Working as a CRNA in Nebraska

Nebraska offers CRNAs a high degree of professional independence and one of the most established scopes of autonomous practice in the country. CRNAs have historically practiced independently in Nebraska dating back to the late 1800s, and the state does not require physician supervision for anesthesia services. This makes Nebraska a strong fit for CRNAs seeking broad clinical decision-making authority and advanced roles in patient care.

CRNAs in Nebraska practice in a variety of settings including large health systems, rural hospitals, critical access facilities, and outpatient surgery centers. Major employers include Nebraska Medicine, Bryan Health, CHI Health, and Munroe-Meyer Institute. The demand for anesthesia providers is especially high in rural and underserved areas, where CRNAs often function as the primary anesthesia specialists and play a vital role in improving healthcare access.

Nebraska also offers relatively competitive compensation, career stability, and access to roles that prioritize clinical leadership and autonomy. Its strong focus on rural health initiatives has created a practice environment where CRNAs are highly valued members of the care team and frequently operate as the sole anesthesia provider.

Education and Certification

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

Licensure

• Nebraska License: CRNAs must hold a valid Nebraska Registered Nurse (RN) license and apply for certification through the Nebraska Board of Nursing.
• Renewal: The NBCRNA Recertification Process for All Practicing CRNAs .

Scope of Practice

• Autonomy: CRNAs in Nebraska can practice independently, providing anesthesia care without physician supervision.
• Prescriptive Authority: CRNAs are authorized to prescribe medications related to anesthesia and patient care.

Collaboration

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

State Regulations

CRNAs should stay informed about changes in state laws and regulations affecting their practice. For current information, check out the Nebraska Association of Nurse Anesthetists and Nebraska Board of Nursing as well as other relevant professional organizations.