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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.

Military Public Notice: Individuals with a military designation in respiratory care or military spouses, as part of an active duty deployment reassigned to North Carolina, who holds an active respiratory care license in another state click here and review the requirements per the NC General Statute 93B-15.1. In order to serve you better, complete this survey so we can help guide you through the process before you apply and to avoid unnecessary cost. 

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. 

Public Notice: 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.


Latest News

North Carolina Respiratory Care Board Meeting on July 13, 2017

Posted: 7/19/2017 10:46:00 AM

All highlights will be published in a PDF format and hyperlinked each quarter to maintain the website more efficiently. 

Highlights from the North Carolina Respiratory Care Board Meeting on July 13, 2017

April 13, 2017 Board Meeting Highlights

Posted: 4/24/2017 2:53:00 PM

Highlights from the North Carolina Respiratory Care Board Meeting -April 13, 2017

Dr. Klima reported that as of December 31, 2016, all Board positions have been filled.  Dr. Klima reported that Garry Kauffman, Past President of the AARC, was appointed to the Adhoc Committee for Advance Practice Endorsement.

Treasurer’s Report

 Ms. Short reported that as of March 31, 2017, there was $244,502.48 in the savings account and $43,660.17 in the operating account making a total of $288,162.65.  The total assets are $313,638.63.  The Profit & Loss Budget vs Actual shows that the CE approval fees are over budget, license fees and renewals are under budget, and the total expenses are under budget.

Executive Director’s Report

Dr. Croft reported on the events that had occurred since the last Board meeting:

The Practice and Adhoc Committees met on March 10, 2017.  The Education Committee met on March 9, 2017.  The Rules and Ethics Committees did not meet.

During last quarter, website updates were made to improve the efficiency of the Board, which included CE uploads directly into licensee electronic files.

On January 27, 2017, he met with Representative Justin Burr, who represents Montgomery and Stanly Counties, agreed to be the primary sponsor of HB 358, Modernize Respiratory Care Practice Act, along with Representatives Boles and Goodman.  Co-sponsors include Representatives Floyd and Malone.  HB 358 is currently in the Finance Committee.

During the last quarter, Dr. Croft visited nine community colleges to discuss the licensing process.  The colleges were Pitt, Carteret, Central Piedmont, Fayetteville, Forsyth, Edgecombe, Stanly, Rockingham, and Robeson.

On February 15-17, 2017, Dr. Croft presented at the High County Conference on Advanced Practice Endorsement:  The Next Evolution of the Profession.  On March 6.  2017, he visited Randolph Hospital and presented on the Legal Aspects of Precepting.  On March 14-15, he visited New Hanover Regional Medical Center and presented on the Evolving Scope of Practice for RCP’s.  On April 7, he attended the NCARE Annual Rocking Chair Conference in Lake Lure, NC to speak on the new endorsement program and legislation.

Since July 1, 2016, the Board’s Investigators have opened thirty-eight investigations and completed twenty-eight investigations.  There are currently ten ongoing investigations.  Eight individuals were scheduled for interviews with the Board’s Investigation and Informal Settlement Committee on March 7, 2017.  As of March 31, 2017:  there have been 8802 Respiratory Care Practitioner Licenses applied for since 2002.  Current totals: 4719 Active and 73 Inactive.  There are 161 pending applicants, 3356  expired licenses, 294 failed to complete applications, 64 practitioners deceased, 65 withdrawn applications, 16 voluntarily surrendered licenses, 31 revoked licenses, 8 retired licenses, and 16 denied applications.

Education Committee Report

Dr. Mulcrone reported that the committee met on March 9 to review the Refresher Course changes.  At this time, the changes require the passage of HB 358 followed by a rules change.  The UNCC MSRC was approved with a start date for the fall of 2017.

Practice Committee Report

Dr. Klima reported that the committee met on March 10 and discussed CMA’s performing advanced pulmonary function studies as outlined in Carolinas HealthCare System’s response.  CHS has addressed the concerns expressed by the Board.  Mr. Shenton recommended sending a letter to them.  There was a discussion by the Board.  Mr. Henson made a motion to charge Dr. Croft and Mr. Shenton to draft a letter to be sent to CHS.  The motion was seconded and carried unanimously.

Adhoc Committee on Advanced Practice Endorsement

Dr. Olson reported that the committee met on March 10.  The committee reviewed roles, practice settings, educational and credentialing requirements.  The roles discussed included the physical and occupational therapy models of delivery, as well as, a physician extender model without prescriptive rights but within a protocol based system of delivery in LTACH’s, physician offices and hospital based ICU’s.  The scope of practice discussion included the AARC 2015 and Beyond Competencies in arriving at a scope of practice for the next meeting.  Graduates of a Master’s program should be competent in the tasks.

New Business

Dr. Croft stated that HB 358 is now in the Finance committee.

Dr. Klima presented auditor quotes from Koonce, Wooten & Haywood, LLP; Rives & Associates, LLP; and Bernard Robinson & Company, LLP.  There was a discussion by the Board.  Dr. Olson made a motion to continue with Koonce, Wooten & Haywood, LLP.  The motion was seconded and carried unanimously.

Dr. Klima presented a request from Myra Stearns regarding Respiratory Care Assistants.  Dr. Croft gave the background for RCA’s which was in effect from 2004 until 2013.  There were scope and supervision issues.  This issue is arising due to a shortage of therapists.  Following a discussion by the Board, it was decided to give this request to the Education Committee.

Dr. Klima presented a request from Murphy Webber from Wilkes Regional Medical Center regarding Concurrent Therapy.  Dr. Croft gave the background information.  He presented 21 NCAC 61 .0103 “Definitions”.  Rule changes could be made to (i) and (l) to help Respiratory Care Departments to be able to develop their own policies to allow therapists to be able to avoid doing concurrent therapy.  Following a discussion by the Board, “critical access hospitals” was changed to “organizations” in (3) (i).  Dr. Croft stated that the only way to deal with concurrent therapy is to make it a violation.  Language could be added to 21 NCAC 61 .0307 (10).  Following a discussion by the Board, it was decided to move this request to the Rules Committee.


The meeting was adjourned at 2:29 PM.



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.