Working as a CRNA in Oklahoma

Oklahoma is a strong state for CRNA practice, particularly in rural and underserved regions where anesthesia coverage is often provided primarily by CRNAs. Major health systems such as OU Health, Saint Francis Health System, Mercy Hospital, Integris Health, and Ascension St. John employ CRNAs in trauma centers, academic hospitals, ambulatory surgery centers, and community facilities throughout the state.

Oklahoma allows CRNAs to practice independently once the state has formally opted out of federal physician supervision requirements for Medicare cases. Many hospital systems and surgery centers utilize CRNAs in both independent practice settings and collaborative care models depending on facility policy. This gives CRNAs a high level of clinical responsibility and decision-making authority in a wide range of anesthetic services.

Oklahoma’s healthcare networks continue to expand anesthesia services with growing demand across both urban and rural areas. Competitive salaries, professional autonomy, and a broad spectrum of clinical environments make Oklahoma an attractive state for CRNAs seeking independent practice and long-term career stability.

Education and Certification

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

Licensure

• Oklahoma License: CRNAs must hold a valid Oklahoma Registered Nurse (RN) license and apply for an Advanced Practice Registered Nurse (APRN) license.
• Renewal: The NBCRNA Recertification Process for All Practicing CRNAs .

Scope of Practice

• Autonomy: CRNAs in Oklahoma have a significant degree of autonomy in their practice, allowing them to make critical decisions in anesthesia care.
• Prescriptive Authority: CRNAs can prescribe medications under the authority of a collaborative practice agreement with a physician.

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 that may affect their practice. For detailed and updated information, check out the Oklahoma Association of Nurse Anesthetists and Oklahoma Board of Nursing as well as other relevant professional organizations.