Certified Respiratory Therapist (CRT) in Iowa
This guide details the process of becoming a Certified Respiratory Therapist (CRT) in Iowa, focusing on a structured path involving 120 total hours of training split equally between classroom and clinical settings. The journey from meeting prerequisites to obtaining certification can take anywhere from 4 to 20 weeks, depending on the training mode, with costs ranging from $800 to $2,500.
The role of a Certified Respiratory Therapist (CRT) in Iowa offers a promising career path, underscored by a median salary of $64,850 per year and a projected national job growth of 12.1% by 2034. The state's aging population and expanding healthcare services fuel demand for CRTs, making this career both lucrative and secure. With 139,600 workers currently in this role nationwide, the field is expanding, reflecting the escalating need for respiratory care, particularly in response to the ongoing challenges posed by respiratory ailments.
Iowa presents a unique environment for respiratory therapists due to its specific state regulations, diverse healthcare facilities, and regional health concerns, such as agricultural respiratory issues. The state's major healthcare employers, including university hospitals and regional medical centers, offer various opportunities for CRTs. These institutions often serve a broad demographic, giving CRTs experience with a wide range of respiratory conditions. Iowa's commitment to quality healthcare is evident in its regulations that ensure CRTs maintain high standards of practice, which may include continuous education and periodic re-certification.
This guide provides detailed insights into the process of becoming a Certified Respiratory Therapist in Iowa. Readers will learn about the necessary educational qualifications, the steps required for certification, and an overview of the state-specific licensing process. Additionally, the guide addresses salary expectations and provides an analysis of the job market for CRTs in Iowa, helping prospective therapists to realistically prepare for their careers in this field. By outlining the key steps and considerations for becoming a CRT, this guide aims to equip readers with the knowledge needed to pursue this rewarding healthcare profession in Iowa.
Licensing Authority
Iowa Board of Respiratory Care and Polysomnography
In Iowa, Certified Respiratory Therapists (CRT) must be licensed through the Iowa Board of Respiratory Care and Polysomnography. The process includes completing an accredited program, passing a national exam, and fulfilling state-specific requirements.
Official Resources
Iowa Requirements
Training Requirements
- Education
- Completion of high school or equivalent
- Total Training Hours
- 120 hours
- Classroom Hours
- 60 hours
- Clinical Hours
- 60 hours
- Minimum Age
- 18 years old
Additional Requirements
- Background check (State and federal) with fingerprinting
- Submission of official transcripts
- Proof of legal presence in the U.S.
Certification Exam
- Exam
- NBRC Certified Respiratory Therapist Examination
- Components
- Written, Skills demonstration
- Fee
- $190
How to Become a Certified Respiratory Therapist in Iowa
tuition $500-$2,000, exam fee $200, background check $50, application fee $50, textbooks/supplies $0-$200, scrubs $0-$50
Fastest Path
4-6 weeks
Typical Timeline
8-12 weeks
Estimated Cost
$800–$2,500
Verify You Meet Iowa's Prerequisites
Before pursuing certification as a Respiratory Therapist in Iowa, confirm you meet the basic prerequisites. These include being at least 18 years old, having a high school diploma or GED, and being in good health. Visit the Iowa Board of Respiratory Care website to download the specific requirements document. Processing this information takes about 1-2 days. Ensure all documents are readily available as they will be required for future steps.
Tip
Save time by gathering all necessary documents beforehand, including your high school diploma and any identification forms.
Complete Background Check and Health Screenings
Schedule and complete a background check through the Iowa Division of Criminal Investigation. This includes fingerprinting, which can be done at most police stations. Additionally, complete necessary health screenings, including a TB test and a drug screening. These tests are typically available at your local health clinic. Results from the background check can take up to 3 weeks, while health screening results are usually ready within a few days.
Tip
Schedule your health screenings on the same day to minimize visits to the clinic.
Research and Choose an Approved Training Program
Identify a state-approved training program for Respiratory Therapists in Iowa. Only graduates from approved programs are eligible to sit for the certification exam. Visit the Iowa Board of Respiratory Care's website to access a list of approved programs. Attending a non-approved program means you cannot take the certification exam, wasting both time and money. Choose a program that fits your schedule and budget.
Tip
Consider the location and cost of programs when making your decision.
Enroll in and Complete Training
Once you have chosen an approved program, enroll and complete the required 120 hours of training, split equally between 60 classroom hours and 60 clinical hours. Ensure the program provides a balanced approach to both theoretical knowledge and practical skills. Upon completion, you will receive a certificate of completion necessary for exam registration. Keep this document safe as it is crucial for your certification process.
Tip
Keep all receipts and documents from your training program as proof of completion.
Prepare for the Competency Exam
Begin preparing for the National Board for Respiratory Care (NBRC) Certified Respiratory Therapist (CRT) exam. This exam consists of 160 multiple-choice questions covering a wide range of topics relevant to respiratory care. Utilize study guides and practice exams to prepare. The NBRC website offers resources, including practice exams and test preparation tips. Allocate at least 4-6 weeks for exam preparation.
Tip
Regularly schedule practice exams to track your progress and identify areas needing improvement.
Register for and Schedule the Exam
Register for the CRT exam through the NBRC website. You will need to provide proof of your training program completion along with the registration fee. Once registered, schedule your exam at a local testing center. Pearson VUE typically administers these exams, and you can choose a date and location that are convenient for you. Ensure to register and schedule at least 3 weeks before your intended exam date to secure a spot.
Tip
Check for available dates at multiple testing centers to find the earliest or most convenient option.
Take and Pass the Exam
On the day of the exam, arrive at the testing center early with two forms of ID and your confirmation number. The CRT exam is computer-based and lasts 3 hours. If you do not pass the exam, you can reschedule after 60 days. Passing the exam is crucial as it is the final step before applying for certification. After passing, you will receive an official score report which is necessary for the certification application.
Tip
Ensure to have a good rest the night before and arrive early to avoid any last-minute stress.
Apply for State Certification/Registry
After passing the exam, apply for your respiratory therapist certification through the Iowa Board of Respiratory Care. Submit your score report, proof of training completion, and the application fee. This process typically takes 2-4 weeks, after which you will receive your CRT license if all documentation is approved. This license must be renewed biennially, including continuing education credits.
Tip
Double-check all documents for accuracy before submission 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 by mail. Verify your certification status on the Iowa Board of Respiratory Care's online registry. This verification is often required by employers before you can begin working. The verification process is immediate once your certification is updated in the system.
Tip
Regularly check the mail and the online registry to confirm when your certification appears.
Find Your First Job
With your certification in hand, start your job search. Utilize online job boards like Indeed and LinkedIn to find openings for Certified Respiratory Therapists in Iowa. Additionally, attending job fairs and networking with professionals in the field can provide valuable job leads. Prepare your resume and practice for interviews, focusing on your training and any practical experience you gained during your clinical hours.
Tip
Tailor your resume to highlight your specific skills and experiences in respiratory care.
Alternative Training Paths
Employer-Sponsored Training at Hospitals
Some hospitals in Iowa offer employer-sponsored training programs for aspiring Respiratory Therapists. These programs often cover tuition costs in exchange for a commitment to work at the hospital for a specified period after certification. This path is ideal for those who can commit to a single employer long-term.
Best for: Individuals seeking to minimize upfront educational costs
Common Mistakes to Avoid
- •Attending a training program not on the Iowa 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: passing cut score determined by NBRC
- • Patient Data Evaluation and Recommendations (22%)
- • Troubleshooting and Quality Control of Equipment and Infection Control (16%)
- • Initiation and Modification of Interventions (62%)
Skills Test
Skills Tested: N/A
Time Per Skill: N/A
The CRT exam does not include a skills demonstration component.
What to Bring
- ✓ Government-issued photo ID (driver's license, passport)
- ✓ NBRC confirmation letter
- ✓ Simple calculator (if preferred, as one will be available on the computer)
Do Not Bring
- ✗ Personal items such as bags, hats, and coats
- ✗ Electronic devices including mobile phones, smart watches, and tablets
- ✗ Food and drink inside the testing room
Day-of Timeline
Arrive 30 minutes early. Check-in takes approximately 15 minutes. Written test lasts 3 hours. No scheduled breaks.
Getting Your Results
Preliminary results provided immediately after the exam. Official results mailed within two weeks. Accessible via online NBRC candidate portal.
If You Don't Pass
Retake allowed after 60 days. Cost of retake is the same as initial exam fee. Unlimited attempts allowed.
Exam Strategies
- 1. Prioritize studying major topics by their weight in the exam, focusing most on 'Initiation and Modification of Interventions'.
- 2. During the exam, mark complex questions and return to them after addressing all others to manage time effectively.
- 3. Read each question carefully, especially the ones that include terms like 'except', 'not', or 'false', to avoid confusion.
- 4. Practice with sample tests from the NBRC website to familiarize with the format and timing.
Document Checklist
Every document you need from start to finish
1Before Training
High School Diploma or GED Certificate
Respective high school or GED issuing institution · Varies · 2-4 weeks
Required for admission into respiratory therapy programs
Immunization Records
Personal physician or local health department · Varies · 1-2 weeks
Must include TB test, MMR, Hepatitis B, Varicella, and influenza
Criminal Background Check
Iowa Division of Criminal Investigation or third-party provider · Approximately $15-$50 · 1-3 weeks
Some programs require this for clinical placement
CPR Certification
American Heart Association or American Red Cross · Approximately $50-$100 · Varies by course availability
Required by most programs; check specific program requirements
2During Training
Transcripts
From all attended educational institutions · Approximately $5-$15 per copy · 1-2 weeks
Needed for transferring credits or program application
Clinical Rotation Documentation
From the respiratory therapy program · No additional cost · At completion of each rotation
Keep records organized for certification application
3For the Exam
Application for the NBRC CRT Exam
National Board for Respiratory Care (NBRC) website · Exam fee approximately $190
Ensure eligibility requirements are met before applying
Proof of Education
From the respiratory therapy program · No additional cost
Official transcript or letter from program director required
Identification
Valid government-issued ID · No additional cost unless renewal is needed
Needed for identity verification at testing center
4For Certification
CRT Credential
Issued by NBRC after passing the exam · Included in exam fee
Present this credential when applying for state licensure
Application for Iowa State Licensure
Iowa Board of Respiratory Care · License application fee approximately $120
Must be completed to legally work in Iowa as a CRT
Proof of CPR Certification
From certifying organization (American Heart Association or American Red Cross) · No additional cost if already obtained
Ensure certification is current during licensure application
After You're Certified: What's Next
After passing the CRT exam, verify your status on the National Board for Respiratory Care (NBRC) website. Contact the Iowa Board of Respiratory Care to ensure your certification is recorded. Obtain your physical certificate for employment verification.
Finding Your First Job
Where to Look
- • Indeed.com, iHireRespiratory.com, and hospital websites such as UnityPoint Health and University of Iowa Hospitals and Clinics
Best Employers for New Grads
- • Hospitals offer comprehensive benefits and structured environments. Long-term care facilities may have more flexible schedules but potentially lower pay. Home health agencies provide opportunities for patient relationships but require travel
Resume Tip: Highlight any clinical rotations or volunteer work, list relevant coursework, and emphasize soft skills like communication and teamwork.
Interview Tip: Be prepared to discuss your clinical experience, why you chose respiratory therapy, and how you handle stressful situations. Expect questions on patient scenarios and safety protocols.
Expected First-Year Salary
In Iowa, the salary range for a new Certified Respiratory Therapist typically falls between $45,000 and $55,000 annually.
Career Advancement Path
Registered Respiratory Therapist (RRT)
Completion of an advanced-level exam administered by the NBRC
Challenges to Prepare For
- • Handling emotionally difficult situations with patients and families, managing time effectively during busy shifts, and staying current with continuous medical education requirements.
Certified Respiratory Therapist Salary in Iowa
Certified Respiratory Therapists in Iowa earn a median annual salary of $64,850, which is lower than the national median. Hourly, this translates to $31.18.
Entry Level
$59,180
0-1 years experience
Median Salary
$64,850
$31.18/hr · Bureau of Labor Statistics
Experienced
$80,000
5+ years experience
Compared to National Median
$77,960 national · -16.8% in Iowa
Salary by Metro Area
Highest concentration of CRTs
Slightly below state median
Salary by Employer Type
Iowa's cost of living is generally lower than the national average, making the state's CRT salaries relatively more competitive.
Benefits & Compensation
Common benefits include health insurance, retirement plans, and paid time off. Some employers may offer tuition reimbursement.
Salary Growth Outlook
Expected moderate growth due to aging population and healthcare advancements.
Salary Negotiation Tips
- •Research average salaries for similar positions in your area.
- •Consider the total compensation package, not just the salary.
Job Market in Iowa
The job market for Certified Respiratory Therapists (CRT) in Iowa is expected to align closely with the national growth rate of 12.1% from 2024 to 2034. Demand in Iowa is spurred by an aging population and an increase in respiratory conditions such as asthma and COPD. Iowa's rural areas, in particular, show a growing need for healthcare services, including respiratory therapy.
Top Hiring Areas
Larger hospitals and medical centers
Growing healthcare sector
Increased demand in rural healthcare services
Top Hiring Industries
Best time to apply: Early spring and late fall, aligning with healthcare hiring cycles
Opportunities
- Telehealth advancements offer remote job opportunities
- Specialization in areas with high incidence of respiratory conditions
Challenges
- Recruitment in rural areas
- Keeping pace with technological advancements in respiratory care
Training Programs in Iowa
Iowa offers several Certified Respiratory Therapist (CRT) programs through community colleges, vocational schools, and employer-sponsored training. These programs prepare students for the National Board for Respiratory Care (NBRC) CRT examination.
Program Types Comparison
| Type | Duration | Cost | Format | Pros / Cons |
|---|---|---|---|---|
| Community College | 2 years | $5,000 - $20,000 | In-person/Hybrid |
|
| Vocational/Trade School | 18-24 months | $10,000 - $25,000 | In-person/Hybrid |
|
| Employer-Sponsored | Varies | Free/Paid training | On-the-job |
|
Top Programs
Ankeny, Iowa
High pass rates and extensive clinical rotations
Davenport, Iowa
Strong industry connections enhance job placement
Online & Hybrid Options
Hybrid options available, combining online coursework with in-person clinical training.
How to Choose a Program
- •Verify the program's accreditation status to ensure eligibility for certification exams.
Financial Aid & Free Training
Get free Certified Respiratory Therapist program info for Iowa
Renewal Requirements
Renewal Period
Every 2 years
Renewal Fee
$120
CE Hours
24 hours
Work requirement: None specified
CE Topics: Respiratory care techniques, Patient care ethics
Out-of-State Reciprocity
Iowa offers reciprocity for respiratory therapists licensed in other states, provided they meet Iowa's standards and have a clean disciplinary record.
Requirements for Reciprocity
- Current active license in another state
- Proof of equivalent education and exam standards
State Agreements
All U.S. states, subject to verification of credentials
Additional Exams
None required
Application Process
Submit an application along with verification of licensure from the current state and required fees
Fees
$120
Processing Time: 4-6 weeks
Licensing Tips
Ensure all documents submitted for licensure are accurate and complete to avoid delays.
Stay informed about renewal deadlines and continuing education requirements to maintain licensure.
Recommended Resources
Respiratory Care Exam Review
Covers a comprehensive range of topics for the CRT exam with practice questions and detailed explanations.
Kettering National Seminars CRT RRT Exam Review
Provides a thorough review and practice exams, focusing on both CRT and RRT tests.
Comprehensive Respiratory Therapy Exam Preparation Guide
Includes extensive coverage on clinical concepts and a clear, concise review format for the CRT exam.
The Essentials of Respiratory Care
Offers foundational knowledge and reviews critical respiratory care procedures and concepts.
Littmann Classic III Stethoscope
Used for auscultating lung sounds, a fundamental skill for respiratory therapists.
Pulse Oximeter
Essential for measuring oxygen saturation, a critical parameter in respiratory care.
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Sources
- Bureau of Labor StatisticsAccessed 2026-02-13
- Iowa Licensing BoardAccessed 2026-02-13
- CareerOneStopAccessed 2026-02-13