Working as a CRNA in Delaware

Delaware offers a strong practice environment for CRNAs thanks to its proximity to major medical hubs like Philadelphia, Baltimore, and Washington, D.C., while still maintaining a quieter and more accessible lifestyle. CRNAs work across well-known facilities including ChristianaCare, Bayhealth Medical Center, Beebe Healthcare, and Nemours Children’s Hospital. These systems rely heavily on CRNAs for anesthesia care in trauma, cardiac surgery, women’s health, and outpatient surgery centers.

Delaware allows CRNAs to practice independently without direct physician supervision, which gives anesthesia providers more control over clinical decision-making and patient care. The state’s smaller size and concentration of hospital systems also means CRNAs are able to work across multiple practice environments—from community hospitals and academic settings to rural surgical centers. Competitive salaries and strong demand for anesthesia services make Delaware appealing to CRNAs who want autonomy in their practice.

Outside of clinical life, Delaware’s coastal communities, state parks, and lower cost of living add to the appeal. Many CRNAs choose the state for its balance between professional opportunity and quality of life. For anesthesia professionals who want independence paired with strong regional healthcare access, Delaware stands out as a great state to live and work.

Education and Certification

• Educational Requirement: CRNAs must complete a doctoral degree from an accredited nurse anesthesia program.
• Certification: After completing their education, CRNAs must pass the National Certification Examination (NCE) administered by the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA).

Licensure

• Delaware License: CRNAs must obtain a registered nurse (RN) license in Delaware. They also need to apply for an Advanced Practice Registered Nurse (APRN) license.
• Renewal: The NBCRNA Recertification Process for All Practicing CRNAs .

Scope of Practice

• Autonomy: Delaware allows CRNAs to practice independently, enabling them to provide anesthesia services without a supervising physician.
• Prescriptive Authority: CRNAs in Delaware have prescriptive authority for certain medications, allowing them to effectively manage patient care.

Collaboration

CRNA-only model, Collaborative Care Model, and Anesthesia Care (ACT) Model.

State Regulations

CRNAs should stay informed about any changes in state laws and regulations that may affect their practice.

For the most accurate and up-to-date information, check out the Delaware Board of Nursing and the Delaware Association of Nurse Anesthetists .