How to Become a Respiratory Therapist | BestColleges (2024)

Interested in a career as a respiratory therapist? Find out how to become a respiratory therapist, how long it takes, and what the training entails.

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Tyler EppsRead Full Bio

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Tyler Epps is an editor for BestColleges. He writes and edits content about higher education, specializing in degree planning and college rankings. He is passionate about helping students prepare for college and navigate their educational journey. He...

Updated on March 29, 2024

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Raneem Taleb-AghaRead Full Bio

Editor & Writer

Raneem Taleb-Agha is a copy editor for BestColleges. Previously, she worked as a bilingual educator in both the U.S. and Spain before transitioning to editing and writing. She holds a BA in Spanish and Near Eastern Studies from UC Berkeley....

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By

Tyler EppsRead Full Bio

Editor & Writer

Tyler Epps is an editor for BestColleges. He writes and edits content about higher education, specializing in degree planning and college rankings. He is passionate about helping students prepare for college and navigate their educational journey. He...

Edited by

Raneem Taleb-AghaRead Full Bio

Editor & Writer

Raneem Taleb-Agha is a copy editor for BestColleges. Previously, she worked as a bilingual educator in both the U.S. and Spain before transitioning to editing and writing. She holds a BA in Spanish and Near Eastern Studies from UC Berkeley....

Updated on March 29, 2024

Learn more about our editorial process

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  • Respiratory therapists typically need an associate degree, but some employers prefer candidates with bachelor's degrees.
  • Respiratory therapists need state licensure in every state except Alaska.
  • Getting state licensure involves completing the necessary education and passing the national board exam.

Interested in a career in healthcare but don't want to spend several years in school? Consider becoming a respiratory therapist (RT). With a median annual wage of $70,540 and a projected job growth rate of 13% from 2022-2032, according to the Bureau of Labor Statistics (BLS), respiratory therapy offers a promising career path that requires only an associate degree and a state license.

In this article, we'll explore the steps to becoming a respiratory therapist, including the option to earn a bachelor's degree in this field. If you're ready to embark on a fulfilling and in-demand career, here's how to become a respiratory therapist.

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Learn about start dates, transferring credits, availability of financial aid, and more by contacting the universities below.

5 Steps to Become a Respiratory Therapist

Wondering how to become a respiratory therapist? Follow these five essential steps to kickstart your career:

Step 1: Obtain Your High School Diploma or GED Certificate

The first step to becoming a respiratory therapist is getting your high school diploma or GED certificate. Take as many math and science subjects as you can, as they form the foundation for your future coursework in respiratory care.

Step 2: Earn an Associate Degree in Respiratory Therapy

After high school, the next step is to earn an associate degree in respiratory therapy from an accredited program. This two-year degree forms the basic requirement to become a Certified Respiratory Therapist (CRT).

Associate degree programs cover essential subjects such as airway management, mechanical ventilation, and medical gas therapies to help you understand the foundations of respiratory therapy.

Step 3: Pass the National Credentialing Exam

Once you've earned your degree, it's time to take the Therapist Multiple-Choice (TMC) Examination. This exam, administered by the National Board for Respiratory Care (NBRC), assesses your ability to interpret patient data and recommend suitable procedures.

Passing this exam earns you the CRT credential. Successfully earning the CRT title is a testament to your competency and readiness to earn licensure and step into the professional world of respiratory care.

Step 4: Acquire the RRT Credential

Earn the Registered Respiratory Therapist (RRT) credential to unlock more job opportunities and increase your earning potential. This professional certification is a clear demonstration of advanced knowledge and expertise in the field of respiratory care. While not required in all states, many employers only hire candidates with the RRT credential (in addition to the CRT).

The following states require all licensed respiratory therapists to have the RRT credential: Arizona, California, New Jersey, New Mexico, Ohio, Oregon, Washington, and West Virginia.

To earn the RRT credential, you must pass the TMC credentialing exam with a high score, making you eligible to sit for the Clinical Simulation Examination (CSE). Successfully passing the CSE exam will qualify you for the RRT credential.

Step 5: Obtain State Licensure

With both your CRT and RRT credentials, you're almost ready to practice. The next step is to apply for and obtain a state license. RTs must obtain licensure in all states except Alaska. While requirements vary, most states require an accredited associate degree in respiratory care, a certain number of clinical hours, and the CRT or RRT credential.

Some states also require a law and professional ethics course. Always check the specific requirements in your desired state of practice.

Step 6 (Optional): Earn a Bachelor's Degree

While not a requirement in most states, earning a bachelor's degree in respiratory therapy can open doors to more advanced positions and higher salaries. This step is particularly beneficial if you're interested in roles involving education, management, and clinical specialization.

With promising job growth and attractive salary prospects, a bachelor's degree can significantly propel your career. Some employers also prefer to hire candidates with bachelor's degrees.

What Does Respiratory Therapist Training Look Like?

Respiratory therapist training involves a combination of academic and clinical education. Associate programs blend theory-focused, classroom-based coursework with hands-on, practical experiences in the field.

You'll cover subjects such as clinical respiratory care, medical gas therapies, and mechanical ventilation. You'll also be required to complete fieldwork or an internship in a medical facility under the supervision of a licensed respiratory therapist.

This hands-on experience is invaluable for gaining real-world experience and refining your practical skills. Upon graduation, you'll be prepared to sit for the NBRC exams, a significant step in becoming a respiratory therapist.

How Long Does It Take to Become a Respiratory Therapist?

So, how long does it take to become a respiratory therapist? Generally, it takes about two years to earn an associate degree, the minimum requirement to become a CRT. After that, obtaining your CRT or RRT credentials and state license can take several months. All told, you can expect to start your career as a respiratory therapist in 2-3 years.

If you choose to pursue a bachelor's degree, you can anticipate an additional two years of study.

Frequently Asked Questions About How to Become a Respiratory Therapist

Is being a respiratory therapist a stressful job?

Respiratory therapy can be a challenging job, as it involves physically demanding tasks, exposure to sick patients, as well as the stress of handling life-threatening situations.

While all of these factors are a very real part of the job, working as an RT can be a rewarding career, too. Having a passion for healthcare and a desire to make a difference in patients' lives may help alleviate some of the drawbacks of the job.

Respiratory therapists earned a median annual wage of $70,540 in 2022, but the top 10% saw six-figure salaries that exceeded $100,000. Factors such as experience, location, and the industry you work in can significantly influence your earnings.

Some of the technical skills respiratory therapists require include:

  • Oxygen administration
  • Measuring lung function
  • Mechanical ventilator management
  • Patient analysis
  • Basic life support

In addition, RTs must have strong communication and critical thinking skills, time management capabilities, and cultural competency. They should also be receptive to feedback, work well in team settings, be committed to ongoing education, and practice resiliency and self-care to handle the demands of the job effectively.

The CRT credential is for respiratory therapists who have completed their education and passed the entry-level TMC exam.

The RRT credential requires additional advanced clinical training and passing both a higher-level TMC exam and the Clinical Simulation Examination. Respiratory therapists with an RRT have more autonomy and can potentially earn more. Also, some specialties, employers, and state licenses require RRT certification.

How to Become a Respiratory Therapist | BestColleges (2024)

FAQs

How to Become a Respiratory Therapist | BestColleges? ›

The TMC exam contains 160 multiple-choice questions, 20 of which are unscored, and you will be given a time limit of 3 hours. The unscored questions are called “pretest” questions and are used to validate questions for future versions of the exam. The exam is split into three sections: Patient Data.

How do I pass the respiratory therapy exam? ›

How To Pass The TMC Exam
  1. Understand the format.
  2. Develop a study plan.
  3. Use study materials.
  4. Practice time management.
  5. Practice answering multiple-choice questions.
  6. Review anatomy and physiology.
  7. Understand respiratory therapy procedures.
  8. Understand pharmacology.
Mar 7, 2023

How many questions are on the respiratory therapy exam? ›

The TMC exam contains 160 multiple-choice questions, 20 of which are unscored, and you will be given a time limit of 3 hours. The unscored questions are called “pretest” questions and are used to validate questions for future versions of the exam. The exam is split into three sections: Patient Data.

How hard is the respiratory exam? ›

Generally, it hovers around 70-80%. But for repeated attempts, the percentage drops to about 45%. This means that nearly one-third of test-takers do not pass the exam on their subsequent attempt. The TMC exam is known for being comprehensive, and while the TMC exam is undoubtedly challenging, passing is possible.

How difficult is the respiratory therapy program? ›

Requiring higher education in the form of an associate's or bachelor's, alongside certification recognized by the NBRC, the steps to become a respiratory therapist may be difficult. Paired with the job's occasional long hours and associated stress, respiratory therapy is not for the weak of heart.

How many times can you fail NBRC exam? ›

TMC Exam FAQs

As indicated in the table below, candidates may attempt the Therapist Multiple-Choice and Clinical Simulation Examinations three times, after which the candidate will be required to wait a minimum of 120 days between any subsequent attempt.

How do I prepare for a respiratory exam? ›

To prepare for your pulmonary function test, follow these instructions:
  1. No bronchodilator medication for four hours.
  2. No smoking for four hours before the test.
  3. No heavy meals.
  4. Do not wear any tight clothing.
  5. The complete pulmonary function test takes around one and a half hours.

Is there a lot of math in respiratory therapy? ›

RTs use math when calibrating equipment for breathing treatments, reading graphs and performing temperature conversions. They also use math for counting pulse and breathing rates, calculating medication dosages, and determining things like minute ventilation and the patient's ideal body weight (IBW).

Is respiratory harder than nursing? ›

The learning path to become a respiratory therapist is different than that of becoming a nurse. This is even though both fields require advanced degrees and internship. Nurses have a broader scope of practice and need to consider multiple body systems, including respiratory care.

What is the hardest part of being a respiratory therapist? ›

Balancing Patient Loads Can Be Tough

Balancing patient loads is a crucial aspect of a respiratory therapist's role, and it can be particularly challenging. Respiratory therapists often find themselves juggling the care of multiple patients, each with varying degrees of respiratory distress and medical needs.

Is respiratory therapy worth it? ›

Pros of Being a Registered Respiratory Therapist

And not only do RTTs have job security, but this is also a job that is well respected in the medical field, and among your peers, you will be considered an expert in your profession, one that will help contribute to the conversation of improving a patient's life.

Is the RT board exam hard? ›

NBRC style Practice Simulations

With a depressingly low 58% pass rate, it's no secret that the RRT CSE exam is one of the most difficult challenges you'll face in your career. That's why we provide realistic simulation exams that offer real time feedback so you can practice and learn at the same time.

Is it stressful being a respiratory therapist? ›

Your Daily Job Will Be Stressful

One of the greatest disadvantages of being a respiratory therapist is you must manage stressful cases and could be too much for some individuals to handle.

What do they look for in a respiratory exam? ›

The respiratory examination aims to pick up on any respiratory (breathing) pathology that may be causing a patient's symptoms, such as shortness of breath, coughing, and wheezing. Common conditions include chest infections, asthma and chronic obstructive pulmonary disease (COPD).

How do I prepare for a respiratory test? ›

Preparing for the test

You should also avoid smoking for 24 hours before the test, and avoid drinking alcohol, strenuous exercise or eating large meals for a few hours beforehand. It's best to wear loose, comfortable clothing on the day of the test.

What is the passing score for the NBRC exam? ›

CRT candidates should study the TMC Detailed Content Outline. The NBRC has determined two cut scores. Respiratory therapists must score 66% to pass. If the second higher cut score of 72% is met, the NBRC awards a CRT certificate, and the therapist is eligible to take the Clinical Simulation Exam for RRT certification.

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