RT Licensure Overview
Professional Credentialing in Respiratory Therapy
Respiratory therapy is a regulated healthcare profession requiring specific education, national credentialing, and state licensure. Understanding these requirements is essential for entering and maintaining practice in the field.
Professional credentialing ensures that respiratory therapists meet standardized competency requirements and maintain current knowledge throughout their careers.
National Board for Respiratory Care (NBRC)
The NBRC is the national credentialing organization for respiratory therapy in the United States. It administers examinations that lead to nationally recognized credentials required for state licensure.
NBRC Credentials
The NBRC offers two primary credentials for respiratory therapists: the Certified Respiratory Therapist (CRT) and the Registered Respiratory Therapist (RRT). These credentials represent different levels of education and competency.
Certified Respiratory Therapist (CRT)
Entry-Level Credential
The CRT is an entry-level credential that demonstrates foundational competency in respiratory care. It is earned by passing the Therapist Multiple-Choice (TMC) Examination at the appropriate cut score.
Path to CRT
- Complete an accredited respiratory therapy program
- Pass the TMC Examination at the CRT cut score
- Maintain credential through continuing competency requirements
The CRT credential is accepted for licensure in all states that regulate respiratory therapy practice, though some states may require the RRT credential for certain practice settings or advancement.
Registered Respiratory Therapist (RRT)
Advanced Practitioner Credential
The RRT is an advanced credential that demonstrates higher-level knowledge and clinical competency. It has become the preferred credential for many employers and is increasingly considered the professional standard.
Path to RRT
- Complete an accredited respiratory therapy program
- Pass the TMC Examination at the RRT cut score
- Pass the Clinical Simulation Examination (CSE)
- Maintain credential through continuing competency requirements
Clinical Simulation Examination
The CSE is a computer-based examination that uses clinical simulations to assess decision-making skills, critical thinking, and the ability to apply knowledge in patient care scenarios. It evaluates competency at an advanced practice level.
State Licensure
While NBRC credentials are nationally recognized, respiratory therapy practice is regulated at the state level. Most states require licensure to practice respiratory therapy, with specific requirements varying by state.
Common Requirements
- NBRC credential (CRT or RRT, depending on state)
- Graduation from an accredited program
- Background check and/or fingerprinting
- State-specific application and fees
- Continuing education for license renewal
Some states have reciprocity agreements allowing therapists licensed in one state to obtain licensure in another more easily, though requirements vary. It's essential to verify specific requirements with each state's regulatory board.
Continuing Education and Competency
NBRC Continuing Competency Requirements
Both CRT and RRT credentials require ongoing continuing education to maintain active status. This ensures respiratory therapists stay current with evolving practice standards and medical knowledge.
Credential holders must complete continuing education credits within each renewal period. Credits can be earned through various activities including conferences, online courses, published articles, and other approved educational activities.
State Requirements
In addition to NBRC requirements, most states have their own continuing education requirements for license renewal. These requirements vary by state and may include specific topics such as infection control, ethics, or state-specific regulations.
Specialty Credentials
Beyond the CRT and RRT, the NBRC offers specialty credentials in areas such as:
NPS (Neonatal/Pediatric Specialist)
Specialization in neonatal and pediatric respiratory care
ACCS (Adult Critical Care Specialist)
Advanced practice in adult critical care
RPFT (Pulmonary Function Technologist)
Specialization in pulmonary function testing
SDS (Sleep Disorders Specialist)
Expertise in sleep disorders testing and treatment
These specialty credentials demonstrate advanced knowledge and expertise in specific areas of respiratory care practice.
State Licensure Information
Requirements, fees, and renewal periods vary significantly by state. Always check with your state's respiratory care board or regulatory agency for current requirements.
RTB2 State Licensure Database
Need detailed state-by-state licensure information? RTB2 includes a comprehensive database of licensure requirements for all 50 states including contacts, fees, renewal periods, CE requirements, and more.
Browse State RequirementsStay Current with RTB2
RTB2 helps respiratory therapists stay up-to-date with the latest clinical information, guidelines, and reference materials. Keep your knowledge current and your practice sharp with tools designed for respiratory care professionals.
Educational Disclaimer: This content is for educational purposes only. Licensure requirements vary by state and change over time. Always verify current requirements with your state's regulatory board and the NBRC.