Working as a CRNA in Iowa

Iowa continues to be a strong state for CRNAs, particularly because of its mix of major medical centers and rural hospitals that rely heavily on anesthesia providers. Facilities such as University of Iowa Hospitals & Clinics, MercyOne Des Moines, and UnityPoint Health employ large numbers of CRNAs, offering exposure to high-acuity surgical cases, Level I trauma services, and specialty anesthesia teams. Smaller and rural hospitals—including facilities in Cedar Rapids, Sioux City, and Waterloo—often depend on CRNAs as the primary anesthesia provider, creating opportunities for high clinical autonomy and flexible practice settings.

Iowa is an opt-out state, meaning CRNAs may practice without physician supervision depending on facility policy. This expanded scope of practice enhances professional independence and gives CRNAs the ability to fully utilize their training in perioperative and critical care environments. In addition to competitive salaries and a lower cost of living compared to many coastal states, Iowa offers strong support for CRNA practice through hospital systems that invest in ongoing training, CME access, and advanced procedural experience.

Because Iowa has a large rural population, CRNAs also play an important role in improving access to care in underserved communities. For CRNAs seeking a balance of autonomy, job stability, and a friendly Midwestern lifestyle, Iowa remains one of the most appealing states to build a long-term anesthesia career.

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

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

Scope of Practice

• Autonomy: Iowa allows CRNAs to practice independently, enabling them to provide anesthesia services without direct supervision from a physician.
• Prescriptive Authority: CRNAs in Iowa can have prescriptive authority for certain medications, enhancing their ability to manage patient care.

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 Iowa Board of Nursing and the Iowa Association of Nurse Anesthetists .