NBRC-CSE (National Board for Respiratory Care Clinical Simulation Examination) is an examination for the advanced credentialing of respiratory therapists in the United States.
Administration and maintenance
The NBRC-CSE is developed and owned by the National Board for Respiratory Care and administers the examination through its for-profit private stock testing company Applied Measurement Professionals, Inc. In the United States all 48 contiguous states require at minimum the credential awarded from the NBRC-CSE for eligibility to procure licensure to practice advanced respiratory therapy in that state.
Registry Examination System
The Registry Examination System was developed to objectively measure essential knowledge, skills, and abilities required of advanced respiratory therapists, and to set uniform standards for measuring such knowledge. The CRT credential is a prerequisite for admission to the Registry Examination. The RRT Examinations consist of a written portion (WRE) and a clinical simulation portion (CSE) . Candidates must schedule separate testing appointments for each of these portions. However, candidates may attempt both parts on the same day, provided testing sessions are available. Individuals who attempt both parts of the examination and achieve passing scores will be awarded the Registered Respiratory Therapist (RRT) credential.
Applicants have multiple eligibility options for the WRE and CSE examinations. The NBRC requires the candidate be 18 years old at the time of application for the examination and be a Certified Respiratory Therapist. In addition to those two universal eligibility requirements you also must fit into just one of the following requirements:
- Graduate with an associate degree from a respiratory therapist educational program
- Graduate with a baccalaureate degree from a respiratory therapist educational program
- Have four years of full-time experience as a CRT with at least 62 semester hours of college credit (anatomy and physiology, chemistry, microbiology, physics, and mathematics) from a college or university accredited by its regional association or its equivalent.
- Be a CRT having earned a minimum of an associate degree from an accredited entry-level respiratory therapist educational program with two years of full-time, clinical experience in respiratory care.
- Have a baccalaureate degree in an area other than respiratory care, including college credit level courses in anatomy and physiology, chemistry, mathematics, microbiology and physics. Along with 2 years of clinical experience as a CRT.
The Clinical Simulation Examination (CSE) currently consists of 10 separate patient management problems. The clinical setting and patient situation for each problem are designed to simulate reality and be relevant to the clinical practice of respiratory care. Candidates are given four hours to complete the NBRC-CSE. 
The NBRC-CSE examination costs $200 USD with a $50 USD application fee and is administered by Applied Measurement Professionals, the for-profit company owned by the National Board for Respiratory Care.
Those who are actively certified as a registered respiratory therapist by passing the NBRC-WRE and NBRC-CSE are permitted to use the post-nominal letters "RRT".
- Respiratory therapy
- National Board for Respiratory Care
- American Association for Respiratory Care
- http://www.nbrc.org RRT Examination Content as of August 2011