As a nurse anesthetist, several specialized certifications and areas of focus are available after obtaining the base CRNA credential. These specializations allow CRNAs to develop expertise in specific types of surgical procedures or patient populations.
Pediatric Anesthesia
Pediatric anesthesia specialization requires additional training focused on the unique needs of children undergoing surgery. CRNAs must complete a fellowship program lasting 12-24 months and obtain certification through the American Board of Anesthesiology (ABA). They typically work in children's hospitals, pediatric surgical centers, and dental offices specializing in pediatric care.
Cardiac Anesthesia
Cardiac anesthesia specialists focus on providing anesthesia care during heart surgeries and other cardiovascular procedures. This specialization requires a 12-month fellowship program and certification through the National Board of Echocardiography. These CRNAs primarily work in major medical centers and specialized cardiac hospitals.
Obstetric Anesthesia
CRNAs specializing in obstetric anesthesia manage pain relief during labor and delivery, including epidurals and emergency C-sections. This specialization requires completion of a 12-month fellowship program focusing on maternal care. Work settings include labor and delivery units, birthing centers, and women's hospitals.
- Pain Management Specialization: 12-month fellowship plus certification through the American Society of Pain Management Nursing
- Critical Care: Additional certification through the American Association of Critical-Care Nurses
- Regional Anesthesia: Advanced training in nerve blocks and specialized injection techniques
- Trauma Anesthesia: Focus on emergency and acute care settings
- Neurosurgical Anesthesia: Specialized training for brain and spine procedures
Each specialization requires maintaining the base CRNA certification through the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA). Continuing education requirements vary by specialty but typically include 40 hours of approved content every two years. Many specialties also require case logs demonstrating ongoing experience in the specific area of practice.
Advanced practice certifications often lead to increased earning potential and expanded job opportunities. Some facilities require these additional certifications for specialized roles or leadership positions. The investment in additional training typically ranges from $5,000 to $15,000, depending on the program and specialty chosen.