Practice Consideration

CRNA Leadership Survival Guide (Practice Consideration)

Last AANA revision: 2023

Practical guidance for CRNAs in leadership roles: chief CRNA, anesthesia department director, OR efficiency, quality + safety committee participation, contract negotiation, mentorship of new graduates.

Key points

1.Daily metrics to track: case start times, room turnover, first case on-time start, cancellations, PACU bypass rate
2.Conflict resolution: separate the person from the problem; address behavior not personality
3.Shift schedules: AAGBI fatigue guidelines apply to schedule design (≤16h shifts, ≥10h rest, ≥1 day off/week)
4.Mentorship: structured first-year support reduces attrition by 30-50%
5.Negotiation: know your local market, document RVUs + outcomes, never accept first offer

This is an exam-prep summary, not a substitute for the full AANA document. Read the source at aana.com for authoritative wording. Education only.