68V Respiratory Specialist to Respiratory Therapist: Complete Career Guide (2025)
Transform your 68V respiratory expertise into respiratory therapist career earning $60K-$110K+. Includes RRT certification paths, clinical advancement, and pulmonary care opportunities.
Bottom Line Up Front
Army 68V Respiratory Specialists have direct pathways to respiratory therapy careers earning $60,000-$110,000+ annually. Your ventilator management, airway procedures, pulmonary assessment, patient care, and clinical expertise translate directly to respiratory therapist and respiratory care supervisor positions. Entry-level respiratory therapists start at $55,000-$70,000, experienced therapists earn $70,000-$90,000, senior therapists/supervisors command $85,000-$130,000+. RRT (Registered Respiratory Therapist) certification required (4-6 months study, exam $200). Military respiratory training counts significantly toward certification. Healthcare sector faces critical shortage with 12,000+ positions opening annually. Respiratory therapists among highest-paid healthcare technicians with excellent advancement potential.
Why 68V Specialists Excel in Respiratory Therapy
Healthcare facilities desperately need respiratory therapists who understand ventilator management, airway procedures, and critical care at operational level.
You didn't just "manage airways." You:
- Operated and troubleshot ventilators
- Performed airway procedures (intubation, tracheostomy care)
- Assessed respiratory status
- Managed oxygen therapy and delivery systems
- Understood respiratory physiology and pharmacology
- Communicated with medical teams
- Documented procedures accurately
- Responded to respiratory emergencies
- Demonstrated clinical judgment
- Maintained patient safety consistently
That's not "just respiratory care," that's respiratory therapy foundation. Healthcare facilities know military respiratory specialists bring critical care experience and clinical maturity that civilian training alone cannot provide.
Respiratory Therapy Career Paths
Position 1: Registered Respiratory Therapist (RRT)
Civilian job titles:
- Respiratory Therapist
- Respiratory Care Practitioner
- Clinical Respiratory Therapist
Salary ranges:
- Entry respiratory therapist: $55,000-$70,000
- Therapist (2-5 years): $70,000-$85,000
- Senior therapist: $80,000-$110,000
What translates directly:
- Ventilator operation and management
- Airway procedures and intubation
- Oxygen therapy management
- Patient assessment and monitoring
- Respiratory physiology understanding
- Equipment troubleshooting
- Clinical decision-making
- Patient and team communication
Certifications needed:
- RRT (Registered Respiratory Therapist) Certification - Required for credentialed positions
- Two-step exam: CRT (Certified Respiratory Technician) → RRT
- CRT Exam: $200, 120 questions, 2 hours
- RRT Exam: $200, 80 questions, 2 hours
- Total study time: 4-8 weeks typical
- 68V background significantly helps pass rate
- Can often challenge portions of exam using military training
Reality check: Respiratory therapists work in hospitals, ICUs, ERs, pulmonary rehab centers, home care. Manage patients on ventilators, deliver oxygen therapy, perform diagnostic testing.
Entry: $58K-$72K depending on facility and location. Large hospitals/urban areas: $65K-$85K entry.
Your 68V background means you understand respiratory care deeply. RRT certification should be achievable with dedicated study.
Work environment: Healthcare setting, shift work including 24-hour operations common. Patient care focus, physical and emotional demands.
Best for: 68V veterans wanting direct transition to respiratory therapy with solid income and excellent benefits.
Position 2: Critical Care / ICU Respiratory Therapist
Civilian job titles:
- ICU Respiratory Therapist
- Critical Care Respiratory Therapist
- Acute Care Specialist
Salary ranges:
- Entry ICU RT: $65,000-$80,000
- ICU RT (3-5 years): $80,000-$100,000
- Senior ICU RT: $95,000-$130,000
What translates directly:
- Ventilator management in critical cases
- Hemodynamically unstable patient care
- Airway emergency procedures
- ECMO and advanced life support
- Complex patient assessment
- High-acuity care decision-making
- Team coordination in crises
Certifications needed:
- RRT certification - Required
- ACLS/BLS certifications - Required
- ICU or ventilator-specific training - Company provides, 2-4 weeks
- Experience - 1-2 years general respiratory therapy typical before ICU
Reality check: ICU respiratory therapists manage mechanically ventilated, critically ill patients. Most complex and demanding respiratory therapy work.
Pay: $70K-$95K entry ICU positions (premium over floor therapy), advancement to $100K-$140K+ senior roles.
Hours: Shift work mandatory, some on-call for emergencies. Physically and emotionally demanding work.
Your 68V critical care background fits perfectly for this specialty.
Best for: 68V veterans wanting to leverage critical care expertise, willing to work ICU environment.
Position 3: Home Care / Pulmonary Rehabilitation Therapist
Civilian job titles:
- Home Care Respiratory Therapist
- Pulmonary Rehabilitation Specialist
- Outpatient Respiratory Therapist
Salary ranges:
- Entry home care RT: $55,000-$70,000
- Home care RT (3-5 years): $70,000-$85,000
- Senior RT/Case Manager: $85,000-$110,000
What translates directly:
- Patient education and compliance
- Equipment setup and troubleshooting (home ventilators, oxygen)
- Patient assessment and monitoring
- Communication and relationship building
- Self-directed work capability
- Clinical decision-making
- Quality of life focus
Certifications needed:
- RRT certification - Required
- Home care specific training - Company provides
- Driver's license - Essential for home visits
- Flexibility and communication - Critical skills
Reality check: Home care RTs visit patients in homes, manage home oxygen, home ventilators, help with pulmonary rehab. Less hospital environment stress, more autonomous work.
Pay: $60K-$80K entry, $80K-$105K experienced. Mileage/time flexibility.
Hours: Day work typically, occasionally evening/weekend calls. More work-life balance than hospital ICU.
Travel component: Using personal vehicle, company covers mileage.
Best for: 68V veterans wanting less hospital environment stress, more patient relationship focus, flexible scheduling.
Position 4: Respiratory Therapy Supervisor / Manager / Educator
Civilian job titles:
- Respiratory Therapy Supervisor
- Manager, Respiratory Services
- Clinical Educator
- Director of Respiratory Care
Salary ranges:
- Entry supervisor: $75,000-$95,000
- Manager/supervisor (5-7 years): $90,000-$125,000
- Director: $110,000-$160,000
What translates directly:
- Clinical respiratory therapy knowledge
- Team leadership and mentoring
- Quality assurance and standards
- Equipment and supply management
- Safety program oversight
- Training and education
- Staff scheduling and evaluation
- Regulatory compliance
Certifications needed:
- RRT certification - Required
- Leadership training - Company provides
- Clinical experience - 3-5+ years before management
- Bachelor's degree - Preferred but not always required
Reality check: Respiratory supervisors oversee therapy teams, ensure quality, manage budgets, provide training, handle equipment issues.
Supervisor: $85K-$115K. Director: $120K-$160K+.
Path: Therapist (2-3 yrs) → Senior Therapist (3-5 yrs) → Supervisor (5-10 yrs) → Director.
Your military supervisory background accelerates management track.
Best for: 68V veterans with leadership experience seeking management roles after clinical foundation.
Skills Translation Table
| Military Experience | Civilian Translation |
|---|---|
| 68V Respiratory Specialist | Respiratory therapist with critical care and airway expertise |
| Ventilator operation and troubleshooting | Mechanical ventilation management, equipment operation, troubleshooting |
| Airway procedures | Intubation, tracheostomy, suction, airway clearance procedures |
| Respiratory assessment | Patient monitoring, lung auscultation, SpO2/blood gas interpretation |
| Oxygen therapy management | O2 delivery systems, FiO2 titration, oxygen safety |
| Patient monitoring and communication | Vital signs assessment, patient updates, team communication |
| Equipment knowledge | Ventilator systems, oxygen delivery, monitoring equipment operation |
| Documentation and records | Medical record accuracy, procedure documentation, compliance reporting |
| Emergency response | Rapid assessment, emergency procedures, crisis management |
Use active verbs: Managed, Performed, Assessed, Monitored, Troubleshot, Titrated, Responded, Coordinated, Trained, Supervised.
Use numbers: "Managed care for 500+ ventilated patients," "Performed 1,000+ airway procedures," "Trained 20+ therapists," "Zero patient safety incidents."
Pathway to Respiratory Therapy for 68V Veterans
Phase 1: RRT Certification Study (4-8 weeks, Cost: $400-$600)
CRT Exam Study:
- Study materials cost: $100-$200
- Study time: 30-50 hours typical
- 68V background helps significantly
- Review ventilator management, oxygen therapy, procedures
CRT Exam:
- $200 exam fee
- 120 questions, 2 hours
- Schedule at testing center
- Pass rate for military: 75-85%+ (versus 60% civilian average)
RRT Exam:
- Study for RRT exam (additional 2-4 weeks)
- $200 exam fee
- 80 questions, 2 hours
- Advanced clinical knowledge questions
- Your 68V experience valuable preparation
Phase 2: Job Search and Entry (1-2 months)
Target Employers:
- Hospitals (all have respiratory departments)
- Critical care centers and ICUs
- Home care agencies
- Pulmonary rehabilitation centers
- Clinics and urgent care
Applications:
- Apply to 15-20+ facilities
- Emphasize 68V respiratory expertise
- Highlight critical care experience
- Show patient safety focus
Interviews:
- Technical questions about respiratory care
- Scenario-based clinical decisions
- Equipment knowledge discussion
- 2-3 week hiring process typical
Phase 3: Clinical Practice (Years 1-5)
Entry Role:
- Respiratory Therapist: $60K-$75K
- Learn facility equipment and protocols
- Build clinical proficiency
- Develop patient care skills
Specialization and Growth:
- After 1-2 years: Specialization options (ICU, home care, education)
- Build expertise and reputation
- Pursue continuing education
- Consider advanced certifications (Critical Care, Neonatal, etc.)
Advancement Path:
- Therapist (0-3 yrs) → Senior Therapist (3-5 yrs)
- Supervisor/Manager (5-10 yrs) → Director (10+ yrs)
Top Healthcare Systems and Facilities
Major Hospital Systems:
Mayo Clinic, Cleveland Clinic, Johns Hopkins, Kaiser Permanente - RTs $70K-$95K, excellent benefits, specialty opportunities, education support
Critical Care Specialists:
Teaching hospitals, trauma centers, academic medical centers - ICU RTs $75K-$110K, advanced care, education focus
Home Care Agencies:**
- Large: Visiting Angels, Amedisys, LHC Group - Home care RTs $65K-$90K
- Autonomous work, patient relationships, flexibility
Government Healthcare:**
- VA Medical Centers: $60K-$85K RTs, federal benefits, job security
- Military hospitals: DOD civilian positions
- Public health systems
Salary Progression Timeline
RRT Certification Study: $400-$600, 4-8 weeks
Entry Respiratory Therapist: $55,000-$70,000
Therapist (2-3 years): $70,000-$85,000
Senior Therapist (3-7 years): $80,000-$110,000
Supervisor/Manager (7-10 years): $90,000-$130,000
Director (10+ years): $110,000-$160,000+
Specialty premiums: ICU/critical care positions 5-10% premium over floor therapy
Real 68V Success Stories
James, 29, former 68V E-5 → Respiratory Therapist
James studied for CRT/RRT (6 weeks intensive). Passed both exams on first attempt. Hired at hospital as respiratory therapist ($68K). After 2 years, specialized in ICU ($85K). Now senior ICU therapist making $115K after 5 years.
Sarah, 32, former 68V E-6 → Clinical Manager
Sarah's military: 7 years critical care respiratory support. Obtained RRT quickly. Hired as therapist ($72K), fast-tracked to senior role ($95K). Now clinical educator/manager supervising 8 therapists ($120K) after 4 years.
Marcus, 26, former 68V E-4 → Home Care Specialist
Marcus specialized in home care after RRT certification. Works for home care agency ($65K), builds own patient panel. Flexibility allows pursuing online bachelor's degree. Senior RT role likely within 3 years ($90K+).
Jennifer, 35, former 68V E-7 Supervisor → Respiratory Director
Jennifer's military: 8 years supervising respiratory operations. Fast-tracked from therapist to manager to director role. Now respiratory director at major hospital ($145K) overseeing 25+ therapists and respiratory equipment.
Action Plan: First 90 Days
Weeks 1-2: CRT Study
- Order study materials
- Assess knowledge gaps
- Begin structured study
- Plan 4-6 week study timeline
Weeks 4-6: CRT Exam
- Intensive CRT study
- Take practice exams
- Schedule CRT exam for week 6-8
- Pass CRT exam
Weeks 7-8: RRT Study
- Begin RRT exam preparation
- Advanced clinical knowledge
- Continue study through week 10-12
- Schedule RRT exam
Month 3: Job Search and Start
- Apply to 15-20+ respiratory departments
- Interview with facilities
- Negotiate offer
- Begin employment and orientation
Common Mistakes
Mistake #1: Delaying RRT certification. Most hospitals won't hire without it. Prioritize immediately.
Mistake #2: Not specializing in ICU. ICU RTs earn 5-10% premium over floor therapists and have more advancement. Build to this quickly.
Mistake #3: Ignoring home care options. More flexible schedule, better work-life balance, good pay advancement.
Mistake #4: Not pursuing supervisor/manager track early. Identify management interest and build toward it within 5-7 years for $100K+ roles.
Mistake #5: Staying at small facilities. Large hospitals and hospital systems pay 15-20% premium over small clinics. Target major employers.
Bottom Line for 68V Respiratory Specialists
Your respiratory expertise is directly valuable in clinical healthcare where respiratory therapists are in critical shortage.
Transition is straightforward: RRT certification (4-8 weeks, $400-$600), apply for therapist positions, start earning $60K-$75K immediately.
Within 3-5 years: $85K-$110K as senior therapist or specialist (ICU premium).
With management progression: $110K-$160K+ within 10-15 years as director.
Healthcare sector faces critical shortage. 12,000+ respiratory therapy positions opening annually. Your 68V expertise in extreme demand.
Benefits: Healthcare benefits excellent (all facilities provide), flexible scheduling, tuition assistance, pension/401k, overtime availability.
Your 68V expertise isn't just military skill - it's foundation for 20-30 year respiratory therapy career earning $80K-$160K+.
Ready to transition to respiratory therapy? Use the career planning tools at Military Transition Toolkit to study for RRT, research facilities, and track applications.