Table 3.
Clinical experiences required to submit an application for the CRNA National Certification Examination (Council on Accreditation of Nurse Anesthesia Educational Programs Appendix)
| Patient Physical Status | Minimum Required
Cases |
Preferred Number
of Cases |
| Class I | as appropriate | as appropriate |
| Class II | as appropriate | as appropriate |
| Class III–VI (total of a, b, c & d) | 200 | 300 |
| a. Class III | 50 | 100 |
| b. Class IV | 10 | 100 |
| c. Class IV | 0 | 5 |
| d. Class IV | as appropriate | as appropriate |
| Total cases | 600 | 700 |
| Special cases | ||
| Geriatric 65+ years | 100 | 200 |
| Pediatric | ||
| Pediatric 2 to 12 years | 30 | 75 |
| Pediatric (less than 2 years) | 10 | 25 |
| Neonate (less than 4 weeks) | as appropriate | 5 |
| Trauma/emergency | 30 | 50 |
| Obstetrical management (total of a & b) | 30 | 40 |
| a. Cesarean delivery | 10 | 15 |
| b. Analgesia for labor | 10 | 15 |
| Pain management encounters | 15 | 50 |
| Anatomical Categories | ||
| Intra-abdominal | 75 | |
| Intracranial (total of a & b) | 5 | 20 |
| a. Open | 3 | 10 |
| b. Closed | ||
| Oropharyngeal | 20 | |
| Intrathoracic (total of a, b, & c) | 15 | 40 |
| a. Heart | ||
| 1. Open heart cases (total of a & b) | 5 | 10 |
| a. With cardiopulmonary bypass | ||
| b. Without cardiopulmonary bypass | ||
| 2. Closed heart cases | 10 | |
| b. Lung | 5 | |
| c. Other | ||
| Neck | 5 | 10 |
| Neuroskeletal | 20 | |
| Vascular | 10 | 30 |
| Methods of Anesthesia | ||
| General anesthesia | 400 | |
| Inhalation induction | 25 | 40 |
| Mask management | 25 | 35 |
| Supraglottic airway devices (total of a & b) | 35 | 50 |
| a. Laryngeal mask | ||
| b. Other | ||
| Tracheal intubation (total of a & b) | 250 | |
| a. Oral | ||
| b. Nasal | 5 | |
| Alternative tracheal intubation/endoscopic techniques (total of a & b) | 25 | 50 |
| a. Endoscopic techniques (total of 1 & 2) | 5 | 15 |
| 1. Actual tracheal tube placement | ||
| 2. Simulated tracheal tube placement | ||
| 3. Airway assessment | ||
| b. Other techniques | 5 | 25 |
| Emergence from anesthesia | 300 | |
| Regional techniques | ||
| Actual administration (total of a, b, c, & d) | 35 | |
| a. Spinal (total of 1 & 2) | 10 | 50 |
| 1. Anesthesia | ||
| 2. Pain management | ||
| b. Epidural (total of 1 & 2) | 10 | 50 |
| 1. Anesthesia | ||
| 2. Pain management | ||
| c. Peripheral (total of 1 &2) | 10 | 50 |
| 1. Anesthesia | ||
| Upper | ||
| Lower | ||
| 2. Pain management | ||
| Upper | ||
| Lower | ||
| d. Other (total of 1 & 2) | ||
| 1. Anesthesia | ||
| 2. Pain management | ||
| Management (total of 1 & 2) | 35 | 50 |
| 1. Anesthesia | ||
| 2. Pain management | ||
| Moderate/deep sedation | 25 | 50 |
| Arterial Technique | ||
| Arterial puncture/catheter insertion | 25 | |
| Intra-arterial blood pressure monitoring | 30 | |
| Central Venous Catheter | ||
| Placement – Non-PICC (total of a & b) | 10 | 15 |
| a. Actual | 5 | |
| b. Simulated | ||
| Placement – PICC (total of a & b) | as appropriate | as appropriate |
| a. Actual | ||
| b. Simulated | ||
| Monitoring | 15 | |
| Pulmonary Artery Catheter | ||
| Placement | 5 | |
| Monitoring | 10 | |
| Other | ||
| Ultrasound-guided techniques (total of a & b) | 10 | |
| a. Regional | ||
| b. Vascular | ||
| Intravenous catheter placement | 100 | |
| Advanced noninvasive hemodynamic monitoring | as appropriate | as appropriate |