Certified Respiratory Therapist (CRT) in Tennessee
Becoming a Certified Respiratory Therapist (CRT) in Tennessee involves several key steps including verifying prerequisites, completing a state-approved training program, passing a competency 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.
With a median salary of $63,250 per year and a projected job growth of 12.1% by 2034, becoming a Certified Respiratory Therapist (CRT) in Tennessee represents a promising career path. The state reflects a strong demand for respiratory therapists, fueled by an aging population and an increased prevalence of respiratory conditions. The national outlook is similarly positive, with 139,600 workers currently in the role across the country. These figures suggest not only stability but also increasing opportunities in the respiratory therapy field, making it an attractive option for those interested in a healthcare career.
Tennessee offers a unique environment for respiratory therapists due to specific state regulations and a diverse healthcare landscape. The state requires licensure for respiratory therapists, which ensures that professionals meet standardized criteria of competence and safety. Tennessee's major healthcare facilities, including well-known hospitals and specialized respiratory centers, provide ample employment opportunities. Additionally, the state's geographic diversity, from the Appalachian Mountains to the Mississippi River, impacts the prevalence of certain respiratory conditions, thereby influencing the demand for specialized respiratory care.
This guide provides detailed information on how to become a Certified Respiratory Therapist in Tennessee. Readers will learn about the necessary steps for obtaining licensure, which includes passing the National Board for Respiratory Care (NBRC) examination and adhering to state-specific requirements. The guide also covers salary expectations, outlining how factors such as experience, location, and workplace type affect earnings. Furthermore, an overview of the job market will equip prospective CRTs with knowledge about where to find job opportunities and what kind of roles are available within the state.
Licensing Authority
Tennessee Department of Health, Division of Health Related Boards
In Tennessee, Certified Respiratory Therapists (CRT) must be licensed, requiring certification, examination, and continuing education. The license is regulated by the state's health department and needs renewal every two years.
Official Resources
Tennessee Requirements
Training Requirements
- Education
- High school diploma or equivalent
- 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 (State and federal) with fingerprinting
- Certification by the National Board for Respiratory Care (NBRC)
Certification Exam
- Exam
- Certified Respiratory Therapist (CRT) Examination
- Components
- Written
- Fee
- Varies
How to Become a Certified Respiratory Therapist in Tennessee
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 Tennessee's Prerequisites
Before pursuing certification as a Respiratory Therapist in Tennessee, confirm you meet the state prerequisites. These include being at least 18 years of age, having a high school diploma or GED, and passing a health screening. Visit the Tennessee Board of Respiratory Care website to download the necessary forms and check the specific requirements. Processing times for verifying prerequisites 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
All applicants must undergo a comprehensive background check and health screenings, including a TB test and proof of immunizations. In Tennessee, fingerprinting can be done through Identogo (URL provided below). The results typically take 2-3 weeks to process. Disqualifying factors include certain criminal convictions; however, waivers can be applied for in specific cases.
Tip
Schedule your fingerprinting appointment early to avoid delays.
Research and Choose an Approved Training Program
It's essential to enroll in a Tennessee-approved respiratory therapy training program. Visit the Tennessee Board of Respiratory Care's website to access a list of approved programs. Attending a non-approved program means you cannot sit for the certification exam, wasting both time and money. Approved programs typically range from 6 to 12 weeks.
Tip
Contact multiple programs to compare costs and schedules to fit your needs.
Enroll in and Complete Training
Once you've chosen a Tennessee-approved program, enroll and complete the necessary coursework and clinical hours. Although specific hour requirements are not detailed, the program will cover all necessary competencies. Completion times can vary, typically taking anywhere from 6 to 12 weeks depending on the program's intensity and your availability.
Tip
Ensure you receive a completion certificate or official transcript at the end of your program as proof of completion.
Prepare for the Competency Exam
Preparing for the National Board for Respiratory Care (NBRC) Certified Respiratory Therapist (CRT) exam is crucial. Utilize study guides and practice exams available on the NBRC website. The exam consists of 160 multiple-choice questions to be completed in 3 hours. A passing score is 70%. Familiarize yourself with the format and content by regularly practicing with available resources.
Tip
Regular practice with timed simulations can help manage time effectively during the actual exam.
Register for and Schedule the Exam
Register for the CRT exam through the NBRC website. The fee is typically around $200. After registration, you will receive information on scheduling your exam at a local testing center, which can be done through Pearson VUE. It's advisable to schedule your exam soon after completing your training to ensure all information is fresh.
Tip
Choosing a weekday for testing might provide more options and less crowded testing centers.
Take and Pass the Exam
On the day of the exam, arrive at the Pearson VUE testing center early with two forms of ID. The CRT exam format includes 160 multiple-choice questions over a 3-hour period. If you fail, you can reschedule after 60 days. Passing the exam is the final step before applying for certification.
Tip
Ensure all personal items that are not allowed in the testing room are secured in a locker provided by the testing center.
Apply for State Certification/Registry
After passing the exam, apply for your state certification through the Tennessee Board of Respiratory Care. This process includes submitting proof of passing the exam, your training credentials, and an application fee of $50. Certification is typically processed within 4-6 weeks. Once approved, your name will appear in the state registry.
Tip
Double-check your application for any errors to avoid processing delays.
Receive Your Certification and Verify on State Registry
Once your application has been processed and approved, you will receive your CRT certification via mail. Verify your certification status on the Tennessee Board of Respiratory Care's online registry. This official listing is crucial for employers to confirm your credentials.
Tip
Regularly check the mail and the online registry following your application submission to monitor your status.
Find Your First Job
With your certification in hand, begin your job search. Utilize online job platforms such as Indeed, LinkedIn, and specialty healthcare job boards to find openings for Certified Respiratory Therapists in Tennessee. Networking with professionals in the field and attending job fairs can also be beneficial. Be prepared to negotiate your salary based on the going rates in your area.
Tip
Tailor your resume to highlight specific skills and experiences that align with the job descriptions of positions you are applying for.
Alternative Training Paths
Employer-Sponsored Training at Hospitals
Some hospitals in Tennessee 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 post-certification. This path can be beneficial for those looking to secure employment immediately after certification.
Best for: Individuals seeking immediate employment post-certification and those who can commit to a specific employer long-term.
Common Mistakes to Avoid
- •Attending a training program not on the Tennessee 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 75
- • 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 (e.g., driver's license, passport)
- ✓ NBRC confirmation letter
- ✓ Simple calculator (if preferred, check NBRC guidelines)
Do Not Bring
- ✗ Personal items such as bags, watches, and jewelry
- ✗ Electronic devices including cell phones and smart watches
- ✗ Food and drinks in the testing room
Day-of Timeline
Arrive 30 minutes early. Check-in takes approximately 15 minutes. Written test is 3 hours.
Getting Your Results
Results are available immediately after the exam on your NBRC online profile. Official results are mailed within two weeks.
If You Don't Pass
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 in Tennessee.
Exam Strategies
- 1. Focus on the major topic areas, especially Initiation and Modification of Interventions, which constitutes 61% of the exam.
- 2. Practice time management to ensure you can address all questions within the allotted 3 hours.
- 3. Review equipment troubleshooting as it's a significant part of the exam, requiring quick problem-solving skills.
- 4. Utilize practice tests to familiarize yourself with the format and types of questions asked.
Document Checklist
Every document you need from start to finish
1Before Training
High School Diploma or Equivalent
From previous educational institution · May vary · 1-2 months
Required for admission into respiratory therapy programs
Application Form for Respiratory Therapy Program
From the educational institution's website or admissions office · Varies by program · Immediate
Must be filled out completely and submitted by the program's deadline
Proof of Immunizations
From a healthcare provider or previous medical records · Cost of vaccines if not previously immunized · Depends on vaccination schedule
Typically includes MMR, Varicella, Hepatitis B, Flu, and TB test
CPR Certification
From accredited organizations like the American Heart Association or Red Cross · Approximately $50-$100 · Varies by course availability, typically one day
Must be healthcare provider level certification
Background Check
Through a service approved by the educational institution · Approximately $30-$50 · 1-2 weeks
Required for clinical placements
Drug Screening
Through a service approved by the educational institution · Approximately $40-$70 · 1-2 weeks
Required for clinical placements
2During Training
Official Transcripts
From the educational institution upon completion of courses · Approximately $10-$20 per transcript · 1-2 weeks
Needed for certification application
Clinical Experience Documentation
From the program's clinical coordinator · No cost · At end of clinical rotation
Verification of completed clinical hours as required by the certification
3For the Exam
NBRC CRT Exam Application
From the National Board for Respiratory Care (NBRC) website · Exam fee approximately $190
Must apply and schedule the exam after meeting educational requirements
Identity Verification
Government-issued ID required at testing center · No cost unless ID needs to be obtained
Typically a driver's license or passport
4For Certification
NBRC Score Report
Automatically sent by NBRC post-exam · Included in exam fee
Official score report needed for state certification application
Application for State Licensure
From the Tennessee Health Related Boards website · Licensure fee approximately $100
Must be submitted with proof of passing the NBRC CRT exam
Proof of Continuing Education
Certificates from accredited CE providers · Varies by provider and course
Required for license renewal, not initial certification
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 license through the Tennessee Health Related Boards website, ensuring you have all necessary documents ready, such as proof of education and exam results.
Finding Your First Job
Where to Look
- • Indeed.com, Glassdoor, and the American Association for Respiratory Care (AARC) job board specifically target respiratory therapist positions. Networking with local hospitals and attending job fairs in Tennessee can also be beneficial.
Best Employers for New Grads
- • Major hospitals, rehabilitation centers, and long-term care facilities are primary employers. Hospitals often offer a variety of cases and learning opportunities, while long-term care facilities might provide more regular hours but potentially less diversity in cases.
Resume Tip: Highlight any clinical rotations and specific skills or equipment you are trained in. Include soft skills like communication and teamwork, which are critical in healthcare settings. Tailor your resume to match the job description keywords.
Interview Tip: Describe a time you handled a stressful situation.Explain how you would manage a patient in respiratory distress.Discuss your experience with respiratory therapy equipment.Provide an example of how you work in a team.
Expected First-Year Salary
The salary for a new Certified Respiratory Therapist in Tennessee typically ranges 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 gaining more clinical experience.
Challenges to Prepare For
- • Adapting to shift work and managing emotional stress from patient care are common. Building a support network and practicing self-care are effective strategies for managing these challenges.
Certified Respiratory Therapist Salary in Tennessee
In Tennessee, Certified Respiratory Therapists earn a median salary of $63,250 per year, which is lower than the national median. The hourly wage is approximately $30.41.
Entry Level
$55,000
0-1 years experience
Median Salary
$63,250
$30.41/hr · Bureau of Labor Statistics
Experienced
$72,000
5+ years experience
Compared to National Median
$77,960 national · -18.9% in Tennessee
Salary by Metro Area
Highest concentration of CRTs
Slightly below state median
Near state median
Salary by Employer Type
The lower salary in Tennessee is somewhat offset by the state's generally lower cost of living compared to the national average.
Benefits & Compensation
Common benefits include health insurance, paid leave, and retirement plans. Some employers may offer tuition reimbursement.
Salary Growth Outlook
Expected to grow with experience and further certifications, aligning with demand for healthcare services.
Salary Negotiation Tips
- •Research average salaries for similar roles in your area.
- •Emphasize unique skills and certifications.
Job Market in Tennessee
In Tennessee, the Certified Respiratory Therapist (CRT) job market is aligning with the national growth rate of 12.1% from 2024 to 2034. This demand is primarily driven by an aging population and increased prevalence of respiratory conditions such as COPD and asthma. Tennessee, with its significant elderly demographic and healthcare infrastructure, particularly in urban centers, sees a steady need for respiratory therapists.
Top Hiring Areas
Major healthcare centers and hospitals
Growing healthcare sector
Top Hiring Industries
Best time to apply: Early spring and late fall
Opportunities
- Specialization in pediatric and geriatric care
- Positions in rural healthcare facilities
Challenges
- Competitive entry-level job market
- Need for continuous education and certifications
Training Programs in Tennessee
Tennessee offers a variety of Certified Respiratory Therapist (CRT) training programs through community colleges, vocational schools, and employer-sponsored initiatives. 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 | $4,000 - $8,000 per year | In-person/Hybrid |
|
| Vocational/Trade School | 18 - 24 months | $5,000 - $10,000 total | In-person/Hybrid |
|
| Employer-Sponsored | Varies | Free/Paid training | On-the-job |
|
Top Programs
Columbia, Tennessee
High pass rates and clinical partnerships
Online & Hybrid Options
Some Tennessee community colleges offer hybrid options combining online theory with in-person clinical practice.
How to Choose a Program
- •Consider program accreditation, costs, and pass rates when choosing a program.
Financial Aid & Free Training
Get free Certified Respiratory Therapist program info for Tennessee
Renewal Requirements
Renewal Period
Every 2 years
Renewal Fee
Varies
CE Hours
Not specified hours
Work requirement: None specified
CE Topics: Respiratory care practices, Patient safety
Out-of-State Reciprocity
Tennessee offers reciprocity for respiratory therapists licensed in other states, subject to verification of credentials and possibly additional requirements.
Requirements for Reciprocity
- Verification of current out-of-state license
- Proof of equivalent training and examination
State Agreements
All states, subject to verification of credentials
Additional Exams
None specified
Application Process
Submit an application for licensure by endorsement along with required documentation and fees.
Fees
Varies
Processing Time: Varies
Licensing Tips
Ensure all documentation, including proof of certification and background checks, are complete before submission to avoid delays.
Stay updated with continuing education requirements to ensure timely renewal.
Recommended Resources
Kettering National Seminars CRT Review
Offers a comprehensive set of practice questions and simulations aligned with the NBRC CRT exam format.
LindseyJones CRT/RRT Test Prep
Provides practice exams and detailed rationales to help understand the core concepts necessary for the CRT exam.
Respiratory Care Exam Review, 5th Edition by Gary Persing
Covers a wide range of topics specific to the CRT exam, including analysis and assessment techniques.
Comprehensive Respiratory Therapy Exam Preparation Guide, 3rd Edition by Craig L. Scanlan
A detailed guide that helps in preparing for both CRT and RRT examinations with practice questions and key content reviews.
3M Littmann Classic III Monitoring Stethoscope
Essential for auscultation training and respiratory assessments during clinical practice.
Pulse Oximeter
Used to monitor oxygen saturation levels, a critical skill in respiratory therapy.
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Sources
- Bureau of Labor StatisticsAccessed 2026-02-13
- Tennessee Licensing BoardAccessed 2026-02-13
- CareerOneStopAccessed 2026-02-13