Certified Respiratory Therapist (CRT) in Missouri
This guide provides a comprehensive path to becoming a Certified Respiratory Therapist (CRT) in Missouri, covering all required steps from prerequisites to employment. The process involves 120 hours of training (80 classroom, 40 clinical), passing the CRT competency exam, and obtaining state certification. Total costs range from $800 to $2,500 depending on choices for training and materials.
In Missouri, the career of a Certified Respiratory Therapist (CRT) presents significant opportunities due to the growing demand for healthcare services. With a median salary of $67,780 per year, respiratory therapy is not only a financially rewarding job but also critical in meeting the state's healthcare needs. The national projection indicates a 12.1% growth in this field by 2034, reflecting an increasing need for respiratory care professionals, especially in response to the aging population and respiratory conditions such as COPD and asthma.
Missouri offers a unique environment for respiratory therapists, shaped by specific state regulations and a distinct healthcare infrastructure. The state's central location contributes to its significant health service network, including major hospitals and clinics that are major employers of respiratory therapists. Missouri's regulatory framework ensures that respiratory therapists meet stringent training and certification standards, which maintains high professional standards and patient care quality across the state.
This guide provides detailed information on how to become a Certified Respiratory Therapist in Missouri, covering all necessary steps from education to certification. Readers will learn about the accredited programs available in Missouri, the licensing requirements set by the state, and what to expect during the certification process. The guide will also discuss salary expectations based on different regions within Missouri and provide insights into the job market, helping prospective CRTs make informed career decisions.
Licensing Authority
Missouri Board of Respiratory Care
In Missouri, Certified Respiratory Therapists (CRT) must obtain a license through the Missouri Board of Respiratory Care. The process includes education, examinations, and background checks.
Official Resources
Missouri Requirements
Training Requirements
- Education
- Completion of an accredited respiratory care program
- Total Training Hours
- 120 hours
- Classroom Hours
- 80 hours
- Clinical Hours
- 40 hours
- Minimum Age
- 18 years old
Additional Requirements
- Background check (State and federal) with fingerprinting
- Proof of legal presence in the U.S.
Certification Exam
- Exam
- Certified Respiratory Therapist (CRT) Examination
- Components
- Written, Skills demonstration
- Fee
- $190
How to Become a Certified Respiratory Therapist in Missouri
tuition $500-$1500, exam fee $200, background check $50, application fee $50, textbooks/supplies $0-$200, scrubs $0-$100
Fastest Path
8-12 weeks
Typical Timeline
12-16 weeks
Estimated Cost
$800–$2500
Verify Missouri CRT Prerequisites
Before pursuing CRT certification in Missouri, confirm eligibility. Requirements include being at least 18 years old, holding a high school diploma or GED, and having no disqualifying criminal history. Begin by obtaining your high school transcript and checking your criminal record for any potential issues. This initial step ensures you meet the basic criteria before investing time and money into the certification process.
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 Required Background Check and Health Screenings
Missouri requires a comprehensive background check and health screenings for CRT candidates. Obtain an FBI fingerprint check via a LiveScan service, available at most police stations or private providers. Also, complete a TB test and provide proof of immunizations. These steps are crucial to ensure public safety and compliance with health regulations in patient care settings.
Tip
Schedule your fingerprinting appointment early as slots may fill quickly, and processing times can vary.
Select an Approved CRT Training Program in Missouri
Ensure you enroll in a state-approved CRT training program to meet Missouri's certification requirements. Visit the Missouri Board of Respiratory Care website to find a list of approved programs. These programs must include 80 classroom hours and 40 clinical hours. Attending a non-approved program will result in ineligibility to sit for the certification exam, wasting both money and time.
Tip
Check for any additional accreditation or specializations that might benefit your career.
Enroll and Complete CRT Training
After selecting an approved program, complete the enrollment process and start your training. The program will consist of 80 hours of classroom instruction and 40 hours of clinical experience. This training is designed to equip you with the necessary skills and knowledge to perform effectively as a CRT. Attendance and active participation are mandatory to meet the program requirements and prepare for the certification exam.
Tip
Maintain good attendance and keep a record of all completed coursework and clinical hours.
Prepare for the CRT Competency Exam
Successfully passing the CRT Competency Exam is a crucial step. The exam consists of 100 multiple-choice questions covering key respiratory care concepts, which you must complete within 2 hours. Utilize study guides and practice exams to prepare. The National Board for Respiratory Care (NBRC) offers resources for exam preparation. Familiarize yourself with the exam format and content to increase your chances of passing.
Tip
Regularly take practice exams to track your progress and identify areas needing improvement.
Register and Schedule Your CRT Exam
After preparing for the exam, register and schedule it through the NBRC's designated testing vendor, Pearson VUE. The registration process involves submitting an application, paying the exam fee, and selecting a test date and location that are convenient for you. Ensure all prerequisites are met before registration to avoid delays.
Tip
Choose a test date that allows sufficient time for review and is not close to other major commitments.
Take and Pass the CRT Competency Exam
On the day of the exam, arrive early at the designated testing center with two forms of ID. The CRT Competency Exam is computer-based and consists of 100 multiple-choice questions to be completed in 2 hours. A passing score is required to apply for certification. If you fail, you can reschedule after a waiting period, as per NBRC guidelines.
Tip
Ensure to have a good rest the night before and arrive at the test center early to avoid any last-minute stress.
Apply for Missouri CRT Certification
Once you pass the exam, apply for your CRT certification through the Missouri Board of Respiratory Care. Submit the application form, proof of passing the exam, and any other required documents. This step is essential to legally practice as a CRT in Missouri. The board reviews applications and issues certifications, typically within 4-6 weeks.
Tip
Double-check your application for any errors or missing information to avoid processing delays.
Verify Certification and Appear in State Registry
After receiving your CRT certification, verify your status in the Missouri Respiratory Care Practitioner Registry. This confirmation is crucial for employers to validate your credentials. Regularly check the registry to ensure your information is accurate and up-to-date. This step is the final verification before you begin applying for jobs.
Tip
Keep a copy of your certification for your records and potential employer requests.
Start Your Job Search as a Certified Respiratory Therapist
With your certification in hand, begin your job search. Utilize online job boards, hospital websites, and networking within the healthcare industry to find suitable positions. Prepare your resume, highlighting your CRT certification, training, and any relevant experience. Attend job fairs and contact healthcare recruiters to increase your chances of finding a good position.
Tip
Tailor your resume for each job application to better align with the specific requirements of the job posting.
Alternative Training Paths
Employer-Sponsored Training Programs
Some healthcare facilities in Missouri offer employer-sponsored training programs for aspiring CRTs. 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 contractual 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 Missouri 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: 20%
- • Initiation and Modification of Interventions: 60%
Skills Test
Skills Tested: None
Time Per Skill: N/A
N/A
What to Bring
- ✓ Government-issued photo ID (e.g., driver's license, passport)
- ✓ NBRC confirmation letter
- ✓ Simple calculator (if preferred, though a calculator is provided on the computer)
Do Not Bring
- ✗ Personal belongings (e.g., bags, books, notes)
- ✗ Electronic devices (e.g., smartphones, smartwatches)
Day-of Timeline
Arrive 30 minutes early. Check-in takes approximately 15 minutes. Written test lasts 3 hours.
Getting Your Results
Results are provided immediately after the exam through a printed score report. Official results are available online within 48 hours.
If You Don't Pass
If you fail, you can retake the exam after 60 days. The cost for a retake is the same as the initial exam fee. There is no limit on the number of attempts in Missouri.
Exam Strategies
- 1. Focus on the major topic areas, especially 'Initiation and Modification of Interventions' as it constitutes 60% of the exam.
- 2. Practice time management to ensure you can address all questions within the allotted 3 hours.
- 3. Use the process of elimination in multiple-choice questions to narrow down your choices.
- 4. Review equipment troubleshooting as it's a significant part of the exam.
Document Checklist
Every document you need from start to finish
1Before Training
High School Diploma or GED
From your high school or GED program provider · Varies · 2-4 weeks
Required to enroll in most respiratory therapy programs
Immunization Records
Your primary healthcare provider or previous school · May be free or a small fee for copies · 1-2 weeks
Ensure all vaccinations are up-to-date, including MMR, Varicella, and Hepatitis B
Tuberculosis Test Results
Local clinic or healthcare provider · Approximately $20-$50 · 1-3 days
Usually required within the last 12 months
CPR Certification
American Heart Association or Red Cross · Approximately $50-$100 · Varies; often one full day
Must be a healthcare provider level certification
Background Check
Third-party service or through the training program · Approximately $50-$100 · 1-2 weeks
Required by most accredited training programs
2During Training
Enrollment Verification
From the respiratory therapy program's registrar · Free or minimal cost · 1-3 days
Needed for various externships or clinical placements
Clinical Rotation Documentation
From the program's clinical coordinator · At the end of each rotation
Keep records organized for eventual certification application
Academic Transcripts
From the program's registrar · Approximately $5-$15 per copy · 1-2 weeks
Official transcripts may be required for certification or employment
3For the Exam
NBRC Examination Application
National Board for Respiratory Care (NBRC) website · Application fee varies
Complete and submit application to schedule the CRT exam
Examination Fee Payment
Through the NBRC application portal · Approximately $190
Fee must be paid at the time of application
Photo Identification
State or government issued · Varies
Required for identity verification on the day of the exam
4For Certification
CRT Credential
Issued by NBRC after passing the exam · Included in the examination fee
Display this credential as proof of certification
Missouri State License Application
Missouri Board of Respiratory Care website · Application fee approximately $100
Required to legally practice in Missouri
Proof of CRT Credential
Copy from NBRC · Free or minimal cost for copies
Submit with state license application
After You're Certified: What's Next
Verify your name appears on the National Board for Respiratory Care (NBRC) registry and request your official certificate from the NBRC. Ensure your Missouri state license application is underway, as you cannot practice without it.
Finding Your First Job
Where to Look
- • Indeed, Monster, and specialized healthcare job boards like Health eCareers. Networking with peers from your training program and attending job fairs focused on healthcare can also be beneficial.
Best Employers for New Grads
- • Hospitals are the primary employers, offering structured environments and regular shifts. Long-term care facilities and home health agencies also hire CRTs but may offer more varied patient interactions with potentially irregular hours.
Resume Tip: Highlight your clinical rotations, any specialized skills like pediatric care or gerontology, and soft skills such as communication and teamwork. Be sure to include any relevant certifications, like BLS or ACLS.
Interview Tip: Describe a time you handled a stressful situation.How do you manage your time during a busy shift?Can you explain how you would handle a patient who is difficult to ventilate?
Expected First-Year Salary
In Missouri, the starting salary for a CRT ranges typically from $45,000 to $55,000 annually, depending on the employer and location.
Career Advancement Path
Registered Respiratory Therapist (RRT)
Passing the RRT examination after meeting the experience requirements.
Challenges to Prepare For
- • Adapting to different patient needs and environments, managing time effectively during busy shifts, and staying current with the latest respiratory care technologies and treatments.
Certified Respiratory Therapist Salary in Missouri
In Missouri, Certified Respiratory Therapists earn a median salary of $67,780 annually, which is below the national median. This discrepancy highlights a significant regional variation in pay within this field.
Entry Level
$59,180
0-1 years experience
Median Salary
$67,780
$32.59/hr · Bureau of Labor Statistics
Experienced
$104,480
5+ years experience
Compared to National Median
$77,960 national · -13.1% in Missouri
Salary by Metro Area
Largest metro area, salaries slightly above state median
Competitive market with varied healthcare facilities
Lower than state median, reflecting local economic conditions
Salary by Employer Type
Missouri's cost of living is lower than the national average, which may offset the lower wages to some extent.
Benefits & Compensation
Standard benefits include health insurance, retirement plans, and paid time off. Some employers may offer tuition reimbursement and flexible scheduling.
Salary Growth Outlook
Salary growth for CRTs in Missouri is expected to align with national healthcare demand, indicating steady increases.
Salary Negotiation Tips
- •Research average salaries for similar roles in your area.
- •Highlight your experience and any specialized skills.
Job Market in Missouri
The Certified Respiratory Therapist (CRT) job market in Missouri is experiencing growth influenced by an aging population and increased healthcare needs. While the national employment for CRTs is projected to grow by 12.1% from 2024 to 2034, Missouri's growth rate is aligned closely with this trend. Demand in Missouri is driven by expanding healthcare facilities and regional medical centers focusing on pulmonary care.
Top Hiring Areas
Home to major hospitals and medical centers
Growing healthcare sector
Presence of specialized healthcare facilities
Top Hiring Industries
Best time to apply: Early spring and late fall, coinciding with budget cycles of major hospitals
Opportunities
- Advancements in respiratory technology creating new roles
- Expansion of telehealth services
Challenges
- Shortage of experienced CRTs
- Competition with neighboring states for skilled professionals
Training Programs in Missouri
Missouri offers diverse options for Certified Respiratory Therapist training through community colleges, vocational schools, and employer-sponsored programs.
Program Types Comparison
| Type | Duration | Cost | Format | Pros / Cons |
|---|---|---|---|---|
| Community College | 2 years | $5,000 - $15,000 | In-person/Hybrid |
|
| Vocational/Trade School | 18-24 months | $10,000 - $20,000 | In-person/Hybrid |
|
| Employer-Sponsored | Varies | Free/Paid training | On-the-job |
|
Top Programs
St. Louis, Missouri
High pass rates and strong local hospital partnerships
Joplin, Missouri
Offers a Bachelor's degree, which may enhance career opportunities
Online & Hybrid Options
Some programs offer hybrid options combining online theory with in-person clinical practice.
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 Missouri
Renewal Requirements
Renewal Period
every 2 years
Renewal Fee
$100
CE Hours
24 hours
Work requirement: None specified
CE Topics: Patient safety, Respiratory care practices
Out-of-State Reciprocity
Missouri offers reciprocity for respiratory therapists licensed in other states, provided they meet Missouri's standards and have passed the NBRC exam.
Requirements for Reciprocity
- Current license in another state
- Passing the NBRC examination
State Agreements
All states, as long as the NBRC exam has been passed
Additional Exams
None
Application Process
Submit a completed application, fee, and proof of current license
Fees
$100
Processing Time: 4-6 weeks
Licensing Tips
Ensure all documents submitted are up-to-date and accurately reflect your qualifications.
Check the Missouri Board of Respiratory Care website regularly for updates on licensing requirements and procedures.
Recommended Resources
Respiratory Care Exam Review
Offers a detailed overview of concepts and practice questions for the CRT exam.
Kettering National Seminars CRT/RRT Review
This resource provides simulation exams and test-taking strategies tailored to the CRT certification.
Comprehensive Respiratory Therapy Exam Preparation Guide
Covers all essential topics for the CRT exam with practice questions and explanations.
The Comprehensive Respiratory Therapist's Exam Review
Includes content review and self-assessment questions to prepare for CRT exams effectively.
Littmann Classic III Stethoscope
Used for assessing respiratory and cardiac function during training and exams.
Pulse Oximeter
Essential for monitoring oxygen saturation and pulse rate, critical for respiratory assessment.
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Sources
- Bureau of Labor StatisticsAccessed 2026-02-13
- Missouri Licensing BoardAccessed 2026-02-13
- CareerOneStopAccessed 2026-02-13