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Advanced Practice

CRNA / Anesthesiology

The highest-paying nursing specialty. Demanding, prestigious, and deeply rewarding.

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About This Pathway

Certified Registered Nurse Anesthetists (CRNAs) administer anesthesia and manage patient pain during surgical and procedural care. They practice independently or alongside anesthesiologists and are among the highest-compensated healthcare professionals in the country — with a national average salary exceeding $200,000.

Recommended Certifications

  • DNAP or DNP (required)
  • NBCRNA National Certification Exam
Avg. Salary Range
$180,000 – $250,000+
Top Hiring States
Texas, Florida, California, North Carolina
Travel / Premium Pay
Up to $10,000/week (locum CRNA)
Experience Required
Minimum 1 year ICU experience required for CRNA school
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How to Get There: Step-by-Step

1

Become an ICU RN

CRNA programs require a minimum of 1 year ICU experience — most competitive applicants have 2–3 years.

2

Strengthen Your Science GPA

Chemistry, anatomy, physiology, and statistics are heavily weighted in CRNA program admissions.

3

Apply to Accredited CRNA Programs

Programs are 3 years and extremely competitive. Start early and apply broadly.

4

Complete Clinical Rotations

CRNA students complete thousands of clinical hours across surgical specialties.

5

Pass the National Boards

The NBCRNA exam certifies you as a CRNA upon graduation.

What the Work Really Looks Like

CRNAs plan and deliver anesthesia for surgery, obstetrics, endoscopy, pain management and trauma. A typical case includes a preoperative assessment, an anesthesia plan, induction, airway management, continuous monitoring and a safe handoff in recovery. In many rural hospitals CRNAs are the sole anesthesia providers.

The path is long and competitive. Programs now award a doctoral degree, require at least one year of full-time critical care experience (most successful applicants have more), and expect strong science grades and the CCRN. Graduates must pass the National Certification Examination from the NBCRNA.

Your Career Ladder

ICU RNWork in a high-acuity adult ICU, managing vasoactive drips, ventilators and invasive lines.
ApplicantEarn the CCRN, shadow CRNAs and complete prerequisite science courses.
CRNAComplete a doctoral nurse anesthesia program and pass the NCE.

Side Income That Fits This Path

Pros & Considerations

Why Nurses Love It

  • Highest nursing salary in the US
  • Significant clinical autonomy
  • High respect in the OR
  • Locum CRNA opportunities are extremely lucrative

Things to Consider

  • Most competitive APRN path
  • 3-year doctoral program
  • Intense academic and clinical demands

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