Advanced Practice Standards


The Commission on Accreditation for Respiratory Care (CoARC) has completed the development of Standards for Accreditation of Advanced Practice Programs in Respiratory Care.

The Advanced Practice Respiratory Therapist (APRT) is a credentialed, licensed respiratory care practitioner trained to provide a scope of practice that exceeds that of the registered respiratory therapist. After obtaining the NBRC RRT credential, the aspiring APRT must successfully complete a CoARC-accredited graduate level education and training program that enables the APRT to provide advanced, evidence-based, diagnostic and therapeutic clinical practice and disease management.

As part of a physician-led team, APRTs are trained to provide diagnostic, therapeutic, critical care and preventive care services in multiple settings across the health care spectrum including acute (emergency department [ED] or urgent care) and critical care, sub-acute, in-patient and preventative care, as well as chronic care, ambulatory, and out-patient care. They take medical histories and record progress notes; examine, treat, and counsel patients; order and interpret laboratory tests, imaging studies, and diagnostics; and provide acute, critical, and chronic care to patients. The value and importance of maintaining the physician-therapist relationship that has benefitted patients with cardiopulmonary disease for many decades is preserved by having APRTs practice under the leadership of a physician.

CLICK HERE to view a PDF copy of the APRT Standards (effective 11/13/16).

Questions about the APRT Standards and its review process should be sent to the Chief Operating Officer, Shane Keene, at


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