If you’re a nurse or nursing student looking to advance your career, becoming a Certified Registered Nurse Anesthetist (CRNA) in Virginia is one of the most rewarding and in-demand paths in healthcare. CRNAs play a critical role in patient care by providing anesthesia and monitoring vital signs during procedures. With high salaries and strong projected growth, it’s no surprise that more nurses are pursuing this advanced practice role.
This guide will walk you through:
•What does a CRNA Do?
•CRNA vs Anesthesiologist vs Anesthesiologist Assistant
•How Much Does a CRNA Make in Virginia? (Job Outlook)
•CRNA Education Requirements in Virginia (6 Steps)
•Types of CRNA Specialties
Looking for the right healthcare career? Use On Board Virginia’s hospital job database to find critical jobs in Virginia.
What Does a CRNA Do?
CRNAs, or nurse anesthetists, are advanced practice registered nurses (APRNs) trained to administer anesthesia and provide pain management services. They work under the supervision of surgeons or physicians to ensure patients don’t feel discomfort while undergoing a procedure.
Common responsibilities of a CRNA include:
•Performing patient assessments before anesthesia
•Developing anesthesia care plans
•Administering general, regional, or local anesthesia
•Monitoring patients during surgery
•Managing recovery and post-anesthesia care
Because anesthesiology services are necessary across several disciplines, CRNAs can work across a wide range of settings, including hospitals, surgery centers, dental clinics, and even military units.
CRNA vs. Anesthesiologist vs. Anesthesiologist Assistant
When considering a career in anesthesia, it’s important to understand the distinctions between a CRNA, an anesthesiologist, and an anesthesiologist assistant (AA).
While all three professionals are involved in administering anesthesia and ensuring patient safety during procedures, their education paths, levels of autonomy, and professional responsibilities differ significantly and can vary state to state. When in doubt, check your local regulations to confirm the role’s scope of practice.
•CRNAs are advanced practice registered nurses who hold a doctoral degree in nurse anesthesia and have extensive critical care experience. Their approach is primarily through patient care, administering anesthesia under the supervision of a doctor of medicine, osteopathy, podiatry, or dentistry. As of January 2025 in Virginia, CRNAs do not have independent practice or independent prescriptive authority.
•Anesthesiologists are medical doctors who complete medical school, residency, and board certification in anesthesiology. They have the highest level of training and can handle the most complex cases, often serving as department heads or medical directors.
•Certified anesthesiologist assistants (CAA) follow a different path, typically earning a bachelor’s degree in a science field followed by a master’s in anesthesiologist assistant studies. AAs must work under direct supervision of a licensed anesthesiologist. As of July 2025, CAAs must be licensed through the Virginia Board of Medicine before they can practice.
All three roles contribute to safe anesthesia care. However, CRNA roles take a nursing-centered approach to advanced practice and require a doctoral degree.
How Much Does a CRNA Make in Virginia? (Salary & Job Outlook)
CRNAs are among the highest-paid nursing professionals in the U.S. According to the U.S. Bureau of Labor Statistics, nurse anesthetists in Virginia earn an average salary of $205,000–$220,000 annually, depending on experience, location, and employer.
The salary is driven, in part, by the exceptionally high demand for nurse anesthetists. Job growth for CRNAs is projected at 9–12% by 2032, which is faster than average for all jobs. Rural hospitals, surgical centers, and pain management clinics rely on CRNAs for their accessibility and expertise. And, as the U.S. population continues to grow and age, the need for surgery (and anesthetists) will increase in turn.
It’s no surprise that nurse anesthetists consistently rank highly as one of the best healthcare jobs in the U.S. across multiple sources.
CRNA Education Requirements in Virginia
On average, it takes about 7 to 9 years to become a CRNA, depending on your program. A typical timeline includes:
•4 years to obtain a BSN
•1 to 2 years of experience as an ICU nurse
•3 years to complete a certified nurse anesthesia program and obtain a doctorate
Follow our outline to learn how to become a nurse anesthetist in 6 steps:
Step 1: Earn a Bachelor of Science in Nursing (BSN)
You must be a registered nurse with a BSN to qualify for a CRNA program. Use On Board Virginia’s interactive map to find a nursing program in Virginia.
Common pathways include:
•ADN > BSN > DNP Nurse Anesthesia Program
•BSN > MSN > DNP Nurse Anesthesia Program
•ABSN > DNP Nurse Anesthesia Program
An MSN isn’t required to qualify for a CRNA program, and many schools value critical care experience to be competitive. Some students may opt for an ADN to fast-track to becoming an RN to gain ICU experience while earning their BSN.
Remember to take advantage of financial aid opportunities to cover healthcare education costs. State scholarships, Earn While You Learn Programs, and employer-backed tuition reimbursement programs are great pathways to an affordable degree.
Step 2: Become a Licensed Registered Nurse (RN) in Virginia
After completing your BSN, pass the NCLEX-RN and apply for licensure through the Virginia Board of Nursing. When applying for hospitals, practice your interviewing skills beforehand to land the job.
Step 3: Gain Critical Care Experience
You must work for at least one year (most programs prefer two or more) in an ICU or critical care setting. It can be hard for new grad nurses to get into an ICU RN role since most go into IMC or med surge after graduation to hone their skills
Use this time to build your professional network, deepen your clinical judgment, and refine your healthcare professionalism. These nursing skills can help you transfer into the ICU and gain the necessary experience to make your CRNA application stand out.
This is also the best time to start researching CRNA programs early. Many programs offer open houses, webinars, and admissions support. And you can shadow other CRNAs to understand if the profession aligns with your goals.
Step 4: Complete a Doctoral CRNA Program
As of 2025, all new CRNA graduates must hold a Doctor of Nursing Practice (DNP) or Doctor of Nurse Anesthesia Practice (DNAP) degree. Programs typically take 3 years and include:
•Advanced pharmacology and physiology
•Anesthesia techniques and procedures
•Clinical rotations in a variety of settings
CRNA programs are highly competitive, so strong academic performance, leadership, and ICU experience matter.
5. Pass the National Certification Exam (NCE)
After graduation, take the NCE administered by the NBCRNA (National Board of Certification and Recertification for Nurse Anesthetists).
6. Apply for Licensure in Virginia
Once certified, you can apply for Advanced Practice Registered Nurse (APRN) licensure in Virginia with a CRNA designation. Find the right hospital to work for by relying on your network and doing your due diligence when evaluating the work culture and benefits.
Types of CRNA Specialties
As a CRNA, you can specialize in various practice areas depending on your interests and work setting:
•Obstetric Anesthesia (e.g., epidurals during childbirth)
•Pediatric Anesthesia
•Cardiac Anesthesia
•Trauma/Emergency Anesthesia
•Pain Management
•Outpatient Surgery/ Ambulatory Care
•Military or VA Healthcare
•Education and Clinical Faculty Roles
Many CRNAs also become educators, researchers, or take on leadership roles within hospital systems.
Is Becoming a CRNA Worth It?
From what we’ve seen, yes! Becoming a CRNA in Virginia is a challenging but fulfilling career path for nurses who want to expand their clinical skills, earn a high salary, and make a lasting impact on patient care. Nurse anesthetists consistently praise the work-life balance, which allows them to pursue recreational hobbies or other life goals.
Interested in becoming a CRNA? Find a CRNA program through our education map or browse our healthcare job listings to find opportunities in Virginia!





