General Frequently Asked Questions (FAQs)

Why does my credential have an expiration date?
The NBRC’s Continuing Competency Program has been designed to enhance and/or contribute to the continuing competence of credentialed respiratory therapists and pulmonary function technologists and demonstrate concern for patient safety. Individuals participating in the Continuing Competency Program are required to provide evidence they are continuing to meet current standards of practice and have successfully renewed their national credentials issued by the NBRC. Individuals may confirm they meet active status requirements and renew their active status through our website, www.nbrc.org. Through implementation of the Continuing Competency Program, the NBRC further demonstrates its compliance with the accreditation standards of the National Commission for Certifying Agencies (NCCA).
Does the NBRC offer any discounts on their examinations?
A $50 discount on the examination fee is available for:

• those who apply for both parts of the RRT Examination within 60 days following receipt of the CRT credential. This discount applies only to first time applicants who submit one application form for both portions of the RRT Examination. The regular fee for applying for both parts of the RRT Examination is $390 for first time applicants. With the discount, the fee becomes $340.
• those who apply for the RPFT Examination within 60 days after becoming a CPFT. The fee for the RPFT Examination is $250. Taking advantage of the discount will result in a cost of $200.
• those CRTs or RRTs who apply for the Neonatal/Pediatric Specialist Examination with 60 days following the earning of their credential. The fees for the Neonatal/Pediatric Specialist Examination is $250. Taking advantage of the discount will result in a cost of $200.br/>
What are the benefits of active NBRC status?
Keeping your status active helps the NBRC work for uniform licensure and support the development of examinations that uphold the standards of the respiratory care profession. In addition to the discounts for products, credential verification services and access to the NBRC Horizons newsletter, maintaining a continuous, active status ensures that no fee will be required for compliance with the Continuing Competency Program (CCP).
What happens if at least one of my credentials is not subject to the Continuing Competency Program?
The only credentials that must meet Continuing Competency Program (CCP) requirements are those earned as of July 1, 2002. These credentials are subject to expiration. If you hold a credential that does not have an expiration date, then it is a lifetime credential and not subject to expiration.
What is the NBRC's Record Retention Policy?
Eligibility records for candidates who applied for an examination are maintained for one year following application, without the candidate actually taking or expressing interest in being scheduled for an examination. Candidates not actively pursuing credentialing will have their eligibility records inactivated after one year. This means that candidates whose applications are inactivated must reapply as new candidates and meet the then current admissions requirements. Individuals who have passed one portion of the RRT Examination will have that passing performance nullified if they allow their application records to become inactivated. Appropriate notices will continue to be provided to any affected candidates before their application records are inactivated.
How do I change my name with the NBRC?
To change your name with the NBRC, send an e-mail to nbrc-info@nbrc.org and include your current name, current address and previous name.
I don't remember the email address I used to log in and can no longer access my information. How do I update my log in information?
To update your log in information with the NBRC, send an e-mail to nbrc-info@nbrc.org and include your current name, current address, identification number and the email address you want to now use for your access.


Continuing Competency Program FAQs

What kind of CEUs do I need for my credential?
The only credentials that must meet the Continuing Competency Program (CCP) requirements are those earned as of July 1, 2002. Depending upon how many credentials you hold, there are several combinations of subjects you may need to submit. The grid shown below should provide specific information for all credential combinations.

Credential(s) Held that have an expiration date Composition of CEUs Required
CRT only 30 hours general respiratory care subjects
RRT (including CRT) 30 hours general respiratory care subjects
CPFT only 30 hours pulmonary function or pulmonary diagnostic technology subjects
RPFT (including CPFT) 30 hours pulmonary function or pulmonary diagnostic technology subjects
CRT-NPS or RRT-NPS 15 hours general respiratory care subjects and 15 hours neonatal/pediatric subjects
CRT-SDS or RRT-SDS 15 hours general respiratory care subjects and 15 hours sleep disorders testing and therapeutic intervention subjects
CRT or RRT and CPFT or RPFT 15 hours general respiratory care subjects and 15 hours pulmonary function or pulmonary diagnostic technology subjects
CRT-NPS or RRT-NPS and CPFT or RPFT 10 hours general respiratory care subjects, 10 hours neonatal/pediatric subjects, and 10 hours pulmonary function or pulmonary diagnostic technology subjects
CRT-SDS or RRT-SDS and CPFT or RPFT 10 hours general respiratory care subjects, 10 hours sleep disorders testing and therapeutic intervention subjects, and 10 hours pulmonary function or pulmonary diagnostic technology subjects
CRT-NPS or RRT-NPS and CRT-SDS or RRT-SDS 10 hours general respiratory care subjects, 10 hours neonatal/pediatric subjects, and 10 hours sleep disorders testing and therapeutic intervention subjects
CRT-NPS or RRT-NPS and CRT-SDS or RRT-SDS and CPFT or RPFT 15 hours general respiratory care subjects, 5 hours neonatal/pediatric subjects, 5 hours of sleep disorders testing and therapeutic intervention subjects, and 5 hours pulmonary function or pulmonary diagnostic technology subjects

What happens if my credential expires?
If you are within 6 months of credential expiration, you have the option of entering your CEUs online and paying a $250 reinstatement fee. Please note: this is a completely online process and CEUs must have been earned during the 5-year credential term. If the grace period option is not utilized, you have two years following expiration to apply for testing and to reinstate your credential. You will be required to pay the new application fee and a $150 expired credential fee. If you successfully complete the examination, your credential will be reinstated without having to meet the then-current admission requirements. However, if two years lapse and you have not successfully passed the examination, you are required to apply as a new applicant and meet all admission policies in effect at that time. Please note: if you have more than one expired credential, you must apply for and pass all examinations to reinstate all expired credentials.
How do I submit the CEU information to the NBRC?
Continuing education (CE) information must be submitted online. Please do not submit paper documents. Once you have logged in to www.nbrc.org from the 'Credentialed Practitioners' page and then the 'Credentialed Practitioners' link, select the ‘Continuing Competency Program (CCP)’ link. You will be asked to confirm that your credentialing information is correct, then enter information for each CE course completed. While you will be able to enter your CE course records at anytime, you can only ‘Recertify Now’ during the last six months before your expiration date.
What CE courses will the NBRC accept toward compliance with the Continuing Competency Program (CCP)?
The NBRC will accept any course that is accepted by your state licensing board for purposes of respiratory care licensure. If your state licensing board has no requirements, the NBRC will accept any course approved by the AARC.
Why does my credential have an expiration date?
The NBRC’s Continuing Competency Program has been designed to enhance and/or contribute to the continuing competence of credentialed respiratory therapists and pulmonary function technologists and demonstrate concern for patient safety. Individuals participating in the Continuing Competency Program are required to provide evidence they are continuing to meet current standards of practice and have successfully renewed their national credentials issued by the NBRC. Individuals may confirm they meet active status requirements and renew their active status through our website, www.nbrc.org. Through implementation of the Continuing Competency Program, the NBRC further demonstrates its compliance with the accreditation standards of the National Commission for Certifying Agencies (NCCA).


Member Services FAQs

How can someone verify my credentials?
A letter of credential verification can confirm for you or a third party the information on each credential currently held. You may request this service online at www.nbrc.org (under the 'Credentialed Practitioners' link) or submit a written request including the following information:

• Name
• Social Security Number
• Current mailing address
• Address the letter of verification should be mailed
• Payment in the form of a check, money order or credit card number with expiration date (active status rate: $5.00, inactive status rate: $20.00)

Allow 7-10 days for processing mailed requests and two days for online requests.
Why do I need to maintain active status?
Keeping your status active helps the NBRC work for uniform licensure and support the development of examinations that uphold the standards of the respiratory care profession. In addition to the discounts for products, credential verification services and access to the NBRC Horizons newsletter, maintaining a continuous, active status ensures that no fee will be required for compliance with the Continuing Competency Program (CCP).
What are the fees for NBRC products and services?
Service Fees:

Updated July 2009:

Item
Active Members
Inactive Members
Credential Verification
$5
$20
Lapel Pins
$40
$60
Uniform Patches
$3
6 for $15
$7.50
Replacement Wallet Cards
$5
$15
Duplicate Score Reports
$25
$25
Replacement Certificates
$10
$30
Annual Renewal
$25
$25
Continuing Competency Program
No fee if paid / maintained active status last 4 (5) years
$25 per inactive renewal period during the five year credential term
Recredentialing Examinations: 
  CRT
  RRT Written Registry
  RRT Clinical Simulation
  Neonatal/Pediatric Specialty
  Sleep Disorders Specialty
  CPFT
  RPFT

$ 75
$ 75
$125
$ 75
$ 75
$ 75
$ 75

$150
$150
$200
$220
$250
$170
$220

When does my active status expire?
Annual renewal is based on calendar year (January 1 - December 31). Credentialed practitioners should renew their active status by December 31 each year. This expiration is separate from your credential expiration.
How do I login to the Member Services area of the NBRC website?
You must establish an account and password before logging in. To do so:

1. Select the 'Credentialed Practitioners' link from our home page. Then, select the 'Annual Renewal' link.
2. Select the 'Click Here to Renew Now' link, and then select the 'First Time User?' link to establish your account password.

If you have already created a login but have forgotten your ID or password, you may use the 'Forgot Password' link or contact our office at nbrc-info@nbrc.org.
How do I order a replacement certificate?
The NBRC does not provide multiple copies of certificates, so we require that you provide us with the following to obtain a replacement certificate:
  • A notarized statement indicating your original certificate was lost or destroyed.
  • A request for replacement providing your full name, contact information, and social security number.
  • A payment in the required amount ($10 for active practitioners, $30 for inactive practitioners)
This original letter and documentation must be mailed to the NBRC Executive Office, 18000 W. 105th Street, Olathe, KS 66061-7543.


Annual Renewal FAQs

How do I renew my annual active status?
You may renew your active status by returning your completed annual renewal form along with payment to our office, or you may renew online through direct link provided on our website.
How long does my annual status last?
As a credentialed practitioner, you renew your active status period for one year. The annual renewal period expiration is December 31 of each year. For more details on renewing your active status, please contact our office.
When do you send out Annual Renewal information?
Annual Renewal information is sent out in October of each year, and a second notice is sent in February. You may renew online through our website, www.nbrc.org.


CPFT Examination FAQs

Can I schedule my examination online?
If you are already approved to take an NBRC examination and all fees are paid, you may schedule online from the NBRC website or from the testing agency's website, www.goAMP.com.
What is the application process?
You may apply online using the "Submit Application" link located on each examination page or submit a completed paper application and appropriate fee when the admission requirements are satisfied. If mailing your application, the NBRC recommends using certified mail or a certificate of mailing and keeping your receipt as proof that your application was sent to the NBRC. Ineligible applications submitted to the NBRC will be returned less a $50.00 processing fee.
When are NBRC examinations administered?
NBRC examinations are administered by computer on a daily basis (Monday - Saturday) at over 170 Assessment Centers across the country. A complete list can be found here.
How long does it take to process my application?
If applying and paying by credit card online, your application is processed immediately. If mailing your application and fee to the NBRC, your application will be processed within approximately two weeks after receipt by the NBRC. A confirmation notice of your eligibility will be sent to you. If your eligibility cannot be confirmed, a letter explaining the information that is still needed will be sent to you.
When is the application deadline?
There are no application deadlines and if you meet the admissions requirements for an examination you may submit your application and fee at any time. Your application may be submitted online or can be downloaded and printed from this website.
What information does the confirmation of eligibility notice contain?
The confirmation notice contains a website address and toll-free telephone number for you to contact the NBRC to schedule an examination appointment. Appointments may be scheduled a minimum of three days prior to the desired testing date. Note: Examinations will not be offered on nationally recognized holidays.
What if I do not receive a confirmation of eligibility in the mail?
If you do not receive a confirmation of eligibility or an incomplete notice from the NRBC within four weeks after mailing your application, contact the NBRC. If your application is not on file, you will be asked to send a replacement application form and fee.


CRT Examination FAQs

Can I schedule my examination online?
If you are already approved to take an NBRC examination and all fees are paid, you may schedule online from the NBRC website or from the testing agency's website, www.goAMP.com.
What is the application process?
You may apply online using the "Submit Application" link located on each examination page or submit a completed paper application and appropriate fee when the admission requirements are satisfied. If mailing your application, the NBRC recommends using certified mail or a certificate of mailing and keeping your receipt as proof that your application was sent to the NBRC. Ineligible applications submitted to the NBRC will be returned less a $50.00 processing fee.
When are NBRC examinations administered?
NBRC examinations are administered by computer on a daily basis (Monday - Saturday) at over 170 Assessment Centers across the country. A complete list can be found here.
How long does it take to process my application?
If applying and paying by credit card online, your application is processed immediately. If mailing your application and fee to the NBRC, your application will be processed within approximately two weeks after receipt by the NBRC. A confirmation notice of your eligibility will be sent to you. If your eligibility cannot be confirmed, a letter explaining the information that is still needed will be sent to you.
When is the application deadline?
There are no application deadlines and if you meet the admissions requirements for an examination you may submit your application and fee at any time. Your application may be submitted online or can be downloaded and printed from this website.
What information does the confirmation of eligibility notice contain?
The confirmation notice contains a website address and toll-free telephone number for you to contact the NBRC to schedule an examination appointment. Appointments may be scheduled a minimum of three days prior to the desired testing date. Note: Examinations will not be offered on nationally recognized holidays.
What if I do not receive a confirmation of eligibility in the mail?
If you do not receive a confirmation of eligibility or an incomplete notice from the NRBC within four weeks after mailing your application, contact the NBRC. If your application is not on file, you will be asked to send a replacement application form and fee.
Can I qualify to take the CRT Examination with foreign education?
Foreign respiratory therapy education does not allow you to qualify for admission to the CRT Examination. You must have a minimum of an associate degree from an accredited respiratory therapy education program. For a list of accredited education programs, please visit the CoARC website at www.coarc.com.


Neonatal/Pediatric Specialty Examination FAQs

What is the application process?
You may apply online using the "Submit Application" link located on each examination page or submit a completed paper application and appropriate fee when the admission requirements are satisfied. If mailing your application, the NBRC recommends using certified mail or a certificate of mailing and keeping your receipt as proof that your application was sent to the NBRC. Ineligible applications submitted to the NBRC will be returned less a $50.00 processing fee.
Can I schedule my examination online?
If you are already approved to take an NBRC examination and all fees are paid, you may schedule online from the NBRC website or from the testing agency's website, www.goAMP.com.
When are NBRC examinations administered?
NBRC examinations are administered by computer on a daily basis (Monday - Saturday) at over 170 Assessment Centers across the country. A complete list can be found here.
When is the application deadline?
There are no application deadlines and if you meet the admissions requirements for an examination you may submit your application and fee at any time. Your application may be submitted online or can be downloaded and printed from this website.
How long does it take to process my application?
If applying and paying by credit card online, your application is processed immediately. If mailing your application and fee to the NBRC, your application will be processed within approximately two weeks after receipt by the NBRC. A confirmation notice of your eligibility will be sent to you. If your eligibility cannot be confirmed, a letter explaining the information that is still needed will be sent to you.
What information does the confirmation of eligibility notice contain?
The confirmation notice contains a website address and toll-free telephone number for you to contact the NBRC to schedule an examination appointment. Appointments may be scheduled a minimum of three days prior to the desired testing date. Note: Examinations will not be offered on nationally recognized holidays.
What if I do not receive a confirmation of eligibility in the mail?
If you do not receive a confirmation of eligibility or an incomplete notice from the NRBC within four weeks after mailing your application, contact the NBRC. If your application is not on file, you will be asked to send a replacement application form and fee.


RPFT Examination FAQs

What is the application process?
You may apply online using the "Submit Application" link located on each examination page or submit a completed paper application and appropriate fee when the admission requirements are satisfied. If mailing your application, the NBRC recommends using certified mail or a certificate of mailing and keeping your receipt as proof that your application was sent to the NBRC. Ineligible applications submitted to the NBRC will be returned less a $50.00 processing fee.
Can I schedule my examination online?
If you are already approved to take an NBRC examination and all fees are paid, you may schedule online from the NBRC website or from the testing agency's website, www.goAMP.com.
When are NBRC examinations administered?
NBRC examinations are administered by computer on a daily basis (Monday - Saturday) at over 170 Assessment Centers across the country. A complete list can be found here.
When is the application deadline?
There are no application deadlines and if you meet the admissions requirements for an examination you may submit your application and fee at any time. Your application may be submitted online or can be downloaded and printed from this website.
How long does it take to process my application?
If applying and paying by credit card online, your application is processed immediately. If mailing your application and fee to the NBRC, your application will be processed within approximately two weeks after receipt by the NBRC. A confirmation notice of your eligibility will be sent to you. If your eligibility cannot be confirmed, a letter explaining the information that is still needed will be sent to you.
What information does the confirmation of eligibility notice contain?
The confirmation notice contains a website address and toll-free telephone number for you to contact the NBRC to schedule an examination appointment. Appointments may be scheduled a minimum of three days prior to the desired testing date. Note: Examinations will not be offered on nationally recognized holidays.
What if I do not receive a confirmation of eligibility in the mail?
If you do not receive a confirmation of eligibility or an incomplete notice from the NRBC within four weeks after mailing your application, contact the NBRC. If your application is not on file, you will be asked to send a replacement application form and fee.


RRT Examination FAQs

Can I schedule my examination online?
If you are already approved to take an NBRC examination and all fees are paid, you may schedule online from the NBRC website or from the testing agency's website, www.goAMP.com.
What is the application process?
You may apply online using the "Submit Application" link located on each examination page or submit a completed paper application and appropriate fee when the admission requirements are satisfied. If mailing your application, the NBRC recommends using certified mail or a certificate of mailing and keeping your receipt as proof that your application was sent to the NBRC. Ineligible applications submitted to the NBRC will be returned less a $50.00 processing fee.
What happens if I am subject to the RRT Three-Year Eligibility Time Limit, and I don't earn my RRT credential before the deadline?
Individuals who do not earn the RRT credential within their three-year time limit will be required to retake and pass the CRT Examination to regain eligibility for the RRT Examination. Additionally, respiratory care practitioners who retake the CRT Examination to regain eligibility for the RRT Examination are not at risk of losing their CRT credential.
How long does it take to process my application?
If applying and paying by credit card online, your application is processed immediately. If mailing your application and fee to the NBRC, your application will be processed within approximately two weeks after receipt by the NBRC. A confirmation notice of your eligibility will be sent to you. If your eligibility cannot be confirmed, a letter explaining the information that is still needed will be sent to you.
If I am applying for the RRT Examination under the CRT-to-Registry Provision, how do I know I have taken all the courses I need?
The NBRC offers the service of conducting a CRT-to-Registry transcript evaluation, which is provided at no charge. To request a CRT-to-Registry evaluation, submit a copy of your college transcripts with a completed CRT-to Registry evaluation checklist to the NBRC Executive Office requesting that your eligibility for the RRT Examination be evaluated. Do not submit an application or fee since you are requesting only an evaluation of your eligibility. Please allow approximately three weeks for a response to your request.

Please note that an evaluation request with no transcript information attached may result in significantly delayed response.
When are NBRC examinations administered?
NBRC examinations are administered by computer on a daily basis (Monday - Saturday) at over 170 Assessment Centers across the country. A complete list can be found here.
When is the application deadline?
There are no application deadlines and if you meet the admissions requirements for an examination you may submit your application and fee at any time. Your application may be submitted online or can be downloaded and printed from this website.
What information does the confirmation of eligibility notice contain?
The confirmation notice contains a website address and toll-free telephone number for you to contact the NBRC to schedule an examination appointment. Appointments may be scheduled a minimum of three days prior to the desired testing date. Note: Examinations will not be offered on nationally recognized holidays.
What if I do not receive a confirmation of eligibility in the mail?
If you do not receive a confirmation of eligibility or an incomplete notice from the NBRC within four weeks after mailing your application, contact the NBRC. If your application is not on file, you will be asked to send a replacement application form and fee.


Sleep Disorders Specialty Examination FAQs

What guidelines were followed when examination items about scoring of sleep results were developed?
The AASM Manual for Sleep Scoring, dated 2007.
What does the examination cover?
Candidates for this examination have already demonstrated their minimal competencies in some areas used when diagnosing and treating patients with sleep disorders. The examination concentrates on those competences that are unique to the diagnosis and treatment of patients with sleep disorders. It will not include items about general respiratory care.
When was the examination first offered?
NBRC partnered with AARC to offer the first examination during their International Congress on December 15, 2008. We offered the examination via mobile computer-based testing units to interested candidates at that time.
How long does it take to process my application?
If applying and paying by credit card online, your application is processed immediately. If mailing your application and fee to the NBRC, your application will be processed within approximately two weeks after receipt by the NBRC. A confirmation notice of your eligibility will be sent to you. If your eligibility cannot be confirmed, a letter explaining the information that is still needed will be sent to you.
Can I schedule my examination online?
Yes, if you are already approved to take an NBRC examination and all fees are paid, you may schedule online from the NBRC website or from the testing agency's website, www.goAMP.com.
What information does the confirmation of eligibility notice contain?
The confirmation notice contains a website address and toll-free telephone number for you to contact the NBRC to schedule an examination appointment. Appointments may be scheduled a minimum of three days prior to the desired testing date. Note: Examinations will not be offered on nationally recognized holidays.
Is there a practice test available?
The NBRC has created a full-length, free practice examination available to candidates at no charge to familiarize themselves with the content and type of questions.
What is the application process?
You may apply online using the "Submit Application" link located on each examination page or complete and submit a paper application and appropriate fee when the admission requirements are satisfied. if mailing your application, the NBRC recommends using certified mail or a certificate of mailing and keeping your receipt as proof that your application was sent to the NBRC. Ineligible applications submitted to the NBRC will be returned less a $50.00 processing fee.
When are NBRC examinations administered
NBRC examinations are administered by computer on a daily basis (Monday - Saturday) at over 170 Assessment Centers across the country. A complete list can be found here.
When is the application deadline?
NBRC examinations are administered by computer on a daily basis (Monday - Saturday) at over 170 Assessment Centers across the country.There are no application deadlines and if you meet the admissions requirements for an examination you may submit your application and fee at any time. Your application may be submitted online or can be downloaded and printed from this website.
How is this examination different than a polysomnography examination?
The Specialty Examination for Respiratory Therapists Performing Sleep Disorders Testing and Therapeutic Intervention is for respiratory therapists already having earned the CRT or RRT credentials. Content of this specialty examination is focused on sleep focused testing and intervention conducted by respiratory therapists and requires respiratory therapy education for eligibility.
What if I do not receive a confirmation of eligibility in the mail once my application has been submitted?
If you do not receive a confirmation of eligibility or an incomplete notice from the NBRC within four weeks after mailing your application, contact the NBRC. If your application is not on file, you will be asked to send a replacement application form and fee.
Why did NBRC create the Sleep Disorders Specialty Examination program?
The American Association for Respiratory Care (AARC) requested that NBRC determine the desirability and feasibility of developing a specialty examination for respiratory therapists performing sleep disorders testing and therapeutic intervention. After following a long established, five-step process to determine if a new specialty examination for respiratory therapists in this area was warranted and feasible, we discovered that the answer was overwhelmingly yes.
How did NBRC determine the content for the examination?
The NBRC conducted a job analysis study to ensure examination content would be job related and based on tasks performed by practitioners in this specialty area. We sent several thousand surveys to individuals who are involved in the delivery of care to patients with sleep disorders to rate the importance of job tasks.
How long does the examination last?
Candidates will have four hours to complete the 180-item examination.
Where can I find more information on the new examination?
Visit www.nbrc.org and click on the “Examinations” tab. NBRC constantly updates the Web site to keep the information current.
Why should I earn the CRT-SDS or RRT-SDS credential?
The answer is simple—the new specialty examination is unique to your daily tasks as a sleep disorders specialist. It goes above and beyond general activities so you can demonstrate your acquired skill level in an expanding specialty within the field of respiratory care.
When I earn the CRT-SDS or RRT-SDS credential, do I have to recertify?
NBRC strongly supports continued competency for the practitioners it certifies by requiring recertification every five years. CRT-SDS and RRT-SDS certificants are no different. They will also be required to demonstrate their continued competence through the NBRC’s Continuing Competency Program (CCP).


Adult Critical Care Specialty Examination FAQs

When are NBRC examinations administered?
NBRC examinations are administered by computer on a daily basis (Monday-Saturday) at over 170 Assessment Centers across the country. A complete list can be found here.
What are the examination fees?
The cost for a new applicant is $300. The cost for a repeat applicant is $250.
Why were secondary test specifications included for this examination?
There are two sets of secondary test specifications. One set is for items that will engage candidates' thinking about ethics of the situation. The other set is defined by patient condition.

Addressing content about ethics first, this was a choice that the NBRC made when it decided to develop this specialty examination. Specialists do engage in situations that include ethical elements, so part of producing a relevant examination is mirroring those situations. In contrast to a CRT Examination, which should assess whether a therapist is safe and competent to provide general respiratory care, ethical considerations become a small part of what it means to be recognized as a specialist. To illustrate the difference, consider whether a candidate who incorrectly answered an ethics item should fail to become a CRT and access the gateway to licensure. The NBRC has concluded that the answer to that question is "no" at this point since the focus should be on safety as people enter practice. Conversely, when asked whether someone should fail to achieve a specialty credential because of performances on ethics items, the answer is "yes."

Because the ACCS Examination is a specialty examination, it is more strongly oriented to clinical situations and oriented less toward the technical elements of respiratory care. Without secondary specification, the NBRC knew there was a risk to standardized testing by unknowingly letting one test form emphasize one type of patient condition too much or differently than another test form. For example, one test form could have five items about patients with congestive heart failure while another form might not include any. Therefore, secondary specifications are critical to aligning examination content with activities of specialists and standardizing test forms among candidates.
Can I schedule my examination online?
Yes. If you are already approved to take an NBRC examination and all fees are paid, you may schedule online from the NBRC website or from the testing agency's website, www.goAMP.com.
What is the application process?
You may apply online using the 'Submit Application' link located on each examination page or complete and submit a paper application and appropriate fee when the admission requirements are satisfied. If mailing your application, the NBRC recommends using certified mail or a certificate of mailing and keeping your receipt as proof that your application was sent to the NBRC. Ineligible applications submitted to the NBRC will be returned, less a $50.00 processing fee.
When is the application deadline?
There are no application deadlines. If you meet the admissions requirements for an examination, you may submit your application and fee at any time. Your application may be submitted online or can be downloaded and printed from this website.
When I earn the RRT-ACCS credential, do I have to recertify?
Yes. All credentials earned on or after July 1, 2002 must be recertified. The NBRC strongly supports continued competency for the practitioners it certifies by requiring recertification every five years. The RRT-ACCS certificants will be no different and will be required to demonstrate their continued competence through the NBRC's Continuing Competency Program (CCP).
What information does the confirmation of eligibility notice contain?
The confirmation notice contains a website address and toll-free telephone number for you to contact the NBRC to schedule an examination appointment. Appointments may be scheduled a minimum of three days prior to the desired testing date. Note: Examinations will not be offered on nationally recognized holidays.
How long does it take to process my application?
If applying and paying by credit card online, your application will be processed immediately. If mailing your application and fee to the NBRC, your application will be processed within approximately two weeks after receipt by the NBRC. A confirmation notice of your eligibility will be sent to you. If your eligibility cannot be confirmed, a letter explaining the information that is still needed will be sent to you.
How did the NBRC determine content for the examination?
The NBRC conducted a job analysis study to ensure the examination content would be job related and based on tasks performed by practitioners in this specialty area. We sent several thousand surveys to individuals who are involved in the delivery of care to patients in the adult critical care setting to rate the importance of job tasks.
Why did the NBRC create the Adult Critical Care Specialty Examination program?
The American Association for Respiratory Care (AARC) requested that the NBRC determine the desirability and feasibility of developing a specialty examination for respiratory therapists working in the adult critical care arena. After following a long established, five-step process to determine if a new specialty examination for adult critical care specialists was warranted and feasible, we discovered the answer was overwhelmingly yes.
Is a practice test available?
A free, 50-item practice examination is available to candidates at no charge to familiarize themselves with the content and types of questions that will be included on the regular exam.
What does the examination cover?
Candidates for this examination have already demonstrated advanced knowledge of general respiratory care competencies. This examination concentrates on those competencies that are unique to the adult critical care setting. It will not include items about general respiratory care.
When will the examination be available?
The examination will be available mid-2012. An exact launch date has not yet been established. Keep checking the NBRC website for more information regarding the projected timeline of availability.
What if I do not receive a confirmation of eligibility in the mail once my application has been submitted?
If you do not receive a confirmation of eligibility or an incomplete notice from the NBRC within four weeks after mailing your application, contact the NBRC. If your application is not on file, you will be asked to send a replacement application form and fee.
How long does the examination last?
Candidates will have four hours to complete the 170-item examination.
Where can I find more information on the new examination?
Visit www.nbrc.org and click on the 'Examinations' tab. The NBRC constantly updates the website to keep the information current.
Why should I earn the RRT-ACCS credential?
The new specialty examination is unique to your daily tasks as an adult critical care specialist. It goes above and beyond general activities so you can demonstrate your acquired skill level in an expanding specialty within the field of respiratory care.
Why is the free practice examination shorter than the live examination?
The examination committee recommended and the Board accepted production of a one-third-length practice examination so the committee could move on to developing live test forms sooner.

The practice examination covers the content domains and cognitive level item types in the same proportions as live examinations cover. The same examination committee developed the practice examination and live examinations.

If someone is assessing whether he or she is ready for the ACCS Examination and concludes that the free practice examination gives them too little information, then there is a self-assessment examination (SAE) that he or she can purchase by following this link. The ACCS SAE is the same length as live examinations and developed by the examination committee. As with other SAEs that are associated with NBRC examinations, each option is explained.

The NBRC has no plan to develop a full-length free practice examination at this time given the significant resources that have been necessary to develop ACCS examinations to date and in the future.