How to Become a Respiratory Therapist in West Virginia

As the need for allied health services continues to expand in West Virginia, the state’s 880 currently licensed respiratory therapists are expected to see a considerable number of new licensees joining their ranks in the coming years. With the current average salary for RTs in West Virginia at $46,930, choosing to become a respiratory therapist can provide a stable and rewarding career.

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Becoming a respiratory care professional requires commitment and dedication. To practice as a respiratory therapist you will need to become licensed by the West Virginia Board of Respiratory Care. Accomplishing this will require you to navigate the following series of steps:

Earn a Degree in Respiratory Therapy
Consider Optional Temporary Permits
Pass the Certified Respiratory Therapist (CRT) Exam
Apply for a West Virginia Respiratory Therapist License
Renew Your West Virginia RT License



Step 1. Earn a Degree in Respiratory Therapy

The road to licensure starts by earning a respiratory therapist degree. Full licensure requires at least an associate’s of science in respiratory care, but in many cases students choose to earn a bachelor’s degree with a specialization in respiratory therapy.

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The academic program you complete must be approved by CoARC (Commission on Accreditation for Respiratory Care) in order for you to be eligible for licensure after graduating. In West Virginia there are four associate’s degree programs and two bachelor’s degree programs offered for prospective respiratory therapists.

As you complete the academic requirements, you can expect to complete the following courses:

  • Human anatomy and physiology
  • Respiratory therapist computer concepts and applications
  • Mechanical ventilation theory and lab
  • Neonatal and pediatric respiratory care
  • Intensive respiratory care and rehabilitation
  • Pharmacology for respiratory care
  • Ethics and professionalism for respiratory therapists
  • Clinical practicum as a respiratory therapist



Step 2. Consider Optional Temporary Permits

Student Permit

If you are a student who is currently enrolled in a state-approved respiratory therapist training program you can qualify for a temporary student permit that will allow you to practice respiratory care under close supervision for six months, provided you meet the following conditions:

  • You can provide official transcripts from your education program showing that you have completed at least 30 semester credits, including 18 credits that are directly related to respiratory care
  • You can provide official transcripts showing you have completed at least 200 clinical hours of respiratory care
  • You have proof that you have completed first-year didactic and clinical competency requirements at your respiratory therapist school in West Virginia

You will be allowed to renew your temporary student permit one time if you can demonstrate you are making substantial progress towards the completion of your respiratory therapist degree program. The application fee for this permit is $75.

Out-of-State Permit

If you are a currently licensed respiratory therapist in a different state, you have the option of applying for a temporary permit that will make you eligible to practice in West Virginia for up to six months while you complete any remaining requirements for licensure.

To qualify for this you will need to submit a letter stating that your RT license is in good standing with your home state, along with a completed application and $200 fee.



Step 3. Pass the Certified Respiratory Therapist (CRT) Exam

You will be eligible to take the Therapist Multiple-Choice (TMC) Examination required to become a Certified Respiratory Therapist (CRT) if you are at least 18 years old and have completed an associate’s degree at minimum from a CoARC-approved education program. This credential, offered through the National Board for Respiratory Care (NBRC), is required for licensure in West Virginia. You will have three hours to complete 160 multiple-choice questions.

The primary topics the exam evaluates include:

  • Clinical data
    • Reviewing data in the patient record
    • Collecting and evaluating important clinical data
    • Determination of procedures to obtain additional data

  • Respiratory therapy equipment
    • Oxygen administration devices
    • Humidifiers and CPAP devices
    • Nebulizers and ventilators
    • Artificial airways
    • Suctioning devices

  • Therapeutic procedures for respiratory care
    • Maintenance and communication of patient records
    • Maintenance of artificial airways
    • Maintenance of patient airways
    • Removal of broncho-pulmonary secretions
    • Respiratory support
    • Patient responses to respiratory care

You can register for the exam online, which is currently offered at one Applied Measurement Professionals testing location in Dunbar near Charleston at the H&R Block Office located on 1020 Grosscup Avenue.

Remember that if you fail to pass the exam within 90 days of applying for licensure with the West Virginia Board of Respiratory Care you will need to start the application process over from the beginning.



Step 4. Apply for a West Virginia Respiratory Therapist License

To apply for a full West Virginia respiratory therapist license you will need to submit a completed application packet to:

West Virginia Board of Respiratory Care
PO Box 40329
Charleston, WV 25364

A complete application will include:

  • $200 application fee
  • Notarized copy of your official student transcripts from the school where you completed your respiratory therapist education
  • Proof that you are currently certified by the National Board for Respiratory Care – this happens as soon as you pass the Certified Respiratory Therapist exam

Once you initially submit an application you will have 90 days to submit any additional materials the Board requests.



Step 5. Renew Your West Virginia RT License

You will need to renew your license every year by January 1st. You can do this by submitting a renewal form that includes a $65 renewal fee.

Renewal forms are mailed out on October 25th. You can also find an electronic copy of the renewal form on the West Virginia Board of Respiratory Care’s website starting November 1st.

If you renew your license in November you will receive a $10 early renewal discount. It is important to renew your license on time because once it expires you will not be legally permitted to practice in West Virginia and you must submit a new application along with a $200 application fee.

Along with a renewal form and fee, you will also need to complete a continuing education report. This is to account for having completed at least 20 continuing education units (CEUs) over a two-year accrual period. This must be submitted in even-numbered years, even though you will need to renew your license every year.

You can earn CEUs by completing activities that further your knowledge and understanding of respiratory care, which are not part of your normal job or education requirements. CEUs can include:

  • Courses from colleges and universities that pertain to respiratory therapy
  • In-service trainings with healthcare providers such as:

    • Hospitals
    • Rehabilitation centers
    • Long-term care facilities

  • Free CEU providers
  • Pre-approved CEU providers
  • Up to one half of your CEUs can be obtained through home study courses that are approved by national respiratory therapist organizations

Respiratory therapists in West Virginia hold the responsibility of self-identifying areas in which they need to improve, and choosing their CEUs accordingly. A continuing education unit is considered to be 50 minutes of contact time in a relevant educational activity. If you earn more than 20 CEUs during a two-year accrual period, you will be permitted to carry over up to six of these CEUs into the next two-year accrual period.

Respiratory therapists who have only completed an associate’s degree have a great potential to expand their professional qualifications while at the same time completing their license renewal requirements. Earning a bachelor’s of science degree that focuses on respiratory therapy is one way of doing this. Having a bachelor’s degree or higher can provide respiratory therapists with several advantages, such as:

  • Improved competitiveness when being considered for initial employment and promotional opportunities
  • Greater overall career options and flexibility
  • Increased knowledge in the medical field that can translate into improved patient results and recovery
  • Greater level of professional marketability
  • Increased opportunity to practice in a specialized field of practice or earn an advanced certification

Resources for West Virginia RTs

You can find additional resources about news in the respiratory care field, legislative updates, employment opportunities, CEUs, and networking opportunities through organizations such as:

As you begin searching for respiratory therapist jobs in West Virginia, good starting places of inquiry tend to be the largest employers of these professionals in the state, some of whom include:

  • West Virginia University Hospitals in Morgantown
  • Charleston Area Medical Center
  • Saint Mary’s Medical Center
  • Fairmont General Hospital
  • Saint Francis Hospital in Charleston
  • Roane General Hospital in Spencer
  • Monongalia County General Hospital in Morgantown

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