Certified Respiratory Therapist (CRT) in District of Columbia
This guide details the steps to become a Certified Respiratory Therapist (CRT) in the District of Columbia. The process involves meeting prerequisites, completing approved training, passing an exam, and obtaining state certification. The total path duration can range from 4 to 20 weeks depending on the study mode, with costs ranging from $800 to $2,500.
In the District of Columbia, the career of a Certified Respiratory Therapist (CRT) is both lucrative and in high demand. With a median salary of $106,480 per year, the compensation is significantly higher than in many other regions. This role is not just well-paid but also secure, with an expected national growth rate of 12.1% by 2034. Such growth indicates a steady increase in job opportunities, making it a sensible choice for those interested in a stable and rewarding healthcare career.
The District of Columbia offers a unique environment for respiratory therapists due to its stringent state regulations and a dense healthcare network. This region is home to multiple top-tier hospitals and medical centers that demand a high standard of care and, consequently, highly skilled respiratory therapists. The presence of such institutions not only provides numerous employment opportunities but also enhances professional development through exposure to diverse and complex medical cases. Additionally, the District's specific licensing requirements ensure that only the most qualified professionals practice, maintaining high standards in patient care.
This guide offers an in-depth look at what it takes to become a Certified Respiratory Therapist in the District of Columbia. Readers will learn about the detailed licensing process, including the necessary educational qualifications and examinations. The guide also outlines the expected salary ranges and provides insights into the job market, helping prospective CRTs understand where opportunities might lie and what they might anticipate in terms of career progression. Armed with this knowledge, individuals can better prepare for a successful career in this rewarding field.
Licensing Authority
District of Columbia Board of Respiratory Care
In the District of Columbia, Certified Respiratory Therapists (CRTs) must be licensed through the District of Columbia Board of Respiratory Care. The process includes education, examinations, and a background check.
Official Resources
District of Columbia Requirements
Training Requirements
- Education
- Completion of an accredited respiratory care program
- Total Training Hours
- not specified hours
- Classroom Hours
- not specified hours
- Clinical Hours
- not specified hours
- Minimum Age
- 18 years old
Additional Requirements
- Background check (Federal and state) with fingerprinting
- Proof of completion of an accredited program
Certification Exam
- Exam
- National Board for Respiratory Care (NBRC) Certified Respiratory Therapist Exam
- Components
- Written, Skills demonstration
- Fee
- varies
How to Become a Certified Respiratory Therapist in District of Columbia
tuition $500-$2,000, exam fee $200, background check $50, application fee $50, textbooks/supplies $100, scrubs $100
Fastest Path
4-6 weeks
Typical Timeline
8-12 weeks
Estimated Cost
$800–$2,500
Verify You Meet District of Columbia's Prerequisites
Check if you meet the prerequisites for becoming a CRT in the District of Columbia. Requirements include being at least 18 years old, having a high school diploma or GED, and being in good physical health. Visit the District of Columbia Board of Respiratory Care's website to confirm these requirements and download any relevant forms. Processing times for document verification are typically 1-2 days.
Tip
Order your high school transcript online through Parchment.com ($15) to avoid a 2-week mail delay from your school's registrar office.
Complete Background Check and Health Screenings
Obtain a District of Columbia police and FBI fingerprint check via LiveScan at a local police station. Schedule and complete a tuberculosis test and basic physical exam at a healthcare provider. Results typically take 2-3 weeks. Disqualifying criminal offenses and failed health screenings may require filing for a waiver.
Tip
Schedule your LiveScan appointment early as slots fill quickly.
Research and Choose an Approved Training Program
Identify state-approved CRT training programs in the District of Columbia. Attending a non-approved program disqualifies you from sitting for the certification exam. Visit the DC Board of Respiratory Care's website for a list of approved programs. Choosing an approved program ensures eligibility to sit for the certification exam.
Tip
Contact programs directly to ask about class schedules and financial aid options.
Enroll in and Complete Training
Enroll in a chosen approved CRT training program. Complete the required classroom and clinical hours, although specific hour requirements are not stipulated by the state. Ensure all coursework and hands-on training are completed to the program's standards. Programs typically last from 4 to 20 weeks based on full-time or part-time attendance.
Tip
Keep a record of all coursework and clinical hours in case of audit.
Prepare for the Competency Exam
Prepare for the CRT competency exam by reviewing study materials and taking practice tests. Focus on areas covered in your training, including patient assessment and respiratory care procedures. The National Board for Respiratory Care (NBRC) offers resources and practice exams. Allocate at least 2-4 weeks for exam preparation.
Tip
Use the NBRC's practice exams to familiarize yourself with the exam format and question types.
Register for and Schedule the Exam
Register for the CRT competency exam through the National Board for Respiratory Care's (NBRC) website. Select a test date and location that suits your schedule. The exam fee is typically around $200. Confirmation of registration and details of the test center will be provided immediately upon registration.
Tip
Choose a test date that allows ample time for preparation.
Take and Pass the Exam
Take the CRT competency exam at the scheduled test center. The exam consists of multiple-choice questions covering key areas of respiratory care. You will have a set time limit to complete the exam. If you fail, you can reschedule after a waiting period. Passing the exam is required to proceed with state certification.
Tip
Arrive at the test center early to allow time for check-in procedures.
Apply for State Certification/Registry
After passing the exam, apply for your CRT certification with the District of Columbia Board of Respiratory Care. Submit all required documentation, including proof of training completion and exam results. The application fee is typically $50. Processing time for certification is usually 2-4 weeks.
Tip
Ensure all documents are completed and submitted together to avoid delays.
Receive Your Certification and Verify on State Registry
Once your application is processed, you will receive your CRT certification. Verify your certification status on the District of Columbia Board of Respiratory Care's online registry. This step is crucial to ensure your eligibility for employment as a CRT. Certification typically appears in the registry within a week of issuance.
Tip
Regularly check the registry until your certification appears to confirm its status.
Find Your First Job
Start your job search by visiting job boards, hospital websites, and local healthcare facilities. Networking with peers and attending job fairs can also be beneficial. Prepare for interviews by reviewing common interview questions for CRTs. Salary negotiation is part of the hiring process; understand the typical salary range for CRTs in your area.
Tip
Customize your resume to highlight specific skills and experiences relevant to the job postings you apply for.
Common Mistakes to Avoid
- •Attending a training program not on the District of Columbia 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: Scaled score of at least 70
- • Patient Data Evaluation and Recommendations: 20%
- • Troubleshooting and Quality Control of Equipment and Infection Control: 19%
- • Initiation and Modification of Interventions: 61%
Skills Test
Skills Tested: 0
Time Per Skill: N/A
The CRT certification exam does not include a skills test component.
What to Bring
- ✓ Government-issued photo ID (e.g., driver's license, passport)
- ✓ NBRC confirmation letter
- ✓ Two number 2 pencils
Do Not Bring
- ✗ Personal electronic devices (phones, smartwatches, calculators)
- ✗ Food or drink
- ✗ Study materials or notes
Day-of Timeline
Arrive 30 minutes early. Check-in takes 15 minutes. Written test is 3 hours.
Getting Your Results
Results are provided via the online NBRC portal within two weeks of the exam date.
If You Don't Pass
Retake is allowed after 60 days. Cost of retake is the same as the initial exam fee. Unlimited attempts are permitted.
Exam Strategies
- 1. Focus on the major topic area of 'Initiation and Modification of Interventions' as it constitutes over half of the exam.
- 2. Practice time management to ensure all questions are answered within the allotted 3 hours, aiming to spend no more than 1 minute per question.
- 3. Read each question carefully to avoid mistakes related to misunderstanding the question.
- 4. Use process of elimination in multiple-choice questions to narrow down options.
Document Checklist
Every document you need from start to finish
1Before Training
High School Diploma or GED
From previous educational institution · Varies (usually free to $10 for a copy) · 1-4 weeks
Required to enroll in a respiratory therapy program.
Criminal Background Check
Local police department or online service · Approximately $18-$50 · 1-2 weeks
Some programs require this before admission.
Immunization Records
Personal physician or health department · May incur cost for copies or missing vaccines · 1-3 weeks
Must show proof of MMR, Varicella, Hepatitis B, and Tetanus.
Tuberculosis Test Results
Healthcare provider · Approximately $20-$100 · Few days to 1 week
Some schools require a recent TB test (within the last year).
CPR Certification
American Heart Association or Red Cross · Approximately $50-$100 · Varies; classes available year-round
Must be a healthcare provider level certification.
2During Training
Transcripts
From your respiratory therapy program · Usually free to $10 per copy · 1-2 weeks
Required for certification application.
Clinical Experience Documentation
From your respiratory therapy program · No cost · At the completion of clinical rotation
Proof of completed supervised clinical experience is necessary.
3For the Exam
NBRC Exam Application
National Board for Respiratory Care (NBRC) website · Exam fee approximately $190
Application must be approved before scheduling the exam.
Exam Scheduling Permit
Via email from NBRC after application approval · Included in exam fee
Required to schedule your exam date.
Government-Issued Photo ID
Must already possess (e.g., driver's license, passport) · Cost of ID varies
Needed for identity verification on exam day.
4For Certification
CRT Credential
Issued by NBRC upon passing the exam · Included in exam fee
Must provide this credential when applying for state licensure.
D.C. Respiratory Therapist License Application
District of Columbia Board of Respiratory Care · License application fee approximately $230
Required to legally practice in the District of Columbia.
Proof of Age
Must already possess (e.g., birth certificate, passport) · Cost of obtaining copies varies
Must be at least 18 years old to be licensed.
Social Security Number Verification
Social Security card or official document with SSN · No cost if already in possession
Necessary for background check and licensure.
After You're Certified: What's Next
Immediately after passing the CRT exam, verify your status on the National Board for Respiratory Care (NBRC) website. Apply for licensure through the District of Columbia Department of Health, ensuring all documentation is submitted.
Finding Your First Job
Where to Look
- • Indeed.com, Glassdoor, LinkedIn, and health-specific job boards like Health eCareers and the American Association for Respiratory Care (AARC) job board
Best Employers for New Grads
- • Hospitals, emergency care centers, and long-term care facilities. Hospitals offer structured environments with potential for varied experiences, while long-term care focuses on chronic respiratory management.
Resume Tip: Highlight clinical rotations and any relevant experience, even if not directly related to respiratory care. Include soft skills like communication and teamwork, and emphasize any hands-on experience with respiratory equipment.
Interview Tip: Describe a challenging patient care scenario and how you handled it.Explain why you chose respiratory therapy as a career.Discuss how you stay updated with the latest in respiratory care.
Expected First-Year Salary
In the District of Columbia, a new Certified Respiratory Therapist can expect a starting salary ranging from $55,000 to $65,000 annually.
Career Advancement Path
Registered Respiratory Therapist (RRT)
Passing the RRT examination after meeting clinical experience requirements.
Challenges to Prepare For
- • Adjusting to shift work and the emotional demands of patient care, managing time effectively during busy shifts, and staying current with advancements in respiratory therapy.
Certified Respiratory Therapist Salary in District of Columbia
In the District of Columbia, Certified Respiratory Therapists earn a median salary of $106,480 annually, significantly higher than the national median. This reflects the high cost of living and demand for healthcare professionals in the area.
Entry Level
$59,180
0-1 years experience
Median Salary
$106,480
$51.19/hr · Bureau of Labor Statistics
Experienced
$104,480
5+ years experience
Compared to National Median
$77,960 national · ++36.6% in District of Columbia
Salary by Metro Area
High demand in government and private sectors
Salary by Employer Type
The high salaries in District of Columbia align with its high cost of living, particularly in housing and daily expenses.
Benefits & Compensation
Common benefits include health insurance, retirement plans, paid leave, and continuing education opportunities.
Salary Growth Outlook
Steady growth expected due to increasing healthcare needs and advancements in respiratory care.
Salary Negotiation Tips
- •Highlight specialized skills and certifications.
- •Refer to prevailing wage rates in District of Columbia.
Job Market in District of Columbia
The Certified Respiratory Therapist (CRT) job market in the District of Columbia is poised for growth, closely mirroring the national trend. With the national employment for CRTs expected to increase by 12.1% from 2024 to 2034, demand in D.C. is driven by a dense urban population and a significant presence of healthcare facilities specializing in respiratory care. The city's demographic trends, including an aging population, also contribute to the rising need for respiratory therapists.
Top Hiring Areas
Central hub for major hospitals and medical centers
Top Hiring Industries
Best time to apply: Early spring and late fall, aligning with fiscal hiring cycles of major hospitals
Opportunities
- Expansion of telehealth services offering new employment avenues
- Continuing education and specialization in respiratory care
Challenges
- High competition for positions in major healthcare facilities
- Cost of living in D.C. may deter potential applicants
Training Programs in District of Columbia
The District of Columbia offers various training programs for those aspiring to become Certified Respiratory Therapists. These programs are accredited and meet the standards for licensure.
Program Types Comparison
| Type | Duration | Cost | Format | Pros / Cons |
|---|---|---|---|---|
| Community College | 2 years | $10,000 - $15,000 | In-person |
|
| Vocational/Trade School | 18-24 months | $5,000 - $10,000 | In-person |
|
| Employer-Sponsored | Varies | Free | On-the-job |
|
Top Programs
Washington, District of Columbia
High exam pass rates and strong local hospital partnerships
Online & Hybrid Options
Some programs offer hybrid formats combining online theoretical courses with in-person clinical training.
How to Choose a Program
- •Verify the accreditation status directly from the CoARC website.
- •Consider the program's NCLEX pass rate as an indicator of quality.
- •Evaluate the proximity to healthcare facilities for clinical training.
Financial Aid & Free Training
Get free Certified Respiratory Therapist program info for District of Columbia
Renewal Requirements
Renewal Period
every 2 years
Renewal Fee
varies
CE Hours
20 hours
Work requirement: not specified
CE Topics: Respiratory care practices, Patient safety
Out-of-State Reciprocity
D.C. offers reciprocity for CRTs licensed in other states, provided they meet the District's requirements and have an active, unrestricted license.
Requirements for Reciprocity
- Active license in good standing
- Completion of all D.C. specific requirements
State Agreements
All U.S. states
Additional Exams
No
Application Process
Submit an application with proof of out-of-state licensure and completion of required steps
Fees
varies
Processing Time: 4-6 weeks
Licensing Tips
Ensure all parts of your application are complete to avoid delays
Keep track of continuing education credits regularly to ensure compliance at renewal
Recommended Resources
Respiratory Care Exam Review
Offers a comprehensive set of practice questions and simulations tailored to the CRT exam.
Kettering National Seminars CRT RRT Exam Review
Includes detailed practice exams and study materials, frequently updated to reflect the current exam format.
Comprehensive Respiratory Therapy Exam Preparation Guide
Covers all essential topics for the CRT exam with practice questions, detailed explanations, and test-taking strategies.
Respiratory Care Made Incredibly Easy
Provides a simplified breakdown of respiratory care concepts, ideal for initial learning and quick revisions.
Littmann Classic III Stethoscope
Used for auscultation training, essential for mastering breath sounds identification.
Pulmonary Function Test Spirometer
Critical for understanding and practicing the measurements of lung capacity and function.
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Sources
- Bureau of Labor StatisticsAccessed 2026-02-13
- District of Columbia Licensing BoardAccessed 2026-02-13
- CareerOneStopAccessed 2026-02-13