How to Become a Respiratory Therapist

Respiratory therapists help patients breathe easier — from newborns in intensive care to adults recovering from illness or injury.
Their specialized medical training focuses on assessing and treating breathing and lung disorders.

If you’re interested in healthcare, patient interaction, and technology-driven medical care, becoming a respiratory therapist offers a vital and respected career path.



What Respiratory Therapists Do

Respiratory therapists evaluate and treat patients with breathing problems caused by chronic conditions, injuries, or emergencies. They work with physicians to deliver life-saving care and improve lung function.

Typical Responsibilities

  • Assess lung capacity and oxygen levels
  • Operate ventilators and respiratory equipment
  • Administer oxygen, medications, and chest physiotherapy
  • Develop treatment plans under physician supervision
  • Educate patients about managing chronic conditions
  • Respond to emergency breathing situations

Respiratory therapists are essential to modern healthcare, often serving as the first responders in critical care and trauma units.


Key Skills and Traits for Success

  • Strong communication and empathy
  • Attention to medical detail and accuracy
  • Ability to stay calm under pressure
  • Technical skill with monitoring and ventilator systems
  • Knowledge of anatomy, biology, and pharmacology
  • Commitment to patient safety and confidentiality

Common Work Environments

Respiratory therapists work in:

  • Hospitals and intensive care units
  • Emergency and trauma centers
  • Pulmonary rehabilitation facilities
  • Sleep labs and outpatient clinics
  • Home healthcare and long-term care centers

How to Become a Respiratory Therapist (5 Steps)

1. Earn a High School Diploma or GED

Take science and math classes such as biology, chemistry, and anatomy to prepare for respiratory care programs.

2. Complete an Accredited Respiratory Therapy Program

Most respiratory therapists earn an associate degree in respiratory care. Coursework includes cardiopulmonary physiology, pharmacology, and patient assessment.

3. Gain Clinical Experience

Hands-on training in hospitals and clinics provides real-world exposure to ventilator management, patient monitoring, and emergency care.

4. Get Certified and Licensed

Graduates must pass the National Board for Respiratory Care (NBRC) exam to become a:

  • Certified Respiratory Therapist (CRT)
  • Registered Respiratory Therapist (RRT)

Licensing is required in nearly every state and ensures professional competence and safety.

5. Continue Education and Specialize

Experienced therapists may pursue advanced credentials such as neonatal, pulmonary rehabilitation, or sleep disorder specialties.


Education and Certification Options

Pathway Typical Duration Outcome
Associate Degree 2 years Required for entry-level licensing
Bachelor’s Degree 4 years Expands into leadership or teaching roles
Continuing Education Ongoing Maintains certification and specialization

Career Growth and Advancement

With experience, respiratory therapists can advance into:

  • Clinical Specialist – works in ICU or neonatal care
  • Supervisor or Department Manager – oversees respiratory care teams
  • Pulmonary Rehabilitation Specialist – supports long-term lung recovery
  • Educator or Researcher – trains new therapists or contributes to clinical studies

Cost and Duration of Training

  • Program Cost: $8,000–$25,000 depending on degree level and location
  • Duration: 2–4 years
  • Licensing Exam Fees: $190–$390 depending on credential

Many community colleges and technical schools offer accredited respiratory care programs with clinical rotations included.


Pros and Cons

✅ Pros

  • High demand and strong job security
  • Rewarding, patient-centered work
  • Varied clinical settings
  • Opportunities for specialization

⚠️ Cons

  • Emotionally demanding environments
  • Shift work including nights and weekends
  • Exposure to contagious illnesses

Quick Facts: Respiratory Therapist Salary, Education, and Outlook

Median Pay $80,450 $38.68/hr Top 10%: $108,820
Job Outlook (2024–2034) 12.0% 8,800 openings/yr
Employment (2024) 136,420
🏁Wage Percentiles
25th $68,410 75th $95,530
🎓Typical Education
Associate degree (minimum)
🛠️On‑the‑Job Training
Moderate-term on-the-job training
🌎Highest Paying States
District of Columbia New York California
🏢Top Industries
Cross-industry
Certification
State license and NBRC certification required


Respiratory Therapist Salary by State

BLS OEWS, May 2024

State Median annual Top 10% annual
California $102,120 $138,000
New York $103,820 $127,530
District of Columbia $104,240 $125,470
Washington $97,150 $121,280
Massachusetts $96,940 $118,950
New Jersey $98,020 $117,750
Nevada $79,510 $115,330
Oregon $96,130 $110,390
Georgia $81,890 $108,380
Delaware $87,380 $106,040
Alaska $94,210 $104,610
Maryland $85,570 $104,070
Rhode Island $83,600 $104,010
Virginia $79,600 $102,680
Colorado $80,690 $102,210
Connecticut $83,250 $101,900
Hawaii $94,670 $101,000
Minnesota $88,040 $100,600
Florida $79,710 $98,890
New Hampshire $83,620 $98,790
Pennsylvania $76,160 $97,490
Illinois $81,310 $97,310
Utah $78,990 $96,820
North Dakota $76,660 $96,660
Vermont $78,760 $96,470
Wisconsin $82,160 $96,400
Texas $77,550 $94,640
Ohio $78,400 $94,490
Montana $80,950 $94,130
Missouri $73,880 $93,140
Maine $79,330 $91,710
North Carolina $77,050 $90,910
Kansas $73,580 $90,620
Mississippi $61,320 $90,240
Oklahoma $76,080 $89,460
Indiana $77,820 $89,320
Idaho $75,510 $89,280
Arizona $79,290 $88,650
Michigan $77,460 $87,430
Nebraska $78,880 $85,870
Wyoming $75,900 $85,840
New Mexico $66,460 $85,530
West Virginia $66,370 $84,670
Louisiana $70,140 $84,540
Iowa $68,790 $83,480
Alabama $64,010 $82,920
Arkansas $67,960 $82,850
South Carolina $75,960 $82,470
Kentucky $65,670 $81,110
Tennessee $65,000 $80,940
South Dakota $64,720 $79,820

Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2024.

Brad Fishbein Licensed Mold Assessor

Meet the author: Brad Fishbein is a Florida Licensed Mold Assessor and council-certified Microbial Investigator. He’s the founder of TradeCareerPath.com and has completed over 5,000 mold inspections since 2009. Brad now helps homeowners and tradespeople make smart decisions about mold, licensing, and skilled career paths.

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