How to Become a Certified Registered Nurse Anesthetist

Abby McCoy, RN, BSN

Updated

Reviewed by NursingEducation Staff

Certified registered nurse anesthetists (CRNAs) are a type of nurse practitioner who specializes in anesthesia and pain management. They can work in operating rooms, at the bedside, or in non-clinical roles. While the education and training required for this career can take seven to 10 years, the benefits outweigh the costs for many. CRNAs earn the highest salary of any nursing specialty and have an abundance of career opportunities.

Become a Certified Registered Nurse Anesthetist in 8 Steps

To become a certified registered nurse anesthetist, candidates must accomplish several levels of education, training, examination, and licensure.

1

Graduate With a BSN Degree

A Bachelor of Science in Nursing (BSN) can take anywhere from 12 months to four years, depending on how many prerequisites a nursing student has already earned. Pending licensing, this degree gives nurses the title of registered nurse (RN).

2

Pass the NCLEX-RN Licensing Examination

Once nurses graduate, they must pass the National Council Licensure Examination–RN (NCLEX-RN). After a passing grade is confirmed, new RNs may apply for a state license.

3

Acquire a State License

Each state asks for different documentation for RN licensing, and new nurses can look up their state’s application requirements at the National Council of State Boards of Nursing.

4

Work as a Registered Nurse

CRNA programs want their nurse applicants to gain one to three years of critical care experience before they can be accepted as students. Critical care settings include intensive care units (ICUs), emergency rooms (ERs), and post-anesthesia care units (PACUs).

5

Earn a Doctorate in Nursing or Nursing Anesthesia

Nurses can pursue licensing as CRNAs after they graduate with either a Doctor of Nursing Practice (DNP) or Doctor Of Nurse Anesthesia Practice (DNAP).

6

Pass a Certified Registered Nurse Anesthetist Certification Exam

Before CRNAs can apply for employment, they must pass the National Certification Exam (NCE) offered by The National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA). This computerized adaptive test includes 100 to 170 questions covering all aspects of nurse anesthesia practice.

7

Get Licensed and Find a CRNA Position

After a nurse has their diploma and has passed their NCE, they may apply for a state nurse anesthetist license. Most states require CRNAs to hold RN, APRN, and nurse anesthetist licenses, but candidates can check with their state requirements upon application.

Schooling Requirements for Certified Registered Nurse Anesthetists

Nurses must complete both a Bachelor of Science in Nursing and a graduate degree to become CRNAs. Aspiring nurse anesthetists may choose to pursue a Doctor of Nursing Practice (DNP) or Doctor of Nurse Anesthesia Practice (DNAP) to achieve this goal. A BSN typically takes about four years to complete, although some programs offer an accelerated option. After graduating with a BSN, nurses must earn critical care experience before they may apply for a graduate degree.

The biggest difference between the DNP and DNAP options lies in who accredits their education programs. The American Nurses Credentialing Center (ANCC) approves DNP programs, and the Council on Accreditation of Nurse Anesthesia Educational Programs (COA) accredits DNAP programs. DNAP degrees are offered through medical school or allied health programs, while DNPs are offered by nursing schools.

Doctor of Nursing Practice

A Doctor of Nursing Practice, or DNP, degree is the highest level of education a nurse can receive. This degree takes three to four years when full-time hours can be committed to study, but nurses with a Master of Science in Nursing (MSN) degree can graduate with a DNP faster.

Time to Complete

3 to 4 years

Minimum GPA

3.0

Clinical Hours

1,000

Pros

  • May require fewer clinical hours

Cons

  • May take longer to complete than a DNAP
  • Cost can be higher

*Varies depending on institution
Sources: Maryville University, University of California Davis, American Association of Colleges of Nursing

Doctor of Nursing Anesthesia Practice

A Doctor of Nursing Anesthesia Practice (DNAP) is offered by universities that don’t have a nursing program, but instead have medical or allied health programs. A DNAP degree typically takes 36 months and may involve more clinical hours.

Time to Complete

3 years

Minimum GPA

3.0

Clinical Hours

2,000

Pros

  • Can be completed more quickly than a DNP
    May offer a lower cost option

Cons

  • May require more clinical hours

*Varies depending on institution
Sources: Council on Accreditation of Nurse Anesthesia Educational Programs, University of Cincinnati, Webster University

Certified Registered Nurse Anesthetist Licensing and Credentials

Before CRNAs can get a job and begin their work, they must earn their certification and credentials. The requirements for certification are identical in all states, but the licensing process may differ depending on location. Graduates of either a DNP or a DNAP program must pass the National Certification Exam (NCE) offered by the NBCRNA, which includes a fee of $1,045.

Once they complete the NCE successfully, they may apply for a license through their state nursing board. Many states also require CRNAs to keep RN and NP licenses current. CRNAs must recertify with the NBCRNA every four years to keep their credentials and continue to practice.

Where Do CRNAs Work?

Most nurse anesthetists work in hospital operating rooms (ORs). They educate and prepare patients for anesthesia, give and maintain anesthesia in the OR, and follow patients during anesthesia recovery. However, CRNAs have options, and may also work in:

  • Doctor’s offices
  • Outpatient surgical clinics
  • Military healthcare
  • Emergency rooms
  • Critical care units
  • Pain management clinics
  • Dental offices
  • Plastic surgery clinics

Certified Registered Nurse Anesthetists Job Outlook

According to the Bureau of Labor Statistics (BLS), the job outlook for certified registered nurse anesthetists rests at 38%, much higher than average. In 2022, the BLS reported the U.S. employed 323,900 APRNs in this specialty group, and they predict 123,600 jobs will be added to this number by 2032. CRNAs also earn the highest pay of any nursing specialty, with a national average of $259,707.

FAQs: How to Become a Certified Registered Nurse Anesthetist

1. What education is needed to become a certified registered nurse anesthetist?

Anyone who wants to become a CRNA must graduate with a Bachelor of Science in Nursing and pass their state licensing board: the NCLEX-RN. After this, they must gain experience in critical care, and then apply to a doctorate program: a DNP or DNAP.

2. How can I become a certified registered nurse anesthetist the fastest?

If a candidate already has a nursing degree, whether a bachelor’s or a master’s, they can complete their Doctor of Nursing Practice (DNP) or Doctor of Anesthesia Nursing Practice (DNAP) in three to four years. For those starting with no college education, it can take up to 10 years to become a CRNA.

3. How well are certified registered nurse anesthetists paid?

Certified registered nurse anesthetists earn the highest salary in nursing, at a national average of $259,707. Salary varies based on location and experience.