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Nurse Anesthetists
SOC Code: 29-1151.00

Administer anesthesia, monitor patient's vital signs, and oversee patient recovery from anesthesia. May assist anesthesiologists, surgeons, other physicians, or dentists. Must be registered nurses who have specialized graduate education.

Sample of reported job titles: Associate Professor Program Director Nurse Anesthesia; Certified Registered Nurse Anesthetist (CRNA); Chief Certified Registered Nurse Anesthetist (Chief CRNA); Chief Nurse Anesthetist; Nurse Anesthetist; Professor/Nurse Anesthetist; Senior Certified Registered Nurse Anesthetist (Senior CRNA); Staff Certified Registered Nurse Anesthetist (Staff CRNA); Staff Certified Registered Nurse Anesthetist, Anesthesia Service (Staff CRNA, Anesthesia Service); Staff Nurse Anesthetist

Tasks

  • Manage patients' airway or pulmonary status, using techniques such as endotracheal intubation, mechanical ventilation, pharmacological support, respiratory therapy, and extubation.
  • Select, prepare, or use equipment, monitors, supplies, or drugs for the administration of anesthetics.
  • Select, order, or administer anesthetics, adjuvant drugs, accessory drugs, fluids or blood products as necessary.
  • Monitor patients' responses, including skin color, pupil dilation, pulse, heart rate, blood pressure, respiration, ventilation, or urine output, using invasive and noninvasive techniques.
  • Perform pre-anesthetic screenings, including physical evaluations and patient interviews, and document results.
  • Respond to emergency situations by providing airway management, administering emergency fluids or drugs, or using basic or advanced cardiac life support techniques.
  • Develop anesthesia care plans.
  • Obtain informed consent from patients for anesthesia procedures.
  • Assess patients' medical histories to predict anesthesia response.
  • Select, order, or administer pre-anesthetic medications.
  • Perform or evaluate the results of diagnostic tests, such as radiographs (x-rays) and electrocardiograms (EKGs).
  • Perform or manage regional anesthetic techniques, such as local, spinal, epidural, caudal, nerve blocks and intravenous blocks.
  • Prepare prescribed solutions and administer local, intravenous, spinal, or other anesthetics, following specified methods and procedures.
  • Administer post-anesthesia medications or fluids to support patients' cardiovascular systems.
  • Calibrate and test anesthesia equipment.
  • Evaluate patients' post-surgical or post-anesthesia responses, taking appropriate corrective actions or requesting consultation if complications occur.
  • Select and prescribe post-anesthesia medications or treatments to patients.
  • Insert peripheral or central intravenous catheters.
  • Discharge patients from post-anesthesia care.
  • Read current literature, talk with colleagues, and participate in professional organizations or conferences to keep abreast of developments in nursing.
  • Request anesthesia equipment repairs, adjustments, or safety tests.
  • Insert arterial catheters or perform arterial punctures to obtain arterial blood samples.
  • Instruct nurses, residents, interns, students, or other staff on topics such as anesthetic techniques, pain management and emergency responses.
  • Disassemble and clean anesthesia equipment.

Technology Skills

  • Medical software - Bizmatics PrognoCIS EMR; EDImis Anesthesia Manager; GE Healthcare Centricity EMR; Skyscape AnesthesiaDrugs (see all 19 examples)
  • Word processing software - Microsoft Word

Tools Used

  • Anesthesia inhalers or inhaler units or accessories - Anesthesia masks; Calibrated vaporizers
  • Arterial line catheters - Swan Ganz artery catheters
  • Automated external defibrillators AED or hard paddles - Automated external defibrillators AED
  • Blood collection syringes
  • Bronchoscopes or accessories - Fiberoptic bronchoscopes
  • Cardiac output CO monitoring units or accessories - Cardiac monitors; Invasive hemodynamic pressure monitors
  • Central venous catheters - Multiple lumen central line catheters
  • Diagnostic or interventional vascular catheters or sets - Pulmonary artery catheters
  • Electrocardiography EKG units - Electrocardiography EKG machines
  • Electronic blood pressure units - Electronic blood pressure cuffs
  • Electronic stethoscopes or accessories - Precordial stethoscopes; Pretracheal stethoscopes
  • End tidal carbon dioxide monitors or supplies - End tidal carbon dioxide monitors
  • Endotracheal or tracheotomy sets - Tracheotomy sets
  • Endotracheal tubes - Endotracheal ET tubes
  • Epidural anesthesia kit or tray - Epidural block equipment trays; Epidural catheters
  • Flow sensors or regulators or components - Oxygen flowmeters
  • Gas anesthesia apparatus - Digital anesthesia machines; Gas anesthesia administration machines
  • Goggles - Safety goggles
  • Intermittent positive pressure breathing IPPB machines - Intermittent positive pressure breathing IPPB ventilators
  • Intravenous infusion pumps for general use - Intravenous IV infusion pumps
  • Intravenous tubing with catheter administration kits - Intravenous IV administration equipment
  • Intubation forceps - Magill forceps
  • Intubation gauges or guides - Esophageal intubation detectors
  • Medical acoustic stethoscope or accessory - Mechanical stethoscopes
  • Medical nasal cannulae - Nasal airways
  • Medical oxygen masks or parts - Oxygen delivery masks
  • Medical staff isolation or surgical masks - Protective face shields
  • Medical syringe with needle - Hypodermic syringes
  • Neurologic sensor - Bispectral index monitors BIS
  • Non invasive bi level machines - Bilevel positive airway pressure BiPAP ventilators
  • Notebook computers - Laptop computers
  • Oxygen concentrators
  • Patient carbon dioxide detectors - Capnographs
  • Patient controlled analgesia infusion pumps - Patient controlled analgesia PCA pumps
  • Personal computers
  • Pharyngeal airways or airways kits - Laryngeal mask airways LMA; Oropharyngeal airways
  • Pulse oximeter units - Pulse oximeters
  • Surgical gloves
  • Surgical nerve stimulators or accessories - Peripheral nerve stimulators
  • Thermometer probes - Electronic thermometer probes
  • Tourniquets
  • Vacuum blood collection tubes or containers - Blood collection tubes

Knowledge

  • Medicine and Dentistry - Knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures.
  • Biology - Knowledge of plant and animal organisms, their tissues, cells, functions, interdependencies, and interactions with each other and the environment.
  • Chemistry - Knowledge of the chemical composition, structure, and properties of substances and of the chemical processes and transformations that they undergo. This includes uses of chemicals and their interactions, danger signs, production techniques, and disposal methods.
  • English Language - Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.
  • Customer and Personal Service - Knowledge of principles and processes for providing customer and personal services. This includes customer needs assessment, meeting quality standards for services, and evaluation of customer satisfaction.
  • Physics - Knowledge and prediction of physical principles, laws, their interrelationships, and applications to understanding fluid, material, and atmospheric dynamics, and mechanical, electrical, atomic and sub- atomic structures and processes.
  • Mathematics - Knowledge of arithmetic, algebra, geometry, calculus, statistics, and their applications.
  • Psychology - Knowledge of human behavior and performance; individual differences in ability, personality, and interests; learning and motivation; psychological research methods; and the assessment and treatment of behavioral and affective disorders.
  • Education and Training - Knowledge of principles and methods for curriculum and training design, teaching and instruction for individuals and groups, and the measurement of training effects.
  • Law and Government - Knowledge of laws, legal codes, court procedures, precedents, government regulations, executive orders, agency rules, and the democratic political process.
  • Administration and Management - Knowledge of business and management principles involved in strategic planning, resource allocation, human resources modeling, leadership technique, production methods, and coordination of people and resources.

Skills

  • Critical Thinking - Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
  • Reading Comprehension - Understanding written sentences and paragraphs in work related documents.
  • Active Learning - Understanding the implications of new information for both current and future problem-solving and decision-making.
  • Active Listening - Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
  • Monitoring - Monitoring/Assessing performance of yourself, other individuals, or organizations to make improvements or take corrective action.
  • Speaking - Talking to others to convey information effectively.
  • Complex Problem Solving - Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.
  • Service Orientation - Actively looking for ways to help people.
  • Social Perceptiveness - Being aware of others' reactions and understanding why they react as they do.
  • Judgment and Decision Making - Considering the relative costs and benefits of potential actions to choose the most appropriate one.
  • Science - Using scientific rules and methods to solve problems.
  • Learning Strategies - Selecting and using training/instructional methods and procedures appropriate for the situation when learning or teaching new things.
  • Operation Monitoring - Watching gauges, dials, or other indicators to make sure a machine is working properly.
  • Time Management - Managing one's own time and the time of others.
  • Writing - Communicating effectively in writing as appropriate for the needs of the audience.
  • Coordination - Adjusting actions in relation to others' actions.
  • Instructing - Teaching others how to do something.
  • Management of Personnel Resources - Motivating, developing, and directing people as they work, identifying the best people for the job.
  • Systems Evaluation - Identifying measures or indicators of system performance and the actions needed to improve or correct performance, relative to the goals of the system.

Abilities

  • Problem Sensitivity - The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.
  • Oral Comprehension - The ability to listen to and understand information and ideas presented through spoken words and sentences.
  • Deductive Reasoning - The ability to apply general rules to specific problems to produce answers that make sense.
  • Inductive Reasoning - The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).
  • Information Ordering - The ability to arrange things or actions in a certain order or pattern according to a specific rule or set of rules (e.g., patterns of numbers, letters, words, pictures, mathematical operations).
  • Near Vision - The ability to see details at close range (within a few feet of the observer).
  • Oral Expression - The ability to communicate information and ideas in speaking so others will understand.
  • Speech Clarity - The ability to speak clearly so others can understand you.
  • Written Comprehension - The ability to read and understand information and ideas presented in writing.
  • Speech Recognition - The ability to identify and understand the speech of another person.
  • Written Expression - The ability to communicate information and ideas in writing so others will understand.
  • Category Flexibility - The ability to generate or use different sets of rules for combining or grouping things in different ways.
  • Selective Attention - The ability to concentrate on a task over a period of time without being distracted.
  • Flexibility of Closure - The ability to identify or detect a known pattern (a figure, object, word, or sound) that is hidden in other distracting material.
  • Originality - The ability to come up with unusual or clever ideas about a given topic or situation, or to develop creative ways to solve a problem.
  • Perceptual Speed - The ability to quickly and accurately compare similarities and differences among sets of letters, numbers, objects, pictures, or patterns. The things to be compared may be presented at the same time or one after the other. This ability also includes comparing a presented object with a remembered object.
  • Arm-Hand Steadiness - The ability to keep your hand and arm steady while moving your arm or while holding your arm and hand in one position.
  • Finger Dexterity - The ability to make precisely coordinated movements of the fingers of one or both hands to grasp, manipulate, or assemble very small objects.
  • Fluency of Ideas - The ability to come up with a number of ideas about a topic (the number of ideas is important, not their quality, correctness, or creativity).
  • Memorization - The ability to remember information such as words, numbers, pictures, and procedures.
  • Speed of Closure - The ability to quickly make sense of, combine, and organize information into meaningful patterns.
  • Time Sharing - The ability to shift back and forth between two or more activities or sources of information (such as speech, sounds, touch, or other sources).
  • Control Precision - The ability to quickly and repeatedly adjust the controls of a machine or a vehicle to exact positions.
  • Manual Dexterity - The ability to quickly move your hand, your hand together with your arm, or your two hands to grasp, manipulate, or assemble objects.
  • Mathematical Reasoning - The ability to choose the right mathematical methods or formulas to solve a problem.
  • Number Facility - The ability to add, subtract, multiply, or divide quickly and correctly.
  • Visual Color Discrimination - The ability to match or detect differences between colors, including shades of color and brightness.
  • Visualization - The ability to imagine how something will look after it is moved around or when its parts are moved or rearranged.

Interests

  • Interest code: IRS
    • Investigative - Investigative occupations frequently involve working with ideas, and require an extensive amount of thinking. These occupations can involve searching for facts and figuring out problems mentally.
    • Realistic - Realistic occupations frequently involve work activities that include practical, hands-on problems and solutions. They often deal with plants, animals, and real-world materials like wood, tools, and machinery. Many of the occupations require working outside, and do not involve a lot of paperwork or working closely with others.
    • Social - Social occupations frequently involve working with, communicating with, and teaching people. These occupations often involve helping or providing service to others.

Work Context

  • Face-to-Face Discussions - 100% responded “Every day.”
  • Indoors, Environmentally Controlled - 100% responded “Every day.”
  • Wear Common Protective or Safety Equipment such as Safety Shoes, Glasses, Gloves, Hearing Protection, Hard Hats, or Life Jackets - 90% responded “Every day.”
  • Exposed to Disease or Infections - 87% responded “Every day.”
  • Freedom to Make Decisions - 87% responded “A lot of freedom.”
  • Importance of Being Exact or Accurate - 90% responded “Extremely important.”
  • Consequence of Error - 87% responded “Extremely serious.”
  • Contact With Others - 71% responded “Constant contact with others.”
  • Impact of Decisions on Co-workers or Company Results - 77% responded “Very important results.”
  • Structured versus Unstructured Work - 65% responded “A lot of freedom.”
  • Work With Work Group or Team - 71% responded “Extremely important.”
  • Duration of Typical Work Week - 77% responded “More than 40 hours.”
  • Exposed to Contaminants - 81% responded “Every day.”
  • Physical Proximity - 55% responded “Very close (near touching).”
  • Frequency of Decision Making - 71% responded “Every day.”
  • Electronic Mail - 55% responded “Every day.”
  • Responsible for Others' Health and Safety - 48% responded “Very high responsibility.”
  • Telephone - 58% responded “Every day.”
  • Coordinate or Lead Others - 42% responded “Extremely important.”
  • Exposed to Radiation - 71% responded “Once a week or more but not every day.”
  • Deal With External Customers - 48% responded “Extremely important.”
  • Sounds, Noise Levels Are Distracting or Uncomfortable - 57% responded “Every day.”
  • Time Pressure - 65% responded “Every day.”
  • Wear Specialized Protective or Safety Equipment such as Breathing Apparatus, Safety Harness, Full Protection Suits, or Radiation Protection - 45% responded “Once a week or more but not every day.”
  • Frequency of Conflict Situations - 39% responded “Every day.”
  • Level of Competition - 48% responded “Highly competitive.”
  • Spend Time Using Your Hands to Handle, Control, or Feel Objects, Tools, or Controls - 39% responded “Continually or almost continually.”
  • Responsibility for Outcomes and Results - 41% responded “Moderate responsibility.”
  • Importance of Repeating Same Tasks - 43% responded “Extremely important.”
  • Deal With Unpleasant or Angry People - 52% responded “Once a week or more but not every day.”
  • Spend Time Standing - 55% responded “About half the time.”
  • Extremely Bright or Inadequate Lighting - 37% responded “Never.”
  • Letters and Memos - 30% responded “Once a week or more but not every day.”
  • Spend Time Sitting - 42% responded “About half the time.”
  • Exposed to Hazardous Conditions - 39% responded “Every day.”
  • Cramped Work Space, Awkward Positions - 29% responded “Never.”

Education

Percentage of RespondentsEducation Level Required
77%Master's degree
6%Professional degree
6%Doctoral degree

Work Styles

  • Attention to Detail - Job requires being careful about detail and thorough in completing work tasks.
  • Stress Tolerance - Job requires accepting criticism and dealing calmly and effectively with high stress situations.
  • Dependability - Job requires being reliable, responsible, and dependable, and fulfilling obligations.
  • Integrity - Job requires being honest and ethical.
  • Self Control - Job requires maintaining composure, keeping emotions in check, controlling anger, and avoiding aggressive behavior, even in very difficult situations.
  • Concern for Others - Job requires being sensitive to others' needs and feelings and being understanding and helpful on the job.
  • Analytical Thinking - Job requires analyzing information and using logic to address work-related issues and problems.
  • Independence - Job requires developing one's own ways of doing things, guiding oneself with little or no supervision, and depending on oneself to get things done.
  • Initiative - Job requires a willingness to take on responsibilities and challenges.
  • Adaptability/Flexibility - Job requires being open to change (positive or negative) and to considerable variety in the workplace.
  • Cooperation - Job requires being pleasant with others on the job and displaying a good-natured, cooperative attitude.
  • Achievement/Effort - Job requires establishing and maintaining personally challenging achievement goals and exerting effort toward mastering tasks.
  • Persistence - Job requires persistence in the face of obstacles.
  • Leadership - Job requires a willingness to lead, take charge, and offer opinions and direction.
  • Social Orientation - Job requires preferring to work with others rather than alone, and being personally connected with others on the job.
  • Innovation - Job requires creativity and alternative thinking to develop new ideas for and answers to work-related problems.

Work Values

  • Support - Occupations that satisfy this work value offer supportive management that stands behind employees. Corresponding needs are Company Policies, Supervision: Human Relations and Supervision: Technical.
  • Relationships - Occupations that satisfy this work value allow employees to provide service to others and work with co-workers in a friendly non-competitive environment. Corresponding needs are Co-workers, Moral Values and Social Service.
  • Achievement - Occupations that satisfy this work value are results oriented and allow employees to use their strongest abilities, giving them a feeling of accomplishment. Corresponding needs are Ability Utilization and Achievement.

Wages & Trends

  • Median wages (2017)
    • $79.38 hourly, $165,120 annual
  • Employment (2016)
    • 42,000 employees
  • Projected growth (2016-2026)
    • Much faster than average (15% or higher)
  • Projected job openings (2016-2026)
    • 2,800

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