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The North Carolina Respiratory Care Board

Welcome to the North Carolina Respiratory Care Board

Board Office Location and Hours: As noted in 21 NCAC 61 .0102: The administrative offices of the North Carolina Respiratory Care Board (NCRCB) are located at 125 Edinburgh South Drive, Suite 100, Cary, NC 27511. Office hours are 8:00 a.m. until 4:00 p.m., Monday through Friday, except North Carolina state holidays.

Notice for Bids: The North Carolina Respiratory Care Board invites qualified independent auditors (hereinafter called “auditor”) having sufficient governmental accounting and auditing experience in performing an audit in accordance with the specifications outlined in this Request for Proposal (RFP) to submit a proposal. See the posted RFP requirements

Public Notice: At the January 8, 2015 meeting, the NC Respiratory Care Board approved a new policy allowing licensees to print their renewal cards. This change will allow you to print your cards. For this reason, renewal cards will no longer be mailed starting February 2, 2015. After renewing your license, you will be prompted to print your card when renewing. You will also receive an email with a PDF file for records. You can download as a PDF for printing, sending to your manager, and maintaining a file copy for your records. Please be aware that your pop-up blocker must be set to allow pop-ups from the NCRCB website. Since everyone does not have an email, please let your co-workers know about the change.

Please Keep your email address up to date. The NCRCB will use your email address as the primary source of providing you with information including your license renewal reminder

Notice: To Individuals with military training in Respiratory Care and their spouses please click here and review the approved requirements per the NC General Statute 93B-15.1  

Latest News

January 12, 2017 Board Meeting Highlights

Posted: 1/18/2017 1:39:00 PM

Attorney Andrew Henson was appointed by Governor Pat McCrory as a public member.

Members of the Adhoc Committee for Advanced Practice Endorsement were announced The members are: Dr. Eric Olson (Chair), Ricky Bowen, Tina Lovings, Gerrian Pritchett, Amanda Dexter, Lanny Inabnit, and Dr. Croft (ex-officio member). Officers were reelected including Mr. Larry Simpson, RCP, as Chair; Dr. Larry Klima a Co-Chair; Ms. Robin Ross, RCP as Secretary; and Ms. Kathy Short, RCN, RCP as Treasurer.

Treasures Report: Ms. Short reported that as of December 31, 2016, there was $301,933.33 in the checking/savings account. The total assets were $326,879.31. The total liabilities were $24,986.44. The Profit & Loss Budget vs Actual shows total income of $251,805.00 which is $2737.00 over budget. The total license fees were $238,540.00 which was $620.00 over budget. The total expenses were $217,079.09 which was $1284.91 under budget. The net income was $35,757.62 which was $4333.62 over budget.

Executive Director Report: Dr. Croft reported that last quarter, website updates were made to improve the efficiency of the Board. These included late renewal and audit CE uploads and endorsement uploads directly into licensee electronic files. During the last quarter, he visited four community colleges to discuss the licensing process which included Catawba, Sandhills, Southwestern, and Wilkes. The remaining colleges will be visited prior to April 1.

As of January 6, 2016, there were eight hundred and sixty five (865) licensees registered for the CE Broker program. One hundred and twenty-six of them paid for the advanced version. Since July 1, 2016, the Board’s Investigators have opened twenty-seven investigations and completed twenty investigations. Nine (9) individuals were scheduled for interviews with the Board’s Investigation and Informal Settlement Committee on December 6, 2016. There are currently seven (7) ongoing investigations. As of December 31: there have been 8623 Respiratory Care Practitioner Licenses applied for. Current totals: 4691 Active and 67 Inactive. There are 37 pending applicants, 3341 expired licenses,292 failed to complete applications, 60 practitioners deceased, 65 withdrawn applications, 16 voluntarily surrendered licenses, 31 revoked licenses, 7 retired and 16 denied applications.The Retired status has been updated on the website and will be considered an Inactive status regarding the five-year period to re-activate the Active status with no charge for the Retired status.

Investigation and Informal Settlement Committee Report: Ms. Short reported that the committee met on December 6, 2016 to interview individuals. The committee was scheduled to interview nine (9) individuals. The committee interviewed six (6) individuals. Any disciplinary actions are pending and awaiting the closed session of today’s meeting.

Education Report: Ms. Ross reported that the committee met on January 5, 2017 and presented a new policy for CE audit issues. There are three levels of offenses. Level 1 is for a licensee who falsely attests to completion of CE requirements, but provides the proper documentation within thirty (30) days. The individual would receive a Letter of Concern and would be audited during the next renewal cycle. They would be required to complete the audit using the online service made available by the Board fifteen (15) days prior to their renewal. Level 2 is for a licensee who falsely attests to completion of CE requirements, does not provide the documentation within thirty (30) days but does provide the documentation within ninety (90) days. They would receive a Reprimand in a non-published consent order. The licensee must pay associated civil penalities and disciplinary costs within ninety (90) days of signing the consent order. The individual would be audited during the next renewal cycle and would be required to complete the audit using the online service made available by the Board fifteen (15) days prior to their renewal. Level 3 is for a licensee who falsely attests to completion of CE requirements, and does not provide the proper evidence within ninety (90) days of renewal, or who does not accept the offer for a Letter of Concern or Reprimand. They would be scheduled for an interview with the Investigation and Informal Settlement Committee. There was a discussion by the Board. The committee recommended approval of the policy.

Practice Committee Report: Dr. Klima reported that the Practice Committee met on December 9, 2016 and discussed CMA’s performing advanced pulmonary function studies as outlined in Carolinas Health System’s policy. There were concerns about scope of practice. The committee received the policy from CHS. A letter was sent to the Corporate Counsel for CHS on December 12, 2016 to elicit answers to some questions. CHS was invited to attend the next meeting.

Adhoc Committee Report: Dr. Olson reported that the ADHOC Committee met on December 9, 2016. The committee reviewed roles, practice settings, educational, and credentialing requirements. The general role considered was a physician extender without prescriptive rights but within a protocol based system of delivery in LTACH’s, physician offices, and hospital based ICU. The minimum credentialing and educational requirements will include at a minimum the Masters in Respiratory Care, RRT, ACCS, ACLS, NRP, and PALS. The scope of practice discussion was extensive and revolved around the AARC 2015 and Beyond Competencies, as well as, the MSRC requirements at UNCC which will be the focus of future meetings.

New Business:  Dr. Croft presented the Draft Bill that came out of the Joint Review Committee at the Legislature. This dictates making rules for all of the disciplinary processes which currently are all policies. Dr. Croft presented the Modernize Respiratory Care Practice Act to update language and add clarifications to the current law: 1) Definitions added for Endorsement and Advanced Practice; 2) The power and duty of the Board was updated to include: “Establish and adopt rules defining the education and credential requirements for persons seeking endorsement under this Article.” ;3) Technical changes updates language for COARC and NBRC testing changes; and 4) Provisional and temporary license language was deleted. Last year Senator Wells wanted the Board to have fewer licenses and to do endorsements. The key is that everyone would have an active license but some would be issued endorsements. Attorney Bill Shenton gave a presentation on the Board’s responsibilities under the Respiratory Care Practice Act and APA and the Disciplinary Manual.

The meeting was adjourned at 2:39 PM.


NCRCB Meeting Highlights from NOVEMBER 10, 2016

Posted: 11/14/2016 1:55:00 PM

Larry Simpson, Board Chair announced that William Mashburn, RCP was appointed to IISC (Replacing Ciji Williams), Tina Lovings, RCP appointed to Education Committee (Replacing William Mashburn), and.  He reminded everyone that Board Officer Elections are in January 2017.

Linwood C.  Faulconer, CPA of Koonce, Wooten & Haywood, and LLP provide an overview of the audit.  There was a net increase in revenue of nearly $100,000 from July 2015-June 2016

The Executive Director reported that the Governor has not, as of yet, appointed a replacement for the one empty public seat.  A request was made and an applicant accepted by commission.  During last quarter, website updates were made to improve the efficiency of the Board, which included certified online verifications to be emailed to licensee and requested state board.  During last quarter, Dr. Croft participated in the NBRC Re-credentialing Commission conference as the state licensing board representative on August 25, 2016 and the annual NBRC Licensure Liaison conference on September August 26-28, 2016 in Olathe, KS. In addition, he attended the annual NCSRC Symposium held in Wilmington, NC on September 15 and 16 as well as presented on the topic of conflicts in law.  As of October 1, 2016, there were seven hundred and sixteen (716) licensees registered for the CE Broker program.  Since July 1 2016, the Board's Investigators have opened 16 investigations and completed 10 investigations.  Four (4) individuals were scheduled for interviews with the Board's Investigation and Informal Settlement Committee on September 6, 2016.  There are currently eighteen (18) ongoing investigations.  As of June 30, 2016: there have been 8580 (+53) Respiratory Care Practitioner Licenses applied for since 2002.  Current Totals: 4678 (-82) Active and 68 (-16) Inactive.  There are 34 (-47) pending applicants, 3276 (+163) expired licenses, 292 (+32) Failed to complete, 58 (+1)  practitioners deceased, 65 (+1) withdrawn applications, 13(+1)  voluntarily surrendered licenses, 0 (NC) Suspended, 30 (NC) revoked licenses, and 16 (NC) denied applications.

There were no committee reports for Ethics or Rules.  The Education Committee Chair, Ms. Ross, provided a brief update on the Refresher Course.  She also discussed the CE Audit Issues and forwarded a Recommendation to update the Board Policy regarding discipline for CE issue as well as an automatic Consent Order for CE Noncompliance to be developed by the Education Committee.  

The Practice Committee Member, Dr. Olson reported for Committee Chair, Dr. Klima.  Two Interpretive letter requests were recommended and approved: 1) Brittany Komansky, MHA, BSN, RN, CEN, Manager, Emergency Services WakeMed regarding RCP’s performing splinting in a non-traditional setting; and 2) Martin Corts RRT, RCP, Manager of Watauga Medical Center Cardiopulmonary Department in Boone, NC as ked the Board to clarify if the clinical procedure provided to the Board is within the scope of practice and if this procedure is considered dispensing.  

In Unfinished Business, the Board discussed changes to the RCPA and decided to withhold any action this year since the NC General Assembly is still considering elimination of many Boards and Commissions.

In New Business, the Board approved a Retired License Status for RCPs retiring.  The Board also discussed the need for a declaratory ruling for the advance practice endorsement for master’s level advance practice in respiratory care.  Larry Simpson, Board Chair, established an Adhoc Committee to consider the requirements.

The next Board meeting: January 12, 2017 at 10:00 ARE at the Board Office.  All standing committees meet December 9, 2016.  


Online Services

CLICK LOGIN to enter our online services system to complete the following services: Update your address, practice site, phone number and email address, Request (Certification) Verification of your RCP license to another state, Request a Replacement Licensure Card, Request a Name Change and a new License Card. Online services also includes Application for a RCP license and an online Complaint Form.

Notice: RCP's must maintain their NBRC credentials in order to maintain their RCP license.

NOTICE: You may renew online only during the month your license expires. Reminder- 21 NCAC 61 .0501 requires the RCP to notify the Board within 30 days of any change in address and/or change in practice site.