Center for Advanced Practice Nursing

All NPs must complete a master's or doctoral degree program, and have advanced clinical training beyond their initial professional registered nurse preparation. Didactic and clinical courses prepare nurses with specialized knowledge and clinical competency to practice in primary care, acute care and long-term healthcare settings.

HSS NPs maintain both their NP and RN licenses in New York State, are required to be board certified in their specialty area of practice, and are credentialed and privileged to practice at the institution.

To be recognized as expert healthcare providers and ensure the highest quality of care, NPs undergo rigorous national certification, periodic peer review, clinical outcome evaluations, and they adhere to a code for ethical practices. Self-directed continued learning and professional development is also essential to maintaining clinical competency. Additionally, to promote quality healthcare and improve clinical outcomes, NPs lead and participate in both professional and lay healthcare forums, conduct research, and apply findings to clinical practice.

Autonomously and in collaboration with physicians, surgeons, PAs, and other individuals, NPs provide a full range of primary, acute, and specialty healthcare services. This team model is an efficient and effective way to provide high quality medical care, elicit the best clinical outcomes, and ensure the fastest healing and recovery.

At HSS, NPs:

• Obtain health history and conduct physical exams
• Diagnose and treat medical problems
• Prescribe medications and other treatments (e.g., physical therapy)
• Order and interpret diagnostic (e.g., X-rays) and laboratory tests
• Educate and counsel individuals, families, and groups on health behaviors and treatment options
• Manage patients’ overall postoperative care
• Work collaboratively with specialty practice physicians, surgeons and PAs
• Provide care for patients in specialty services (acute and critical care settings; ambulatory settings and clinics)
• Perform minor surgical procedures
• Refer patients to other healthcare professionals as needed

During student clinical rotations at HSS, NP students receive exposure and structured training to the day-to-day clinical practice of experienced APPs and physicians. This is integral to translating medical knowledge and understanding into effective patient care.

• American Association of Nurse Practitioners
• Nurse Practitioner Association of New York State
• Nurse Practitioners of New York

The nurse anesthesia profession is known for its highly respected educational system and its strong commitment to quality education. Academic programs range from 24 to 36 months in length, depending upon university requirements, and all are at the master’s degree level or higher. This sophisticated educational system provides a graduate level science foundation along with clinical anesthesia experience to effectively train competent nurse anesthesia professionals.

Academic Requirements

The didactic curricula of nurse anesthesia programs are governed by Council on Accreditation of Nurse Anesthesia Educational Program (COA) standards and provide students the scientific, clinical and professional foundation upon which to build sound and safe clinical practice. The basic nurse anesthesia academic curriculum and prerequisite courses focus on coursework in anesthesia practice: pharmacology of anesthetic agents and adjuvant drugs, including concepts in chemistry and biochemistry; anatomy, physiology and pathophysiology; professional aspects of nurse anesthesia practice; basic and advanced principles of anesthesia practice, including physics, equipment, technology and pain management; research; and clinical correlation conferences.

Most programs exceed these minimum requirements. In addition, many require study in methods of scientific inquiry and statistics, as well as active participation in research.

Board Certification

The National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA) is the certifying body that administers the national certification examination. Each graduate of a nurse anesthesia educational program must pass the national certification examination before he or she can be certified as a CRNA.

Recertification is required of CRNAs on a biennial basis. The recertification program is administered by The National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA), which reviews CRNA qualifications regarding:

• Current licensure as a registered nurse
• Continuing education (40 CE credits)
• Certification that he or she has been substantially engaged in the practice of anesthesia during the two-year period
• Verification of the absence of mental, physical or other problems that could interfere with the practice of anesthesia

At HSS, CRNAs work under the direction and supervision of an anesthesiologist to:

• Perform a preoperative evaluation, and together with the anesthesiologist formulate an anesthetic plan
• Obtain and administer the anesthetics, adjuvant drugs, accessory drugs and fluids necessary to manage the anesthetic, to maintain the patient’s physiologic homeostasis, and to correct abnormal responses to the anesthesia or surgery
• Insert appropriate noninvasive and invasive monitoring modalities for collecting and interpreting patient physiological data
• Manage a patient’s airway and pulmonary status using endotracheal intubation, mechanical ventilation, pharmacological support, respiratory therapy, or extubation
• Manage emergence and recovery from anesthesia
• Release or discharge patients from a postanesthesia care area
• Initiate or modify pain relief therapy, through the utilization of drugs, or other accepted pain relief modalities
• Respond to emergency situations by providing airway management, administration of emergency fluids or drugs, or using basic or advanced cardiac life support techniques

• American Association of Nurse Anesthetists
• New York State Association of Nurse Anesthetists