How to Shadow a CRNA: Finding Opportunities Near You

"How do I know if CRNA is really for me?"

If you're asking this question, shadowing a CRNA is the single best way to find out.

Unlike ICU nursing where you already have daily exposure, anesthesia practice is often invisible to bedside nurses. You see patients before and after surgery, but what happens in the OR during those 2-8 hours? What does a CRNA actually do all day?

Shadowing answers these questions. It also:

Shows you if you can handle the OR environment (some people love it, others feel claustrophobic)
Reveals the reality of anesthesia work (not just the highlight reel)
Gives you stories and insights for your personal statement and interviews
Helps you network with CRNAs who can become mentors or write recommendation letters

In this guide, we'll walk you through exactly how to find shadowing opportunities, what to do during your shadow experience, and how to turn a single day into a valuable relationship.

Do You NEED to Shadow Before Applying?

Short answer: No, but it helps significantly.

Most programs don't require shadowing, but it demonstrates:

You've done your homework (not just romanticizing the career)
You understand what CRNAs actually do
You're serious enough to invest time beyond ICU shifts

In your application materials, you can write:

❌ "I want to be a CRNA because I'm fascinated by anesthesia" (generic, everyone says this)
✅ "During my shadowing experience with Dr. Smith at Memorial Hospital, I observed how she managed a difficult airway in an obese patient scheduled for emergency laparotomy. Watching her switch from direct laryngoscopy to video laryngoscopy, then calmly place a supraglottic airway while maintaining patient oxygenation, showed me the critical thinking and composure required..."

Which sounds more compelling?

Bottom line: Shadow if you can. Even one day gives you immense insight and application material.

Why Hospitals Often Say "No" to Shadowing

Let's address the elephant in the OR: Getting approval to shadow is harder than it used to be.

Barriers you'll face:

1. HIPAA and Privacy Concerns

Patients must consent to observers
Some surgeries are highly sensitive (OB, pelvic exams, trauma)
Legal departments are risk-averse

2. Infection Control

OR is sterile environment
Observers add contamination risk
COVID made this worse (many hospitals still have restrictive visitor policies)

3. Liability

What if you faint and hit your head?
What if you interfere with patient care?
Insurance and legal headaches

4. OR Space Constraints

Operating rooms are tight spaces
Observers get in the way, especially during emergencies
Anesthesiologists and surgeons may not want an audience

5. Gatekeeping and Bureaucracy

Nursing education departments control access
Application processes are cumbersome
"We don't allow shadowing" is easier than dealing with logistics

The good news: These barriers aren't insurmountable. You just need the right strategy.

Strategy 1: Start With Your Current Hospital

If you work at a hospital with CRNAs, this is your BEST starting point.

Step 1: Identify CRNAs on Your Unit

Where to find them:

Pre-op holding area (CRNAs do pre-anesthesia assessments)
PACU (dropping off post-op patients)
ICU (managing lines, consults, or procedural sedation)
Code Blue responses (CRNAs often respond to intubate)

How to approach:

Casual introduction: "Hi, I'm Sarah, I'm an ICU nurse here and I'm really interested in anesthesia. Do you have a minute to chat sometime?"
Ask for informational interview first, not immediate shadowing
"Could I buy you coffee and pick your brain about your path to becoming a CRNA?"

Step 2: Build Rapport Before Asking to Shadow

People help people they like and trust.

During your coffee chat:

Ask about their path to CRNA (people love talking about themselves)
Ask what they wish they knew before CRNA school
Ask about their typical day
THEN: "Would it be possible for me to shadow you sometime, even for just a few hours?"

Response you'll likely get:

"Sure, let me check with my manager and see what the process is"
Or: "I'd love to, but our hospital has a formal shadowing application process"

Step 3: Navigate Your Hospital's Process

Most hospitals have one of three models:

Model A: Informal (Rare)

CRNA gets verbal OK from charge nurse
You show up on your day off, wear scrubs, stay out of the way
No formal paperwork

Model B: Nursing Education Department

Fill out shadowing/observation request form
Submit to nursing education or HR
Background check, health screening, orientation required
Can take 4-8 weeks

Model C: Locked Down

"We don't allow shadowing due to HIPAA/liability"
Need to find another hospital

How to navigate:

Ask your CRNA contact: "What's the process here?"
If there's a formal process, complete it immediately
If denied, ask: "Is there a way to observe in a less invasive setting?" (Maybe watch from viewing gallery if your OR has one, or shadow in pre-op only)

Step 4: Offer to Volunteer

If formal shadowing is denied:

"Would it be possible to volunteer in the surgery department?"
Volunteer roles (transporting, stocking, assisting staff) get you in the building
Once you're a known face, informal shadowing may open up

Strategy 2: Cold Outreach to Local Hospitals

If your current hospital doesn't have CRNAs or won't allow shadowing, expand your search.

Step 1: Identify Hospitals with Anesthesia Departments

Google search:

"[Your City] hospitals with anesthesia"
Look for hospitals with ORs (not just outpatient clinics)

Types of facilities:

Academic medical centers (usually have CRNA programs → may have structured shadowing)
Community hospitals (often more flexible)
Surgery centers (usually only anesthesiologists, fewer CRNAs)
VA hospitals (CRNAs and military culture → may be open to veterans/active duty)

Make a list of 5-10 hospitals within driving distance.

Step 2: Find Contact Information

Who to contact (in order of preference):

1. Anesthesia Department Directly

Search "[Hospital Name] anesthesia department contact"
Call main hospital line: "Can you transfer me to the anesthesia department?"
Ask to speak with "the anesthesia manager" or "chief CRNA"

2. Nursing Education Department

Many hospitals have formal shadowing programs through nursing ed
Email or call: "[Hospital Name] nursing education department"

3. Volunteer Services

Some hospitals route shadowing through volunteer coordinators

4. Human Resources

Last resort (they'll often just say no due to liability)

Step 3: Craft Your Email/Phone Script

Email Template:

Subject: RN Seeking CRNA Shadowing Opportunity

Dear [Anesthesia Manager / Nursing Education Coordinator],

My name is [Your Name], and I am a registered nurse with [X] years of experience in [ICU/critical care]. I am actively preparing to apply to CRNA programs and am seeking an opportunity to shadow a CRNA to gain deeper insight into the role.

I am particularly interested in [specific interest: pediatric anesthesia, cardiac cases, regional anesthesia - mention if you have one] and would be grateful for even a few hours of observation.

I understand the logistical and regulatory considerations involved and am happy to complete any required paperwork, background checks, health screenings, or orientation.

Would it be possible to arrange a shadowing experience at [Hospital Name]? I am flexible with scheduling and can accommodate your team's availability.

Thank you for considering my request. I appreciate your time and look forward to hearing from you.

Best regards, [Your Name] [Your Phone Number] [Your Email] [Your LinkedIn Profile - if relevant]

Phone Script:

"Hi, my name is [Your Name]. I'm a registered nurse with [X] years of ICU experience, and I'm interested in applying to CRNA school. I'm hoping to shadow a CRNA to learn more about the profession. Is there a process for arranging shadowing or observation at your hospital?"

If they say yes: "That's great! What's the next step?"

If they say no: "I understand. Is there anyone else you'd recommend I speak with, or another hospital that might be more open to shadowing?"

If they're unsure: "Would it help if I sent an email explaining my request? Who should I address it to?"

Step 4: Follow Up

Timeline:

Send email or call
Wait 5-7 business days
Follow up: "Hi, I wanted to follow up on my shadowing request from last week. Is there any update?"
If still no response after second follow-up, move to next hospital on your list

Persistence pays off. Don't give up after one rejection.

Strategy 3: Leverage Your Network

Who you know matters.

People Who Can Help You Find Shadowing:

1. Nursing School Professors

They often have connections to local CRNAs
Email: "Do you know any CRNAs who might be open to me shadowing them?"

2. ICU Colleagues

Ask nurses on your unit: "Does anyone know a CRNA I could talk to?"
Someone's cousin, spouse, or friend is probably a CRNA

3. AANA State Chapter

Join your state's nurse anesthesia association
Attend meetings/conferences (many have student sections)
Introduce yourself: "I'm an ICU nurse interested in CRNA school. Would anyone be open to me shadowing?"

4. Current CRNA Students

Reach out via LinkedIn or Instagram (many CRNA students share their journey publicly)
Ask: "How did you arrange your shadowing experience?"
They may connect you with their program or preceptors

5. Social Media Groups

Facebook groups: "Future CRNAs," "[Your State] CRNA Students"
Post: "Does anyone know a CRNA in [your city] who allows shadowing?"

6. Informational Interviews

Email CRNAs on LinkedIn: "I'm not asking to shadow (yet), but could I ask you a few questions about your path?"
After the conversation, IF it goes well: "Would you ever be open to me observing you for a day?"

Strategy 4: CRNA Programs Often Have Shadowing Days

Some CRNA programs host prospective student events that include OR observation.

How to find out:

Check program websites: Look for "prospective student events," "open houses," or "visit days"
Email admissions: "Do you offer any shadowing or observation opportunities for prospective applicants?"

Examples of programs known for hosting prospective student events:

Rush University (Chicago)
Duke University
University of Pittsburgh
Texas Wesleyan University

These events often include:

Campus tour
Meeting current students and faculty
Simulation lab demonstrations
Sometimes: Brief OR observation (2-3 hours with current CRNA students)

What to Expect During Your Shadowing Experience

Before You Arrive

Logistics:

Confirm date, time, and location (which entrance to use, where to park)
Bring ID and any paperwork you completed (background check, health screening forms)
Dress code: Business casual or scrubs (ask ahead)
Arrive 15-20 minutes early

What to bring:

Small notebook and pen (write down observations, questions)
Water bottle (ORs are often hot or cold, and you may be standing for hours)
Snacks (you may not have time for lunch)
Positive attitude and curiosity

What NOT to bring:

Your phone in the OR (usually prohibited or must be silenced/off)
Strong perfumes or colognes (can trigger patient nausea)
Open-toed shoes (OR dress code violation)

During Your Shadowing Day

Typical schedule:

7:00 AM: Meet CRNA in pre-op or anesthesia lounge

Introductions
Brief overview of the day's cases
Safety briefing ("Stand here, don't touch anything sterile, if you feel faint let me know")

7:30 AM: First case begins

Patient rolls into OR
You observe from the corner or side of the room (out of the way)
CRNA induces anesthesia (propofol, fentanyl, rocuronium)
Intubation
Surgical procedure (you watch CRNA manage ventilator, vitals, give meds, document)
Emergence and extubation
Transport to PACU

10:00 AM: Break (if lucky) or next case starts immediately

12:00 PM: Lunch (maybe) or more cases

3:00 PM: Shadowing ends (or you stay for afternoon cases if you have time)

What you'll see:

Airway management (intubations, LMAs, difficult airways)
IV medication administration (induction agents, opioids, muscle relaxants, pressors)
Monitoring (arterial lines, central lines, TEE if cardiac case)
Communication with surgeons, anesthesiologists, nurses
Crisis management (if you're lucky/unlucky - sudden hypotension, bronchospasm, arrhythmias)
Routine case management (most anesthesia is controlled and calm)

What you'll realize:

Anesthesia is 90% calm routine + 10% adrenaline-pumping crisis
CRNAs are autonomous but collaborate closely with anesthesiologists (model varies by hospital)
OR culture is different from floor nursing (faster pace, dark humor, hierarchy)

How to Behave (OR Etiquette)

DO: ✅ Stay out of the way (stand in designated observer corner) ✅ Be quiet during critical moments (induction, intubation, emergence) ✅ Ask questions during downtime (mid-case when patient is stable) ✅ Thank everyone you interact with (surgeons, nurses, anesthesiologists) ✅ Observe body language and read the room

DON'T: ❌ Touch ANYTHING without permission (everything is either sterile or expensive) ❌ Interrupt during emergencies or critical tasks ❌ Lean on equipment or block monitors ❌ Use your phone in OR (immediate dismissal) ❌ Discuss patients by name outside the OR (HIPAA violation) ❌ Complain about being tired, hungry, or bored

Questions to Ask (When Appropriate)

Good times to ask questions:

Before case starts (during setup)
Mid-case when patient is stable and CRNA isn't busy
Between cases
At lunch or after the day ends

Great questions:

About the case:

"What made you choose that induction agent?"
"How do you decide when to use an LMA vs. intubation?"
"What are you monitoring for most closely in this patient?"
"What would you do if [X complication] happened?"

About the career:

"What's your typical weekly schedule like?"
"What's the most challenging part of being a CRNA?"
"What do you love most about anesthesia?"
"What surprised you most about CRNA school or the job?"
"Do you have any advice for someone applying to CRNA school?"

About their path:

"How long were you an ICU nurse before CRNA school?"
"What made you choose this program?"
"If you could go back, what would you do differently?"

Avoid awkward questions:

❌ "How much money do you make?" (too personal on first meeting)
❌ "Is this job boring?" (insulting)
❌ "Can you write me a letter of recommendation?" (too soon - build relationship first)

How to Make the Most of Your Shadowing Experience

During the Day

1. Be genuinely curious

Show enthusiasm (even if you're nervous or overwhelmed)
Take mental notes (or discreet written notes when appropriate)

2. Offer to help (within your scope)

"Can I carry anything?"
"Is there anything I can do to help?" (Usually no, but asking shows initiative)

3. Network with everyone

Introduce yourself to other CRNAs, anesthesiologists, OR nurses
"Hi, I'm [Name], I'm shadowing today. Nice to meet you."

4. Be professional

Treat this like a job interview (because future you might apply to work here)
Positive attitude even if the day is long

After the Day

1. Send a thank-you note (within 24-48 hours)

Email template:

Subject: Thank You - Shadowing on [Date]

Dear [CRNA's Name],

Thank you so much for allowing me to shadow you on [Date]. Observing your work in the OR gave me invaluable insight into the CRNA role and reinforced my decision to pursue this career path.

I was particularly impressed by [specific moment: how you handled the difficult intubation, your communication with the surgical team, your explanation of anesthesia pharmacology, etc.].

Your advice about [something they told you] was incredibly helpful, and I plan to [action: strengthen my chemistry knowledge, get my CCRN, etc.] as I prepare for applications.

Thank you again for your time and mentorship. I hope to stay in touch as I move forward in this journey.

Best regards, [Your Name]

2. Connect on LinkedIn

Send connection request with personalized note: "It was great shadowing you at [Hospital]. Thanks again for the experience!"

3. Keep them updated (occasionally)

When you get accepted: "I wanted to share that I was accepted to [Program]! Thank you for inspiring me."
After graduation: "I passed my NCE! Thank you for letting me shadow years ago."
When you get a job: "I'm now working as a CRNA at [Hospital]. Your mentorship made a big difference."

People love seeing their impact. These updates build genuine relationships.

Turning One Shadow Day Into Ongoing Mentorship

If the experience went well:

2-3 months later, follow up: "Hi [Name], I hope you're doing well. I'm working on my CRNA applications and would love your feedback on my personal statement if you have time. No pressure!"

6 months later: "I'm preparing for interviews at [Programs]. Do you have any advice on what admissions committees look for?"

When you need a letter of recommendation: "Would you be willing to write a letter of recommendation for my CRNA applications? I know you only spent one day with me, but your perspective as a practicing CRNA would be valuable."

Not everyone will say yes, but many will - especially if you've stayed in touch and been respectful of their time.

What If You Can't Find Shadowing Opportunities?

It's frustrating, but don't panic. You can still apply successfully without shadowing.

Alternative Ways to Learn About CRNA Role

1. Informational Interviews (Phone or Video)

Ask CRNAs if you can have a 20-minute Zoom call
Prepare thoughtful questions about their day-to-day work
This shows initiative even without formal shadowing

2. YouTube and Podcasts

YouTube channels: CRNA School Prep Academy, The CRNA Podcast
Podcasts: Search "CRNA" or "nurse anesthetist" on Apple Podcasts/Spotify
Watch "day in the life" videos

3. Books and Articles

Read AANA Journal articles about anesthesia practice
Books: Anesthesia Student Survival Guide, Nurse Anesthesia textbooks

4. Attend CRNA Conferences or Webinars

AANA hosts virtual and in-person events
State chapters often have student-friendly meetings
Network and learn about practice

5. Work in a Related Area

PACU (you'll interact with CRNAs regularly)
Pre-op (same)
OR circulator (see cases firsthand)

In Your Application, Address It

Personal statement language if you didn't shadow:

"While I have not yet had the opportunity to formally shadow a CRNA due to hospital policy restrictions, I have sought to learn as much as possible through informational interviews with three practicing CRNAs, attending my state AANA chapter meeting, and observing anesthesia equipment and techniques when CRNAs respond to codes in my ICU..."

This shows you tried and were proactive despite barriers.

Red Flags: When to Walk Away From Shadowing

Most CRNAs and hospitals are welcoming. But if you encounter these, reconsider:

🚩 Unprofessional behavior: CRNA or OR staff are rude, dismissive, or make you uncomfortable

🚩 Unsafe practices: Blatant disregard for patient safety or sterile technique

🚩 Inappropriate comments: Sexist, racist, or offensive jokes (unfortunately still happens in some ORs)

🚩 Pressure to do things beyond observation: "Here, try intubating" (You're not licensed or trained - this is illegal)

You're there to learn, not to be hazed or exploited. If something feels wrong, trust your gut and leave.

Frequently Asked Questions

How many times should I shadow before applying?

Minimum: 1 day (8-10 hours) Ideal: 2-3 days at different hospitals or with different CRNAs (see variety of practice settings) Overkill: 10+ days (admissions committees won't care beyond a certain point - your ICU experience matters more)

Can I shadow as a non-nurse?

Very rare. Most shadowing opportunities are reserved for nurses or students already in healthcare. If you're a pre-nursing student, focus on getting CNA or EMT experience first and shadow after you're an RN.

What if I faint or feel sick during shadowing?

Tell the CRNA immediately: "I'm feeling lightheaded." They'll get you out of the OR quickly. It happens - no one will judge you. Sit down, put your head between your knees, drink water. If this happens multiple times, consider if OR environment is right for you.

Should I shadow in my scrubs or business casual?

Ask the CRNA ahead of time. Most will say scrubs (you'll blend in), but some hospitals require business casual for non-clinical observers.

Can I shadow a CRNA at an outpatient surgery center?

Yes! Outpatient centers often have more relaxed policies than hospitals. Contact local endoscopy centers, dental surgery practices, or ambulatory surgery centers.

Do I need malpractice insurance to shadow?

Usually no (you're observing, not practicing), but some hospitals require it. If required, you can get short-term observer coverage for ~$50-100.

Can I shadow the same CRNA multiple times?

If they're willing, yes! Building a deeper relationship with one CRNA is more valuable than one-time experiences with five different people.

What if the CRNA I'm shadowing makes a mistake?

Observe, don't comment. You're not there to judge or critique. CRNAs and anesthesiologists catch and correct mistakes in real-time - this is part of safe practice.

Should I bring a gift for the CRNA I'm shadowing?

Not necessary on the first day (might seem like you're trying too hard). After the experience, a handwritten thank-you note is perfect. If you shadow multiple times and a genuine relationship develops, a small gift (coffee gift card, thank-you lunch) is thoughtful but not required.

Can shadowing turn into a letter of recommendation?

Yes, if you build a relationship beyond one day. Shadow multiple times, stay in touch, ask thoughtful questions, and demonstrate your commitment. When you're ready to ask for a letter, say: "I know we haven't worked together long, but your perspective as a practicing CRNA would be valuable for my application. Would you be comfortable writing a letter?"

Your Action Plan: Shadow a CRNA in the Next 30 Days

Week 1:

[ ] Identify 5-10 hospitals within driving distance with anesthesia departments
[ ] Ask ICU colleagues if they know any CRNAs
[ ] Join your state AANA chapter (find meetings to attend)

Week 2:

[ ] Email or call 3-5 anesthesia departments using the template above
[ ] Reach out to CRNAs on LinkedIn
[ ] Post in Facebook groups asking for shadowing advice

Week 3:

[ ] Follow up on emails/calls
[ ] Complete any required paperwork (background checks, health screenings)
[ ] Prepare questions to ask during shadowing

Week 4:

[ ] Shadow day!
[ ] Send thank-you note within 24 hours
[ ] Reflect on experience and take notes for future essays

Can't find anything in 30 days?

Expand search radius (drive 1-2 hours if needed)
Try outpatient surgery centers, not just hospitals
Consider informational interviews via Zoom as alternative

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Final Thoughts: Shadowing Is Worth the Effort

Shadowing a CRNA might be the most valuable 8 hours you spend in your CRNA school preparation journey.

It gives you:

Clarity about whether anesthesia is right for you
Real stories and insights for your personal statement and interviews
Potential mentors and letter of recommendation writers
Confidence that you're making the right career decision

Don't wait for the "perfect" opportunity. Start reaching out today. Even one day of shadowing will transform your understanding of the CRNA role.

Track your shadowing experiences and CRNA program applications on CRNAtracker.com - organize your entire application journey in one place.

The CRNAs you shadow were once where you are now. Most will be happy to pay it forward. All you have to do is ask.