Looking to relocate from DFW next year. Hoping to find a full-time position in a city that's good for families and has LOTS of nature. Would love to see 4 seasons as Texas is miserable 90% of the year. Where do I even start?! I'm open to anywhere in the country :-)

Hi! I am a new CRNA. I am potentially relocating to New Haven, CT and I’m not familiar with the area. Does anyone have insight on what it is like working for Yale New Haven hospitals? New grad CRNA salary? Culture? Hours?

My wife’s employer is a small family owned practice that contracts with larger facilities. They offer 1099 or W2. In their pitch to my wife they stated that they recommend all new hires to go 1099 however, the 1099 rate is the same as the W2 rate. My advice to my wife was that a W2 position offers more security, especially if the rates are identical. She has just under a year remaining on her current contract which is W2. She’s considering going 1099 because she says everyone tells her it’s better for her taxes. I’m still not convinced that especially, if they are unwilling to bump her 1099 rate to at least 10-20% of the W2 rate. I think it’s putting a lot more on our shoulders to track and deduct for a modest benefit while her employer stands to gain the most from her going 1099. Is my thinking correct here?

Hi, I’m Looking for recs on hospitals and surgery centers in NorCal using CRNAs, what sites are independent or supervision. Preferably inpatient but open to outpatient/ASC settings too. If there’s any nearby Santa Rosa/bay area, I’m open to driving further for independent/autonomous practice sites up to a 3 hour radius. Appreciate any info you can give!!

If an anesthesia group offers their full-time staff the option of being paid as a W2 or 1099, would you expect the hourly rate for that perm 1099 position to be the same as they are paying their locums?

Saw a post in a locums FB group about this and all the comments were insisting that you shouldn't accept any less than whatever the locum 1099 staff are making, and was curious if that is really a realistic expectation?

I know we are really the only nation to have CRNA’s but is there a possibility of using my knowledge or degree somewhere else in the world besides going back to bedside?

Anyone work for USAP in Denver? What are your thoughts compared to UCH or DH?

This is the area for prospective/ aspiring SRNAs and for SRNAs to ask their questions about the education process or anything school related.

This includes the usual

"which ICU should I work in?" "Should I take additional classes? "How do I become a CRNA?" "My GPA is 2.8, is my GPA good enough?" "What should I use to prep for boards?" "Help with my DNP project" "It's been my pa$$ion to become a CRNA, how do I do it and what do CRNAs do?"

Etc.

This will refresh every Friday at noon central. If you post Friday morning, it might not be seen.

Hello,

I want to become a CRNA. NJ Army national guard says, “New Jersey state law mandates that every member of the New Jersey Army National Guard is authorized to attend any New Jersey public college or university tuition free for undergraduate and graduate studies.” Rutgers is included in this list.

Is there a catch that I’m missing? Does anybody have expierence with this? I would direct commission into Army National Guard as a med/surg nurse has 66H. Can I move into 66S down the line?

Hi everyone,
I’m wondering if anyone has any insight in the CRNA job market for new grads? I graduate in May 2027 and want to move back to CO ( metro area). I have heard mixed reviews on culture, pay and work life balance so I want to weight my options of staying where I am now or moving back home.

What has your experience been with MDA collaboration? Where I am currently living CRNAs don’t do spinals, epidurals or any sort of lines. They don’t push induction meds either. It’s a pretty restricted practice.

What is the is the average pay for new grad? Call and weekend requirement?
Currently the job market near me offers an average of $260k with very little call and weekend requirement ( about every 6 weeks for a weekend or call shift).

I know there are there are three major anesthesia providers in Co ( UC health, Common Spirit and USAP). Does anyone know if one of better than the other?

Any insight helps. Thanks!

Hi! I'm graduating in two weeks!

I have been procrastinating on choosing a site to work at (this is due to a number of legitimate reasons, but it's not an easy choice). I am now wanting to update my resume to reflect my new graduate CRNA status, but I am unsure how it should really "look" when I have no actual work experience. Could anyone provide me with the resume they used when they were a new grad? You can remove any identifying information, of course ... I just really have no idea what the industry standard is for how to "sell myself" as a new grad.

Thanks in advance!

Any CRNAs have experience working here as a locum or per diem?

Most people hear the word supervision and assume it means control. They picture a supervisor at a job who tells you what to do, watches how you do it, and is responsible for the outcome.

That is not what the CMS supervision requirement means for CRNAs.

CMS does not say that the surgeon controls the anesthetic, directs the CRNA’s decisions, or becomes liable for the CRNA’s actions. In many non-opt-out states, supervision may amount to nothing more than the surgeon ordering anesthesia while the CRNA independently provides the entire anesthetic.

Opt-out does not create independent practice. It does not change state law, professional billing, credentialing, privileges, or liability. Those issues are determined by state law and by each individual facility.

What opt-out does is remove one federal supervision requirement. The actual practice may look exactly the same the day before and the day after a state opts out.

What changes is the word, and the perception attached to it.

Hospitals, surgeons, and administrators often hear supervision and assume control, responsibility, and legal risk. Removing that word eliminates one more barrier and gives facilities greater freedom to choose the anesthesia model that works for their patients and their community.

That is what CMS opt-out is really about.

Bill Bruce The AANA CEO and I wrote this article for that clarification.

I’m a new grad 2027 class wondering about the CRNA job market in Richmond, VA and surrounding area. Any ideas/opinions/perspectives you could share? Thanks!!

I'm a new grad crna that just graduated in May. My onboarding for my job is so long that I don't start for a long time. I found an ASC job that pays good and okay with me being a new grad. They said you're pretty much independent in there and it's mostly Mac/conscious sedation cases for renal patients.
The cases they do are - AV Fistula, Graft Placement
Angioplasty and Stent Procedures
CVC Placement
MILLER Procedure for Steal Syndrome
PD Catheter Placement
Thrombectomy/Thrombolysis Procedure

Do you guys think it's fine or it's a bad idea to do this as new grad on the side with not really any help. I am pretty confident in my Mac cases but at the same time I'm also new grad and I'm aware sometimes Mac cases are even harder than a general/ett

Do MRI compatible video laryngoscopes exist? If so, who makes them?

Would prefer to stay with Glide or McGrath platforms if that is an option.

Thank you everyone.

Hi! My girlfriend is currently a year out from graduating. I live in San Diego and the plan is for her to move back here when she graduates. Is there anyone that works at Kaiser that would be able to potentially get her in contact with someone to do a tour or someone to chat about working there? She will be in town next week for a few days. Thank you in advance. Willing to chat on this thread, pm’s, or via phone. You guys rock.

Edit: if anyone works up in Temecula or just anywhere else in San Diego that would be willing to help that would be amazing too.

I was in another posting in which I expressed a little bit of dismay as to the voting by CRNAs to change the name of “anesthetist” to “anesthesiologist.” I was not able to edit or reply there.

It did pass democratically, but people often don’t vote in their own best interests these days and it seemed as though there was a lot of initiative to make this an issue when it didn’t seem to be a high priority. I know it was only to change the name of the organization, but they didn’t seem to have the foresight to see this through as trademark infringement. It also ignited the ASA to stoke CAA practice initiatives.

So we basically ended up looking like buffoons in naming ourselves something we aren’t allowed to do according to these laws, while attempting to limit the practice of other anesthesia providers (CAAs) at the same time.

People within our own profession have taken sides on the issue now, where maybe this didn’t need to be made up into such a big deal in the first place. Also seems to be providing momentum in a hot market to CAA programs, whose creation was in large part developed to directly compete with our interests.

Yes it is easy to criticize in hindsight. The AANA grassroots initiatives of the 80s and 90s are inspirational. We were the ones always punching up, never down, and in these recent years we’ve seemed to have lost our mojo and good vibes.

I give money to the AANA because I’m knee deep at the hospital the majority of my life and I don’t have time to represent myself. I sometimes wonder if all the business degrees, hospital admin degrees, and certificate listings longer than the alphabet combined with the business owners and lawyers, have seemingly led us to lose our identity in some regard.

I’m a first-year SRNA, so this is a little early on for me to be asking about specific employers, but my school has a cool program where they will sign contracts with any facility we choose for our last (ninth) semester rotation. It’s meant to serve as extended on-the-job training and a segue into practice. But the school needs to know where I’d like to go pretty early on, so they can have their lawyers reach out to the facility.

I’m from the Pacific Northwest, and I’d like to return there. I’m searching for any sites where CRNAs regularly practice regional anesthesia (specifically ultrasound-guided peripheral nerve blocks for acute surgical pain; I’m not as interested in OB neuraxial anesthesia or chronic pain clinics). It could be an ambulatory surgery center, but I’d prefer a level II or III trauma center.

I heard that Kadlec in Richland, WA has CRNAs practicing independently. Does anyone have experience at this facility specifically?

A few extra points: I’m hoping to steer clear of political discussions about whether CRNAs should be practicing regional. And if you recommend a site, could you let me know if you have first-hand experience there, and whether you like the culture? Maybe these facilities don’t even exist in the PNW; I just thought I’d ask. Any advice would be much appreciated!!

Opt-out gets misunderstood all the time.

It does not create independent CRNA practice under state law. It does not change state scope of practice. It does not change the professional anesthesia fee. It does not give anyone control over CRNAs, it does not take control away from anyone, and it does not magically add or remove liability. Those issues are controlled by state law, scope of practice, credentialing, delineation of privileges, and hospital policy at each individual facility.

All opt-out does is remove the CMS physician supervision requirement tied to the hospital Conditions of Participation for the Medicare Part A facility fee. That is not the same thing as the professional anesthesia service fee, which is Part B. Opt-out has nothing to do with the Part B professional fee.

A state also has to attest that opt-out is consistent with state law. So opt-out is not what creates the underlying authority for CRNAs to practice without physician supervision. In opt-out states, that authority already comes from state law, licensure, credentialing, privileging, and facility policy.

The issue is the word “supervision.” It creates a perception problem. Hospitals hear supervision and think liability. Surgeons hear supervision and think they are responsible for anesthesia decisions they are not actually making. Administrators hear supervision and think regulatory risk. That ambiguity is exactly what gets used to make independent CRNA practice look legally riskier when the data is clear they are not.

Before opt-out, CRNAs may already be practicing without a state-law physician supervision requirement. After opt-out, they are still practicing under the same state law, licensure, credentialing, privileging, and facility policy. The clinical practice does not suddenly change. In fact, it does not change at all.

What changes is the federal word.

Removing that word eliminates one more barrier to local control. It lets each facility choose the anesthesia model that works for its patients, workforce, finances, and community without a federal “supervision” label being spun into control, liability, or legal risk. The word does not actually create those things, but it absolutely creates the perception that they may exist.

That perception matters because hospitals often make decisions based on perceived risk as much as actual law. Removing the federal supervision language gives facilities more comfort using CRNA-only or non-medically directed models.

So opt-out is not really about creating independence. It is about removing a federal wording problem that makes independent CRNA practice look legally riskier than it actually is, and it takes away one more talking point used to make hospitals think they do not have a choice.

This is the area for prospective/ aspiring SRNAs and for SRNAs to ask their questions about the education process or anything school related.

This includes the usual

"which ICU should I work in?" "Should I take additional classes? "How do I become a CRNA?" "My GPA is 2.8, is my GPA good enough?" "What should I use to prep for boards?" "Help with my DNP project" "It's been my pa$$ion to become a CRNA, how do I do it and what do CRNAs do?"

Etc.

This will refresh every Friday at noon central. If you post Friday morning, it might not be seen.

Anybody used before? Looking for reviews

Just as the title suggests, what's the #1 thing missing from most job listings that makes you skip them without applying/inquiring?

Mine are pay and call frequency, if either is vague or missing, I don't bother.