Working as a CRNA in North Carolina

North Carolina remains a strong state for CRNAs due to its large healthcare infrastructure and high demand for anesthesia services. CRNAs work throughout major systems including Atrium Health, Duke Health, UNC Medical Center, Wake Forest Baptist Health, Novant Health, and Mission Health in Asheville. These organizations employ CRNAs in a wide range of specialties such as trauma anesthesia, obstetrics, cardiac surgery, outpatient surgery, and critical care. Opportunities are available in both metropolitan areas and rural medical centers that rely heavily on anesthesia providers.

North Carolina requires CRNAs to practice under physician supervision or within a collaborative model. CRNA scope of practice is defined through the North Carolina Board of Nursing and facility-level credentialing standards. While independent practice is not currently permitted, many hospitals utilize CRNAs with significant autonomy in clinical decision-making through Anesthesia Care Team (ACT) arrangements and established protocols.

With well-known academic medical centers, strong hospital networks, and ongoing demand in both rural and urban settings, North Carolina provides a wide range of professional opportunities for CRNAs seeking stable employment and clinical growth.

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

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

Scope of Practice

• Autonomy: CRNAs in North Carolina can practice independently, providing anesthesia care without physician supervision.
• Prescriptive Authority: CRNAs may be authorized to prescribe medications as part of their practice.

Collaboration

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

State Regulations

CRNAs should stay updated on any changes in state laws and regulations affecting their practice. For current information, check out the NC Association of Nurse Anesthetists and North Carolina Board of Nursing as well as other relevant professional organizations.