Working as a CRNA in South Carolina

South Carolina offers a growing healthcare market for CRNAs, with major medical systems including MUSC Health in Charleston, Prisma Health in Greenville, and McLeod Health operating throughout the state. CRNAs are employed in trauma centers, academic hospitals, ambulatory surgery centers, and community hospitals, providing access to a wide range of anesthesia specialties and case complexity.

South Carolina currently requires CRNAs to practice under physician supervision. Most facilities follow the Anesthesia Care Team (ACT) model or structured collaborative arrangements as defined by the South Carolina Board of Nursing. Legislative efforts continue to shape CRNA practice, including House Bill 3785, which proposes removing the statewide supervision requirement and would allow hospitals greater flexibility in how CRNAs are utilized.

With increasing demand for anesthesia providers, expanding hospital networks, and competitive compensation, South Carolina remains a strong state for CRNAs seeking large health system employment, professional development, and diverse practice environments.

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

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

Scope of Practice

• Autonomy: South Carolina does not allow CRNAs to practice independently. CRNAs must be supervised by a licensed physician.
• Prescriptive Authority: CRNAs have the authority to prescribe medications related to anesthesia and patient care.

State Regulations

CRNAs should stay informed about changes in state laws and regulations affecting their practice. For current information, check out the South Carolina Association of Nurse Anesthetists and South Carolina Department of Labor, Licensing and Regulation as well as other relevant professional organizations.