How to become a CRNA, step by step

STEPS 1–2

1. Start strong

1. Earn your BSN and pass the NCLEXADN? Finish an RN-to-BSN first. Keep your science GPA high
2. Get hired into an ICUAdult ICU is the safest bet. Ask about new-grad ICU residencies

STEPS 3–4

2. Build your critical care résumé

1. Log at least 1 year of ICU experienceThat's the minimum. Most admitted students have 2–3 years
2. Earn your CCRNMany programs require it or strongly prefer it

STEPS 5–6

3. Apply

1. Shadow a CRNAPrograms want proof you know what the job really is
2. Apply to a doctoral programDNP or DNAP, about 3 years, full time

STEP 7

4. Pass the boards

1. Pass the NCEThe national certification exam from the NBCRNA
2. Then you're a CRNAAnesthesia for surgery, childbirth, procedures and pain

KNOW THIS FIRST

5. The honest part

• Plan on 4–6 years after nursing school: 1–3 in the ICU plus about 3 in school
• Most programs ask you not to work during school, so save up first
• Which units count as critical care varies by program. Check before you pick a job
• ER, PACU or step-down alone often isn't enough

Sources: COA admission standards, NBCRNA, BLS May 2025 (mean pay).