a BSN degree from an accredited program.

    It takes four years to earn a BSN. Some nurse anesthetists begin their careers by earning an associate degree in nursing (ADN), which takes two years. Many schools offer RN-to-BSN programs, and some master of science in nursing (MSN) programs include a bridge option for ADN-holders. Students with a bachelor's degree in a non-nursing field can enroll in an accelerated BSN program and earn a BSN in 2-3 years, depending on how many transferable credits they hold.

    Learn More About Nurse Anesthetist Schooling

  2. Prospective RNs must pass the National Council Licensure Examination for RNs (NCLEX-RN). This test, which is computer adaptive, takes up to six hours and covers topics such as conditions and treatments, nursing practice, the healthcare system, working as part of a healthcare team, and patient communications and education. RNs must also meet state requirements, such as passing a background check.

  3. 3

    Gain clinical nursing experience in critical care.

    All CRNA programs require RNs to complete between 1-3 years of experience in critical care, working in intensive care units (ICUs), medical-surgical units, or trauma and emergency centers. Critical care training teaches RNs how to deliver medical interventions to critically ill patients with injuries and life-threatening conditions or during surgical procedures.

  4. 4

    Enroll in a graduate nurse anesthesia program.

    Starting in 2022, the minimum degree requirement for CRNAs will be a doctor of nursing practice (DNP) or doctor of nurse anesthesia practice (DNAP) rather than an MSN. Students select a specialty area during DNP programs, while DNAP curricula are already specialized.

    Most nurse anesthetist graduate programs require at least a 3.0 GPA, although some require or strongly prefer 3.5 and higher. Candidates also submit letters of recommendation and a personal essay or statement.

    Read About Choosing a Specialization

  5. 5

    Graduate with your DNP or DNAP and pass the National Certification Exam.

    (Video) 6 Proven Tips To Become A CRNA Fast | How To Become A CRNA | Must Watch

    The NCE determines your competency for entry-level practice. Candidates for this certification test must hold a DNP or DNAP degree and an unencumbered RN license. The NBCRNA currently charges $995 to take the test, which will increase to $1,045 in January 2023. This three-hour computer-adaptive test consists of 100-170 questions covering topics in basic science; equipment, instrumentation, and technology; principles of anesthesia; and anesthesia for surgical procedures and special populations.

    All states require NBCRNA certification to use the title "nurse anesthetist." In most states, CRNAs must also have APRN licenses. Each state board of nursing determines CRNA scope of practice and level of supervision.

  6. 6

    Begin your career as a CRNA.

    Nurse anesthetists work in hospitals and surgical centers, typically in collaboration with surgeons, anesthesiologists, and other healthcare professionals as part of an anesthesia team. They also work in clinics, medical offices, and military bases, where they may lead an anesthesia team.

    In under-resourced environments like rural hospitals, they may be the only anesthesia practitioner. Individual states maintain different regulations on nurse anesthetists' scope of practice, including whether they hold full professional autonomy or must work under a physician's supervision. Depending on the state, many CRNAs have their own practice and work independently.

Featured Online Nursing Programs

(Video) How To Become a Certified Registered Nurse Anesthetist (CRNA)

Nurse Anesthetist Education

Nurse anesthetist schooling requires a strong commitment to gaining the skills and knowledge needed for advanced practice nursing. You must have a BSN and an advanced graduate degree from an accredited school in addition to NBCRNA certification. Beginning in 2022, all CRNAs must complete a doctoral degree once they have completed their BSN and acquired an RN license. They should also have ICU or related experience.

BSN Degree

The minimum degree needed to earn an RN license is a two-year ADN degree. Most graduate-level nursing programs require a BSN. Some graduate programs include a bridge component that allows ADN-holders to complete the equivalent of a BSN.

  • Admission Requirements

    Most programs require or prefer a GPA of 3.0 or higher and successful completion of math and science programs, including biology and chemistry.

  • Program Curriculum

    BSN programs include courses on anatomy and physiology, effective nursing practices, statistics, community health, and ethical issues.

  • Time to Complete

    A high school graduate can usually earn a BSN in four years. Students with an ADN or a bachelor's degree in another field, especially the sciences or healthcare, can usually transfer in credits and finish in 2-3 years.

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  • Skills Learned

    BSN programs prepare nurses to administer tests and medications, monitor patients, understand and work in most healthcare settings and as part of a healthcare team, and educate patients on health topics.

Doctor of Nursing Practice

Aspiring CRNAs pursue either a DNP degree through a school of nursing accredited by the American Nurses Credentialing Center or a DNAP approved through the Nurse Anesthetists Council of Accreditation. In addition to the 2-3 years required for doctoral training, many CRNAs take additional time to specialize in areas like chronic pain management, adult cardiac anesthesiology, and pediatric anesthesiology.

  • Admission Requirements

    Most DNP/DNAP programs require or strongly prefer at least a 3.0 GPA from the undergraduate or MSN degree program, an unrestricted RN license, 1-3 years experience in critical care, and professional references.

  • Program Curriculum

    The curriculum includes epidemiology, pharmacology, safety and risk management, advanced evidence-based medical practice, organizational leadership, and healthcare legality. Programs also include clinical residencies.

  • Time to Complete

    Students with an MSN can finish a DNP in 1-2 years. Students with a BSN can finish in 3-4 years.

  • Skills Learned

    Nurse anesthetist students learn to apply research to new practices, use sound clinical judgment, employ technology, and other topics related to planning and administering anesthesia and providing pain relief.

Doctor of Nursing Practice vs. Doctor of Nurse Anesthesia Practice

There are a few educational options available to help CRNAs satisfy the new doctoral level degree requirement. The DNP and the DNAP are two popular degree options.

Doctor of Nursing Practice

  • As the terminal (highest) degree in nursing practice, the DNP is required for some university teaching positions.

  • The DNP is available only from nursing schools.
    (Video) The Fastest Way to Become a CRNA!

  • The American Association of Colleges of Nursing defines DNP standards and curricula.

  • The DNP is more common than the DNAP.

  • This doctoral degree focuses on practice rather than research, which is typical for a doctor of philosophy.

Doctor of Nurse Anesthesia Practice

  • The DNAP degree is available outside of nursing schools.

  • The Council on Accreditation of Nurse Anesthesia approves programs.

  • This doctoral degree is practice-focused but usually requires a capstone nursing research project on nurse anesthesia practice, education, or administration/management.

Nurse Anesthetist Credentials

Nurse anesthetists must be both certified and licensed to practice anesthesia. States administer licensure, while the NBCRNA manages nurse anesthetist certifications.

  • The NBCRNA certification exam tests students' knowledge of nurse anesthesia practice.
  • MSN and DNP students take specialized courses in nursing anesthesia, while DNAP programs are already designed around the specialty.

CRNA Certification

Candidates seeking the NBCRNA certification to become a CRNA must pass the National Certification Exam, earn a degree from an accredited CRNA program, hold a current and unencumbered RN license, and provide a statement asserting that they do not have any condition limiting their ability to administer anesthesia.

Recertification requires continuing education credits, completing core modules, and passing an assessment.

CRNA Licensure

CRNA licensing requirements vary among states, but every state requires CRNA certification. Nurse anesthetists apply for licensure with their local state board of nursing. Some states require additional applications for prescriptive authority and/or physician supervision forms. CRNAs must complete continuing education credits to maintain licensure.

Working as a Nurse Anesthetist

CRNAs can choose from many different work environments, including hospitals, medical-surgical units, and critical care facilities in rural communities. Outpatient and ambulatory surgical centers, doctors' offices, and pain management clinics are also options. They may find positions in military and government facilities, dental offices, ketamine clinics, and plastic surgery clinics among other settings.

Hospital surgical suites are among the most popular employers. CRNAs in this setting work with anesthesiologists, RNs, and other healthcare professionals, administering anesthesia and monitoring pain management.

CRNAs licensed in states that grant full-practice authority are in demand in critical access hospitals in rural areas. In these settings, they may administer anesthesia independently, supervise members of the healthcare team, and educate patients on pain management following surgical procedures.

CRNAs also find employment opportunities in ambulatory surgical centers in response to the increasing number of patients seeking outpatient procedures. Their duties in these settings include administering anesthesia independently or in collaboration with anesthesiologists, monitoring and releasing patients after procedures, and providing pain management education.

The duties performed by CRNAs in doctors' offices or pain management clinics vary widely depending on the types of medical procedures and services offered. In addition to administering anesthesia independently or under supervision, they typically provide pain management education and patient postsurgery follow-up.

Nurse anesthetists can anticipate expanding employment opportunities and earning potential through the decade. The BLS projects the addition of 5,300 nurse anesthetist positions through 2031. CRNAs rank among the highest-paid advanced practice nurses, earning anaverage annual salary of $202,470compared to$82,750 for registered nurses.

Frequently Asked Questions About Becoming a Nurse Anesthetist

How many years does it take to become a CRNA?

Becoming a CRNA may take between 7-10 years, including clinical experience working as an RN in an ICU or a critical care department. Beginning in 2022, aspiring CRNAs should plan on spending 2-3 years to complete the required DNP or DNAP degree after earning their BSN and RN license.

What is the quickest way to become a CRNA?

This depends on several factors, including the number of previously earned college credits accepted in transfer. Prospective CRNAs entering nursing with a bachelor's in a non-nursing field will take longer to complete all educational requirements than RNs who already have an ADN degree.

Is it difficult to become a nurse anesthetist?

Nurse anesthetist schooling is demanding. Graduate-level nurse anesthetist programs require at least a 3.0 GPA and include courses in pharmacology, anatomy and physiology, and nursing practice. Some selective programs admit only 10% of applicants, while others accept closer to 20%.

Are nurse anesthetists paid well?

Nurse anesthetist salaries are the highest of all APRN earnings, with a median annual salary of $195,610, compared to $45,760 for all occupations. However, nurse anesthetist jobs can be very stressful, as anesthesia is risky for many patients.

What is the difference between a CRNA and an anesthesiologist?

CRNAs are advanced practice nurses who have earned a graduate nursing degree; anesthesiologists are physicians who have completed a four-year medical degree and an additional four years in residencies. State boards of nursing regulate CRNAs, determining whether they may work independently or under the supervision of a physician. Visit our guide to learn more about the differences between a CRNA and an anesthesiologist.

Page last reviewed September 25, 2022

(Video) How to Become a CRNA (Certified Registered Nurse Anesthetist)

Learn More About Nurse Anesthetists


What is the fastest way to become a nurse anesthetist? ›

Current registered nurses seeking a career change can become a nurse anesthetist with 1-3 years of critical care experience and a graduate degree from a nurse anesthesia program. This route typically takes 2-3 years for those with a BSN or 3-4 years for RNs without their BSN.

How can I increase my chances of getting into CRNA school? ›

8 Tips to Help You Gain Admission to CRNA School
  1. 1) Graduate from an accredited BSN program. ...
  2. 2) Maintain good grades. ...
  3. 3) Obtain critical care experience as an RN. ...
  4. 4) Be a leader in your community—get involved. ...
  5. 5) Job Shadow. ...
  6. 6) Take the GRE/CCRN. ...
  7. 7) Take Graduate level courses. ...
  8. 8) The interview is KEY.
Jun 18, 2020

Am I good enough to be a CRNA? ›

If you have a mind for science, have always excelled in critical thinking skills, and are somewhat of an introvert, you should be a CRNA. Everyone wants a career that's at least a little bit challenging, but you don't want to struggle through every day at work!

How many questions is the CRNA exam? ›

Passing the 3-hour CRNA board requires successful completion of a minimum of 100 questions (and up to 170 questions) across four subject areas: Basic sciences (25%) Equipment, instrumentation, and technology (15%) General principles of anesthesia (30%)

Is studying nurse anesthetist hard? ›

CRNA school is extremely difficult, but for those who are determined to become CRNAs, it can be done. The CRNA program is very intensive, as it's a graduate level program. Students have a tremendous amount of information to remember in CRNA school.

What is the shortest nurse anesthesia program? ›

How Long is CRNA School? Most nurse anesthetist programs (80% or more) are 36 months. The shortest is 24 months. Once all nurse anesthesia schools have transitioned to the DNP, they will all be a minimum of 36 months.

What GPA do CRNA schools look at? ›

Admission Requirements: To qualify for admission into this highly competitive CRNA program in California, you must either have a BSN or a BS and an active RN license. Furthermore, National requires you to have an undergraduate GPA of 3.25 and a science GPA of 3.0 or higher.

What is a good GPA for CRNA? ›

The average GPA of accepted students is 3.7. You are right where you need to be with this domain. Evidence of academic ability is extremely important. Graduate education in general and anesthesia education in particular are very demanding, academically.

Does nursing school GPA matter for CRNA school? ›

While GPA is very important, and we will not consider students who do not meet our minimum GPA, students do not need a 4.0 to get into our program. Our 2022 cohort had an average overall GPA of 3.43 and an average nursing GPA of 3.59.

How do I stand out on CRNA application? ›

Job Shadow CRNAs for 40 hours

Shadowing a CRNA is an important part of becoming a CRNA. To fully gain an understanding of what the work of a CRNA is, you must shadow one first. Most applicants only shadow for 8 hours. In order to stand out from other applicants, I suggest you shadow a CRNA for 40 hours.

How many people fail out of CRNA school? ›

10 Worst CRNA Schools by Attrition

The below CRNA Schools had attrition of 15% or more. Attrition rates between 20-30% mean 1 out of every 3 or 1 out of every 5 students who begin the program do not graduate.

What personality type is CRNA? ›

You should be patient, compassionate, accurate, and responsible. The CRNA profession requires a “Type A” personality that is willing to work diligently and willing to continue their education after graduation to keep pace with changes in the field of anesthesia.

How many times can you fail CRNA boards? ›

You can take the NCE up to four times within one year following the completion date of your nurse anesthesia educational program. If you do not pass within that first year, you will only have up to four more times within one more year to take and pass the NCE.

Does CRNA require lots of math? ›

We had a semester long class of Chemistry and Physics of Anesthesia. It was mainly focused on Gas/Fluid Laws and their application to anesthesia; but there was some math. Generally the math is nothing more complicated than the med calcs you did in nursing school.

What is a passing score on the CRNA board exam? ›

After talking to many program directors across the country, most require a minimum SEE score between 420 – 430 (range = 410 – 438 based on our data). For context, in 2020 (the most recent data available), the average SEE score for students who passed the NCE on the first attempt was 443.1 (up from 437.5 in 2019).

Is med school or CRNA school harder? ›

While the CRNA degree is challenging, most health care professionals would agree that medical school for doctors is far more rigorous.

Why are nurse anesthetists paid so much? ›

The average CRNA salary is so high because the position requires very advanced knowledge and skills. While many nursing positions only require that you have a Bachelor's degree, or even an Associate's degree, Certified Registered Nurse Anesthetists need at least their Master's of Science in Nursing (MSN) degree.

How stressful is nurse anesthetist? ›

Stress expected: "Stressful and emergency situations are inherent to working in the field," the website continued. Brutal hours: CRNAs may be part of the upper echelon of nurses, but they can still work crummy schedules and spend lots of time on call.

Is it too late to become a CRNA? ›

Am I too OLD to go back for CRNA? It's a very common question asked inside our communities, and the decision can feel really overwhelming. The good news is, whether you're looking at a career change, or just getting a later start, CRNA is a total possibility for you!

What is the easiest RN? ›

Working as an RN in post-op can be one of the easiest nursing jobs to get into for nurses who want to work in a hospital. The environment is more laid back and subdued than many units with a reasonable load of patients to tend to.

What is the easiest RN specialty? ›

9 Lower-stress nursing jobs
  • Long-term care nurse. ...
  • Nurse administrator. ...
  • Clinical research nurse. ...
  • School or summer camp nurse. ...
  • Clinic nurse. ...
  • Nurse informatics. ...
  • Lactation consultant nurse. ...
  • Telehealth nurse.
Dec 2, 2019

How many years in ICU before CRNA school? ›

CRNA schools require applicants to have a minimum of 1 year (2 years are generally preferred) of full-time critical care experience in the US (US territories and military hospitals outside of the US are acceptable in most instances). Definitions of accepted critical care experience varies by school.

Can you become a CRNA without ICU experience? ›

All CRNA programs require some ICU experience. Those applying for admission who possess comprehensive intensive care unit (ICU) experience are better equipped to handle the demanding program of study and are thus considered more competitive candidates for admission.

Is it possible to work while in CRNA school? ›

Will I be able to work during the program? Due to the rigorous nature of the nurse anesthesia program, employment is discouraged. To promote patient safety and student wellbeing, the student is not permitted to work within ten hours of the start of a clinical shift.

Can a CRNA make 300k? ›

Yes. Nurse anesthetists can make $300,000 a year, or close to that figure. In upstate New York, one of the top-paying nonmetropolitan areas for nurse anesthetists, CRNAs earn $261,730 annually.

What classes should I take before CRNA school? ›

Taking classes like AP Biology, AP Chemistry, Statistics, and Anatomy & Physiology will help to prepare you for your undergraduate nursing program as well as your future CRNA graduate program.

What kind of ICU is best for CRNA school? ›

Essentially, the units that are the safest are any adult ICU. There can be many different types of adult ICUs out there. There's the SICU, MICU, the CVICU, the CCU, and the burn trauma unit.

What is the lowest GPA you can have in nursing school? ›

Most programs require at least a 2.5 GPA or higher. Some set their limit at a 3.0 GPA. This is important to find out during the research phase of your accelerated nursing program search.

What should I study for CRNA interview? ›

You're going to have to know various drugs down to the cellular level of how they react to receptor sites. By far, the most common thing asked in CRNA's interviews is to know your ICU drugs, vasoactive drips, sedative drugs, and ACLS drugs. Again, know them down to the cellular level and how they work.

What state pays the highest for CRNA? ›

The states and districts that pay Nurse Anesthetists the highest mean salary are Connecticut ($276,540), New Jersey ($263,850), Illinois ($250,280), West Virginia ($247,650), and Washington ($244,730).

What qualities make a good nurse anesthetist? ›

Six traits that help CRNAs do their best work include:
  • Collaboration. Teamwork is important in any medical practice. ...
  • Confidence. ...
  • Multitasking. ...
  • Love of Learning. ...
  • Takes Correction Well. ...
  • Adapts to Differing Personalities.
Jun 13, 2016

How do you survive financially during CRNA school? ›

Ways to afford CRNA school
  1. Consider a cheaper CRNA school.
  2. Open up a separate savings account for CRNA school.
  3. Apply for financial aid early.
  4. Get a second job or take extra shifts.
  5. Ask your employer to pay for your education.
  6. Apply for grants and scholarships.

Are CRNAs happy? ›

Many CRNAs are satisfied with their jobs, according to a 2021 survey of nurse anesthetists. The survey reports that 89% of CRNAs report being satisfied, 48% indicating that they're satisfied and 41%responding that they're somewhat satisfied. Certified nurse anesthetists play a critical role in providing patient care.

How much money should you save for CRNA school? ›

CRNA School could be quite expensive, especially if you don't plan for all your expenses ahead of time. Right now, the middle-of-the-road average for the cost of going into a CRNA school is around $80,000 to $90,000.

What skills are needed to be a nurse anesthetist? ›

Nurse anesthetist skills
  • Surgery.
  • Advanced Cardiac Life Support (ACLS)
  • Patient care.
  • Pain management.
  • Airway management.
  • Cardiopulmonary Resuscitation (CPR)
  • Postoperative care.
  • Teaching ability.
Dec 10, 2018

What skills do you need to be an anesthetist? ›

You'll need:
  • the ability to use your judgement and make decisions.
  • knowledge of medicine.
  • the ability to work well with your hands.
  • thinking and reasoning skills.
  • to be thorough and pay attention to detail.
  • excellent verbal communication skills.
  • the ability to accept criticism and work well under pressure.

What is the difference between a CRNA and a nurse anesthetist? ›

An anesthesiologist has a Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree, whereas a CRNA is a registered nurse who has a doctoral-level degree and has passed the National Certification Examination for Nurse Anesthetists.

How many years does it take to become a nurse anesthetist? ›

On average certified registered nurse anesthetist takes seven to ten years of your life. Following is the division of time according to per program or test: Bachelors of Science in nursing requires four years. Working experience as a registered nurse requires 1-3 years.

How long does it take to become a nurse Anaesthetic? ›

In total, it takes approximately seven to eight years of education, training, and certification to become a nurse anesthetist. This includes four years of undergraduate schooling, one to two years of master's degree work, and several months of clinical practice.

Can you go straight to being a nurse anesthetist? ›

To become a nurse anesthetist, you must have a registered nurse (RN) license and a master's degree from an accredited MSN program with a CRNA program.

What GPA is needed for CRNA school? ›

The average GPA of accepted students is 3.7. You are right where you need to be with this domain. Evidence of academic ability is extremely important. Graduate education in general and anesthesia education in particular are very demanding, academically.

Do nurse anesthetists work 12 hour shifts? ›


You may be assigned to a combination of 8, 10, or 12 hours shifts, including evening, nights, weekends, and holidays totaling 40 hours per week as well as on call shifts.

Do Nurse Anesthetists make more than anesthesiologist? ›

Rough estimates have anesthesiologists earning an average of $360,000 while CRNAs (specialty nurses in anesthesiology) average about $170,000, which is more than some primary care doctors.

How many hours does a nurse anesthetist work a day? ›

A certified registered nurse anesthetist (CRNA) typically works two 24-hour long shifts per week. There are some settings which a certified registered nurse anesthetist (CRNA) may work 8 or 12-hour shifts, but 24-hour shifts are also common.

What is the least you could make as a nurse anesthetist? ›

How Much Does a Nurse Anesthetist Make? Nurse Anesthetists made a median salary of $195,610 in 2021. The best-paid 25% made $208,000 that year, while the lowest-paid 25% made $164,860.

Is it better to be a CRNA or anesthesiologist? ›

Anesthesiologists make about $129,000 more annually than CRNAs, but they can also have as much as $100,000 more in student loans by the time they finish residency. According to BLS data from May 2021, the job outlook for CRNAs is 11% higher between 2021-2031 than it is for anesthesiologists during the same 10 years.

Why is there a CRNA shortage? ›

However, a variety of factors—including an ageing population and increase in patients with health insurance—have led to demand outstripping supply for CRNA talent, leaving healthcare administrators contending with this significant issue for the foreseeable future.

How old are most CRNA students? ›

Most of us are probably in the 26-30 range, though there are more than a few 30+ and 40+, and a handful of 50+.


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