Practice Consideration

CRNA Leadership Survival Guide (Practice Consideration)

Last AANA revision: 2023

Our paraphrased summary. The text below is our own condensed phrasing for board review, derived from the AANA Practice Manual document of the same name. The AANA document is the authoritative source — read it on aana.com for legally-binding language.

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.