Certified Respiratory Therapist (CRT) in North Dakota
This guide details the process to become a Certified Respiratory Therapist (CRT) in North Dakota, including a total of 1200 training hours split evenly between classroom and clinical settings. The path to certification involves meeting prerequisites, completing approved training, passing the required exam, and obtaining state certification. The entire process can cost between $800 and $2,500 and can be completed within a few months depending on the chosen training schedule.
In North Dakota, the career of a Certified Respiratory Therapist (CRT) presents significant opportunities due to growing demand and favorable job prospects. With a median salary of $66,070 per year, respiratory therapists in this state earn a competitive income. The national projection indicates a 12.1% increase in employment for respiratory therapists by 2034, reflecting a strong future demand for this profession. Choosing a career as a CRT in North Dakota not only offers financial stability but also a chance to contribute significantly to healthcare outcomes in various medical settings.
North Dakota provides a unique environment for respiratory therapists due to its specific state regulations and healthcare dynamics. The state mandates proper licensing for all practicing CRTs, ensuring that professionals meet standardized qualifications and adhere to high ethical and performance standards. Major healthcare employers in the region include large hospital systems and specialized respiratory clinics, which often offer opportunities for career advancement and specialization. The state's varying climate conditions also contribute to a higher incidence of respiratory conditions, thereby increasing the demand for skilled respiratory therapists.
This guide offers detailed insights into becoming a Certified Respiratory Therapist in North Dakota, covering essential steps such as obtaining the necessary educational qualifications, passing the national certification exam, and securing state licensure. Readers will also find information on salary expectations across different regions within the state and insights into the job market, including potential employers and career advancement opportunities. By providing a clear roadmap for certification and career progression, this guide aims to equip aspiring respiratory therapists with the knowledge to successfully enter and thrive in this fulfilling field.
Licensing Authority
ND State Board of Respiratory Care
In North Dakota, Certified Respiratory Therapists (CRT) must obtain a license through the ND State Board of Respiratory Care. The licensing process requires a background check, degree verification, and passing a third-party exam.
Official Resources
North Dakota Requirements
Training Requirements
- Education
- Associate's degree in Respiratory Care
- Total Training Hours
- 1200 hours
- Classroom Hours
- 600 hours
- Clinical Hours
- 600 hours
- Minimum Age
- 18 years old
Additional Requirements
- Background check (State and federal) with fingerprinting
- CPR certification required
Certification Exam
- Exam
- Certified Respiratory Therapist (CRT) Exam
- Components
- Written, Skills demonstration
- Fee
- $190
How to Become a Certified Respiratory Therapist in North Dakota
tuition $500-$2,000, exam fee $200, background check $50, application fee $25, textbooks/supplies $25, scrubs $0-$200
Fastest Path
4-6 months
Typical Timeline
6-12 months
Estimated Cost
$800–$2,500
Verify You Meet North Dakota's Prerequisites
Before starting your journey to become a Certified Respiratory Therapist in North Dakota, verify that you meet all prerequisites. These include being at least 18 years old, having a high school diploma or GED, and being physically capable of performing the job duties. Visit the North Dakota Society for Respiratory Care website to review detailed requirements and download any necessary forms. Processing times are typically quick, but delays can occur if information is missing.
Tip
Keep digital copies of all your documents for easy submission during the application process.
Complete Background Check and Health Screenings
A clean background check and current health screenings are mandatory to proceed in the CRT certification process. Obtain your background check through the North Dakota Attorney General's website, which includes an FBI fingerprint scan. Health screenings typically include a TB test and may require a drug screening. Results can take up to 4 weeks to process. Disqualifying factors include felony convictions, which may require a waiver application available on the same site.
Tip
Schedule your fingerprint appointment early to avoid delays.
Research and Choose an Approved Training Program
Selecting a state-approved respiratory therapy training program is crucial. Visit the Commission on Accreditation for Respiratory Care (CoARC) to find approved programs in North Dakota. Programs not recognized by CoARC will not qualify you to sit for the certification exam. Approved programs will include 600 classroom hours and 600 clinical hours. Confirm the accreditation status directly with the program to avoid any misunderstandings.
Tip
Contact programs directly to ask about class schedules, costs, and financial aid options.
Enroll in and Complete Training
Once you've chosen an approved program, enroll and complete both the 600 classroom hours and 600 clinical hours required. This stage is demanding and requires significant commitment. Attendance and active participation are critical to mastering the skills necessary for certification. Upon completion, ensure you receive official documentation verifying your completion of the program, as this will be necessary for the certification application.
Tip
Maintain a record of all coursework and clinical hours in case of audit.
Prepare for the Competency Exam
Preparing for the National Board for Respiratory Care (NBRC) CRT exam is the next step. The exam consists of 160 multiple-choice questions covering a broad range of respiratory care topics. Utilize study guides and practice exams available on the NBRC website. The exam has a three-hour time limit and requires a passing score of 70%. Familiarize yourself with the testing format and content by taking practice exams.
Tip
Regular review sessions and practice exams can significantly improve your performance.
Register for and Schedule the Exam
After preparing, register for the CRT exam through the NBRC website. You'll need to select a testing center and a date that suits your schedule. The exam fee is $200, payable during registration. Testing centers in North Dakota are located in major cities and can be booked through Pearson VUE. It's advisable to register early to secure your preferred date and location, as slots can fill up quickly.
Tip
Choosing a weekday for testing might offer more time slots and less crowded conditions.
Take and Pass the Exam
On the day of the exam, arrive at the testing center early with two forms of ID. The CRT exam is computer-based and lasts three hours. If you do not pass, you can reschedule after 60 days. Review your score report to understand areas needing improvement. Passing the exam is critical as it qualifies you for state certification. Upon passing, you will receive an official score report that you will need for your certification application.
Tip
Double-check the exam center's address and arrive at least 30 minutes early to avoid any last-minute issues.
Apply for State Certification/Registry
After passing the exam, apply for your state certification through the North Dakota State Board of Respiratory Care. Complete the application form available on their website, attach your score report, and pay the $25 application fee. The processing time can take up to 4 weeks. Once approved, your name will be added to the state registry of Certified Respiratory Therapists, which is publicly accessible for employment verification.
Tip
Ensure all sections of the application are filled out correctly to avoid processing delays.
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 North Dakota State Board of Respiratory Care's online registry. This verification is important as employers will check this registry before hiring. If there are any discrepancies, contact the board immediately to correct them.
Tip
Regularly check the mail for your certification and keep it in a safe place.
Find Your First Job
With your certification in hand, you are ready to start your job search. Use job search engines like Indeed or LinkedIn to find openings for Certified Respiratory Therapists in North Dakota. Additionally, attending job fairs and networking with professionals in the field can provide valuable leads. Prepare your resume to highlight your certification, training, and any relevant experience.
Tip
Tailor your resume for each job application to better align with the job requirements.
Alternative Training Paths
Employer-Sponsored Training Programs
Some healthcare facilities in North Dakota offer employer-sponsored training programs for aspiring respiratory therapists. These programs often 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 usually requires a work commitment.
Best for: Individuals looking for financial support and job security post-certification
Common Mistakes to Avoid
- •Attending a training program not recognized by the Commission on Accreditation for Respiratory Care (CoARC). This mistake will prevent you from sitting for the certification exam, wasting both time and 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 scoring system
- • 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: N/A
Time Per Skill: N/A
N/A
What to Bring
- ✓ Government-issued photo ID
- ✓ Confirmation letter or email from NBRC
- ✓ Basic calculator (if not provided at the center)
Do Not Bring
- ✗ Personal electronic devices
- ✗ Notes or books
- ✗ Food or drink inside the testing room
Day-of Timeline
Arrive 30 minutes early. Check-in takes approximately 15 minutes. Written test is 3 hours. No scheduled breaks.
Getting Your Results
Results are available online through the NBRC portal within 48 hours after the exam.
If You Don't Pass
You can retake the exam after 60 days. The cost of retake is the same as the initial exam fee. Unlimited attempts are allowed.
Exam Strategies
- 1. Review major respiratory care concepts, focusing on patient data evaluation and intervention modifications.
- 2. Practice with multiple-choice questions to enhance time management skills.
- 3. Read each question carefully, especially the ones that involve clinical scenarios and patient management.
Document Checklist
Every document you need from start to finish
1Before Training
High School Diploma or GED
From your high school or GED program · Varies · Varies
Original or certified copy required
Application to Respiratory Therapy Program
From the educational institution's admissions office or website · Application fees may apply · Immediate upon completion
Ensure to meet all specific prerequisites of the program
TB Test Results
Local clinic or healthcare provider · Approximately $20-$50 · 1-3 days
Most programs require this to be done annually
Immunization Records
From your healthcare provider or high school records · May incur a fee for copies · 1-2 weeks
Ensure all records are up-to-date, including MMR, Varicella, Hepatitis B
CPR Certification
American Heart Association or Red Cross · Approximately $50-$100 · Varies by course availability
Basic Life Support (BLS) for Healthcare Providers is required
Background Check
Third-party service or through the educational institution · Approximately $50-$100 · 1-2 weeks
Required by most programs for clinical placement
2During Training
Clinical Rotation Documentation
From the educational program's clinical coordinator · No cost · Ongoing during clinical rotations
Documentation must be detailed and signed by supervising professionals
Transcripts
From the educational institution's registrar · Approximately $10-$20 per copy · 1-2 weeks
Official transcripts are required for certification application
Proof of Program Completion
From the educational institution upon graduation · No cost · At program completion
Needed to sit for the CRT exam
3For the Exam
NBRC CRT Exam Application
National Board for Respiratory Care (NBRC) website · Exam fee approximately $190
Apply after meeting the educational requirements
Exam Scheduling Permit
Received from NBRC after application approval · No additional cost
Required to schedule the exam date at a testing center
Government-Issued Photo ID
Already obtained from government authorities (e.g., DMV) · No additional cost
Needed for identity verification at the testing center
4For Certification
Proof of Passing the CRT Exam
From NBRC, post-exam · No cost
Official results needed for state licensure application
Application for State Licensure
North Dakota State Board of Respiratory Care website · Licensure fee approximately $100
Must be licensed to legally practice in North Dakota
Fingerprint-Based Background Check
Through North Dakota Attorney General's office · Approximately $50
Required for state licensure
After You're Certified: What's Next
Verify your certification status on the National Board for Respiratory Care (NBRC) website. Obtain a physical copy of your CRT certificate. Ensure your license is processed with the North Dakota State Board of Respiratory Care.
Finding Your First Job
Where to Look
- • Indeed.com, Monster.com, LinkedIn, and the North Dakota Hospital Association website for healthcare-specific opportunities
Best Employers for New Grads
- • Hospitals, long-term care facilities, and home health agencies. Hospitals often offer structured training programs, while long-term care and home health settings may provide more flexible schedules and patient interaction.
Resume Tip: Highlight your CRT certification, clinical rotations, and any relevant skills such as patient assessment and emergency care. Include soft skills like communication and teamwork.
Interview Tip: Expect questions on patient scenarios, handling stress, teamwork, and why you chose respiratory therapy. Prepare to discuss your clinical rotations and any hands-on experiences.
Expected First-Year Salary
Approximately $45,000 to $55,000, depending on the employer and location within North Dakota.
Career Advancement Path
Registered Respiratory Therapist (RRT)
Completion of an advanced level program and passing the RRT examination.
Challenges to Prepare For
- • Adjusting to shift work, managing emotional stress from patient care, and staying updated with continuous medical education.
Certified Respiratory Therapist Salary in North Dakota
In North Dakota, Certified Respiratory Therapists earn a median annual salary of $66,070, which is below the national median. Hourly, this translates to $31.76.
Entry Level
$59,180
0-1 years experience
Median Salary
$66,070
$31.76/hr · Bureau of Labor Statistics
Experienced
$80,000
5+ years experience
Compared to National Median
$77,960 national · -15.3% in North Dakota
Salary by Metro Area
Highest in state
Slightly below state median
Salary by Employer Type
The lower salaries in North Dakota are partly offset by the state's generally lower cost of living compared to the national average.
Benefits & Compensation
Common benefits include health insurance, retirement plans, and paid leave. Some employers may offer continuing education funding.
Salary Growth Outlook
Salary growth is expected to align with national trends for health professionals, influenced by demand for respiratory care.
Salary Negotiation Tips
- •Research average salaries in your specific North Dakota area to inform your expectations.
- •Highlight relevant experience and specializations to justify higher salary requests.
Job Market in North Dakota
In North Dakota, the job market for Certified Respiratory Therapists (CRTs) is influenced by local healthcare demands and demographic trends. Despite the national employment for CRTs projected to grow by 12.1% from 2024 to 2034, North Dakota may experience a slightly different trajectory due to its unique rural healthcare system and aging population. Factors such as remote geographic areas and smaller healthcare facilities play crucial roles in shaping demand.
Top Hiring Areas
Largest healthcare facilities and population center
State capital with central healthcare services
Top Hiring Industries
Best time to apply: Early spring or late fall, aligning with fiscal healthcare budgeting cycles
Opportunities
- Expansion of telehealth could open new employment avenues
- State initiatives to improve rural healthcare may increase funding and positions
Challenges
- Limited educational and training facilities in-state
- High turnover rates due to rural work locations
Training Programs in North Dakota
North Dakota offers several Certified Respiratory Therapist training programs through community colleges, vocational schools, and employer-sponsored options.
Program Types Comparison
| Type | Duration | Cost | Format | Pros / Cons |
|---|---|---|---|---|
| Community College | 2 years | $4,000 - $15,000 | In-person/Hybrid |
|
| Vocational/Trade School | 18 - 24 months | $5,000 - $20,000 | In-person |
|
| Employer-Sponsored | Varies | Free | On-the-job |
|
Top Programs
Wahpeton, North Dakota
High pass rates and strong industry connections
Online & Hybrid Options
Some programs offer hybrid formats combining online coursework with in-person clinical practice.
How to Choose a Program
- •Verify program accreditation to ensure eligibility for certification exams.
Financial Aid & Free Training
Get free Certified Respiratory Therapist program info for North Dakota
Renewal Requirements
Renewal Period
Every 2 years
Renewal Fee
$100
CE Hours
24 hours
Work requirement: None specified
CE Topics: Patient safety, Respiratory care techniques
Out-of-State Reciprocity
North Dakota allows reciprocity for CRTs licensed in other states, provided they meet ND standards and pass a background check.
Requirements for Reciprocity
- Current out-of-state license
- Proof of education and training equivalent to ND standards
State Agreements
All states, subject to verification of credentials and background check
Additional Exams
None required if already holding CRT credentials
Application Process
Submit application with verification of licensure from current state
Fees
$100
Processing Time: 4-6 weeks
Licensing Tips
Ensure all documents, especially proof of education and work experience, are complete before submission to avoid delays
Stay updated on renewal requirements to maintain active license status
Recommended Resources
Kettering National Seminars CRT RRT Exam Review
This review package offers detailed practice questions and simulations tailored to the CRT exam format.
LindseyJones CRT RRT Test Prep
Provides a variety of practice exams and study materials that mirror the actual CRT test structure.
Comprehensive Respiratory Therapy Exam Preparation Guide
This guide covers all essential topics for the CRT exam with practice questions and detailed explanations.
The Comprehensive Respiratory Therapist's Exam Review
Includes test-taking strategies and practice tests, focusing on both knowledge and practical skills required for the CRT exam.
Littmann Classic III Stethoscope
Used for assessing respiratory and cardiac function during training and examinations.
Pulse Oximeter
Essential for monitoring oxygen saturation, a fundamental skill in respiratory therapy.
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Sources
- Bureau of Labor StatisticsAccessed 2026-02-13
- North Dakota Licensing BoardAccessed 2026-02-13
- CareerOneStopAccessed 2026-02-13