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For this edition of A Day in the Life, we interviewed a certified registered nurse anesthetist (CRNA) to profile what these nurses do so you can decide if it’s a specialty for you.

Keesha Duncan, DNP, CRNA, is the northeast regional director of advanced practice providers at Envision Healthcare , a chief anesthetist at Hackensack University Medical Center, and she co-authored chapter (7) in “Scholarly Inquiry and the DNP Capstone” written by Cheryl Holly.

Duncan answers our questions about working as a CRNA. What follows is our interview, edited for length and clarity.

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Keesha Duncan, DNP, CRNA, is the northeast regional director of advanced practice providers at Envision Healthcare, a chief anesthetist at Hackensack University Medical Center

How did you get interested in being a certified registered nurse anesthetist (CRNA)? What drew you to it? How long have you been doing it?

I worked as a cardiothoracic intensive care nurse (CTICU RN) at St. Vincent’s Hospital in New York for almost six years. I soon realized I wanted to venture into advanced practice nursing.

The question at that time was, “What specialty?” I decided on anesthesia, much accredited to my mentor, Michael Greco, Ph.D., DNP, CRNA, who encouraged me to shadow a certified registered nurse anesthetist. I did, and I was utterly fascinated by the skill and dexterity displayed by the CRNA.

I quickly knew that this specialty was my calling. Therefore, I began to embark on the journey that led me to where I am today. I’ve been practicing as CRNA for close to 16 years.

Explain briefly what a CRNA does. What types of patients do you serve? What do you provide for them?  

CRNAs are advanced specialized nurses trained to provide anesthesia during a procedure or surgery. Some have additional training in pain management and perform functions that treat chronic pain.

See also
Certified Registered Nurse Anesthetist John Bing Selected As American Academy of Nursing Fellow

I serve the adult, pediatric, and obstetric populations in my career and am proficient in placing labor epidurals and spinal anesthesia for C-sections. Furthermore, I administer general anesthesia or moderate to deep sedation when needed and perform or participate in peripheral nerve blocks.

Did you need to get additional education for this position? 

I needed additional education to transition from an ICU RN to a CRNA. I was a diploma RN, so I had to go back and obtain my BSN to apply to CRNA school while working full-time and being a single parent.

I received my MSN with a concentration in anesthesia when I graduated from CRNA school in 2007. I also graduated with my doctorate in nursing practice in 2012.

What do you like most about working as a CRNA? 

When I decided to go into anesthesia, I feared losing the special time I had talking and getting to know my patients. But as a CRNA, you don’t lose that bond. The reward you feel when you care for patients during their most vulnerable and scariest times still exists.

Interested in getting a job s a CRNA? Then check out the Daily Nurse Career Center to begin building your nursing career.

Michele Wojciechowski
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