Certified Respiratory Therapist (CRT) in Washington
Becoming a Certified Respiratory Therapist (CRT) in Washington involves several steps including meeting prerequisites, completing state-approved training, passing a competency exam, and obtaining certification. The total path duration can range from 4 to 20 weeks depending on the chosen study mode, with costs varying from $800 to $2,500.
Certified Respiratory Therapists (CRTs) in Washington are positioned in a promising sector with a median salary of $89,230 per year, significantly above the national average. The field is experiencing robust growth, with a projected increase of 12.1% in employment by 2034, reflecting a demand for skilled professionals to address respiratory health issues. The state's attractive salary and job growth prospects make a career as a CRT a lucrative and stable choice for individuals interested in healthcare.
Washington's regulations and healthcare environment present unique opportunities for CRTs. The state requires licensure, ensuring that all practicing therapists meet specific professional standards, which maintains high quality of care. Washington's diverse healthcare system, from large hospitals in urban centers like Seattle to smaller clinics across rural areas, provides a wide range of employment possibilities. Regional factors, including a higher prevalence of respiratory issues in certain industrial and agricultural zones, also influence the demand for respiratory therapists.
This guide provides detailed information on how to become a Certified Respiratory Therapist in Washington. Readers will learn about the licensing process, including the necessary educational qualifications and examinations. Additionally, the guide covers salary expectations across different regions within the state and insights into the job market, including major employers and employment trends. This information aims to equip prospective CRTs with the knowledge required to pursue and succeed in this healthcare profession within Washington.
Licensing Authority
Department of Health
In Washington, to become a Certified Respiratory Therapist (CRT), one must graduate from an accredited respiratory therapy program, pass the National Board for Respiratory Care entry-level exam, and meet additional state-specific requirements including a background check and continuing education.
Official Resources
Washington Requirements
Training Requirements
- Education
- Associate's degree in Respiratory Therapy
- 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
- Work history submission
- Disclosure of any felony convictions
- Disclosure of disciplinary actions and professional liability claims
Certification Exam
- Exam
- National Board for Respiratory Care Entry-Level Examination
- Components
- Written, Skills demonstration
- Fee
- Varies
How to Become a Certified Respiratory Therapist in Washington
tuition $500-$2,000, exam fee $200, background check $50, application fee $25, textbooks/supplies $25, scrubs $0-$200
Fastest Path
4-6 weeks
Typical Timeline
8-12 weeks
Estimated Cost
$800–$2,500
Verify You Meet Washington's Prerequisites
Before pursuing certification, confirm you meet the prerequisites for a Certified Respiratory Therapist in Washington. Requirements include being at least 18 years old, holding a high school diploma or GED, and passing a health screening and background check. Visit the Washington State Department of Health website to download the checklist of prerequisites and ensure you meet all criteria before proceeding.
Tip
Download and review the prerequisites checklist from the Washington State Department of Health website to ensure you meet all requirements before applying to a program.
Complete Background Check and Health Screenings
Schedule and complete a background check and health screenings. Washington requires both a state and FBI fingerprint-based background check. Visit IDENTOGO by IDEMIA to schedule your fingerprinting appointment. Health screenings typically include a TB test and may require proof of immunizations. Results from these checks can take up to 4 weeks to process.
Tip
Schedule your fingerprinting appointment as soon as possible to avoid delays in processing your application.
Research and Choose an Approved Training Program
Select a state-approved training program for respiratory therapy. Only graduates from approved programs are eligible to sit for the certification exam. Visit the Commission on Accreditation for Respiratory Care (CoARC) website to find a list of approved programs in Washington. Attending a non-approved program means you cannot sit for the certification exam, thus wasting time and money.
Tip
Ensure the program's accreditation status is current on CoARC's website to avoid issues with certification eligibility.
Enroll in and Complete Training
After choosing an approved program, enroll and complete the required training. The program will include both classroom and clinical hours, focusing on skills necessary for effective respiratory care. Contact the program directly for enrollment procedures. Completion time varies based on whether you choose a full-time or part-time schedule.
Tip
Contact the program administrator for details on the schedule and curriculum to ensure it fits your availability and educational needs.
Prepare for the Competency Exam
Begin preparing for the National Board for Respiratory Care (NBRC) Certified Respiratory Therapist (CRT) exam. The exam consists of 160 multiple-choice questions covering topics learned during your training. Utilize study guides and practice exams available on the NBRC website. A passing score is required to move forward with certification.
Tip
Regularly take practice exams available on the NBRC website to gauge your readiness and identify areas needing improvement.
Register for and Schedule the Exam
Once you feel prepared, register for the CRT exam through the NBRC website. You will need to choose a testing center and schedule your exam date. The cost of the exam is approximately $200. Ensure you have all necessary identification and confirmation of your exam registration on the day of the test.
Tip
Choose an exam date that gives you ample time for preparation but is soon enough to keep the information fresh.
Take and Pass the Exam
On the scheduled date, take the CRT exam at your chosen testing center. Arrive early to allow time for check-in procedures. The exam is computer-based and you will receive your results immediately after completion. If you do not pass, you can reschedule after a waiting period, paying the exam fee again.
Tip
Arrive at least 30 minutes early to the testing center to avoid any last-minute issues.
Apply for State Certification/Registry
After passing the exam, apply for your state certification through the Washington State Department of Health. You will need to submit proof of your passing score, complete an application form, and pay a certification fee of approximately $25. Processing can take up to 4 weeks. Once processed, your certification will appear in the state registry.
Tip
Ensure all documents are complete and accurate to avoid delays in processing your certification.
Receive Your Certification and Verify on State Registry
Once your application is processed and approved, you will receive your CRT certification. Verify your certification status on the Washington State Department of Health's online registry. This verification is crucial for employers to confirm your credentials.
Tip
Regularly check the registry until your certification appears to ensure there are no issues with your status.
Find Your First Job
With your certification in hand, start your job search. Utilize online job boards like Indeed or LinkedIn to find openings for respiratory therapists in Washington. Consider also networking within local hospitals and clinics. Be prepared to discuss your training, certification, and any practical experience you have during interviews.
Tip
Tailor your resume to highlight specific skills and experiences relevant to the respiratory therapy positions you are applying for.
Alternative Training Paths
Employer-Sponsored Training at Hospitals
Some hospitals in Washington offer employer-sponsored training programs for respiratory therapists. These are often paid positions that include both employment and on-the-job training leading to certification. This path can be particularly beneficial as it provides immediate work experience and income.
Best for: Individuals seeking immediate employment and hands-on training
Common Mistakes to Avoid
- •Attending a training program not on the Washington 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: 20%
- • Initiation and Modification of Interventions: 60%
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)
- ✓ Authorization to Test letter (ATT)
- ✓ Simple calculator (if preferred, not required)
Do Not Bring
- ✗ Personal items such as bags, watches, phones
- ✗ Notes or books
- ✗ Food or drink in the exam 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 typically available within 48 hours via the online NBRC portal.
If You Don't Pass
Retake is allowed after 60 days. Cost of retake is the same as the initial exam fee. Unlimited attempts are permitted.
Exam Strategies
- 1. Review each question carefully and utilize the process of elimination for multiple-choice questions.
- 2. Manage time efficiently, aiming to complete each question in less than 1.125 minutes.
- 3. Focus on major topics with higher percentage weights for study prioritization.
- 4. Use practice exams to familiarize with the format and question style.
Document Checklist
Every document you need from start to finish
1Before Training
High School Diploma or GED Certificate
From the issuing high school or GED program · Varies · 1-4 weeks
Required for admission into respiratory therapy programs
Official Transcripts
From all educational institutions attended · Usually $5-$15 per transcript · 1-2 weeks
Needed for college or respiratory therapy program applications
Immunization Records
From your healthcare provider or previous school · May be free or a small fee for copies · 1-2 weeks
Must include up-to-date vaccinations as required by the training program
TB Test Results
From a local clinic or healthcare provider · Approximately $20-$50 · 48-72 hours
Often required annually for healthcare programs
Criminal Background Check
Through an approved third-party service or state agency · Approximately $20-$50 · 1-2 weeks
Required by most respiratory therapy programs
2During Training
CPR Certification
From organizations like the American Heart Association or Red Cross · Approximately $50-$100 · Varies by course availability
Must be maintained throughout training
Clinical Rotation Documentation
Provided by the respiratory therapy program · No additional cost · Issued at the end of each rotation
Necessary for tracking clinical hours and competencies
Progress Reports
From the respiratory therapy program · No additional cost · Issued each semester
Important for monitoring academic and practical performance
3For the Exam
NBRC Exam Application
From the National Board for Respiratory Care (NBRC) website · Exam fee is approximately $190
Application must be approved before scheduling the exam
Proof of Program Completion
From the respiratory therapy program · No additional cost
Required to sit for the CRT exam
Government-Issued Photo ID
Must be current and valid · Cost varies if obtaining new ID
Needed for identity verification on exam day
4For Certification
CRT Credential
Issued by the NBRC after passing the exam · Included in the exam fee
Official documentation of certification status
Washington State Respiratory Care Practitioner License Application
From the Washington State Department of Health website · License fee is approximately $175
Required to legally work as a Respiratory Therapist in Washington
Proof of Liability Insurance
From an insurance provider · Varies based on coverage
Some employers require proof of personal liability insurance
After You're Certified: What's Next
Verify your status on the National Board for Respiratory Care (NBRC) website and ensure your certification is active. Obtain a copy of your CRT certificate, either digitally or in physical form, from the NBRC.
Finding Your First Job
Where to Look
- • Indeed.com, Monster.com, and specialized healthcare job boards such as Health eCareers
- • Washington State Hospital Association (WSHA) website for hospital-based positions
- • LinkedIn for networking and company-specific job postings
- • Direct applications on respiratory care departments' websites of major hospitals
Best Employers for New Grads
- • Hospitals (provide comprehensive benefits, usually higher salaries, structured training programs)
- • Long-term care facilities (more patient interaction, potentially lower stress than acute care settings)
- • Home health agencies (flexible scheduling, varied patient demographics)
Resume Tip: Include clinical rotations and any specialized skills like mechanical ventilation or patient assessment. Highlight soft skills such as communication and teamwork. Mention any relevant coursework directly related to respiratory therapy.
Interview Tip: Expect questions on patient scenarios, handling stressful situations, and technical skills like operating respiratory equipment. Be prepared to discuss how you handle patient care and teamwork.
Expected First-Year Salary
Typically ranges from $55,000 to $65,000 annually, depending on the employer and location within Washington.
Career Advancement Path
Registered Respiratory Therapist (RRT)
Passing the RRT examination after meeting clinical experience requirements
Challenges to Prepare For
- • Adjusting to the demanding hours and emotional toll of patient care
- • Keeping up with rapid technological advancements in respiratory care equipment
- • Managing time effectively between multiple patients in busy settings
Certified Respiratory Therapist Salary in Washington
In Washington, Certified Respiratory Therapists earn a median annual salary of $89,230, which is significantly higher than the national median. This reflects the state's high demand for healthcare professionals.
Entry Level
$59,180
0-1 years experience
Median Salary
$89,230
$42.9/hr · Bureau of Labor Statistics
Experienced
$104,480
5+ years experience
Compared to National Median
$77,960 national · ++14.5% in Washington
Salary by Metro Area
Higher due to urban cost of living
Slightly below state median
Salary by Employer Type
The higher salaries in Washington correlate with the state's overall higher cost of living, particularly in major metropolitan areas.
Benefits & Compensation
Common benefits include health insurance, retirement plans, paid leave, and continuing education opportunities.
Salary Growth Outlook
Expected to grow due to increasing demand for healthcare services and advancements in treatment technologies.
Salary Negotiation Tips
- •Understand the local market rates
- •Highlight specialized skills and certifications
Job Market in Washington
In Washington, the job market for Certified Respiratory Therapists (CRTs) shows a promising outlook, reflecting the national growth trend. With the national employment of CRTs projected to increase by 12.1% from 2024 to 2034, Washington's growth is influenced by an aging population and increasing healthcare needs in urban and rural areas alike.
Top Hiring Areas
Major medical centers and research facilities
Regional hospitals and clinics
Top Hiring Industries
Best time to apply: Early spring and late fall
Opportunities
- Expansion of roles in rural healthcare settings
- Advancements in respiratory technology
Challenges
- Shortage of experienced CRTs
- Competitive job market in urban centers
Training Programs in Washington
Washington offers several Certified Respiratory Therapist (CRT) training programs, primarily through community colleges and vocational schools. The state emphasizes accredited programs that meet national standards.
Program Types Comparison
| Type | Duration | Cost | Format | Pros / Cons |
|---|---|---|---|---|
| Community College | 2 years | $4,000 to $15,000 | In-person/Hybrid |
|
| Vocational/Trade School | 18 to 24 months | $5,000 to $20,000 | In-person/Hybrid |
|
| Employer-Sponsored | Varies | Free/Paid training | On-the-job |
|
Top Programs
Seattle, Washington
High exam pass rate and strong clinical partnerships
Spokane, Washington
Comprehensive training with state-of-the-art facilities
Online & Hybrid Options
Some programs offer hybrid formats, combining online theory with in-person clinical practice.
How to Choose a Program
- •Verify program accreditation to ensure eligibility for national certification exams.
Financial Aid & Free Training
Get free Certified Respiratory Therapist program info for Washington
Renewal Requirements
Renewal Period
Every 2 years
Renewal Fee
Varies
CE Hours
Varies hours
Work requirement: Not specified
CE Topics: Clinical practice updates, Ethical standards
Out-of-State Reciprocity
Washington allows reciprocity for respiratory therapists who hold valid credentials in other states, provided they meet specific state requirements.
Requirements for Reciprocity
- Verification of out-of-state license
- Background check compliance
State Agreements
Not specified
Additional Exams
Dependent on state agreements and individual qualifications
Application Process
Submit application with required documents and fees
Fees
Varies
Processing Time: Varies
Licensing Tips
Ensure all sections of the application are completed accurately to avoid delays.
Prepare for the entry-level exam by reviewing the latest respiratory therapy practices and guidelines.
Recommended Resources
Respiratory Care Exam Review
Offers a focused review for the Certified Respiratory Therapist exam with practice questions and simulated exams.
Kettering National Seminars CRT/RRT Review
Provides comprehensive practice exams and a review book tailored for the CRT and RRT exams, with online access to lectures and practice materials.
Comprehensive Respiratory Therapy Exam Preparation Guide
A detailed guide covering topics and skills necessary for the CRT exam, including clinical simulations and self-assessment tools.
The Comprehensive Respiratory Therapist Exam Review
Features outlines, case studies, and practice questions to prepare for both the CRT and RRT exams.
Littmann Classic III Stethoscope
Necessary for auscultation training during clinical practice, known for its high acoustic sensitivity.
Pulse Oximeter
Used to measure oxygen saturation and pulse rate, critical for assessing patient oxygenation and cardiovascular status.
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Sources
- Bureau of Labor StatisticsAccessed 2026-02-13
- Washington Licensing BoardAccessed 2026-02-13
- CareerOneStopAccessed 2026-02-13