Certified Respiratory Therapist (CRT) in California
This guide details the process to become a Certified Respiratory Therapist (CRT) in California, including prerequisites, training, exams, and certification. The journey involves specific steps such as completing 1200 hours of state-approved training, passing background checks, and clearing the CRT exam. The entire process can take anywhere from 8 to 12 months, with costs ranging from $2,000 to $5,000.
The role of a Certified Respiratory Therapist (CRT) in California presents a lucrative and growing career path for those interested in the healthcare sector. With a median annual salary of $101,200 and a projected growth rate of 12.1% by 2034, the state's demand for CRTs is both substantial and expanding. This growth is fueled by an aging population, heightened awareness of respiratory conditions, and advances in treatment technologies, making it an attractive career option with solid future prospects.
California's unique healthcare regulations and its large, diverse population make it a distinct environment for respiratory therapists. The state mandates specific licensing through the Respiratory Care Board of California, ensuring that all practicing CRTs meet rigorous standards. California's major healthcare providers, including Kaiser Permanente, Sutter Health, and UCLA Health, are significant employers in the region and contribute to a competitive job market. These factors, combined with California's diverse geography and varying air quality issues, influence the demand and roles of CRTs across the state.
This guide will detail the necessary steps to become a Certified Respiratory Therapist in California, including education requirements, licensing procedures, and certification processes. It will also provide insights into salary expectations and current job market trends specific to California. Readers will gain a clear understanding of the career path, from educational foundations through to long-term job prospects, allowing them to make informed decisions about pursuing a career as a CRT in this vibrant state.
Licensing Authority
Respiratory Care Board of California
In California, Certified Respiratory Therapists (CRT) must be licensed through the Respiratory Care Board of California. This process involves completing educational requirements, passing examinations, and fulfilling specific application criteria.
Official Resources
California Requirements
Training Requirements
- Education
- Associate degree in respiratory care or equivalent from an accredited program
- Total Training Hours
- 1200 hours
- Classroom Hours
- 450 hours
- Clinical Hours
- 750 hours
- Minimum Age
- 18 years old
Additional Requirements
- Background check (State and federal) with fingerprinting
- Proof of legal U.S. residency
Certification Exam
- Exam
- National Board for Respiratory Care (NBRC) CRT Examination
- Components
- Written
- Fee
- Variable
How to Become a Certified Respiratory Therapist in California
tuition $1500-$4000, exam fee $200, background check $50, application fee $150, textbooks/supplies $100, scrubs $50
Fastest Path
8 months
Typical Timeline
12 months
Estimated Cost
$2000–$5000
Verify You Meet California's Prerequisites
Before embarking on the path to become a Certified Respiratory Therapist in California, confirm you meet the basic prerequisites. These include being at least 18 years of age, holding a high school diploma or GED, and being in good physical health. Visit the California Respiratory Care Board's website to download and review the detailed list of requirements. This initial step is crucial as it ensures eligibility before you invest time and money into the necessary education and training.
Tip
Ensure all personal identification documents are current and accessible to avoid delays.
Complete Background Check and Health Screenings
California requires a comprehensive background check and health screenings for all aspiring respiratory therapists. Schedule an appointment for LiveScan fingerprinting, which you can find locations for on the California Department of Justice website. Additionally, complete required health screenings, which include a tuberculosis test and possibly a drug screening, at a local clinic. These checks ensure patient safety and compliance with state health regulations.
Tip
Schedule your health screenings and fingerprinting on the same day to expedite the process.
Research and Choose an Approved Training Program
Selecting a state-approved training program is critical as completing a non-approved program will disqualify you from sitting for the CRT exam. Visit the California Respiratory Care Board's website to access a list of approved programs. These programs must include 450 classroom hours and 750 clinical hours, totaling 1200 hours of training. Contact the programs directly to inquire about tuition, schedules, and any additional requirements.
Tip
Contact multiple programs to compare costs and schedules that best fit your needs.
Enroll in and Complete Training
Once you have chosen a state-approved program, proceed to enroll. Ensure you complete both the 450 classroom hours and 750 clinical hours as required. This training will cover all necessary theoretical knowledge and practical skills to perform as a respiratory therapist. Attendance and commitment are key, as failing to complete the required hours will result in ineligibility for certification. Keep records of your progress and any evaluations or certificates you receive.
Tip
Maintain consistent communication with your instructors and seek feedback regularly to ensure you are on track.
Prepare for the Competency Exam
Begin preparing for the National Board for Respiratory Care (NBRC) Certified Respiratory Therapist (CRT) exam. Utilize study materials and practice tests available on the NBRC website. The exam consists of 160 multiple-choice questions covering topics such as patient assessment, equipment management, and infection control. You have three hours to complete the exam. A score of 70 or above is required to pass.
Tip
Regularly timed practice exams can help manage time effectively during the actual test.
Register for and Schedule the Exam
Once you are ready, register for the CRT exam through the NBRC's online portal. Choose a testing date and location that are convenient for you. The exam is administered by Pearson VUE, and you can find available test centers on their website. Ensure you have all required identification and confirmation of your exam registration on test day.
Tip
Choosing a test center close to your residence can reduce stress on the day of the exam.
Take and Pass the Exam
On the day of your exam, arrive at the test center early with proper identification and your exam confirmation. The CRT exam is computer-based and lasts three hours, covering clinical scenarios and equipment usage. If you do not pass, you can reschedule after 90 days. Passing the exam is the final step before applying for certification.
Tip
Review all exam materials the night before and ensure a good night's sleep.
Apply for State Certification/Registry
After passing the CRT exam, apply for your state certification through the California Respiratory Care Board. Complete the application form available on their website, attach your exam results, and submit the required fee. Processing typically takes 4-6 weeks. Once approved, your certification will appear in the state registry, allowing you to practice legally in California.
Tip
Double-check your application for accuracy to avoid any delays in processing.
Receive Your Certification and Verify on State Registry
Once your application is processed and approved, you will receive your CRT certification. Verify your status on the California Respiratory Care Board's online registry. This official listing is crucial as employers will check this registry to confirm your credentials before hiring. Keep a copy of your certification for your records and for potential employer requests.
Tip
Regularly check the mail and the online registry for updates on your certification status.
Find Your First Job
With your certification in hand, you are now ready to seek employment as a Certified Respiratory Therapist. Utilize job search platforms such as Indeed, LinkedIn, and specialty healthcare job boards to find openings in hospitals, clinics, and other healthcare facilities. Tailor your resume to highlight your CRT certification, training, and any relevant experience. Networking with professionals in the field can also lead to job opportunities.
Tip
Attend industry conferences and workshops to network and learn about job openings.
Alternative Training Paths
Employer-Sponsored Training Programs
Some healthcare facilities in California offer employer-sponsored training programs for aspiring respiratory therapists. These programs sometimes cover tuition costs in exchange for a commitment to work at the facility for a specified period after certification. This path can be financially advantageous but typically requires a work commitment.
Best for: Individuals looking for financial aid and job security post-certification
Common Mistakes to Avoid
- •Attending a training program not on the California Board of Nursing approved list. You will complete the program but be unable to sit for the state competency exam, wasting both your time and tuition money.
What to Expect on Exam Day
Certified Respiratory Therapist (CRT) Examination administered by National Board for Respiratory Care (NBRC)
Written Test
Questions: 160
Time Limit: 3 hours
Format: Multiple choice
Passing Score: Pass/fail based on scaled score
- • Patient Data Evaluation and Recommendations (20%)
- • Troubleshooting and Quality Control of Equipment and Infection Control (20%)
- • Initiation and Modification of Interventions (60%)
Skills Test
Skills Tested: Not applicable
Time Per Skill: Not applicable
Not applicable
What to Bring
- ✓ Government-issued photo ID (e.g., driver's license, passport)
- ✓ NBRC confirmation letter
- ✓ Two No. 2 pencils
Do Not Bring
- ✗ Personal electronic devices (phones, smartwatches, calculators)
- ✗ Food and drinks
- ✗ Personal items (bags, hats, coats)
Day-of Timeline
Arrive 30 minutes early. Check-in takes 15 minutes. Written test is 3 hours.
Getting Your Results
Results are delivered electronically via the NBRC online portal within two weeks.
If You Don't Pass
If you fail, you can retake the exam after 60 days. The cost of a retake is the same as the initial exam fee. There is no limit on the number of retakes allowed in California.
Exam Strategies
- 1. Focus on time management, aiming to spend no more than one minute per question to allow time for review.
- 2. Prioritize studying areas that comprise a larger percentage of the exam, such as Initiation and Modification of Interventions.
- 3. During the exam, mark questions you are unsure about for review if time permits, rather than spending too much time on them initially.
- 4. Read each question carefully, especially the terms that qualify a statement (e.g., always, never, must) as they can determine the correct answer.
Document Checklist
Every document you need from start to finish
1Before Training
High School Diploma or GED
From previously attended high school or GED program · Varies · 1-2 months
Required for admission into respiratory therapy programs
Proof of Immunizations
Personal physician or health clinic · Varies · 1-3 weeks
Includes MMR, Varicella, Hepatitis B, and possibly others depending on program requirements
Tuberculosis Test Results
Personal physician or health clinic · Varies · 1-2 weeks
Often required to be recent, typically within the past year
CPR Certification
American Heart Association or Red Cross · Approximately $50-$100 · Varies; classes typically last a few hours to a full day
Must be a Healthcare Provider level certification
Background Check
Third-party service or through the training program · Approximately $50-$100 · 1-3 weeks
Required by most training programs for clinical placement
2During Training
Official Transcripts
From educational institutions attended · Approximately $5-$20 per transcript · 1-4 weeks
Necessary for transferring credits or proving prerequisites
Clinical Rotation Documentation
From the respiratory therapy program · No cost · At the end of each clinical rotation
Required to track and verify clinical experience hours
Program Completion Certificate
From the respiratory therapy program · No cost · At program completion
Proof of successful completion of an accredited program
3For the Exam
NBRC Examination Application
National Board for Respiratory Care (NBRC) website · Examination fee varies
Application must be completed to sit for the CRT exam
Photo Identification
State or government-issued · Varies if obtaining new ID
Required for identity verification at the testing center
4For Certification
CRT Exam Results
From NBRC · No additional cost
Official results needed for certification application
California Respiratory Care Board Application
California Respiratory Care Board website · Application fee varies
Required to apply for state licensure as a respiratory therapist
Fingerprinting
Approved Live Scan service provider · Approximately $50
Mandatory for criminal background check by the state board
Proof of Legal Presence
Personal documents such as passport or birth certificate · No cost unless obtaining new documents
Necessary to verify eligibility to work in the U.S.
After You're Certified: What's Next
Immediately after passing your CRT exam, verify your status on the National Board for Respiratory Care (NBRC) website. Apply for your state license through the Respiratory Care Board of California. Order and frame your CRT certificate for professional display.
Finding Your First Job
Where to Look
- • Indeed.com, LinkedIn, HealthJobsNationwide.com, and the California Society for Respiratory Care website
Best Employers for New Grads
- • Hospitals, emergency care centers, and private clinics. Hospitals often offer more diverse experiences and learning opportunities, while private clinics might provide more regular hours. Emergency care centers require the ability to handle high-stress situations.
Resume Tip: Highlight any clinical rotations or internships, detail your certifications (BLS, ACLS), and focus on any patient interaction experiences. Include soft skills such as communication, teamwork, and stress management.
Interview Tip: Describe a time you handled a stressful situation.Explain how you would manage a patient in respiratory distress.Discuss how you stay updated with the latest respiratory care techniques.
Expected First-Year Salary
In California, the starting salary for a CRT ranges from $60,000 to $70,000 annually, depending on location and type of facility.
Career Advancement Path
Registered Respiratory Therapist (RRT)
Pass the RRT examinations provided by the NBRC after gaining sufficient clinical experience.
Challenges to Prepare For
- • Handling the emotional and physical stress of urgent care situations, managing time effectively during shifts, and staying current with new treatments and technologies.
Certified Respiratory Therapist Salary in California
Certified Respiratory Therapists in California earn a median annual salary of $101,200, significantly higher than the national median. This reflects the state's higher cost of living and demand for healthcare professionals.
Entry Level
$70,000
0-1 years experience
Median Salary
$101,200
$48.65/hr · Bureau of Labor Statistics
Experienced
$120,000
5+ years experience
Compared to National Median
$77,960 national · ++29.8% in California
Salary by Metro Area
Higher salaries due to tech and healthcare integration
High demand in densely populated area
Growing biotech sector influences demand
Salary by Employer Type
While salaries are higher in California, they are partially offset by the state's high cost of living, particularly in housing and transportation.
Benefits & Compensation
Common benefits include health insurance, retirement plans, and continuing education funds.
Salary Growth Outlook
Salary growth is expected to remain steady due to ongoing healthcare needs and advancements in respiratory care.
Salary Negotiation Tips
- •Highlight specialized skills or certifications
- •Demonstrate awareness of market rates and regional salary variations
Job Market in California
The Certified Respiratory Therapist (CRT) job market in California is expected to grow in line with national trends, reflecting a 12.1% increase from 2024 to 2034. California's large and aging population, coupled with high rates of respiratory issues such as asthma and chronic obstructive pulmonary disease, drives a consistent demand for CRT professionals. Urbanization and environmental factors such as pollution also contribute to the state's increasing need for respiratory therapy services.
Top Hiring Areas
High pollution and population density
Tech-driven health innovations increase demand
Growing elderly population
Top Hiring Industries
Best time to apply: Early spring or late fall, aligning with fiscal hiring cycles
Opportunities
- Advancements in respiratory care technology
- Expansion of services in suburban and rural areas
Challenges
- High cost of living in urban areas may deter potential applicants
- Competitive job market with stringent requirements for new hires
Training Programs in California
California offers a variety of Certified Respiratory Therapist (CRT) training programs across community colleges, vocational schools, and employer-sponsored options. These programs prepare students for the National Board for Respiratory Care (NBRC) CRT exam and are crucial for state licensure.
Program Types Comparison
| Type | Duration | Cost | Format | Pros / Cons |
|---|---|---|---|---|
| Community College | 2 years | $1,000 to $5,000 annually | In-person/Hybrid |
|
| Vocational/Trade School | 18 to 24 months | $10,000 to $30,000 total | In-person/Hybrid |
|
| Employer-Sponsored | Varies | Free/Paid training | On-the-job |
|
Top Programs
Los Altos Hills, California
High pass rates and extensive clinical rotations
Ontario, California
Accelerated program with hands-on training
Online & Hybrid Options
Some community colleges offer hybrid options where theoretical components are online, but practical training requires in-person attendance.
How to Choose a Program
- •Verify the program's accreditation status and exam pass rates to gauge its effectiveness.
Financial Aid & Free Training
Get free Certified Respiratory Therapist program info for California
Renewal Requirements
Renewal Period
every 2 years
Renewal Fee
$230
CE Hours
30 hours
Work requirement: None specified
CE Topics: Clinical practice updates, Ethical standards in respiratory care
Out-of-State Reciprocity
California offers reciprocity for CRTs licensed in other states if they meet California's licensing requirements and pass required examinations.
Requirements for Reciprocity
- Current valid license from another state
- Proof of equivalent education and training
State Agreements
All U.S. states provided their licensing standards meet California requirements
Additional Exams
Yes, if not previously taken the NBRC CRT exam
Application Process
Submit an application along with proof of out-of-state licensure, educational credentials, and pass required exams
Fees
$300
Processing Time: 4-6 weeks
Licensing Tips
Ensure all documents, especially proof of education and training, are in order before applying to avoid delays.
Stay updated on continuing education requirements to ensure timely renewal.
Recommended Resources
Respiratory Care Exam Review
Provides a comprehensive review and practice questions aligned with the TMC Exam.
Kettering National Seminars CRT/RRT Review
Offers detailed practice exams and test-taking strategies for CRT and RRT credentialing.
Comprehensive Respiratory Therapy Exam Preparation Guide
Covers all essential concepts and skills for the CRT exam, with practice questions and detailed explanations.
Egan's Fundamentals of Respiratory Care
Textbook providing in-depth knowledge on respiratory care, frequently used as a primary educational resource for respiratory therapy students.
Stethoscope
Essential for assessing respiratory and cardiovascular health during training and examinations.
Pulse Oximeter
Used to measure oxygen saturation level and pulse rate, crucial for respiratory monitoring.
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Sources
- Bureau of Labor StatisticsAccessed 2026-02-13
- California Licensing BoardAccessed 2026-02-13
- CareerOneStopAccessed 2026-02-13