Certified Respiratory Therapist (CRT) in Virginia
This guide outlines the steps to become a Certified Respiratory Therapist (CRT) in Virginia, covering prerequisites, training, exams, and certification. The process typically takes 8-12 weeks and costs between $800 and $2,500. Key steps include completing state-approved training, passing the certification exam, and applying for state registration.
Certified Respiratory Therapists (CRTs) in Virginia operate within a growing and lucrative field, reflecting a nationwide increase in demand for respiratory care professionals. With a median salary of $76,230 per year, Virginia offers competitive compensation that attracts skilled therapists to its workforce. The entire profession is experiencing substantial growth, with an expected 12.1% increase in job openings by 2034, translating to new opportunities for incoming and existing professionals in the state.
Virginia presents a unique environment for respiratory therapists due to its specific state regulations and a diverse healthcare system. The state mandates licensing for all respiratory therapists, ensuring that practitioners meet standardized professional and ethical guidelines. Virginia's major healthcare employers include expansive hospital systems and specialized respiratory clinics, which are concentrated in both urban areas like Richmond and Norfolk and rural localities, providing varied settings for employment. These factors collectively make Virginia an attractive state for respiratory therapists seeking stable and well-regulated opportunities.
This guide offers detailed insights into becoming a Certified Respiratory Therapist in Virginia. Readers will learn about the necessary steps to obtain certification, including educational requirements, licensing processes provided by the state, and preparation for the national certification exam. Additionally, the guide covers salary ranges across different regions of Virginia and discusses the job market's current and future landscape, helping prospective CRTs make informed decisions about their career paths in this field.
Licensing Authority
Virginia Board of Medicine
In Virginia, individuals seeking to become Certified Respiratory Therapists must pass an approved examination and meet specific educational and training requirements. The Virginia Board of Medicine oversees the licensure process, which includes background checks and continuing education.
Official Resources
Virginia Requirements
Training Requirements
- Education
- Completion of an accredited respiratory therapy educational program
- Total Training Hours
- Minimum of 1200 hours hours
- Classroom Hours
- 600 hours
- Clinical Hours
- 600 hours
- Minimum Age
- 18 years old
Additional Requirements
- Background check (State and federal) with fingerprinting
- Proof of legal U.S. residency or work permit
Certification Exam
- Exam
- National Board for Respiratory Care (NBRC) Entry Level Examination
- Components
- Written
- Fee
- Approximately $190
How to Become a Certified Respiratory Therapist in Virginia
tuition $500-$2,000, exam fee $200, background check $50, application fee $50, textbooks/supplies $0-$200, scrubs $0-$50
Fastest Path
8 weeks
Typical Timeline
12 weeks
Estimated Cost
$800–$2,500
Verify You Meet Virginia's Prerequisites
Begin by confirming you meet the basic requirements to become a CRT in Virginia. You must be at least 18 years old, have a high school diploma or GED, and be in good health. Visit the Virginia Department of Health Professions website to download the detailed list of prerequisites. This step is crucial as it ensures you are eligible before investing time and money into training.
Tip
Use an online service like Parchment.com to request your GED transcript quickly.
Complete Background Check and Health Screenings
Schedule a background check through the Virginia State Police and obtain health screenings including a TB test. Visit the Virginia State Police website to schedule your fingerprinting appointment. Health screenings can be done at any local clinic. Background checks and health screenings ensure patient safety and are mandatory for certification.
Tip
Schedule your fingerprinting at least two weeks before your planned application date to avoid delays.
Research and Choose an Approved Training Program
Identify a state-approved respiratory therapist training program in Virginia. Approved programs meet specific educational standards necessary for certification. Visit the Commission on Accreditation for Respiratory Care (CoARC) website to find a list of approved programs. Attending a non-approved program will render you ineligible for certification.
Tip
Contact multiple programs to compare costs, schedules, and pass rates of graduates on the certification exam.
Enroll in and Complete Training
Enroll in your chosen approved program and complete the required 1200 hours of training, split evenly between classroom and clinical experience. This training provides the necessary knowledge and skills to perform as a CRT. Ensure that the program's schedule fits your availability and commit to completing all sessions as attendance is typically mandatory.
Tip
Keep a log of your clinical hours in case verification is needed during the certification process.
Prepare for the Competency Exam
After completing your training, begin preparing for the National Board for Respiratory Care (NBRC) CRT exam. This exam tests your knowledge and skills as a respiratory therapist. Use study guides and practice tests available on the NBRC website. The exam consists of 160 multiple-choice questions and must be completed within three hours.
Tip
Focus on areas of weakness indicated by practice test results to improve your chances of passing.
Register for and Schedule the Exam
Register for the CRT exam through the NBRC website. Choose a testing location and time that works for you. The exam fee is typically around $200. Registration is straightforward: create an account, fill out the necessary forms, and pay the fee. Confirmation of registration and details of the exam date and location will be sent to you.
Tip
Schedule your exam immediately after training completion to take the test while the information is still fresh.
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 letter. The CRT exam is computer-based and lasts three hours, covering both theoretical knowledge and practical skills. If you fail, you can reschedule after 60 days. Passing the exam is a critical step towards certification.
Tip
Get a good night's sleep before the exam and arrive early to avoid any last-minute stress.
Apply for State Certification/Registry
Once you pass the exam, apply for CRT certification through the Virginia Board of Medicine. Complete the application form available on their website, attach proof of your exam results, and pay the application fee of $50. Processing typically takes 2-4 weeks. Upon approval, your certification will be issued and your name added to the state registry.
Tip
Double-check your application for errors to avoid delays in processing.
Receive Your Certification and Verify on State Registry
After your application is processed and approved, you will receive your CRT certification by mail. Verify your certification status on the Virginia Board of Medicine's online registry. This official listing is crucial for employers to confirm your credentials. Keeping a digital copy of your certification can be useful for quick verifications or job applications.
Tip
Regularly check the mail and the online registry to confirm when your certification is processed.
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 respiratory therapists in Virginia. Networking with professionals in the field through events or online forums can also lead to job opportunities. Prepare for interviews by reviewing common questions and scenarios in respiratory care.
Tip
Tailor your resume to highlight skills and experiences relevant to the positions you are applying for.
Alternative Training Paths
Employer-Sponsored Training at Hospitals
Some hospitals in Virginia 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 can be cost-effective and provide immediate employment post-certification.
Best for: Individuals looking for a cost-effective training option with immediate employment prospects
Common Mistakes to Avoid
- •Attending a training program not on the Virginia 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: 0
Time Per Skill: N/A
The CRT certification does not include a practical skills test.
What to Bring
- ✓ Government-issued photo ID
- ✓ NBRC confirmation notice
- ✓ Two No. 2 pencils
Do Not Bring
- ✗ Personal electronic devices
- ✗ Notes or books
- ✗ Food or drink
- ✗ Hats or hoods (except for religious purposes)
Day-of Timeline
Arrive 30 minutes early. Check-in takes 15 minutes. Written test is 3 hours. No breaks.
Getting Your Results
Results are available online within 24 hours via the NBRC online portal.
If You Don't Pass
Retakes are allowed after 60 days. The cost for each retake is the same as the initial exam fee. Unlimited attempts are permitted.
Exam Strategies
- 1. Focus on the primary respiratory care scenarios as they constitute a significant portion of the exam.
- 2. Read each question carefully, especially the ones related to patient data evaluation as they require critical thinking.
- 3. Use the process of elimination for multiple-choice questions to narrow down the most accurate answer.
- 4. Manage your time efficiently, aiming to answer each question within approximately one minute.
Document Checklist
Every document you need from start to finish
1Before Training
High School Diploma or GED Certificate
From the high school or GED program attended · Free to nominal fee for copies · 1-4 weeks
Required for admission into accredited respiratory therapy programs
Official College Transcripts
From previously attended colleges or universities · Generally $5-$15 per transcript · 1-2 weeks
Needed if transferring credits to a respiratory therapy program
Immunization Records
From personal physician or health department · May vary, check with provider · Depends on healthcare provider, typically 1-2 weeks
Proof of MMR, Varicella, Hepatitis B, and Tdap vaccinations required
Tuberculosis (TB) Test Results
From personal physician or local health clinic · Approximately $20-$50 · Results typically available within 48-72 hours
Must be current, generally within the past year
CPR Certification
American Heart Association or Red Cross · Approximately $50-$100
Basic Life Support (BLS) for Healthcare Providers certification required
2During Training
Enrollment Verification
From the respiratory therapy program's administrative office · Free to $10 · Immediate to 1 week
Sometimes required for externships or scholarships
Clinical Rotation Assignments
From the respiratory therapy program coordinator · Varies, typically provided by the program each semester
Essential for tracking clinical hours and experiences
Liability Insurance Proof
Insurance provider through the educational institution or personal · Varies, generally part of tuition or $30-$100 per year · Immediate to a few days
Required for participation in clinical rotations
Progress Reports
From the respiratory therapy program's administrative office · End of each semester
Important for personal records and future employment
3For the Exam
NBRC Exam Application
National Board for Respiratory Care (NBRC) website · Application fee approximately $190
Must be submitted to schedule the CRT exam
Proof of Program Completion
From the respiratory therapy program's administrative office · Free to $10 for official documents
Required to sit for the CRT exam
Photo Identification
State or federal government (e.g., driver's license, passport) · Varies by type of ID and issuing agency
Needed for identity verification on exam day
4For Certification
CRT Credential Verification
From the NBRC's official website
Used to verify passing of the CRT exam
State License Application
Virginia Board of Medicine's website · Licensing fee approximately $135
Required to practice as a respiratory therapist in Virginia
Criminal Background Check
Third-party provider or through Virginia state services · Approximately $25-$50
Mandatory for state licensing
Continuing Education Records
From educational providers or self-maintained · Varies by course or provider
Important for license renewal, not immediately necessary for initial certification
After You're Certified: What's Next
Verify your certification status on the National Board for Respiratory Care (NBRC) website. Obtain a copy of your CRT certificate from the NBRC and ensure your name is correctly listed in the Virginia Board of Medicine's database as a licensed respiratory therapist.
Finding Your First Job
Where to Look
- • Virginia Health Workforce Development Authority (VHWDA) job board
- • Indeed, Glassdoor, and LinkedIn specific to healthcare jobs in Virginia
- • Hospital career pages such as Sentara, Inova, and Carilion Clinic
Best Employers for New Grads
- • Hospitals typically offer structured training programs and competitive benefits
- • Long-term care facilities often provide opportunities to work with chronic respiratory conditions
- • Home health agencies offer flexible schedules but may require self-management skills
Resume Tip: Highlight academic achievements, clinical rotations, and any relevant skills such as mechanical ventilation or patient assessment. Include soft skills like communication and teamwork.
Interview Tip: Expect questions on patient scenarios, ethical considerations, and technical skills. Practice explaining your clinical decisions and how you handle stressful situations.
Expected First-Year Salary
The salary range for a new Certified Respiratory Therapist in Virginia is typically between $45,000 and $55,000 annually, depending on the employer and location.
Career Advancement Path
Registered Respiratory Therapist (RRT)
Passing the RRT examination after meeting clinical experience requirements
Challenges to Prepare For
- • Adjusting to irregular hours and emergency calls in hospital settings.
- • Managing emotional and physical stress due to patient conditions.
- • Keeping up with fast-paced technological and treatment advancements in respiratory care.
Certified Respiratory Therapist Salary in Virginia
In Virginia, Certified Respiratory Therapists earn a median annual salary of $76,230, slightly below the national median. Hourly, this translates to $36.65, reflecting the specialized skills required in this field.
Entry Level
$59,180
0-1 years experience
Median Salary
$76,230
$36.65/hr · Bureau of Labor Statistics
Experienced
$104,480
5+ years experience
Compared to National Median
$77,960 national · -2.2% in Virginia
Salary by Metro Area
Central hub for healthcare services
High demand in coastal regions
Emerging healthcare sector
Salary by Employer Type
The salary in Virginia is competitive, considering the state's moderate cost of living compared to regions with similar healthcare demand.
Benefits & Compensation
Common benefits include health insurance, retirement plans, and continuing education opportunities.
Salary Growth Outlook
Projected moderate growth in line with national healthcare demands and technological advancements in respiratory care.
Salary Negotiation Tips
- •Research average salaries in specific Virginia regions
- •Highlight specialized skills and certifications
Job Market in Virginia
In Virginia, the Certified Respiratory Therapist (CRT) job market is expanding in alignment with national trends, reflecting a 12.1% growth rate from 2024 to 2034. This growth is driven by an aging population, increased prevalence of respiratory conditions, and heightened healthcare access. Virginia's strategic location near major healthcare hubs and its dense population areas contribute to a robust demand for CRT professionals.
Top Hiring Areas
Proximity to major hospitals and an aging population
State capital with several large healthcare systems
Top Hiring Industries
Best time to apply: Early spring and late fall, aligning with fiscal hiring cycles of major hospitals
Opportunities
- Specialization in sleep disorders and neonatal care
- Leadership roles in respiratory therapy departments
Challenges
- Shortage of qualified CRTs in rural areas
- Increasing regulatory requirements for continuing education
Training Programs in Virginia
Virginia offers several Certified Respiratory Therapist training programs through community colleges, vocational schools, and employer-sponsored initiatives.
Program Types Comparison
| Type | Duration | Cost | Format | Pros / Cons |
|---|---|---|---|---|
| Community College | 2 years | $5,000 to $10,000 | In-person/Hybrid |
|
| Vocational/Trade School | 18 to 24 months | $8,000 to $15,000 | In-person/Hybrid |
|
| Employer-Sponsored | Varies, typically 12 to 18 months | Free/Paid training | On-the-job |
|
Top Programs
Annandale, Virginia
High exam pass rates and strong local hospital partnerships
Online & Hybrid Options
Some programs offer hybrid formats combining online theory with in-person clinical practice.
How to Choose a Program
- •Verify the program's accreditation status to ensure quality and recognition.
Financial Aid & Free Training
Get free Certified Respiratory Therapist program info for Virginia
Renewal Requirements
Renewal Period
Every 2 years
Renewal Fee
$135
CE Hours
20 hours
Work requirement: None specified
CE Topics: Medical ethics, Patient care, Respiratory therapy techniques
Out-of-State Reciprocity
Virginia offers reciprocity for respiratory therapists licensed in other states, provided they meet Virginia's standards and pass necessary background checks.
Requirements for Reciprocity
- Current valid license from another state
- Proof of equivalent education and training
State Agreements
All U.S. states as long as licensure requirements are met
Additional Exams
No additional exams required for reciprocity
Application Process
Submit an application for licensure by endorsement, including all required documentation and fees
Fees
$190
Processing Time: 4 to 6 weeks
Licensing Tips
Ensure all documents submitted are up-to-date and accurate to avoid delays
Review continuing education requirements well before the renewal deadline to ensure compliance
Recommended Resources
Respiratory Care Exam Review
Offers a detailed overview of topics and practice questions similar to those on the CRT exam.
Kettering National Seminars CRT RRT Exam Review
Provides comprehensive practice exams and strategies, designed to mirror the actual CRT test format.
Comprehensive Respiratory Therapy Exam Preparation Guide
Covers all essential concepts for the CRT exam with practice questions and detailed explanations.
The Comprehensive Respiratory Therapist's Exam Review
Includes detailed content review and practice exams to help students prepare effectively for the CRT certification.
Stethoscope
Essential for respiratory assessments to listen to lung sounds during practical training.
Pulse Oximeter
Used frequently in training to measure oxygen saturation, a fundamental skill in respiratory therapy.
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Sources
- Bureau of Labor StatisticsAccessed 2026-02-13
- Virginia Licensing BoardAccessed 2026-02-13
- CareerOneStopAccessed 2026-02-13