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Like so many people in health care, a certified registered nurse anesthetist (CRNA) never really knows what kind of challenges a day will bring. Yet, he or she is ready to respond, equipped with the knowledge and skill to administer anesthesia and provide follow-up care to patients.

From small-town hospitals to large health care facilities, the need for these trained nurses is great.  CRNAs know how to react in difficult medical situations, giving regional or local pain medication or even helping to induce unconsciousness in preparation for surgery.

A Day in the Life of a Certified Registered Nurse Anesthetist

While a CRNA's days can vary both in pace and demand, they come to work ready to provide the best care they can, whether it be in the emergency room, the operating room, intensive care or elsewhere. Certified registered nurse anesthetists are constantly up and moving around,  preparing for planned procedures, and responding to unexpected situations — like someone coming into the ER and in need of immediate surgery and pain medication. Providing epidurals to pregnant women is just one, albeit well-known, aspect of their job.

Typically, a CRNA starts their day early, often around 6 or 6:30 a.m. Their activities may then include:

  • Checking on their anesthesia machine to make sure everything is in order
  • Meeting with the physicians and health care practitioners to discuss the first arranged procedure of the day
  • Responding to a call for help
  • Talking with patients to learn about their medical condition and take into consideration all aspects of their care. They may ask questions about the patient's general health, any allergies they have or medications they take.
  • Keeping track of the patient's vitals during a procedure, monitoring their breathing, temperature and other signs for stability
  • Helping to wake the patient after a procedure and keeping an eye on them in the recovery room

Because there are so many different kinds of pain medication to give — from eye blocks to epidurals, spinals and post-operative pain blocks — CRNAs make sure to understand the processes at hand.

Important Characteristics for CRNAs

Certified registered nurse anesthetists need to be bright individuals who can use their nursing knowledge to provide comfort and pain care to a patient. They are typically good decision-makers, knowing the correct doses of anesthesia to administer in response to the general state of a patient. This requires them to be good communicators, not just with patients but also with members of the health care team who will be providing care during the day.

Typical Steps for Becoming a Certified Registered Nurse Anesthetist

Becoming a certified registered nurse anesthetist means working toward an advanced degree, completing a certifying test and applying for state licensure. The steps listed below outline the process for pursuing a career as a CRNA:

1) Complete a master's or doctoral degree. A master's level education provides nurses with both clinical experiences and a classroom education. Nurses who already have a master's of science in nursing (MSN) degree may opt to pursue a doctor of nursing practice (DNP) instead. Students also may find bridge programs to move from a bachelor's level education to a doctoral degree.

  • Before enrolling in any program, students need to verify that the program they choose is accredited through the American Association of Nurse Anesthetists (AANA), as accreditation is important for certification and licensing. Students seeking graduate-level education for a CRNA career can find degree titles like those listed below:
    • Master of Science in Anesthesia
    • Master of Science in Nursing in Nurse Anesthesia
    • Doctor of Nursing Practice-Nurse Anesthesia
    • Doctor of Nursing Practice-Anesthesia

2) Seek certification. Graduates of nurse anesthetist programs need to seek certification to be able to apply for state licensure. Certification for CRNAs is available through the National Board of Certification & Recertification for Nurse Anesthetists (NBCRNA). Applicants do need to pass an exam — but the pass rate is high, reaching 84.5 percent for first-time takers in 2016.

3) Apply for state licensure. Nurses need to apply for licensure as an advanced practice registered nurse (APRN) in the state where they intend to practice. Graduation from an accredited graduate-level program in the field and national certification are required. Applicants also need to have an unencumbered registered nurse (RN) license. More details about state licensure can be found on a state's board of nursing web page.

4) Obtain recertification. CRNAs do need to recertify through a process that includes continuing education credits, a "check-in" every two years and other requirements. Recertification details are provided on the NBCRNA website.

Sources:

  • Anesthesia (MS), University of Michigan, Flint, Accessed September 2017, https://www.umflint.edu/graduateprograms/anesthesia-ms
  • Certification, National Board of Certification & Recertification for Nurse Anesthetists, Accessed September 2017, http://www.nbcrna.com/certification/Pages/default.aspx
  • Nurse Anesthesia-About the Program, University of Iowa, Accessed September 2017, https://nursing.uiowa.edu/anesthesia/program
  • Nurse Anesthetists, U.S. Bureau of Labor Statistics, 2016-17 Occupational Outlook Handbook, Accessed September 2017, https://www.bls.gov/ooh/healthcare/nurse-anesthetists-nurse-midwives-and-nurse-practitioners.htm#tab-4
  • Nurse Anesthesia Program, LSU Health New Orleans, Accessed September 2017, https://nursing.lsuhsc.edu/AcademicPrograms/Graduate/DNP/NurseAnesthesia/NurseAnesthesiaProgram.html
  • Uniform Licensure Requirements, National Council of State Boards of Nursing, Accessed September 2017, https://ncsbn.org/107.htm
  • News detail of Peter R. Carey, CRNA, ARNP, author of "Why I Became a CRNA, American Association of Nurse Anesthetists, Accessed November 2017, https://www.aana.com/news/news-detail/2017/06/08/peter-r.-carey-crna-arnp

Certified Registered Nurse Anesthetist Skills

Below are the skills needed to be certified registered nurse anesthetist according to their importance on the scale of 1 to 5 (1 being lowest and 5 being highest) and competency level on a scale of 1 to 7 (1 being lowest and 7 being highest).

   
Skill NameImportanceCompetence
Reading Comprehension4.124.25
Critical Thinking4.124
Active Learning43.62
Monitoring43.88
Speaking44

Certified Registered Nurse Anesthetist Abilities

Below are the abilities needed to be certified registered nurse anesthetist according to their importance on the scale of 1 to 5 (1 being lowest and 5 being highest) and competency level on a scale of 1 to 7 (1 being lowest and 7 being highest).

   
Ability NameImportanceCompetence
Problem Sensitivity4.55
Oral Comprehension4.124.75
Near Vision44
Written Comprehension44.38
Information Ordering44

Certified Registered Nurse Anesthetist Knowledge

Below are the knowledge areas needed to be certified registered nurse anesthetist according to their importance on the scale of 1 to 5 (1 being lowest and 5 being highest) and competency level on a scale of 1 to 7 (1 being lowest and 7 being highest).

   
Knowledge AreaImportanceCompetence
Medicine and Dentistry4.776.1
Biology4.475.2
English Language4.24.71
Chemistry4.24.67
Customer and Personal Service3.95

Certified Registered Nurse Anesthetist Work activities

Below are the work activities involved in being certified registered nurse anesthetist according to their importance on the scale of 1 to 5 (1 being lowest and 5 being highest) and competency level on a scale of 1 to 7 (1 being lowest and 5 being highest).

   
Work ActivityImportanceCompetence
Assisting and Caring for Others4.946.84
Making Decisions and Solving Problems4.876.23
Documenting/Recording Information4.745.03
Getting Information4.725.34
Updating and Using Relevant Knowledge4.575.73

Certified Registered Nurse Anesthetist Work styles

Below are the work styles involved in being certified registered nurse anesthetist according to their importance on the scale of 1 to 5 (1 being lowest and 5 being highest).

   
Work StyleImportance
Stress Tolerance4.93
Attention to Detail4.9
Dependability4.87
Integrity4.87
Self Control4.73

Metro Areas Sorted by Total Employment for
Certified Registered Nurse Anesthetist

Listed below are the 10 largest metro areas based on the total number of people employed in Certified Registered Nurse Anesthetist jobs , as of 2017

   
Metro AreaTotal EmploymentAnnual Mean Salary
Houston-The Woodlands-Sugar Land2,060 $158,540
Dallas-Fort Worth-Arlington1,410 $163,920
Nashville-Davidson--Murfreesboro--Franklin1,110 $144,950
Detroit-Warren-Dearborn1,100 $188,220
Cleveland-Elyria610 $146,510
Tampa-St. Petersburg-Clearwater580 $193,190
Pittsburgh570 $155,060
Knoxville520 $151,760
Birmingham-Hoover520 $168,340
Austin-Round Rock470 $153,880

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Total employment and salary for professions similar to certified registered nurse anesthetists crna

Source : 2017 Occupational Employment Statistics and 2016-26 Employment Projections, Bureau of Labor Statistics, BLS.gov; O*NET® 22.1 Database, O*NET OnLine, National Center for O*NET Development, Employment & Training Administration, U.S. Department of Labor, onetonline.org

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