Becoming a Locum Tenens CRNA

Rachel Myers, author of this post Rachel Myers • Follow
Calendar icon November 22, 2024 • 15 min • Share icon
A CRNA wearing surgical scrubs, a hairnet, and a mask, standing in a medical setting with the Aya Locums logo in the corner

Highlights

  • A locum tenens provider is a physician or advanced practice provider, like a CRNA, who fills needs on a temporary basis.
  • The rapidly growing need for CRNAs is creating a surge in locum tenens opportunities across the country.
  • There are several advantages to working locum assignments, including competitive pay, flexibility and exposure to different locations and settings.
  • The requirements to practice as a locum CRNA are similar to their permanent placement counterparts, but with a few differentiators that set them apart from full-time staff.

The demand for Certified Registered Nurse Anesthetists (CRNAs) is rapidly growing — a trend that is driven by several factors including an aging population requiring more surgeries, a rise in overall surgical procedures and a growing emphasis on team-based healthcare delivery. The American Association of Nurse Anesthesiology (AANA) reports that CRNAs administer more than 50 million anesthetics in the U.S. annually, and the Bureau of Labor Statistics projects a nearly 40% increase in CRNA jobs by 2032.

This growing need is especially acute in rural and underserved areas. The AANA estimates that CRNAs make up more than 80% of anesthesia providers in rural counties, often relying on independently practicing CRNAs for anesthesia care when no physician providers are available. However, these regions often struggle to fill permanent CRNA positions, despite desperately needing highly skilled anesthesia providers.

Certified Registered Nurse Anesthetist (CRNA) in surgical scrubs administering anesthesia, highlighting their role in providing over 50 million anesthetics annually and representing 80% of anesthesia providers in rural U.S. counties

As facilities nationwide continue to grapple with staffing shortages, many are turning to locum tenens, offering CRNAs prime opportunities to fill crucial gaps and provide essential anesthesia care. Due to this surge in demand, I am regularly working to fill locum tenens opportunities for CRNAs across the country.

So, What is Locum Tenens?

A concept dating back more than 50 years, locum tenens is a Latin phrase meaning ‘to hold the place of.’ In healthcare, a locum tenens provider is a physician or advanced practice provider, like a CRNA, who travels to different locations to provide patient care on contract. Aya Locums partners with healthcare facilities across the U.S. to fill locum tenens assignments for vacancy coverage, during leaves of absence or during times of high patient census. These positions are meant to bridge staffing gaps, lasting from a few weeks to several months or even years. Locum providers work in various settings including hospitals, surgical centers, government facilities and clinics. The experience required to become a locum varies by facility, but most healthcare settings require at least one year of practical experience.

While some healthcare providers take advantage of locum opportunities to experience different locales, practice settings or patient populations before taking a permanent role, others have made a career out of only working locum assignments. Contract lengths and compensation vary across locations, but these jobs typically pay well and offer providers exciting opportunities to practice in new locations with the flexibility to choose how often they work. What’s more, locum work can be incredibly gratifying when considering that many of these assignments provide life-saving care to those in desperate situations.

The Spectrum of Locum Work

Categories of locum work are diverse, ranging in length, location and setting.

Detailed breakdown of short-term, travel, and per diem assignments, highlighting duration, responsibilities, and requirements for locum tenens CRNAs and healthcare professionals

Key Benefits of Working as a Locum Tenens CRNA

In my experience as a recruiter, once providers understand the unique experiences and full benefits the locum path offers, they quickly realize how enticing this work is.

  • Competitive Pay: Locum CRNAs can capitalize on the high demand for the specialty by negotiating rates to secure top hourly wages.
  • Flexibility: Locum work offers unparalleled flexibility. You can choose assignments that fit your desired hours, workload and setting, while working continuously or taking breaks between jobs.
  • Travel: For those craving adventure, locum tenens work lets you explore new locations while providing essential care.
  • Experience: From busy hospitals in major cities to rural clinics, each assignment brings a diverse setting and fresh patient population. Additionally, you will be exposed to a constant learning environment with new practices, protocols and equipment. All of this will serve to keep your skills sharp and your work dynamic and engaging.
  • Focus: Locum CRNAs are usually not involved in departmental meetings, which can alleviate administrative burdens and allow you to focus on what you do best — providing high-quality anesthesia care.
  • Networking: Locum work provides an exciting opportunity to build a diverse professional network across the country.
  • Work-Life Balance: Creating harmony by taking breaks between contracts to recharge, pursue hobbies, spend time with family or travel is one of the great rewards of locum work.

Infographic detailing Aya Locums benefits, including a dedicated recruiter, credentialing specialist, relocation team, and experience manager for personalized support and streamlined processes

Ultimately, becoming a locum tenens CRNA empowers you to craft a career that aligns your professional goals with your personal priorities. You get to choose your schedule, control your income, explore new places, experience diverse populations and settings, and create meaningful connections — all while making a significant impact on patient care.

Make a Difference on Your Terms

Whether you want to explore diverse care settings, enhance your clinical skills, or augment your income, a locum tenens CRNA job can get you there.

Register Today!

The Role of a Locum CRNA

Locum tenens CRNAs play vital roles in ensuring the continuity of anesthesia care in various healthcare settings when a permanent CRNA or anesthesiologist is unavailable. They typically operate within hospitals or surgical facilities, but might also practice in clinics, medical offices or government facilities. A locum CRNA must be able to collaborate closely with surgeons and anesthesiologists or operate independently, particularly in under-resourced environments. In rural hospitals, locum CRNAs may find themselves as the sole anesthesia practitioners. While their day-to-day role is typically very similar to that of their permanent counterparts, there are some distinctions that are unique to a locum CRNA.

Daily responsibilities of a locum tenens CRNA typically include:

  • Pre-operative Assessment: Locum tenens CRNAs evaluate patients before surgery to determine their fitness for anesthesia and develop individualized care plans.
  • Anesthesia Administration: During surgery, they administer various types of anesthesia (general, regional or local) to ensure patient comfort and safety throughout the procedure.
  • Intra-operative Monitoring: They closely monitor patients’ vital signs during surgery, including heart rate, blood pressure and oxygen levels, to ensure proper responses to anesthesia.
  • Post-operative Care: Following surgery, locum tenens CRNAs monitor patients’ recovery in the post-anesthesia care unit (PACU) and address any pain management needs.
  • Collaboration: They collaborate effectively with surgeons, anesthesiologists, nurses and other healthcare professionals to deliver seamless patient care.

However, locum tenens CRNAs also must maintain:

  • Temporary Focus: Locum tenens CRNAs must be able to quickly pivot from one facility’s needs to another without lingering on past assignments.
  • Adaptability: They need to be highly flexible and comfortable working in new environments with different teams and protocols, often with little onboarding.
  • Priority on Core Responsibilities: Unlike permanent CRNAs, locum tenens CRNAs are typically not involved in long-term planning or hospital committees, so their attention is on immediate needs and tasks.

Requirements to Practice as a Locum CRNA

Whether permanent or locum, CRNAs must complete approximately 7-10 years of education and training to practice. Having clear expectations of the fundamental requirements can help CRNAs navigate the process and plan accordingly.

Infographic outlining the core requirements to become a CRNA, including RN licensure, critical care experience, CRNA graduate program completion, passing the NCE, state licensure, ongoing CEUs, recertification every four years, and practical CRNA experience. Background shows a healthcare professional in scrubs with medical equipment

While the years of schooling and experience may seem daunting at first, each step is essential and will better equip you for any role you might find yourself in. CRNAs we work with share that the rigorous curriculum, combined with hands-on clinical experience, better prepared them for the split-second decisions they need to make to ensure patient safety, especially when working in a locum capacity in revolving settings.

1. Accrue Experience

Before applying to a graduate CRNA program, RNs must first possess practical and real-world experience in a hospital setting. All CRNA programs require a strong foundation in critical care nursing, so candidates should prioritize clinical work to include at least one year in intensive care units or emergency rooms.

2. Complete a Graduate Program

Typically lasting 24-36 months, a master’s- or doctoral-level CRNA program is necessary to become a practicing CRNA. With more than 150 programs across the country, competitiveness varies but often requires high GPA and GRE scores, ICU experience and strong recommendations. When choosing an institution, be sure that it is included on the Council of Accreditations list. It is also important to note that as of 2025, prospective CRNAs will be required to earn a doctorate degree.

3. Pass NCE

After successfully completing a graduate program, CRNAs must sit for the National Certification Exam (NCE) administered by the National Board of Certification and Recertification for Nurse Anesthetists. This test focuses on anesthesia knowledge and clinical judgment. The certification must be maintained throughout a CRNA’s career and requires the completion of ongoing education credits. CRNAs must also pass the recertification exam every four years.

4. Practical CRNA Experience

While the requirements to gain licensure are the same, locum tenens typically need at least of year of practical CRNA experience before landing their first travel assignment.

Do You Need a Doctorate to Become a Locum CRNA?

The simplest answer to this question is not yet — but future CRNAs will.

Beginning 2025, all new CRNAs will be required to earn a doctorate degree as part of their graduate training. However, licensed CRNAs who hold a master’s degree before 2025, will be exempt from this requirement and will be grandfathered in. This shift is following a trend in other specialties that are making permanent moves toward doctorate-level degrees for entry into the profession. Ultimately, employers of locum tenens CRNAs will determine what level of education will be required for their specific assignments. Therefore, those in the early stages of their CRNA career who hold master’s degrees might consider pursuing a doctorate to enhance their competitiveness in the workforce.

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Understanding the Locum Process

Securing a Contract

A well-understood locum tenens contract is key, and Aya Locums’ dedicated recruiters are standing by to help you navigate the process for every assignment. Before signing, ensure clarity on assignment length, compensation including base pay, and how travel and housing are handled. The scope of practice should clearly define your medical duties.

Licensing as a Locum CRNA

As every state has its own board and requirements, you would traditionally need to get an individual license for every state you work in. However, more than 30 states now participate in the Nurse Licensure Compact (NLC), allowing RNs to use just one license across multiple states.

To make the process even easier, Aya Locums’ in-house credentialing team provides you with everything you need to be fully credentialed and privileged with every facility you take an assignment with. We expedite your documentation and verification process by acting as your personal liaison between hospitals and third-party offices. Need a new license? No problem! Our team will work with you and the state licensing board from start to finish.

The Locum Lifestyle

While locum tenens offers exceptional flexibility, aligning work demands and travel with the requirements of daily life may still require extra effort. So, finding balance and rhythm is essential to thriving both personally and professionally.

Some tactics to consider include:

  • Be schedule savvy by planning ahead.
  • Maintain self-care by finding time to disconnect from work.
  • Take the stress out of searches by connecting with your dedicated Aya Locums recruiter to find new assignments.
  • Embrace the journey by taking advantage of your exposure to new environments.

Achieving work-life balance is an ongoing process that requires effort and thoughtful planning. By being strategic, focusing on your well-being and embracing the unique opportunities of locum tenens work, you can create a fulfilling career that allows you to thrive in any setting.

Embracing Your Career Choice

As a locum tenens CRNA, you have the power to navigate your career on your own terms. Each assignment presents an opportunity to expand your skillset, explore new environments and make a significant impact on patients’ lives. So, step into each role with confidence, knowing that your expertise and flexibility are valuable assets in the ever-changing landscape of healthcare.

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Locum CRNA FAQ

How can I find quality locum tenens CRNA assignments?

When you register with Aya Locums, you get immediate access to locum tenens jobs at leading facilities, along with transparent information regarding pay, location, hours and more. Find your perfect assignment, then engage with our concierge-level recruiters on your terms to get started with your locum experience.

How much travel is involved in locum tenens CRNA work?

The travel can vary greatly! Some CRNAs prefer local assignments, while others embrace the chance to explore new regions. Discuss your travel preferences with your personal Aya Locums recruiter to find placements that match your goals.

Is it difficult to adapt to new environments and teams during locum tenens assignments?

Change can be an adjustment and locum practitioners must be willing and able to acclimate quickly, but most healthcare facilities understand the need for smooth onboarding. Adaptability and communication skills are key — so be proactive in introducing yourself, asking questions and familiarizing yourself with protocols.

What is the earning potential for locum tenens CRNAs compared to permanent positions?

Locum tenens CRNAs typically earn competitive compensation due to the temporary nature of their contracts.

What types of healthcare facilities generally utilize locum tenens CRNAs?

The opportunities are diverse! Hospitals, surgical centers and ambulatory care clinics rely on locum tenens CRNAs to fill temporary staffing gaps. Log in to Aya Locums to explore available opportunities.

Rachel Myers, author of this post
Rachel Myers

Rachel Myers is a Senior Recruiter II and Team Manager of Recruitment at Aya Locums. With several years of experience in the locum tenens industry, Rachel has worked with a variety of physician and advanced practitioner specialties. Driven by her passion for making effective matches and enhancing patient care, she primarily focuses on matching CRNAs with leading healthcare facilities across the US.

Learn more about Rachel Myers