Working as a CRNA in Virginia

Virginia offers a broad range of practice settings for CRNAs, with major health systems including VCU Health, Inova Health System, Sentara Healthcare, Carilion Clinic, and Bon Secours operating throughout the state. CRNAs work in trauma centers, academic medical centers, community hospitals, and ambulatory surgery facilities across Richmond, Norfolk, Northern Virginia, and many of the state’s rural regions.

Virginia does not grant independent practice authority to CRNAs. State law requires physician supervision, and scope of practice is defined through the Virginia Board of Nursing and facility credentialing. Most hospitals use the Anesthesia Care Team (ACT) model or structured collaborative arrangements that outline the CRNA’s role and clinical responsibilities within the operating room and perioperative services.

With expanding hospital systems, strong demand for anesthesia providers, and diverse clinical environments, Virginia offers solid opportunities for CRNAs seeking employment in large health networks, specialty anesthesia groups, or rural hospitals. The state continues to provide career stability and a wide range of professional practice environments for both early-career and experienced CRNAs.

Education and Certification

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

Licensure

• Virginia License: CRNAs must possess a valid Virginia Registered Nurse (RN) license and apply for licensure as an Advanced Practice Registered Nurse (APRN) with the Virginia Board of Nursing.
• Renewal: The NBCRNA Recertification Process for All Practicing CRNAs .

Scope of Practice

• Autonomy: Virginia does not allow CRNAs to practice independently. CRNAs must be supervised by a licensed physician.
• Prescriptive Authority: CRNAs may have the authority to prescribe medications, including controlled substances, relevant to their anesthesia practice.

Collaboration

Collaborative Care Model and Anesthesia Care (ACT) Model.

State Regulations

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