Working as a CRNA in Hawaii

Hawaii provides a distinctive practice environment for CRNAs due to its island geography, limited number of major medical centers, and a continued demand for anesthesia providers across the state. CRNAs work in some of Hawaii’s most well-known facilities, including The Queen’s Medical Center in Honolulu, Maui Memorial Medical Center, Straub Medical Center, and Hilo Medical Center. These systems rely on CRNAs for perioperative anesthesia, trauma care, and outpatient surgical services, making the role highly valued and often essential in both urban and rural island settings.

Hawaii is not an independent practice state for CRNAs, so practice is structured within collaborative or anesthesia care team models with anesthesiologists and surgeons. However, because some island regions experience limited access to medical specialists, CRNAs frequently function with broad responsibility in emergency, operating room, and procedural anesthesia care. Salaries in Hawaii tend to be competitive, and compensation often reflects both the high demand for CRNAs and the higher cost of living in the region.

Beyond the clinical setting, many CRNAs choose Hawaii because of the lifestyle balance. The state’s diverse culture, thriving tourism industry, and emphasis on wellbeing make it an exceptional place to work and live. With opportunities ranging from large regional hospitals to community clinics serving remote areas, Hawaii offers CRNAs a unique combination of professional responsibility and island quality of life.

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

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

Scope of Practice

• Autonomy: Hawaii allows CRNAs to practice independently, meaning they can provide anesthesia services without direct supervision from a physician.
• Prescriptive Authority: CRNAs in Hawaii can have prescriptive authority for certain medications, allowing them to manage patient care effectively.

Collaboration

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

State Regulations

It's essential for CRNAs to stay updated on any changes in state laws and regulations that may affect their practice.

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