Working as a CRNA in Pennsylvania

Pennsylvania has one of the strongest healthcare markets for CRNAs in the Mid-Atlantic region, with major hospital and academic systems including UPMC, Penn Medicine, Geisinger, Lehigh Valley Health Network, and Allegheny Health Network. CRNAs are employed in Level I trauma centers, teaching hospitals, ambulatory surgery centers, and community hospitals across both large metros and rural communities. Demand continues to grow due to expanding surgical volumes and the large number of health systems operating statewide.

Pennsylvania does not currently grant full independent practice authority to CRNAs. CRNAs practice under physician supervision or collaboration as defined by facility policy and the Pennsylvania Board of Nursing. Many health systems utilize the Anesthesia Care Team (ACT) model, while others allow expanded roles based on credentialing, specialty services, and clinical experience.

Pennsylvania offers varied clinical practice opportunities including cardiac anesthesia, trauma, transplant services, outpatient surgery, and rural access hospitals. Competitive compensation and multiple employment models—hospital-based, private practice, and anesthesia group contracts—make it a strong market for CRNAs seeking career advancement and a wide range of clinical environments.

Education and Certification

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

Licensure

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

Scope of Practice

• Autonomy: Pennsylvania allows CRNAs to practice independently in some circumstances
• Prescriptive Authority: CRNAs may have prescriptive authority for certain medications as part of their practice.

Collaboration

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

State Regulations

It is essential for CRNAs to stay informed about changes in state laws and regulations that may impact their practice. For the most current and detailed information, consult the Pennsylvania Association of Nurse Anesthetists and Pennsylvania State Board of Nursing and other relevant professional organizations.