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This course plan, its lessons and its assessments has not yet been verified by a licensed clinician in the field or by a certification or approval body. It is a study draft and may contain errors. Do not use it to make decisions about any patient or medication. Always follow your instructor, your supervising professional, and current official references and regulations.

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Sterile Processing Technician

9 courses · 900 clock hours · 3–6 mo full-time. Grading is competency-based: each course requires the written exam, a competent skills demonstration with zero safety faults, a signed log, and a passed safety audit; percentage weights only rank performance above the competency floor.

$9,660 COMPLIMENTARYprogram tuition
9courses
54lessons
900hours
31assessments
Development progressPlanCourses, lessons and assessments written for this tradeLessons54 of 54 lesson pages writtenPractice431 practice questionsResources113 reference entries (study list)Review0 lesson pages reviewed by a licensed professional
Study now: 54 lesson pages are open (lesson titles below are links).
HLT-STER66-01 Universal core

Universal Core: Safety, Math, Communication & Career for Sterile Processing

148 hr · $1,185 COMPLIMENTARY

This foundational course builds the safety, mathematical, literacy, digital, and professional skills that every sterile processing technician needs before touching an instrument or entering a decontamination area. Students earn OSHA 10 recognition and CPR/First Aid certification, practice the measurements and calculations used daily on the sterile processing floor, and develop the workplace communication and career skills required to succeed in a hospital or surgical center environment. All content is mapped to the core knowledge domains tested on the HSPA CRCST and CBSPD CSPDT credentialing examinations.

Outcomes
Course text

This foundational course builds the safety, mathematical, literacy, digital, and professional skills that every sterile processing technician needs before touching an instrument or entering a decontamination area. Students earn OSHA 10 recognition and CPR/First Aid certification, practice the measurements and calculations used daily on the sterile processing floor, and develop the workplace communication and career skills required to succeed in a hospital or surgical center environment. All content is mapped to the core knowledge domains tested on the HSPA CRCST and CBSPD CSPDT credentialing examinations.

How the course runs. 7 blocks: Healthcare Workplace Safety and OSHA 10 for Sterile Processing; First Aid, CPR, and Emergency Response in the Healthcare Setting; Trade Math and Measurement for Sterile Processing; Reading Technical Documents: IFUs, SDS Sheets, and Sterile Processing Records; Digital Tools for Sterile Processing Technicians; Healthcare Communication, Professionalism, and Teamwork; Career Readiness: Resume, Credentialing Roadmap, and Professional Identity.

What competent looks like. Demonstrate OSHA General Industry safety standards as they apply to sterile processing, including proper PPE selection, hazard communication, and bloodborne pathogen precautions, achieving OSHA 10 card eligibility. Perform trade-relevant math calculations—including unit conversion between metric and US customary systems, dilution ratios for chemical solutions, and temperature conversions between Celsius and Fahrenheit—with at least 80% accuracy. Read, interpret, and apply technical documents used in sterile processing, including instrument manufacturer's Instructions for Use (IFU), Safety Data Sheets (SDS), and sterilizer cycle records. Use digital tools common to sterile processing departments, including computerized instrument tracking systems, electronic health record interfaces, and department communication platforms, to locate and document information accurately. Communicate professionally in written and verbal formats with surgical, nursing, and materials management colleagues, applying healthcare workplace etiquette and patient-safety-first principles. Develop a career plan for entry into sterile processing, including a professional resume, a completed mock credentialing exam eligibility checklist, and an understanding of the HSPA CRCST and CBSPD CSPDT examination requirements.

Lessons · 7 blocks
#LessonHrTypeObjectiveActivitiesMaterialsCheck
1Healthcare Workplace Safety and OSHA 10 for Sterile Processing28theoryStudents will identify the OSHA General Industry standards most relevant to sterile processing—including hazard communication (HazCom/GHS), bloodborne pathogens, PPE, and ergonomics—and complete all ten units of the OSHA 10 curriculum at the passing threshold.
  1. Complete all ten OSHA 10 General Industry modules through the authorized OSHA 10 delivery format used by the program, pausing after each module to answer the embedded module quiz and discuss how each standard applies specifically to the decontamination room, prep-and-pack area, and sterile storage.
  2. Conduct a tabletop hazard hunt: students receive a photo set of ten sterile processing department scenes and must identify every visible OSHA violation, citing the applicable standard by name (e.g., 'unlabeled secondary container—HazCom 1910.1200'), then discuss corrections as a group.
  3. Role-play a bloodborne pathogen exposure incident: one student acts as the exposed worker, one as the supervisor, and one as the infection control nurse; students walk through the exposure response steps (first aid, reporting, post-exposure protocol) using the department's model exposure control plan, then debrief on documentation requirements.
OSHA 10 General Industry authorized course materials; OSHA 1910 standards reference (bloodborne pathogens 1910.1030, HazCom 1910.1200, PPE 1910.132); model exposure control plan; sterile processing department scene photographs; nitrile gloves, safety glasses, face shield, impervious gown (for PPE donning demos); HSPA Central Service Technical Manual (current edition).Students must pass the OSHA 10 final assessment at the program's authorized passing threshold to receive OSHA 10 card eligibility; in addition, the hazard hunt written worksheet is scored—students must correctly identify and cite at least 8 of 10 violations (80%) to demonstrate competency.
2First Aid, CPR, and Emergency Response in the Healthcare Setting10labStudents will demonstrate adult CPR with AED use and basic first aid skills at the level required for a nationally recognized CPR/First Aid certification, and will describe the emergency response procedures specific to a sterile processing department.
  1. Complete a nationally recognized CPR/First Aid/AED course (such as American Heart Association BLS for Healthcare Providers or equivalent) with hands-on mannequin practice, achieving the required skills check-off for certification.
  2. Practice the sterile processing-specific emergency responses—chemical splash to eye or skin using an eyewash station, laceration from a sharp instrument, and smoke/fire in the sterilizer room—following the department's model emergency action plan, with each student taking a turn leading the response.
  3. Debrief on 'duty to act' in the healthcare workplace: students read two short case vignettes (a colleague faints in decon; a visitor collapses in the corridor) and write a brief response describing their legal and ethical obligations, the steps they would take, and the documentation they would complete.
CPR/First Aid course kit (mannequins, AED trainer, pocket masks, gloves); eyewash station; model emergency action plan; case vignette handouts; first aid documentation forms.Students must pass the CPR/First Aid/AED skills evaluation administered by the certified instructor (per the certifying organization's standard) to receive the certification card; the emergency response drill is evaluated by instructor observation using a pass/fail checklist—all critical steps (scene safety, call for help, correct intervention, documentation) must be performed correctly.
3Trade Math and Measurement for Sterile Processing30practiceStudents will accurately perform the calculations sterile processing technicians use every day, including metric-to-US unit conversions, Celsius-to-Fahrenheit temperature conversions, chemical dilution ratio calculations, and load cycle parameter recording, with at least 80% accuracy on a timed skills test.
  1. Work through a structured worksheet set covering: metric prefixes and conversions (grams, milligrams, liters, milliliters, centimeters); temperature conversion between Celsius and Fahrenheit using the standard formula; and dilution ratio calculations for enzymatic cleaners and high-level disinfectants using manufacturer dilution charts—students self-check with an answer key and flag errors for instructor review.
  2. Simulate cycle record reading: students receive five printed sterilizer printout strips (Prevac, gravity, and EO cycle types) and must extract, record, and verify the critical parameters (temperature, time, pressure, humidity where applicable) against the acceptable ranges listed in a model SOP, then flag any out-of-range parameter and describe the corrective action.
  3. Complete a 'real-world math' scenario lab in pairs: given a container of enzymatic cleaner concentrate, a dilution ratio from the SDS, and a decontamination sink volume, each pair calculates the correct volume of concentrate to add, measures it using a graduated cylinder, mixes the solution, and records the preparation on a model log sheet.
Scientific calculator; metric rulers and measuring tapes; graduated cylinders (100 mL, 500 mL, 1000 mL); enzymatic cleaner concentrate (training-grade or simulate with colored water and label); model sterilizer printout strips; model SOPs with parameter ranges; math worksheet packets; HSPA Central Service Technical Manual (current edition).A 25-question timed math skills test covering all calculation types; students must score at least 80% (20/25) to pass; any student scoring below 80% completes targeted remediation and one retake before advancing.
4Reading Technical Documents: IFUs, SDS Sheets, and Sterile Processing Records22theoryStudents will locate and correctly interpret critical information from instrument manufacturer Instructions for Use (IFU), Safety Data Sheets (SDS), and sterile processing department records, demonstrating understanding of why following IFUs exactly is a patient-safety requirement.
  1. IFU scavenger hunt: students receive three real or model IFUs (a rigid endoscope, a powered surgical instrument, and a multi-part retractor set) and complete a structured form for each, identifying: recommended cleaning method, compatible disinfectants/sterilants, incompatible sterilization methods, minimum number of cleaning steps, recommended packaging, and cycle parameters—then compare findings as a class to highlight how IFU requirements differ across instruments.
  2. SDS deep dive: given the SDS for three chemical products used in sterile processing (enzymatic cleaner, glutaraldehyde-based high-level disinfectant, and a biological indicator incubator disinfectant), students complete a worksheet identifying the hazard classification, required PPE, first-aid measures for exposure, spill response, and storage requirements, then present their findings for one product to the group.
  3. Record interpretation exercise: students examine a set of model sterile processing department records—a load record with biological indicator result, an equipment maintenance log, and a sterilization failure report—and answer guided questions about what each record proves, who is responsible for completing it, and what action is required when a record shows a process failure.
Printed and digital IFUs from at least three instrument types; SDS for common sterile processing chemicals; model load records, maintenance logs, and failure report forms; SDS binder (as used in actual departments); HSPA Central Service Technical Manual (current edition); AAMI ST79 (current edition, for reference to IFU-following requirements).Students complete an IFU application quiz—given an instrument and three possible processing pathways, they must select the correct pathway and justify it using specific IFU language; passing score is 80%; instructor also evaluates the SDS worksheet for completeness and accuracy, requiring all PPE and first-aid fields correct to pass.
5Digital Tools for Sterile Processing Technicians18demoStudents will navigate a simulated computerized instrument tracking system, locate department SOP documents in a digital management system, and use common communication and scheduling platforms used in healthcare to complete realistic department tasks.
  1. Tracking system simulation: using a demo version of a computerized tracking/instrument management system (or a classroom simulation built in spreadsheet software if a vendor demo is unavailable), students complete a full instrument tray cycle—receive a tray, scan items, log decontamination, log inspection and pack, assign a sterilization load, and retrieve the load record—following a written step-by-step procedure sheet, then discuss the patient safety value of the electronic record.
  2. SOP digital search exercise: students are given five realistic clinical scenarios (e.g., 'A flexible bronchoscope has returned from the unit. Where do you find the IFU and the department's SOP for this scope?') and must locate the correct document in a simulated digital document management folder structure within a set time, recording the document title and version number.
  3. Professional digital communication practice: students draft three work-related messages—a shift handoff note using the department's SBAR-style template, a professional email to a supervisor reporting a sterilizer alarm, and a response to a nursing unit's stat instrument request using the department's communication platform—and peer-review each other's messages for accuracy, tone, and patient-safety relevance.
Computers or tablets with internet access; demo access to an instrument tracking system (vendor demo or classroom simulation); simulated digital SOP folder structure; SBAR communication template; professional email rubric; HSPA Central Service Technical Manual (current edition).Instructor observes and evaluates each student completing the full tracking system simulation cycle using a pass/fail checklist—all required scan and documentation steps must be completed correctly; the three digital communication drafts are graded against a rubric (clarity, accuracy, professional tone, completeness), with an overall score of 80% required to pass.
6Healthcare Communication, Professionalism, and Teamwork20practiceStudents will demonstrate professional verbal and written communication skills in sterile processing workplace scenarios, apply patient-safety-focused language, and describe the role of the sterile processing technician within the surgical and hospital care team.
  1. Role-play three common sterile processing communication scenarios in pairs: (1) a scrub tech calls with a stat instrument need 15 minutes before a case; (2) a colleague in decon is not following PPE protocols and needs to be addressed; (3) a supervisor asks a technician to explain why a biological indicator test failed—students rotate roles and receive structured peer feedback on clarity, safety language, and professionalism.
  2. Map the surgical care team: students build a team diagram placing the sterile processing technician in relation to surgeons, scrub techs, circulating nurses, infection preventionists, materials management, and supply chain, then write a one-paragraph explanation of how the sterile processing technician's work directly affects patient safety outcomes, using at least two concrete examples.
  3. Workplace ethics and scope-of-practice case studies: students read three short scenarios involving scope-of-practice boundary questions (e.g., a nurse asks a technician to skip a step to save time; a tech notices a possible instrument defect but is rushed) and write a structured response for each identifying the ethical issue, the patient safety risk, and the correct action, citing the relevant professional standard or policy.
Role-play scenario cards; team diagram template; scope-of-practice case study handouts; HSPA Code of Ethics; HSPA Central Service Technical Manual (current edition); grading rubrics for written work.Role-play is evaluated by the instructor using an observable behavior checklist (patient safety language used, professional tone, correct information conveyed, appropriate escalation); students must meet all critical behaviors to pass; the scope-of-practice written responses are scored—students must correctly identify the ethical issue and correct action in at least 2 of 3 scenarios to pass.
7Career Readiness: Resume, Credentialing Roadmap, and Professional Identity20practiceStudents will produce a trade-specific professional resume, complete a mock credentialing exam eligibility checklist for both the HSPA CRCST and CBSPD CSPDT, and articulate a clear two-year career plan for entry and advancement in sterile processing.
  1. Resume workshop: students draft a sterile processing-specific resume using a healthcare industry template, incorporating correct terminology for skills gained in the program (instrument decontamination, sterilization methods, IFU compliance, computerized tracking), receive instructor and peer feedback using a rubric, and produce a final polished version ready for submission to employers.
  2. Credentialing eligibility audit: students complete a structured checklist comparing their expected program outcomes against the published eligibility requirements for both the HSPA CRCST and the CBSPD CSPDT (work experience, education, and application steps as published by each organization), identify any gaps they will need to address after program completion, and develop a written action plan for meeting all requirements.
  3. Two-year career mapping: students research entry-level sterile processing job postings in their local market (using at least three postings), identify the skills and credentials most frequently requested, map those requirements to what they will learn in the full program, and present a two-year career plan that includes: first job target, credentialing timeline, potential for advancement to lead tech or SPD supervisor, and any additional education or specialty certifications of interest.
Healthcare resume template; HSPA CRCST candidate handbook (current, from HSPA website); CBSPD CSPDT candidate handbook (current, from CBSPD website); local job posting printouts; career mapping worksheet; resume rubric; computer with internet access.Resume is evaluated against a rubric (accuracy of trade terminology, completeness, professional formatting, no factual errors)—must score at least 80% to pass; credentialing eligibility checklist must be fully completed with all fields addressed and a written gap plan attached; two-year career plan is evaluated pass/fail by instructor against a completeness checklist (all four required elements present and plausible).
Assessments
AssessmentTypeWeightPass standardMethod & rubric
OSHA, Safety, and Regulatory Knowledge ExamWritten exam25%80% (40/50 items correct)A 50-item multiple-choice and short-answer exam covering OSHA General Industry standards as they apply to sterile processing (bloodborne pathogens, HazCom/GHS, PPE, ergonomics), first aid and emergency response procedures, and the proper use and location of SDS documents. Items are written at the application level, presenting workplace scenarios for which students must identify the correct OSHA-compliant action, making this assessment directly relevant to the safety and regulatory knowledge domains tested on the HSPA CRCST and CBSPD CSPDT exams.
Accuracy · Safety · Communication · Professionalism
Trade Math, Technical Reading, and Digital Tools Knowledge ExamWritten exam25%80% (40/50 items correct)A 50-item timed exam (90 minutes) combining multiple-choice, calculation, and document-interpretation questions drawn from lessons on metric and temperature conversions, dilution ratios, sterilizer cycle record reading, IFU interpretation, and use of tracking system data. This exam mirrors the applied mathematics and technical literacy content areas found in both credentialing exams, ensuring students can perform these tasks accurately under timed conditions before they advance to trade-specific courses.
Accuracy · Safety · Communication · Professionalism
Professional Portfolio ProjectProject25%Must score at least 80% overall on the portfolio rubric, with no category scoring below 70%Students assemble a professional portfolio containing: (1) their final polished sterile processing resume, (2) the completed HSPA CRCST and CBSPD CSPDT credentialing eligibility checklists with written gap plans, (3) a two-year career plan with employer research evidence attached, and (4) a one-page personal statement connecting their prior experience to their goals in sterile processing. The portfolio is evaluated using a four-category rubric assessing accuracy of trade terminology, completeness, professional presentation, and evidence of self-directed research.
Accuracy · Safety · Communication · Professionalism
Career Readiness Oral DefenseOral / panel25%Pass on all three critical response areas as evaluated by instructor; a single critical failure requires one retake after coachingEach student participates in a 15-minute structured oral defense before the instructor and one invited industry guest (where available), responding to questions drawn from all six lesson areas: safety and OSHA, first aid, trade math, technical document reading, digital tools, and professionalism. The evaluator uses a scored rubric assessing accuracy, clarity, patient-safety reasoning, and professional demeanor; this format replicates the verbal accountability expected of sterile processing technicians who must be able to explain and justify their decisions to supervisors and clinical staff.
Accuracy · Safety · Communication · Professionalism
HLT-STER66-02 Trade course

Decontamination: Receiving, Sorting, and Processing Contaminated Instrumentation

88 hr · $1,265 COMPLIMENTARY

This course covers the full decontamination workflow used in a sterile processing department (SPD), from point-of-use handling and transport through manual cleaning, automated washer-disinfector operation, and inspection for cleanliness. Students learn the science behind bioburden reduction, the proper use of personal protective equipment (PPE), and the regulatory and standards framework—including OSHA bloodborne pathogen rules, AAMI ST79, and The Joint Commission expectations—that governs every step of the decontamination area.

Outcomes
Course text

This course covers the full decontamination workflow used in a sterile processing department (SPD), from point-of-use handling and transport through manual cleaning, automated washer-disinfector operation, and inspection for cleanliness. Students learn the science behind bioburden reduction, the proper use of personal protective equipment (PPE), and the regulatory and standards framework—including OSHA bloodborne pathogen rules, AAMI ST79, and The Joint Commission expectations—that governs every step of the decontamination area.

How the course runs. 7 blocks: The Decontamination Area: Purpose, Layout, Standards, and PPE; Microbiology of Bioburden: Why Decontamination Matters; Point-of-Use Pre-Treatment, Transport, and Receiving; Manual Cleaning: Techniques, Chemistry, and Instrument Disassembly; Ultrasonic Cleaning and Automated Washer-Disinfector Operation; Post-Cleaning Inspection, Quality Assurance, and Disposition Decisions; Decontamination Documentation, Quality Systems, and Regulatory Compliance.

What competent looks like. Don, doff, and inspect full decontamination-area PPE correctly and explain the rationale for each item in terms of OSHA bloodborne pathogens and chemical-hazard standards. Receive, sort, and transport contaminated instruments safely using standard precautions, correctly identifying sharps, delicate items, and implants that require special handling. Perform point-of-use pre-cleaning steps, manual cleaning, and ultrasonic cleaning on a representative set of surgical instruments according to manufacturer instructions for use (IFU) and AAMI ST79 guidelines. Load, operate, and document results from an automated washer-disinfector or washer-decontaminator, interpreting cycle printouts to determine whether a load meets quality standards. Inspect cleaned instruments under magnification and adequate lighting, identifying soil, corrosion, damage, and biofilm indicators, and make correct disposition decisions. Complete decontamination area logs, quality records, and incident reports accurately, demonstrating compliance with documentation requirements relevant to HSPA CRCST and CBSPD CSPDT exam domains.

Lessons · 7 blocks
#LessonHrTypeObjectiveActivitiesMaterialsCheck
1The Decontamination Area: Purpose, Layout, Standards, and PPE10theoryStudents will identify the regulatory and standards framework governing the decontamination area and correctly don and doff full decontamination PPE without coaching.
  1. Annotated diagram exercise: students label a decontamination area floor plan, marking dirty-to-clean workflow direction, hand-hygiene stations, eyewash location, and PPE storage, then compare against AAMI ST79 guidance and discuss why unidirectional flow prevents cross-contamination.
  2. PPE sequence drill: using the department's required ensemble (surgical gown or fluid-resistant cover gown, heavy-duty utility gloves, face shield or goggles plus mask, head cover, and shoe covers), each student practices donning and doffing in correct order three times while an assigned partner checks against an instructor-provided checklist.
  3. Standards mapping worksheet: students read excerpts from OSHA 29 CFR 1910.1030 (Bloodborne Pathogens standard), AAMI ST79, and a sample Joint Commission standard, then identify at least five specific decontamination-area requirements from each source and record them in a comparison table.
AAMI ST79 current edition (instructor-provided excerpts), OSHA 29 CFR 1910.1030 text, facility PPE ensemble sets (gowns, heavy-duty gloves, face shields, masks, shoe covers, hair covers), decontamination area diagram handouts, PPE donning/doffing checklist, whiteboardStudents complete a 20-question written quiz covering standards, workflow principles, and PPE rationale (pass: 75% or higher); PPE donning/doffing is evaluated live against a 10-point checklist with no critical errors (pass: 0 critical errors, defined as skipping a required item or improper disposal sequence).
2Microbiology of Bioburden: Why Decontamination Matters10theoryStudents will explain how proteins, biofilm, and microbial load on contaminated instruments interfere with downstream sterilization, and describe how each step of the decontamination process reduces that risk.
  1. Biofilm visual demonstration: instructor grows or obtains a prepared slide showing biofilm structure; students examine under microscope, sketch what they see, and write a paragraph connecting biofilm resistance to sterilization failure, citing the concept of the sterility assurance log reduction model.
  2. Case study analysis: small groups read a real-world decontamination failure report (instructor-prepared, detail-anonymized) in which inadequate pre-cleaning contributed to a surgical site infection cluster, identify each error in the decontamination sequence, and present corrective actions to the class.
  3. Prion challenge scenario: instructor presents information on Creutzfeldt-Jakob disease (CJD) instrument protocols recommended by CDC and professional organizations; students write a step-by-step handling and documentation plan for a set of instruments used on a patient with suspected CJD, justifying each step.
Prepared biofilm slides or digital images, compound microscopes, case study handouts, CDC CJD instrument guidance (instructor-provided excerpt), AAMI ST79 relevant sections, note-taking paper, whiteboardStudents submit a written case study response that correctly identifies at least four decontamination errors and proposes evidence-based corrections (pass: all four errors identified with accurate rationale); CJD protocol written plan is graded against a 6-point rubric covering sequencing, PPE, documentation, and disposal (pass: 5 of 6 points).
3Point-of-Use Pre-Treatment, Transport, and Receiving12demoStudents will demonstrate point-of-use pre-cleaning and safe transport of a contaminated instrument tray from the simulated OR to the decontamination area using correct technique and documentation.
  1. Point-of-use simulation: instructor sets up a simulated OR back table with gross soil and a representative instrument tray; students practice removing gross soil, applying enzymatic pre-spray or foam per product IFU, and placing instruments in an approved closed transport container, articulating each step aloud while the instructor narrates rationale.
  2. Transport scenario drill: students in pairs transfer a prepared contaminated container through a simulated corridor (clearly marked dirty route) to the decontamination receiving window, checking that lids are secured and sharps are segregated, while instructor introduces unexpected variables (a dislodged lid, a loose needle) to test response.
  3. Receiving log practice: students complete a paper-based and then a simulated electronic receiving log for three different tray types (general surgery, orthopedic implant, scope), recording time, tray ID, origin OR, and visible damage or missing items, then reconcile the log against a pre-set pick list.
Simulated instrument trays (training instruments or decommissioned instruments), enzymatic pre-spray or foam per product IFU, closed transport containers with lids, simulated sharps (safety caps on needles or plastic replicas), paper receiving log forms, simulated SPD software or spreadsheet, PPE ensemble, transport cartInstructor evaluates each student's transport and receiving performance using a 12-step skills checklist (pass: 11 of 12 steps correct with no sharps-safety errors); receiving log entries are reviewed for accuracy against the answer key (pass: no more than one data-entry error per log sheet).
4Manual Cleaning: Techniques, Chemistry, and Instrument Disassembly18labStudents will manually clean a set of at least eight surgical instruments—including box-lock, lumen, and multi-part items—following the IFU for each instrument and the selected cleaning chemistry, achieving visually soil-free results on post-cleaning inspection.
  1. IFU scavenger hunt: students are assigned four different instruments (e.g., Kelly clamp, laparoscopic trocar, flexible endoscope channel brush, bone rongeur) and must locate and summarize the manufacturer's IFU cleaning steps for each, noting water temperature limits, brush size, detergent type, and disassembly requirements before any water contact.
  2. Hands-on manual cleaning station: working at a sink with fill lines for wash and rinse, students disassemble instruments per IFU, use brushes (correct size for each lumen or serration), enzymatic or neutral pH detergent at manufacturer-specified dilution, and follow a wash-rinse-rinse sequence, then lay cleaned instruments on a towel for inspection by a lab partner using a checklist.
  3. Chemistry dilution math exercise: students calculate the correct volume of concentrated enzymatic cleaner needed to make a working-strength solution in 1-gallon, 3-gallon, and a sink of a specified volume, record on a dilution log, and mix the solution, verifying concentration with a test strip where applicable.
Decontamination sink with fill lines and splash guard, assorted training or decommissioned instruments (box-lock, lumen types, multi-part), instrument cleaning brushes (multiple sizes), enzymatic detergent concentrate and neutral pH detergent, measuring cups, pH/concentration test strips, IFU binders or laminated IFU cards, magnifying glass, inspection light, PPE ensemble, dilution log formsEach student's cleaned instrument set is inspected by the instructor under magnification and direct light; pass standard is zero visible soil on all eight instruments and correct documentation of detergent lot, dilution, and water temperature on the dilution log. Any instrument failing inspection must be recleaned and re-inspected before the student may advance (lab log entry required for each attempt).
5Ultrasonic Cleaning and Automated Washer-Disinfector Operation18labStudents will load, operate, and interpret cycle documentation from both an ultrasonic cleaner and an automated washer-disinfector, correctly identifying passing and failing cycle parameters from printed or digital cycle records.
  1. Ultrasonic cleaner operation sequence: students degas a fresh ultrasonic bath, load instruments in a single layer open-side down without stacking, run a timed cycle per unit IFU, and perform a foil test (or equivalent manufacturer-recommended cavitation test) to verify ultrasonic activity; results are recorded in the lab log with pass/fail notation.
  2. Washer-disinfector loading and cycle selection: using a training washer-disinfector (or a full-size unit in the school's SPD lab), students load a mixed instrument tray following manufacturer rack placement guidance, select the correct cycle for the instrument type, initiate the cycle, and record start time, cycle selected, and any fault codes that appear.
  3. Cycle printout analysis exercise: instructor provides six sample washer-disinfector printouts, some with parameter deviations (low water temperature in final rinse, short cycle time, chemical pump fault); students classify each as pass or fail, document the specific deviation, and write the correct action to take for a failed load.
Ultrasonic cleaner with degassing function, aluminum foil (for foil/cavitation test), washer-disinfector (training or full-size), manufacturer IFU for each machine, assorted training instruments, washer racks and positioning accessories, cycle printout samples (instructor-prepared), lab log forms, PPE ensembleStudents must correctly classify at least five of six cycle printouts as pass or fail with accurate deviation identification (pass: 5 of 6 correct); equipment operation is evaluated on a 10-point checklist covering degassing, loading, cycle selection, and documentation, with pass at 9 of 10 correct steps and no safety deviations.
6Post-Cleaning Inspection, Quality Assurance, and Disposition Decisions12practiceStudents will inspect a set of 12 cleaned instruments under magnification and adequate lighting, accurately identifying all defects and making correct disposition decisions (pass, reprocess, remove from service) with written justification.
  1. Inspection station rotation: instructor pre-prepares 12 instruments with a variety of conditions—some clean and functional, others with residual soil, pitting, staining, cracked insulation on electrosurgical instruments, misaligned jaws, and sprung box-locks; students rotate through stations, examine each instrument, and complete an inspection record noting findings and disposition.
  2. Protein residue detection exercise: students use a commercial protein residue test kit (e.g., ninhydrin spray or an ortho-phthalaldehyde detection kit per manufacturer guidance) on a subset of instruments to demonstrate chemical verification of cleaning efficacy, recording results and comparing to visual inspection findings.
  3. Disposition decision case studies: students review six written scenarios describing instruments with specific defects (a nick on a scissors blade, rust on a clamp, cracked rubber boot, scope with scratched lens) and write a disposition decision for each with AAMI ST79–based rationale, then discuss as a class with instructor guidance.
Assorted pre-prepared instruments with various defects (instructor-prepared), lighted magnification loupes or bench magnifier, inspection light source, protein residue detection test kit (manufacturer-provided), inspection record forms, disposition decision case study handouts, AAMI ST79 excerpts, PPE ensembleStudents must correctly identify defect presence or absence and make the correct disposition decision on at least 10 of 12 instruments (pass: 10 of 12 correct, with zero critical errors such as passing a grossly soiled instrument); protein test results and case study dispositions are reviewed by instructor against an answer key (pass: 5 of 6 case studies with correct justification).
7Decontamination Documentation, Quality Systems, and Regulatory Compliance8theoryStudents will complete a simulated decontamination area shift record, quality log, and an incident report that meet the documentation standards expected under AAMI ST79, accreditation requirements, and HSPA/CBSPD exam content areas.
  1. Shift log completion exercise: students are given a scenario describing an eight-hour decontamination shift with specific events (chemical change, equipment fault, contaminated spill, instrument damage discovered) and must complete a full shift documentation packet—including equipment check log, chemical log, cycle records, and a contaminated-spill report—using instructor-provided forms modeled on industry standards.
  2. Gap analysis activity: students compare two versions of the same shift log (one correctly completed, one with intentional errors such as missing times, unlabeled chemical lots, and unsigned entries) and produce a written list of all deficiencies found, referencing the relevant standard or accreditation requirement for each gap.
  3. Credential exam domain mapping discussion: instructor leads a structured review connecting each major decontamination topic covered in the course to the corresponding content domain in the HSPA CRCST exam blueprint and the CBSPD CSPDT exam content outline, and students annotate their own study guides to identify areas needing further review before the Certification Exam Preparation course.
Simulated shift documentation packet (instructor-prepared forms), sample completed/deficient shift logs for gap analysis, AAMI ST79 documentation guidance excerpts, HSPA CRCST exam content outline, CBSPD CSPDT exam content outline, pens, highlightersCompleted shift documentation packet is graded against a 15-point rubric covering required data fields, legibility, chemical lot documentation, equipment fault notation, and spill report completeness (pass: 13 of 15 points); gap analysis list must identify at least 8 of 10 planted deficiencies with accurate standard citations (pass: 8 of 10).
Assessments
AssessmentTypeWeightPass standardMethod & rubric
Decontamination Written Knowledge ExaminationWritten exam25%75% or higher (minimum 38 of 50 questions correct)A 50-question multiple-choice examination covering microbiology of bioburden, decontamination area standards (OSHA bloodborne pathogens, AAMI ST79), PPE selection and rationale, cleaning chemistry, automated equipment operation, inspection criteria, and documentation requirements. Questions are mapped to HSPA CRCST and CBSPD CSPDT decontamination content domains. Students who score below 75% complete a targeted remediation plan and retake an alternate-form exam before advancing.
Standard met · Safety · Time · Quality/finish · Documentation
Manual and Automated Cleaning Skills DemonstrationSkills demonstration45%Pass all critical steps with no critical safety errors; 90% of total checklist steps correct (minimum 18 of 20 steps)The student receives a set of contaminated training instruments and must complete the full decontamination sequence—PPE donning, point-of-use pre-treatment, manual cleaning with correct chemistry dilution, ultrasonic cleaning with degassing and foil test, washer-disinfector loading and cycle selection, post-cycle inspection, disposition recording, and PPE doffing—while an instructor evaluates each step against a 20-item checklist in real time. Any critical safety error (such as a sharps-handling failure or removing PPE before the area is cleared) results in an immediate stop and mandatory retest after remediation.
Standard met · Safety · Time · Quality/finish · Documentation
Decontamination Lab LogLog15%All seven lesson lab log entries submitted; average score of 80% or higher across all entries; no entry with a critical documentation gap (missing chemical lot, unsigned cycle record, or undocumented equipment fault)Throughout the course students maintain a running lab log documenting every hands-on session: equipment checks, chemical dilutions, cycle parameters, inspection findings, and disposition decisions. Each entry is reviewed and initialed by the instructor at the end of the class session. The completed log is submitted at the end of the course and evaluated for completeness, accuracy, and professional documentation standards consistent with AAMI ST79 and SPD department practice.
Standard met · Safety · Time · Quality/finish · Documentation
Decontamination Area Safety Competency CheckSafety audit15%100% on all six critical safety behaviors; overall checklist score of 90% or higher (minimum 9 of 10 items correct)An unannounced or minimally-announced practical safety observation is conducted during one of the lab sessions; the instructor uses a 10-item checklist to verify that the student consistently maintains correct PPE throughout the session, disposes of sharps safely, follows the dirty-to-clean workflow without backtracking, handles chemical concentrates per Safety Data Sheet (SDS) requirements, uses the eyewash correctly in a simulated exposure drill, and completes a spill response simulation. Failure on any of the six critical safety items requires immediate remediation and a recheck before the student may return to the decontamination lab.
Standard met · Safety · Time · Quality/finish · Documentation
HLT-STER66-03 Trade course

Surgical Instrument Identification and Handling

88 hr · $1,265 COMPLIMENTARY

Students learn to identify, name, classify, and inspect the full range of surgical instruments and instrument sets used in perioperative and procedural settings, applying manufacturer guidelines and facility standards. Emphasis is placed on hands-on recognition of instrument design, function, material composition, and condition assessment to support accurate assembly and quality control. Lesson content maps directly to the HSPA CRCST and CBSPD CSPDT exam domains covering instrument identification, assembly, and inspection.

Outcomes
Course text

Students learn to identify, name, classify, and inspect the full range of surgical instruments and instrument sets used in perioperative and procedural settings, applying manufacturer guidelines and facility standards. Emphasis is placed on hands-on recognition of instrument design, function, material composition, and condition assessment to support accurate assembly and quality control. Lesson content maps directly to the HSPA CRCST and CBSPD CSPDT exam domains covering instrument identification, assembly, and inspection.

How the course runs. 7 blocks: Instrument Anatomy, Materials, and Classification Systems; General Surgery Instruments: Identification and Function; Specialty Instrument Sets: Orthopedic, Cardiovascular, OB/GYN, and Ophthalmology; Minimally Invasive, Robotic, and Powered Instruments; Instrument Inspection: Defect Recognition and Quality Control; Tray Assembly, Count Sheets, and Documentation; Integrated Instrument ID Practical: Full Tray Assembly and Oral Defense.

What competent looks like. Identify and name at least 150 common surgical instruments by category, design feature, and clinical function with 80% or greater accuracy on a written and practical exam. Classify instruments into the correct functional category (cutting, clamping, grasping, retracting, suturing, viewing, or specialty) and match each to its typical surgical service. Inspect instruments for defects including misalignment, pitting, corrosion, broken insulation, and damaged tips using magnification loupes and standardized inspection criteria, documenting findings on an inspection log. Assemble a minimum of three complete instrument sets from a count sheet, placing instruments in correct tray position and verifying completeness and functionality before wrap. Apply manufacturer instructions for use (IFU) and facility protocols to determine correct handling, inspection criteria, and tray configuration for standard and complex instruments including powered and endoscopic devices. Demonstrate safe instrument handling techniques that protect instrument integrity, prevent sharps injuries, and maintain patient safety throughout the inspection and assembly workflow.

Lessons · 7 blocks
#LessonHrTypeObjectiveActivitiesMaterialsCheck
1Instrument Anatomy, Materials, and Classification Systems12theoryStudents will classify surgical instruments into the six major functional categories and identify at least four material types used in instrument manufacturing, explaining how material affects care and reprocessing decisions.
  1. Lecture and annotated diagram exercise: students label instrument parts (box lock, ratchet, shank, jaw, finger rings, serrations) on printed worksheets for a minimum of 20 instrument illustrations.
  2. Card-sort activity: students sort a set of 60 instrument photo cards into the six functional categories (cutting/dissecting, clamping/occluding, grasping/holding, retracting/exposing, suturing/stapling, viewing/dilating) and defend two borderline placements in a small-group discussion.
  3. Material comparison station: students handle sample pieces of stainless steel (400 and 300 series), titanium, and tungsten carbide inserts, read corresponding IFU excerpts, and complete a chart noting reprocessing implications for each.
Instrument anatomy diagrams, instrument photo card set (minimum 60 cards), sample instrument pieces or full instruments representing each material type, HSPA Central Service Technical Manual current edition, manufacturer IFU binders, whiteboardExit quiz of 20 matching questions (instrument name to category and material); pass mark 80%. Instructor observes card-sort and corrects misclassifications before end of session.
2General Surgery Instruments: Identification and Function14demoStudents will identify by name and function at least 40 general surgery instruments—including common clamps, scissors, forceps, retractors, and needle holders—when presented individually or within a tray, achieving 80% accuracy on a practical spot-check.
  1. Instructor-led demonstration at the instrument table: instructor holds up each instrument, states the full correct name, demonstrates the functional motion (opening jaws, locking ratchet, testing spring tension), and explains the corresponding surgical use; students follow along with a printed reference sheet and annotate it.
  2. Progressive identification drill: students work in pairs at instrument tables, one student picks an instrument from a tray of 30 mixed general surgery instruments and the partner names it, states its category, and demonstrates the functional test; partners switch roles after 15 instruments.
  3. Build-a-basic-set exercise: using a printed count sheet for a standard general surgery laparotomy tray, students select correct instruments from a pool, place them in tray position sequence, and self-check against the answer key before instructor review.
Full set of general surgery instruments (clamps: Kelly, Kocher, Allis, Babcock, Crile; scissors: Mayo, Metzenbaum, iris; forceps: thumb, tissue, Russian, Adson; retractors: Richardson, Army-Navy, Weitlaner; needle holders: Mayo-Hegar, Crile-Wood), printed instrument reference sheets, laparotomy tray count sheet, instrument trays and stringers, HSPA Central Service Technical ManualPractical spot-check: instructor selects 20 instruments at random from the tray; student must name each correctly and state one function. Pass mark: 16 of 20 correct (80%). Errors are documented and reviewed immediately.
3Specialty Instrument Sets: Orthopedic, Cardiovascular, OB/GYN, and Ophthalmology14demoStudents will identify and correctly name specialty instruments from at least four surgical service lines and state one handling or inspection consideration unique to each service's instrumentation.
  1. Rotating station activity (four stations, 15 minutes each): each station features a representative selection of instruments from one service line (orthopedic: bone rongeurs, osteotomes, mallet, curettes; cardiovascular: vascular clamps, Satinsky, bulldog clamps; OB/GYN: uterine dilators, Graves speculum, sponge forceps; ophthalmology: iris scissors, corneal forceps, muscle hooks); students complete an identification worksheet at each station.
  2. IFU scavenger hunt: students are given three specialty instruments with unfamiliar names and must locate the correct IFU in the binder, confirm the instrument name spelling, and record one special handling note (e.g., keep separate, tip protector required, single-use restriction).
  3. Specialty tray assembly practice: each student selects one specialty service line and, using the provided count sheet, assembles a partial tray of 15 instruments from a mixed pool, demonstrating correct placement and tip protection.
Specialty instrument sets or representative samples for orthopedic, cardiovascular, OB/GYN, and ophthalmology services; IFU binders; specialty tray count sheets; tip protectors and stringers; instrument identification reference posters; HSPA Central Service Technical Manual specialty chaptersInstructor uses a 20-item identification quiz (10 written, 10 practical) drawn from all four specialty areas. Pass mark 80%. Students who score below 80% complete a targeted remediation drill with the instructor before the next lesson.
4Minimally Invasive, Robotic, and Powered Instruments14labStudents will identify the major components of laparoscopic, robotic, and powered surgical instruments and apply IFU guidance to determine correct disassembly sequence and inspection points for a minimum of five devices.
  1. Disassembly and reassembly lab: students work individually with a laparoscopic instrument set (trocars, laparoscopic scissors, graspers, irrigation-suction) and follow step-by-step IFU to fully disassemble, inspect each component under magnification loupes, and reassemble; instructor verifies correct reassembly before student records findings.
  2. Robotic instrument orientation: using a display set of robotic-assist instrument components (wristed instrument end-effector, sterile adapter, cannula), students identify and label each part on a diagram and answer five comprehension questions about single-use versus reusable status and usage-cycle tracking requirements.
  3. Powered instrument safety station: students handle a simulated pneumatic drill and battery-powered saw (deactivated training models or real devices with power disconnected per instructor protocol), identify the handpiece, attachments, and cord/hose connections, complete the inspection checklist from the IFU, and document one condition that would place the device out of service.
Laparoscopic instrument set (trocars, graspers, scissors, irrigators), robotic instrument display components or anatomical teaching models, powered instrument training models or deactivated devices, magnification loupes, IFU binders, inspection checklists, lab log formsCompleted inspection checklist for three devices (one laparoscopic, one robotic component, one powered instrument) reviewed by instructor; all critical inspection points must be addressed and any defects correctly flagged. Pass mark: all three checklists complete and accurate with no missed safety-critical defect. Student must verbally explain the disassembly sequence for the laparoscopic device.
5Instrument Inspection: Defect Recognition and Quality Control16labStudents will inspect a mixed tray of instruments containing deliberately introduced defects, correctly identify at minimum 80% of defects using standardized criteria, and document findings on a facility-style inspection log.
  1. Defect identification drill using prepared specimens: instructor pre-loads a tray with instruments showing pitting, surface corrosion, misaligned jaws, broken box lock, nicked blade, cracked insulation sleeve, and spring fatigue; students inspect each instrument with magnification loupes and light source, record the defect type and recommended disposition (repair, replace, return to service) on their log.
  2. Box lock and ratchet function test practice: students test a set of 20 clamps for smooth jaw alignment, ratchet engagement at each position, and jaw-tip closure without overlap; instruments failing any criterion are tagged and set aside; instructor reviews student tagging decisions.
  3. Insulated instrument inspection: students use an insulation tester (or follow a simulated protocol if tester is not available) on a set of monopolar laparoscopic instruments, identify any breach location, and complete a written defect report using the facility template, including recommendations for repair or discard.
Pre-loaded defect tray (minimum 20 instruments with introduced defects covering at least six defect types), magnification loupes, illuminated magnification lamp, insulation integrity tester or simulation protocol, inspection log forms, red out-of-service tags, HSPA Central Service Technical Manual inspection chapter, AAMI ST79 general guidance (as reference text)Inspection log reviewed by instructor; student must correctly identify and document at least 80% of planted defects. Disposition recommendations are evaluated for accuracy; any defect classified as 'return to service' that is actually safety-critical is an automatic remediation trigger. Student must also correctly complete all required fields on the log form.
6Tray Assembly, Count Sheets, and Documentation12practiceStudents will accurately assemble two complete instrument trays from written count sheets, place instruments in correct tray sequence, complete all required documentation, and achieve a zero-error count on a final verification check.
  1. Count-sheet literacy exercise: students receive three sample count sheets of increasing complexity (general surgery basic, orthopedic arthroplasty, laparoscopic cholecystectomy) and answer questions about how to read instrument quantity columns, size notations, and position indicators before beginning any assembly.
  2. Timed tray assembly competition (learning context, not punitive): working from the general surgery count sheet, students independently assemble a tray within a set time, then exchange trays with a partner who performs a count verification check and documents discrepancies on a verification form; discrepancies are resolved together and reviewed by instructor.
  3. Documentation drill: students complete a full tray assembly record including instrument count, assembler identification, date, and inspection confirmation for a simulated orthopedic tray, then cross-reference the record against a completed model to self-identify any omission or error.
Instrument trays and baskets, stringers and tip protectors, count sheets (three service lines), tray assembly documentation forms, verification checklists, general surgery and orthopedic instrument sets, pens, HSPA Central Service Technical Manual chapter on set assemblyInstructor performs a blind count verification on each student's completed tray; pass standard is zero missing or substituted instruments and a fully completed documentation form. Any count error or missing documentation field requires immediate correction and re-verification before the student advances.
7Integrated Instrument ID Practical: Full Tray Assembly and Oral Defense6practiceStudents will demonstrate mastery by independently assembling a complete instrument tray from a count sheet, performing a full inspection of all instruments, completing all documentation, and correctly answering instructor questions about instrument identity, function, and inspection findings.
  1. Independent assembly assessment: each student draws a sealed envelope containing a randomly assigned tray type and count sheet, assembles the tray without assistance, performs inspection using loupes, documents findings on the inspection log, and signals the instructor when ready for verification.
  2. Oral defense: instructor selects eight instruments from the assembled tray and asks the student to name each, state its functional category, describe one inspection criterion specific to that instrument, and identify whether it passed or failed inspection and why.
  3. Peer debrief: after instructor scoring, students review their own errors with a partner using the answer key and write a brief corrective action statement for each error, which is added to their course lab log portfolio.
Sealed tray assignment envelopes, mixed instrument pool representing all units covered, tray count sheets, inspection log forms, documentation record forms, magnification loupes, illuminated magnification lamp, tip protectors, stringers, grading rubricInstructor uses a scored rubric: tray assembly accuracy (zero count errors required), inspection documentation completeness (all fields completed), and oral defense (minimum 6 of 8 instrument questions answered correctly for name, category, and inspection criterion). Overall pass mark: 80% of total rubric points. Any count error automatically lowers the tray assembly section score to zero and triggers remediation.
Assessments
AssessmentTypeWeightPass standardMethod & rubric
Instrument Identification Written ExamWritten exam25%80% correct (40 of 50 items)A 50-item written exam covering instrument names, functional categories, material types, specialty service associations, and IFU interpretation, including photo-based identification questions drawn from all lesson units. Items are mapped to the HSPA CRCST Assembly and Inspection domain and the CBSPD CSPDT Instrument Identification domain.
Standard met · Safety · Time · Quality/finish · Documentation
Practical Skills Demonstration: Tray Assembly and InspectionSkills demonstration45%Zero count errors on tray assembly; minimum 80% on inspection accuracy rubric; all documentation fields completedThe student independently assembles a complete instrument tray from a count sheet, inspects all instruments using magnification and standardized criteria, completes the assembly documentation record, and presents findings to the instructor in a five-minute oral defense. Scored with a rubric covering assembly accuracy, inspection correctness, documentation completeness, and communication of findings.
Standard met · Safety · Time · Quality/finish · Documentation
Lab Log PortfolioLog15%All seven lesson lab log entries present, complete, and signed off by instructor; no critical inspection decision errors left uncorrectedStudents maintain a running lab log throughout the course, recording instrument inspection findings, defect descriptions, tray assembly counts, and corrective action notes from each lab and practice session. The completed portfolio is submitted at the end of the course and reviewed for completeness, accuracy, and evidence of progressive skill development.
Standard met · Safety · Time · Quality/finish · Documentation
Sharps and Instrument Handling Safety CheckSafety audit15%Pass/fail; all critical safety behaviors must be demonstrated correctly with zero critical errorsA structured observation checklist used during any lab or practice session in which the instructor verifies that the student consistently uses sharps safety techniques (one-handed neutral zone passing, no hand-to-hand sharps transfer), wears required PPE when handling soiled or sharp instruments, applies tip protectors correctly, and flags out-of-service instruments appropriately. Any single critical safety violation results in an automatic fail and mandatory safety remediation before the student continues lab work.
Standard met · Safety · Time · Quality/finish · Documentation
HLT-STER66-04 Trade course

Sterilization Methods for Sterile Processing

87 hr · $1,255 COMPLIMENTARY

This course covers the principles, equipment, parameters, and quality controls for all major sterilization modalities used in healthcare sterile processing departments, including steam, ethylene oxide, hydrogen peroxide gas plasma, and dry heat. Students learn to select the correct sterilization method for specific devices, operate and monitor sterilization equipment, and interpret biological, chemical, and mechanical monitoring results. Content is directly aligned with HSPA CRCST and CBSPD CSPDT exam domains covering sterilization principles and quality assurance.

Outcomes
Course text

This course covers the principles, equipment, parameters, and quality controls for all major sterilization modalities used in healthcare sterile processing departments, including steam, ethylene oxide, hydrogen peroxide gas plasma, and dry heat. Students learn to select the correct sterilization method for specific devices, operate and monitor sterilization equipment, and interpret biological, chemical, and mechanical monitoring results. Content is directly aligned with HSPA CRCST and CBSPD CSPDT exam domains covering sterilization principles and quality assurance.

How the course runs. 7 blocks: Principles of Sterilization: Microbial Kill, SAL, and Method Overview; Steam Sterilization: Parameters, Cycles, Equipment Operation, and Loading; Low-Temperature Sterilization: EO, Hydrogen Peroxide Gas Plasma, and Other Modalities; Biological, Chemical, and Mechanical Monitoring: Theory and Interpretation; Bowie-Dick Test, Air Removal Testing, and Cycle Qualification; Documentation, Record Retention, and Regulatory Requirements; Integrated Sterilization Competency: Full-Cycle Quality Assurance Simulation.

What competent looks like. Explain the mechanism of action and critical parameters for steam, ethylene oxide, hydrogen peroxide gas plasma, dry heat, and liquid chemical sterilization, citing the rationale for each parameter. Select the appropriate sterilization method for a given medical device based on device material compatibility, manufacturer's instructions for use (IFU), and sterilization efficacy requirements. Correctly load, operate, and unload a steam sterilizer (prevacuum and gravity displacement cycles) and a low-temperature sterilizer following written procedures and manufacturer IFU. Perform and correctly interpret biological indicator (BI), chemical indicator (CI Classes 1–6), and Bowie-Dick test results, and initiate the proper recall and documentation response when a cycle fails. Complete sterilization load records and equipment logs that meet the documentation standards required by accrediting bodies and infection-control regulations. Demonstrate safe handling of sterilant agents, including personal protective equipment use and emergency response procedures for exposure incidents.

Lessons · 7 blocks
#LessonHrTypeObjectiveActivitiesMaterialsCheck
1Principles of Sterilization: Microbial Kill, SAL, and Method Overview10theoryStudents will explain the concept of sterility assurance level (SAL), the microbial hierarchy of resistance, and the distinguishing characteristics of each major sterilization modality used in healthcare.
  1. Lecture and guided note-taking covering the D-value concept, SAL of 10⁻⁶, and the microbial hierarchy from prions to bacterial spores to vegetative bacteria; students complete a structured notes organizer and answer comprehension questions.
  2. Small-group card-sort activity: students arrange laminated cards listing sterilization methods (steam, EO, H₂O₂ gas plasma, dry heat, liquid chemical/peracetic acid) by mechanism of action, temperature range, and suitable device categories, then compare answers with a reference answer key.
  3. Whole-class comparison chart: students build a shared whiteboard matrix listing each modality's mechanism, cycle time range, material compatibilities, and primary limitations, which is then photographed and added to each student's course binder.
Whiteboard and markers, laminated card-sort sets, HSPA Central Service Technical Manual (current edition) Chapters on sterilization principles, CBSPD study guide sterilization section, structured notes organizer handoutExit-ticket quiz of 10 multiple-choice questions covering SAL, D-value, microbial hierarchy, and modality overview; pass mark 80% correct; instructor reviews incorrect answers with each student before next lesson.
2Steam Sterilization: Parameters, Cycles, Equipment Operation, and Loading18labStudents will correctly load, program, operate, and unload a gravity-displacement and a prevacuum steam sterilizer, verifying that all critical parameters (time, temperature, pressure, steam quality) were met before releasing a load.
  1. Instructor-led demonstration of the prevacuum sterilizer control panel, cycle programming, and load configuration using standard metal instrument trays and peel pouches; students observe and annotate a printed sterilizer diagram identifying chamber, drain, vacuum pump, steam inlet, and recorder chart.
  2. Hands-on paired practice: each student pair loads a mixed tray (metal instruments in a perforated tray with a wicking towel, plus several peel pouches) following HSPA loading guidelines, runs a full prevacuum cycle, retrieves the printout, and records time, temperature, and pressure readings on a cycle log sheet.
  3. Gravity-displacement cycle practice using a wrapped textile pack and a hard-case container; students compare printout parameters against manufacturer IFU minimum requirements and flag any deviation, then report findings in a written cycle evaluation form.
Prevacuum and gravity steam sterilizers, stainless steel instrument trays, perforated tray inserts, wicking towels, peel pouches and sealer, hard-case sterilization containers, sterilization tape (Class 1 CI), HSPA Central Service Technical Manual, manufacturer IFU for equipment and containers, cycle log formsInstructor uses a 20-point skills checklist observing each student independently load and operate a prevacuum cycle, interpret the printout, and complete the cycle log; pass mark is 16/20 with no critical errors (critical errors: incorrect temperature selected, load released without verifying all parameters, wet pack not reported); any critical error requires immediate remediation and recheck.
3Low-Temperature Sterilization: EO, Hydrogen Peroxide Gas Plasma, and Other Modalities14demoStudents will describe the operating principles, critical parameters, material compatibility requirements, and safety precautions for ethylene oxide (EO) and hydrogen peroxide gas plasma sterilization, and demonstrate safe handling procedures for sterilant cassettes and EO cartridges.
  1. Instructor-led demonstration and video review of a hydrogen peroxide gas plasma sterilizer (e.g., representative unit available in lab): loading constraints for lumen diameter and length, cassette insertion, cycle programming, and printout interpretation; students complete a step-by-step observation worksheet.
  2. Case-study analysis in pairs: students receive five device scenarios (flexible endoscope, stainless steel forceps, rubber drain, battery-powered handpiece, polyethylene tubing) and must select the correct sterilization method and justify using a compatibility table and device IFU excerpts; pairs present their rationale to the class for instructor feedback.
  3. PPE donning and safe-handling drill for EO cartridge and H₂O₂ cassette mock-ups (inert training props): students identify required PPE, demonstrate proper insertion and removal technique, locate the SDS binder, and describe emergency exposure response steps, evaluated against a safety checklist.
Hydrogen peroxide gas plasma sterilizer (lab unit) or manufacturer training model, inert EO and H₂O₂ training props/mock cartridges, SDS binder for all sterilants, device IFU excerpts packet, material compatibility reference chart, PPE (gloves, eye protection, lab coat), observation worksheets, case-study packetsInstructor-scored 15-point safety and procedure checklist completed during the PPE and safe-handling drill; pass mark 12/15 with zero tolerance for missing required PPE or incorrect emergency response step; written case-study answers graded for accuracy with 80% required to advance.
4Biological, Chemical, and Mechanical Monitoring: Theory and Interpretation12theoryStudents will distinguish among biological, chemical, and mechanical monitoring methods, identify the ANSI/AAMI CI classification classes, and accurately interpret monitor results to determine load release or recall status.
  1. Lecture with annotated slides covering AAMI/ANSI standards framework for sterilization monitoring: BI incubation and reporting, CI Classes 1 through 6 (process indicators, multi-variable, Bowie-Dick test, specific variable, integrators, emulating indicators), and mechanical parameter recording; students complete a classification table in their notes.
  2. Interpretation exercise using a set of 20 laminated sample monitoring result cards (photographs of actual BI vials at various incubation stages, CI color changes including pass, borderline, and fail examples, and sterilizer printouts with one normal and three abnormal parameter deviations); students individually classify each as pass or fail and record their reasoning.
  3. Scenario-based group discussion: instructor presents three recall scenarios (positive BI result, CI failure discovered after distribution, mechanical printout showing temperature drop mid-cycle) and groups develop a step-by-step response protocol matching department policy framework, then share with the class for critique.
Laminated monitoring result cards (BI, CI, printout photos), AAMI ST79 summary reference handout, HSPA Central Service Technical Manual monitoring chapter, classification table worksheet, scenario description cards, whiteboard for group protocol mapping20-item written interpretation quiz using the same style of laminated card images reproduced in print; students classify each result and state required action; pass mark 80% (16/20); instructor reviews all incorrect answers individually.
5Bowie-Dick Test, Air Removal Testing, and Cycle Qualification8labStudents will correctly perform and interpret a Bowie-Dick test and an air-removal/leak test on a prevacuum steam sterilizer, and document results on an equipment qualification log.
  1. Instructor demonstrates proper Bowie-Dick test pack placement (empty chamber, correct shelf position, correct cycle selection) and post-cycle sheet interpretation; students compare a series of five printed Bowie-Dick test sheets (one uniform color change, two with central light areas indicating air entrapment, two with streaks) and classify each as pass or fail.
  2. Each student independently runs a Bowie-Dick test on the lab sterilizer, retrieves the test sheet, interprets the result, and completes the equipment qualification log entry including date, sterilizer ID, cycle number, result, and their signature.
  3. Tabletop simulation of a failed Bowie-Dick result: students follow a written department policy flowchart to take the sterilizer out of service, notify the supervisor (role-played by instructor), affix an out-of-service tag, and document the event, then verbally explain the rationale for each step.
Prevacuum steam sterilizer, commercial Bowie-Dick test packs, printed Bowie-Dick comparison sheets (pass and fail examples), equipment qualification log forms, out-of-service tags, department policy flowchart handout, HSPA Central Service Technical ManualInstructor directly observes each student's independent Bowie-Dick run using a 10-point checklist (placement, cycle selection, interpretation, documentation); pass mark 8/10; any error in interpretation or documentation triggers immediate correction and a second attempt before the lesson closes.
6Documentation, Record Retention, and Regulatory Requirements10practiceStudents will complete accurate sterilization load records, equipment maintenance logs, and a simulated product recall trace using documentation systems that meet accreditation and infection-control standards.
  1. Lecture and guided practice on the required elements of a complete sterilization load record (load number, sterilizer ID, cycle parameters, contents, BI/CI results, operator signature, release status) using both a paper log format and a simulated computerized tracking system interface; students enter three sample loads and compare entries against an answer key.
  2. Simulated recall exercise: students receive a scenario in which a BI result returns positive after implant loads were distributed; using a completed load log packet, they identify all affected loads, list the steps to notify the surgical team and retrieve items, and complete a written recall documentation form.
  3. Role-play of an accreditation surveyor visit: one student acts as the surveyor asking for sterilization records, equipment maintenance logs, and BI result logs for the past week; the responding student locates documents and verbally explains each record, with instructor observing and providing structured feedback.
Paper load record forms, simulated computerized tracking system (spreadsheet or training software), recall documentation form, sample completed log packet, equipment maintenance log, accreditation standards summary handout (The Joint Commission and AAMI references as applicable), role-play scenario cardsStudents submit three completed load records and a completed recall documentation form; instructor grades against a 15-point rubric (all required fields present, parameters correctly recorded, recall steps complete and in order); pass mark 12/15 with all required fields present.
7Integrated Sterilization Competency: Full-Cycle Quality Assurance Simulation15labStudents will independently execute a complete sterilization quality assurance cycle — from pre-use equipment checks through load release or rejection — integrating monitoring, documentation, and decision-making skills under realistic department conditions.
  1. Pre-use equipment walkthrough: students inspect the sterilizer using a printed maintenance checklist (door gasket, drain screen, recording device, water quality, chamber cleanliness), document findings, and determine whether the unit is ready for use or requires service before running any loads.
  2. Full simulation run: each student independently prepares a mixed load (wrapped tray, peel pouches, hard-case container) with appropriate CIs, runs a Bowie-Dick test first, then runs a full sterilization cycle with a BI, monitors the printout in real time, interprets all monitoring results, and makes a documented release or reject decision.
  3. Debrief and peer review: students exchange completed cycle logs and documentation packets, review each other's entries against a provided rubric, identify any missing or incorrect elements, and discuss discrepancies with instructor facilitation; each student writes a one-paragraph reflection identifying one strength and one area for continued practice.
Prevacuum steam sterilizer, all wrapping and loading supplies, BI incubator and BI vials, commercial Bowie-Dick test pack, CI strips and integrators, complete documentation packet (load record, BI log, equipment check form), peer-review rubric, HSPA Central Service Technical ManualInstructor-scored comprehensive competency checklist (25 points) covering pre-use check, loading technique, cycle selection, monitoring interpretation, documentation completeness, and release decision accuracy; pass mark 20/25 with no critical errors (critical errors: releasing a load with a failed BI or failed CI, omitting operator signature, incorrect cycle for device type); students who do not pass receive targeted remediation and must repeat the full simulation.
Assessments
AssessmentTypeWeightPass standardMethod & rubric
Sterilization Methods Knowledge ExamWritten exam25%80% correct (40/50 questions)A 50-item multiple-choice exam administered at the end of the course covering all lesson content: sterilization principles and SAL, steam and low-temperature modality parameters, material compatibility, monitoring interpretation (BI, CI, mechanical), and documentation requirements. Items are written at the application and analysis level to mirror the question style found in HSPA CRCST and CBSPD CSPDT certification exams.
Standard met · Safety · Time · Quality/finish · Documentation
Sterilization Operations Skills DemonstrationSkills demonstration45%Minimum 20/25 points on the comprehensive competency checklist with zero critical errorsThe instructor observes each student independently complete a full quality assurance cycle on the prevacuum steam sterilizer — pre-use check, correct loading of a mixed load, Bowie-Dick test, full cycle run, monitoring interpretation, and load release documentation — using the same 25-point checklist from Lesson 7. This demonstration is the primary skills-based credential exam-aligned competency check for HSPA CRCST and CBSPD CSPDT sterilization domains.
Standard met · Safety · Time · Quality/finish · Documentation
Sterilization Lab Log PortfolioLog15%All required entries present and 85% of graded elements rated satisfactory or above on the rubricStudents submit a complete lab log binder assembled across all hands-on lessons, including: signed cycle records from Lessons 2 and 7, Bowie-Dick test sheets with written interpretations from Lesson 5, monitoring interpretation worksheets from Lesson 4, documentation forms from Lesson 6, and the peer-review reflection from Lesson 7. The log demonstrates consistent, accurate documentation practice expected in real sterile processing departments.
Standard met · Safety · Time · Quality/finish · Documentation
Chemical and Biological Monitoring Safety CheckSafety audit15%100% on all safety-critical items; non-safety items at 80%A structured practical safety check in which the instructor presents each student with a positive BI result scenario and a sterilant exposure scenario; the student must correctly identify required PPE, initiate the recall process, locate the SDS, and describe the emergency response without prompting. Any failure on a safety-critical item (failure to don PPE, failure to take sterilizer out of service after positive BI, failure to locate SDS) results in immediate remediation and a mandatory recheck before the student advances to Course 5.
Standard met · Safety · Time · Quality/finish · Documentation
HLT-STER66-05 Trade course

Sterile Processing Inventory Management

87 hr · $1,255 COMPLIMENTARY

This course covers the full inventory lifecycle in a sterile processing department (SPD), including receiving, tracking, rotating, and managing surgical instruments, implants, sterile supplies, and loaner sets. Students learn demand forecasting basics, par-level management, vendor relations, documentation systems, and regulatory compliance requirements that directly support patient safety and uninterrupted OR schedules. Lessons map to HSPA CRCST exam content areas covering inventory control and supply management, and to CBSPD CSPDT exam domains addressing equipment management and departmental operations.

Outcomes
Course text

This course covers the full inventory lifecycle in a sterile processing department (SPD), including receiving, tracking, rotating, and managing surgical instruments, implants, sterile supplies, and loaner sets. Students learn demand forecasting basics, par-level management, vendor relations, documentation systems, and regulatory compliance requirements that directly support patient safety and uninterrupted OR schedules. Lessons map to HSPA CRCST exam content areas covering inventory control and supply management, and to CBSPD CSPDT exam domains addressing equipment management and departmental operations.

How the course runs. 7 blocks: SPD Inventory Systems: Structure, Stakeholders, and Regulatory Framework; Receiving, Inspection, and Documentation of Sterile Supplies and Instruments; Par Levels, FIFO Rotation, and Expiration Management; Computerized Inventory Management Systems; Loaner Instruments and Implant Management; Cost Control, Charge Capture, and Preference Card Management; Product Recalls, Event-Related Outdates, and Safety Reporting.

What competent looks like. Receive, inspect, and document incoming sterile supplies, loaner instruments, and implants according to facility policy and manufacturer instructions for use (IFU). Establish and maintain par levels for sterile stock using first-in, first-out (FIFO) rotation and expiration-date monitoring to prevent expired or compromised items from reaching the patient. Operate computerized inventory management systems to record transactions, generate shortage alerts, produce usage reports, and reconcile discrepancies. Manage loaner instrument sets and implants from vendor notification through return, including required cleaning verification documentation before any instrument enters the decontamination cycle. Apply cost-control principles—including charge capture, waste reduction, and preference-card accuracy—to support departmental budget goals without compromising sterility assurance. Identify and report inventory-related events that pose a patient safety risk, such as product recalls, integrity failures, or missing implant documentation, following facility and regulatory reporting procedures.

Lessons · 7 blocks
#LessonHrTypeObjectiveActivitiesMaterialsCheck
1SPD Inventory Systems: Structure, Stakeholders, and Regulatory Framework10theoryStudents will explain how SPD inventory fits within the broader hospital supply chain, identify key internal and external stakeholders, and describe regulatory and accreditation requirements that govern sterile supply management.
  1. Annotated diagram exercise: students label a hospital supply-chain flowchart showing the path of a sterile item from vendor purchase order through OR use and back to SPD, adding the name of the responsible stakeholder at each step.
  2. Regulation comparison table: using the Joint Commission standards, state health department guidelines, and HSPA guidelines, students build a two-column table listing at least eight inventory-related requirements and the rationale for each.
  3. Case-study discussion: review a published sentinel-event summary (de-identified) in which an inventory failure—such as use of an expired implant—contributed to patient harm; students identify the control points that failed and propose corrective actions.
HSPA Central Service Technical Manual (current edition), CBSPD study guide, Joint Commission Environment of Care and Infection Prevention standards (current), whiteboard, printed supply-chain flowchart handoutExit quiz of 10 multiple-choice questions covering stakeholder roles, regulatory bodies, and accreditation requirements; pass mark is 80% (8/10 correct).
2Receiving, Inspection, and Documentation of Sterile Supplies and Instruments14labStudents will perform the complete receiving process—verifying quantities, inspecting packaging integrity, reading expiration dates, and entering data into an inventory record—for a mixed shipment of sterile supplies and instrument sets.
  1. Hands-on receiving drill: working in pairs, students process a staged incoming shipment of 20 line items (sutures, sterile drapes, wrapped instrument trays, and one implant); they count quantities, inspect each item for seal integrity and expiration date, reject two intentionally compromised items, and complete a paper receiving log.
  2. IFU scavenger hunt: students locate the manufacturer IFU for five different items in the shipment and highlight the storage conditions, shelf-life statements, and handling warnings that affect receiving decisions.
  3. Documentation audit: students exchange completed receiving logs and cross-check each other's entries against the packing list, identifying and correcting at least two intentional errors planted by the instructor.
Simulated shipment of sterile supplies (expired items, damaged packaging included as teaching samples), paper receiving log forms, sample manufacturer IFUs, barcode scanner or handheld device (if available), HSPA Central Service Technical ManualSkills rubric: student correctly receives, inspects, and documents all 20 line items with no missed integrity defects and no more than two data-entry errors; pass mark is successful completion of all critical steps on the rubric with a score of at least 80%.
3Par Levels, FIFO Rotation, and Expiration Management12practiceStudents will set par levels for a defined sterile-supply area, rotate stock using FIFO, pull and quarantine expired or event-related items, and document each action according to policy.
  1. Par-level calculation exercise: given a table of 15 supply items with daily usage rates, lead times, and safety-stock requirements, students calculate the reorder point and par level for each item, showing their arithmetic and justifying any assumptions.
  2. Simulated stock room rotation: students receive a cart of mixed-date sterile packages and physically rotate them onto shelves so that earlier-expiring items are in front, flagging any item within 30 days of expiration and completing a pull log.
  3. Recall simulation: the instructor announces a fictional product recall by lot number; students search the stock room for matching items, remove them, complete a recall documentation form, and draft a brief notification memo to the charge nurse.
Stock rotation shelving unit or cart, mixed-date sterile package samples, par-level calculation worksheet, pull-log and recall-documentation forms, calculator, HSPA Central Service Technical ManualInstructor observes rotation activity; all items must be correctly sequenced, expired items pulled with 100% accuracy, and pull log completed without omissions; par-level calculations are graded with a pass mark of 80% correct answers.
4Computerized Inventory Management Systems14demoStudents will use a computerized inventory management system (or simulation software) to enter receipts, process issues, generate usage reports, and investigate and resolve a stock discrepancy.
  1. Guided software walkthrough: instructor demonstrates the key modules of a representative inventory or sterile processing information system (such as a generic SPD software simulation); students follow along on individual workstations, entering five item receipts and three issues while the instructor narrates each step.
  2. Usage-report lab: students run a 30-day usage report for a simulated OR suite, identify the top five high-consumption items, and prepare a one-page summary recommending par-level adjustments with supporting data from the report.
  3. Discrepancy investigation: the instructor seeds a simulated inventory database with a quantity error on two items; students use system transaction logs to trace the error to its source, correct the record, and document their investigation steps in a written log.
Computer workstations with SPD inventory simulation software or a spreadsheet-based simulation, sample usage reports (printed and digital), discrepancy investigation log template, HSPA Central Service Technical Manual chapter on information managementStudents submit a completed discrepancy-investigation log and usage-report summary; log must identify the correct error source and contain all required documentation fields; usage report must accurately reflect system data; pass mark is 80% of rubric points.
5Loaner Instruments and Implant Management15labStudents will process a loaner instrument set from vendor notification to return—including advance notice verification, condition inspection, cleaning documentation, and post-use return paperwork—in accordance with HSPA guidelines and facility policy.
  1. Loaner intake simulation: a classmate acting as a vendor rep delivers a loaner orthopedic set with a packing list; students verify advance notice compliance, inspect all instruments against the packing list, flag two missing items, complete the loaner intake form, and route the set to the decontamination area with appropriate tags.
  2. Implant documentation drill: using a sample implant log, students record implant lot numbers, expiration dates, and case assignment for a simulated surgery schedule, then produce the implant sticker/label that would accompany the patient record.
  3. Return-processing exercise: after a mock case, students reassemble and count the loaner set against the packing list, document any damage, complete the return shipping form, and write a brief vendor notification email about one damaged instrument.
Simulated loaner orthopedic instrument set with packing list, loaner intake and return forms, implant documentation log, sample implant stickers, vendor notification email template, HSPA Central Service Technical Manual loaner chapter, AORN guidelines (relevant sections)Instructor uses a step-by-step competency checklist; students must complete 100% of critical safety steps (advance notice verification, implant lot documentation, damage notation) and at least 80% of all checklist items to pass.
6Cost Control, Charge Capture, and Preference Card Management12theoryStudents will explain how accurate preference cards, charge capture, and waste-reduction practices affect departmental costs and describe their individual role in maintaining these controls.
  1. Preference-card accuracy exercise: students compare two versions of a surgeon's preference card (one outdated, one current) against a mock pick list, identify discrepancies, calculate the estimated cost of the unnecessary items pulled, and recommend card updates.
  2. Charge-capture scenario: using a sample OR case record and a facility charge master excerpt, students match used supplies to charge codes, identify two items that were used but not charged, and calculate the revenue loss; they then explain in writing why accurate charge capture supports department funding.
  3. Waste-reduction brainstorm: small groups analyze a week's simulated waste log for a fictional SPD and identify the top three controllable waste categories; each group presents a one-minute action plan to reduce waste without compromising sterility assurance.
Sample preference cards (current and outdated versions), mock OR case record, sample charge master excerpt, waste log spreadsheet, calculator, HSPA Central Service Technical ManualWritten preference-card comparison report and charge-capture worksheet graded on a rubric; student must correctly identify all discrepancies and calculate costs within a 5% margin of error; pass mark is 80% of rubric points.
7Product Recalls, Event-Related Outdates, and Safety Reporting10practiceStudents will execute a complete product-recall response—including identification, quarantine, documentation, and notification—and explain when and how to file a safety report to facility risk management or a regulatory body.
  1. Full recall drill: the instructor distributes a fictional FDA Class II recall notice with specific lot numbers; students search the simulated stock area and usage log, locate and quarantine all affected items, complete the facility recall response form, and compose a written notification to affected clinical units.
  2. Event-related outdate scenario: students are told that a sterile storage area experienced a roof leak; using an event-related outdate policy handout, they decide which items must be pulled and reprocessed, document their decisions with rationale, and update the inventory record.
  3. Safety-report writing: given a case narrative in which a circulating nurse discovers an expired implant opened during surgery, students identify the reportable event, determine the appropriate reporting pathway (risk management, adverse event reporting), and draft the initial incident report using a provided facility template.
Fictional FDA recall notice, facility recall response form, event-related outdate policy handout, incident report template, simulated inventory and usage log, HSPA Central Service Technical Manual, MedWatch overview handoutInstructor reviews completed recall response form, event-related outdate documentation, and incident report; all critical fields must be completed accurately and quarantine must be 100% complete; pass mark is 80% of rubric points with zero tolerance for missing implant lot documentation.
Assessments
AssessmentTypeWeightPass standardMethod & rubric
Inventory Knowledge ExamWritten exam25%Score of 80% or higher (40 of 50 questions correct)A 50-item multiple-choice and short-answer examination covering inventory system structure, regulatory requirements, par-level principles, FIFO, loaner and implant management, charge capture, and recall procedures; questions are aligned to HSPA CRCST and CBSPD CSPDT exam content domains for inventory and supply management. Students must achieve 80% to pass; those who do not pass may remediate and retest once within one week.
Standard met · Safety · Time · Quality/finish · Documentation
Loaner Set and Implant Processing Skills DemonstrationSkills demonstration45%100% completion of all critical-safety steps; overall rubric score of 80% or higherThe student independently processes a complete simulated loaner instrument and implant set from vendor delivery through documentation and staged return while an instructor evaluates performance using a standardized competency checklist; critical-safety steps—advance notice verification, implant lot-number recording, damage documentation, and quarantine of flagged items—must each be completed correctly for a passing result.
Standard met · Safety · Time · Quality/finish · Documentation
Inventory Lab LogLog15%All seven required entries submitted; average rubric score of 80% or higher across entriesThroughout the course students maintain a cumulative lab log with one dated entry per lab or practice lesson documenting the procedure performed, the materials used, results or findings, any errors encountered and how they were corrected, and a brief reflection connecting the activity to patient safety; the log is submitted at the end of the course and graded on accuracy, completeness, and professional documentation standards.
Standard met · Safety · Time · Quality/finish · Documentation
Recall and Expired-Item Safety CheckSafety audit15%100% quarantine accuracy; all required documentation fields completed with no critical omissionsIn a timed, unannounced simulation during the final week, the instructor distributes a recall notice and plants expired and affected items throughout the simulated stock area; the student must locate every affected item, quarantine all of them, complete the recall response form, and identify the correct reporting pathway with no coaching; a single missed affected item or missing implant lot number constitutes an automatic failure requiring full remediation before course completion.
Standard met · Safety · Time · Quality/finish · Documentation
HLT-STER66-06 Trade course

Infection Control for Sterile Processing

87 hr · $1,255 COMPLIMENTARY

This course builds the foundational microbiology, isolation precaution, and regulatory knowledge that underpins every task a sterile processing technician performs. Students learn how pathogens are transmitted, how Standard and Transmission-Based Precautions interrupt that chain, and how OSHA Bloodborne Pathogen standards and facility infection-control policies govern daily work in the decontamination and sterile-storage zones. Content maps directly to the Infection Control and Microbiology domains tested on both the HSPA CRCST and CBSPD CSPDT credentialing examinations.

Outcomes
Course text

This course builds the foundational microbiology, isolation precaution, and regulatory knowledge that underpins every task a sterile processing technician performs. Students learn how pathogens are transmitted, how Standard and Transmission-Based Precautions interrupt that chain, and how OSHA Bloodborne Pathogen standards and facility infection-control policies govern daily work in the decontamination and sterile-storage zones. Content maps directly to the Infection Control and Microbiology domains tested on both the HSPA CRCST and CBSPD CSPDT credentialing examinations.

How the course runs. 7 blocks: Microbiology Fundamentals for Sterile Processing; The Chain of Infection and Sterile Processing's Role in Breaking It; Standard Precautions and Transmission-Based Precautions in Practice; OSHA Bloodborne Pathogen Standard and Exposure Control; Spaulding Classification and Levels of Infection Control; Facility Infection Control Policy, Surveillance, and Documentation; Integrated Infection Control Simulation and Review.

What competent looks like. Explain the chain of infection and identify the control point targeted by each sterile processing intervention. Correctly apply Standard Precautions and the appropriate Transmission-Based Precaution category when handling instruments from patients on isolation status. Interpret OSHA Bloodborne Pathogen standard requirements and demonstrate compliant work practices, including exposure-incident response. Distinguish among cleaning, disinfection levels, and sterilization, and match the correct process to an instrument's Spaulding Classification. Read and apply Safety Data Sheets, facility infection-control policies, and regulatory guidance relevant to the sterile processing environment. Document infection-control checks, near-miss events, and surveillance data accurately using department forms and electronic tools.

Lessons · 7 blocks
#LessonHrTypeObjectiveActivitiesMaterialsCheck
1Microbiology Fundamentals for Sterile Processing12theoryStudents will classify bacteria, viruses, fungi, prions, and spores by their resistance to killing agents and explain why that hierarchy drives instrument processing decisions.
  1. Illustrated lecture using diagrams of microbial cell structures; students label a blank worksheet identifying cell wall differences between gram-positive and gram-negative bacteria and explain why this affects disinfectant selection.
  2. Small-group card-sort activity: students arrange pathogen cards (MRSA, C. difficile, Hepatitis B, HIV, Candida, CJD prions) on a resistance spectrum from least to most resistant, then justify each placement using the textbook microbiology chapter.
  3. Case-study discussion: a surgical site infection traced to inadequate prion decontamination; students identify which step in the chain of infection was not interrupted and propose the corrective processing action.
Sterile Processing textbook microbiology chapter (HSPA Central Service Technical Manual or equivalent), laminated pathogen-resistance spectrum poster, pathogen card sets, blank cell-structure worksheets, projectorExit quiz of 10 multiple-choice questions on microbial classification and resistance hierarchy; pass mark 80%.
2The Chain of Infection and Sterile Processing's Role in Breaking It10theoryStudents will identify all six links in the chain of infection and match each sterile processing task to the specific link it disrupts.
  1. Lecture with animated chain-of-infection diagram; students complete a graphic organizer that pairs each link (infectious agent, reservoir, portal of exit, mode of transmission, portal of entry, susceptible host) with at least two sterile processing controls.
  2. Think-pair-share: instructor presents three instrument-handling scenarios (used bronchoscope, orthopedic implant, contaminated basin set) and pairs identify which links are broken by correct processing versus which remain open if processing is skipped or rushed.
  3. Written reflection (one page): student selects one healthcare-associated infection type and traces how a breakdown in sterile processing could have contributed, referencing CDC or WHO chain-of-infection framework.
CDC HAI resources (printed or projected), HSPA Central Service Technical Manual chain-of-infection section, chain-of-infection graphic organizer handout, scenario cardsCompleted graphic organizer reviewed by instructor; all six links must be correctly matched to SP controls with no critical omissions; resubmit if any link is blank.
3Standard Precautions and Transmission-Based Precautions in Practice14demoStudents will demonstrate the correct selection and donning/doffing sequence for PPE required under Standard Precautions and each Transmission-Based Precaution category when receiving instruments from isolation patients.
  1. Instructor demonstrates full donning and doffing sequence for Contact, Droplet, and Airborne Precaution PPE sets; students observe and annotate a sequencing worksheet, noting contamination risks at each step.
  2. Students practice donning and doffing three times each (rotating PPE sets) while a partner uses a contamination-check checklist to flag any self-contamination events such as glove touch to face or improper gown removal order.
  3. Scenario role-play: instructor calls out an isolation category (e.g., 'incoming tray from a VRE Contact Precaution patient'); student must verbalize PPE selection rationale, don correctly, and describe handling differences for the tray before doffing; debrief follows.
Gloves (multiple sizes), surgical masks, N95 respirators, face shields, isolation gowns, shoe covers, PPE donning/doffing sequencing poster, contamination-check checklists, CDC Isolation Precautions guideline summary handoutLive competency check using a standardized donning/doffing checklist; student must complete the correct sequence with zero critical contamination errors (defined as any touch to face, neck, or clean surface during doffing); one repeat attempt allowed, then remediation.
4OSHA Bloodborne Pathogen Standard and Exposure Control14theoryStudents will explain key employer and employee obligations under the OSHA Bloodborne Pathogen standard and correctly execute the post-exposure incident response procedure.
  1. Guided reading of a plain-language summary of the OSHA Bloodborne Pathogen standard; students highlight and annotate the four core employer obligations (written exposure-control plan, universal precautions, engineering and work-practice controls, hepatitis B vaccination offer) and three key employee obligations.
  2. Mock exposure scenario: student handles a simulated sharps injury using a training needle; they walk through the facility's post-exposure flowchart (wash site, report to supervisor, document in incident log, follow occupational health protocol) and complete a sample exposure-incident report form.
  3. Group review of a facility Exposure Control Plan template; students identify the required sections and flag two intentional omissions planted by the instructor, then write one paragraph explaining the patient-safety and legal consequences of each gap.
OSHA Bloodborne Pathogen standard plain-language summary handout, facility Exposure Control Plan template, sample exposure-incident report forms, blunt training needle and simulated blood (red food-coloring water), post-exposure flowchart posterWritten scenario response: student reads a new sharps-exposure scenario and writes the correct immediate actions, documentation steps, and regulatory basis; scored on a 10-point rubric, pass mark 8/10.
5Spaulding Classification and Levels of Infection Control14labStudents will correctly classify instruments as critical, semi-critical, or non-critical using the Spaulding Classification framework and assign the required minimum level of infection control for each.
  1. Lab station rotation: three tables each hold a set of instrument photographs and actual items (forceps, flexible endoscope model, blood-pressure cuff, implantable screw model, laryngoscope blade); students classify each item, record the required processing level, and cite the Spaulding rationale on a data sheet.
  2. Disinfection-level matching exercise: instructor presents high-level, intermediate-level, and low-level disinfectant product cards; students match each disinfectant to the instrument categories it is appropriate for and explain why using kill-spectrum data from the product's Safety Data Sheet.
  3. Error-analysis activity: instructor distributes five fictional processing records containing Spaulding misclassifications; students identify each error, state the correct classification, and write a brief explanation of the patient-safety risk the misclassification would have created.
Instrument photograph sets, sample instruments (forceps, laryngoscope blade, BP cuff), Spaulding Classification reference chart, disinfectant product cards with SDS excerpts, fictional processing records with planted errors, student data-recording sheetsData sheet from the rotation reviewed; all instruments must be correctly classified and minimum processing level correctly assigned with no critical errors; any misclassification of a critical item as non-critical requires full lab repeat.
6Facility Infection Control Policy, Surveillance, and Documentation12practiceStudents will accurately complete infection-control documentation forms and interpret a basic sterile processing surveillance log to identify a trend requiring corrective action.
  1. Document literacy exercise: students read a sample facility infection-control policy and answer a guided-question worksheet covering scope, responsible roles, monitoring frequency, and escalation procedures, then discuss answers in pairs.
  2. Documentation practice: using a set of simulated department events (a wet-pack incident, a biological indicator failure, and a near-miss sharps event), students complete the corresponding department forms—wet-pack log, BI failure report, and near-miss report—correctly and completely.
  3. Trend analysis activity: instructor provides a four-week simulated surveillance log showing biological indicator results, chemical indicator failures, and wet-pack counts; students plot two data points on a simple run chart, identify which metric shows a concerning trend, and write a one-paragraph corrective-action recommendation.
Sample facility infection-control policy, wet-pack log template, BI failure report form, near-miss report form, four-week simulated surveillance log, graph paper or simple spreadsheet template, pensAll three completed forms reviewed against an answer key; each form must have all required fields filled with no patient-safety-critical omissions; trend-analysis paragraph must correctly identify the out-of-range metric and propose a plausible corrective action.
7Integrated Infection Control Simulation and Review11labStudents will apply infection-control knowledge end-to-end by processing a simulated instrument tray from an isolation patient through correct precaution selection, Spaulding-based processing assignment, documentation, and incident response.
  1. Full workflow simulation: each student receives a scenario card identifying an isolation category and a mixed instrument tray; they don appropriate PPE, classify each instrument using Spaulding, complete a processing-assignment log, and doff PPE correctly while being observed by a peer evaluator using a structured checklist.
  2. Deliberate error injection: instructor introduces two planted errors mid-simulation (a mislabeled tray and a missing BI log entry); student must identify both errors, state the infection-control consequence, and take the correct corrective action before completing the run.
  3. Verbal debrief and credential mapping: each student identifies which CRCST and CSPDT exam domains the simulation addressed; class builds a shared map on the whiteboard linking today's tasks to exam content areas as a study tool for Lesson 9.
Scenario cards, mixed instrument trays (simulated), full PPE sets, processing-assignment log forms, BI log forms, peer-evaluator checklists, whiteboard and markers, HSPA CRCST and CBSPD CSPDT exam content outline handoutsPeer-evaluator checklist plus instructor review; student must score pass on PPE donning/doffing (zero critical contamination errors), correctly classify all instruments (100% on critical items), complete all documentation fields, and identify both planted errors; any single critical failure requires remediation before course assessment.
Assessments
AssessmentTypeWeightPass standardMethod & rubric
Infection Control Knowledge ExamWritten exam25%75% or higher (30 of 40 items correct)A 40-item multiple-choice exam covering microbiology fundamentals, chain of infection, Standard and Transmission-Based Precautions, OSHA Bloodborne Pathogen standard requirements, Spaulding Classification, and disinfection levels; items are written in the same stem format used by the HSPA CRCST and CBSPD CSPDT examinations. Students who score below 75% complete targeted remediation and retake a parallel form within five business days.
Standard met · Safety · Time · Quality/finish · Documentation
PPE and Isolation Precaution Skills DemonstrationSkills demonstration45%100% on all critical-safety steps; no more than one minor procedural deviation on non-critical stepsUsing a live evaluator checklist, each student demonstrates correct PPE selection for an assigned isolation category, performs a full donning sequence, conducts a simulated contaminated-tray receipt, and doffs PPE without any self-contamination event; critical steps (face/neck touch during doffing, wrong precaution category selected) are scored as automatic failures requiring full remediation and re-demonstration.
Standard met · Safety · Time · Quality/finish · Documentation
Infection Control Documentation Lab LogLog15%All required fields complete and accurate; zero patient-safety-critical omissionsStudents submit a portfolio of six completed forms generated during lessons five and six: a wet-pack log, a biological indicator failure report, a near-miss/exposure-incident report, a processing-assignment log from the simulation, a Spaulding classification data sheet, and a one-page trend-analysis narrative; each form is graded against an answer key and any safety-critical error (wrong processing assignment for a critical item, missing exposure-incident fields) requires correction before the portfolio is accepted.
Standard met · Safety · Time · Quality/finish · Documentation
Safety Compliance CheckSafety audit15%Pass requires zero critical violations observed across all lab sessions; minor violations corrected immediately on first occurrenceThe instructor records a running safety observation log across all lab and practice lessons, noting PPE compliance, sharps handling, SDS reference behavior, and correct waste disposal; a critical violation (unprotected exposure to simulated blood, failure to report a simulated incident, discarding a sharp in a regular trash bin) results in immediate stop-work, documented remediation, and a required demonstration of the correct behavior before the student continues the course.
Standard met · Safety · Time · Quality/finish · Documentation
HLT-STER66-07 Capstone

Capstone Project: Integrated Sterile Processing Workflow

108 hr · $1,080 COMPLIMENTARY

Students design, execute, and defend a complete sterile processing workflow simulation that integrates decontamination, instrument identification, sterilization method selection, inventory management, and infection control principles from all prior courses. The capstone requires students to produce a professional documentation package and present their work in an oral defense judged against HSPA CRCST and CBSPD CSPDT competency domains. Successful completion demonstrates job-entry readiness and prepares students for the clinical practicum.

Outcomes
Course text

Students design, execute, and defend a complete sterile processing workflow simulation that integrates decontamination, instrument identification, sterilization method selection, inventory management, and infection control principles from all prior courses. The capstone requires students to produce a professional documentation package and present their work in an oral defense judged against HSPA CRCST and CBSPD CSPDT competency domains. Successful completion demonstrates job-entry readiness and prepares students for the clinical practicum.

How the course runs. 4 blocks: Capstone Planning and Workflow Design; Simulated Workflow Execution and Documentation; Documentation Package Assembly and Peer Review; Capstone Oral Defense.

What competent looks like. Execute a complete, documented sterile processing cycle—from soiled instrument receipt through sterile storage and distribution—meeting facility-level quality standards with zero critical safety errors. Produce a professional documentation package including a department procedure, inspection log, sterilization load record, and biological indicator tracking form that meets AAMI and Joint Commission documentation expectations. Select and justify the correct sterilization method for at least five instrument categories, citing compatibility, cycle parameters, and AAMI ST guidelines. Identify and correctly resolve at least three simulated workflow failures (e.g., wet pack, failed BI, contaminated tray) using established recall and corrective-action protocols. Demonstrate professional communication by presenting capstone findings in a structured oral defense, answering evaluator questions on all six program content domains. Accurately complete sterilization load and biological indicator records, inventory count sheets, and incident reports using industry-standard forms without coach assistance.

Lessons · 4 blocks
#LessonHrTypeObjectiveActivitiesMaterialsCheck
1Capstone Planning and Workflow Design20theoryStudents will draft a written sterile processing workflow plan that maps each step of the instrument cycle—receipt, decontamination, inspection, assembly, sterilization, storage, and distribution—to the corresponding HSPA CRCST and CBSPD CSPDT competency domain and identifies the required documentation for each step.
  1. Students receive a scenario packet describing a 30-instrument general surgery tray set; they individually identify each instrument, classify it by Spaulding category, and select the correct processing pathway, recording decisions on a structured planning worksheet.
  2. In groups of three, students map their individual plans onto a large workflow diagram posted on the wall, debate any differences in processing decisions, and reach consensus on a single team workflow plan with written rationale for each decision.
  3. Each student writes a one-page department procedure for one assigned step of the workflow (e.g., manual cleaning of a lumened instrument), using standard procedure-writing format with purpose, scope, required PPE, step-by-step instructions, and references to AAMI ST or HSPA guidelines.
Scenario instrument list (faculty-created), Spaulding classification reference cards, AAMI ST79 and applicable AAMI standards (current editions), HSPA Central Service Technical Manual (current edition), blank workflow diagram templates, procedure-writing format guide, whiteboard markersInstructor reviews each student's planning worksheet and written procedure using a rubric; pass requires correct Spaulding classification for all 30 instruments, correct sterilization method selection for all instrument types, and a procedure that includes all required sections with no critical safety omissions—score of 80% or higher required to advance.
2Simulated Workflow Execution and Documentation52labStudents will independently execute the full sterile processing cycle for an assigned instrument set in the program's simulated department, completing every required documentation form accurately and responding correctly to at least three instructor-injected workflow failures.
  1. Each student dons full PPE, receives a soiled instrument tray, and processes it through the complete cycle: manual pre-cleaning, mechanical washer-disinfector loading and unloading, inspection using magnification and a light source, assembly and tip protection, packaging with appropriate wrap or pouch, sterilizer loading with correct placement and load configuration, biological indicator and chemical indicator placement, cycle initiation, BI incubation and result reading, load release, and sterile storage—recording every action on the program's load record and inspection log in real time.
  2. At three unannounced points chosen by the instructor, a deliberate failure is introduced (options include a wet pack upon unloading, a positive biological indicator result, a missing chemical indicator, or a package integrity breach); the student must identify the failure, halt the affected load, initiate the correct corrective action (quarantine, recall documentation, or re-processing), and complete an incident report form before continuing.
  3. Students complete an inventory count of the simulated sterile storage room, reconcile discrepancies against a par-level sheet, and fill out a requisition form for any items below par, then brief the instructor verbally on any expiration date or packaging integrity issues found during the count.
Full PPE (gloves, face shield, fluid-resistant gown, surgical-grade mask), mixed general surgery instrument sets, automated washer-disinfector or equivalent simulation unit, ultrasonic cleaner, inspection light and magnification loupes, sterilization pouches and wrap in multiple sizes, chemical integrators and indicators (Class 5 integrators and Class 4 indicators), biological indicator strips and self-contained BIs with appropriate spore type for sterilizer modality, incubator, steam sterilizer and/or low-temperature sterilizer per available equipment, sterilization load records (program-standard form), inspection logs, incident report forms, sterile storage shelving unit, par-level inventory sheet, AAMI ST79 and applicable low-temperature sterilization AAMI standards, HSPA Central Service Technical ManualInstructor uses a step-by-step competency checklist with 48 observable steps; each critical safety step (PPE donning before handling soiled items, correct load record completion, correct BI result interpretation, correct recall initiation) is marked pass/fail with any single critical step failure requiring a full repeat of that phase; overall score of 85% or higher on all non-critical steps and zero unresolved critical step failures required to pass; documentation forms are reviewed for completeness and accuracy with no missing required fields.
3Documentation Package Assembly and Peer Review20practiceStudents will compile all workflow documents produced during execution into a complete, organized capstone portfolio and apply a structured peer-review process to identify and correct errors before the oral defense.
  1. Each student organizes their capstone documentation package into a required sequence—cover sheet, workflow plan, department procedure, inspection log, sterilization load records, BI tracking log, corrective-action incident reports, and inventory reconciliation sheet—tabbed and labeled according to the program's portfolio standard, then completes a self-audit checklist to verify every required item is present, legible, and signed.
  2. Students exchange complete portfolios with an assigned peer reviewer who uses the same audit checklist plus a 20-point accuracy rubric to flag any missing entries, incorrect sterilizer cycle parameters, unsigned forms, or documentation that contradicts established processing standards, writing specific written feedback on a reviewer feedback form.
  3. Original authors review peer feedback, make documented corrections (noting what was changed and why on a revision log), and submit the final corrected portfolio to the instructor for a pre-defense review conference where the instructor identifies any remaining critical errors that must be resolved before the oral defense is scheduled.
All documents generated during Lesson 2, portfolio cover sheet template, self-audit checklist (program-standard), peer-review accuracy rubric, reviewer feedback forms, revision log template, tabbed binder or organized folder system, AAMI ST79 and HSPA Central Service Technical Manual for reference during reviewInstructor pre-defense review conference: all required documents must be present and complete (no missing fields); sterilizer cycle parameters recorded must match the sterilizer manufacturer's validated cycle for the load contents; BI results must be correctly interpreted and recorded; any critical documentation error identified by the instructor must be corrected and resubmitted before a defense date is assigned—portfolio is scored on a 100-point rubric with 80 points minimum required to proceed to defense.
4Capstone Oral Defense16practiceStudents will present their completed capstone workflow and documentation package to a two-person evaluation panel—answering questions that span all six program content domains—and demonstrate the ability to justify every processing decision with accurate technical reasoning.
  1. Each student delivers a structured 10-minute presentation to the evaluation panel covering their workflow design rationale, sterilization method selections and their justification, how they resolved each injected workflow failure, and what they would do differently if given the scenario again, using their documentation package as a visual reference.
  2. The evaluation panel conducts a 15-minute question session drawing from a standardized bank of questions mapped to HSPA CRCST domains (decontamination, instrumentation, sterilization, sterile storage, inventory/distribution, quality) and CBSPD CSPDT competency areas; questions require the student to apply knowledge rather than recite definitions—for example, explaining why a specific instrument cannot be steam sterilized or describing the chain of events following a positive BI on a released load.
  3. Following the defense, the student completes a written self-evaluation form rating their own performance in each domain, identifying one area of strength and one area requiring continued development, which is collected by the evaluator and placed in the portfolio as a professional development artifact.
Completed and approved capstone documentation portfolio, evaluation panel scoring rubric (mapped to HSPA CRCST and CBSPD CSPDT domains), standardized question bank (faculty-held), self-evaluation form, timer, quiet evaluation roomEvaluation panel scores the presentation and question session using a domain-mapped rubric with a maximum of 100 points; a minimum score of 80 is required to pass; any answer that demonstrates a critical safety misunderstanding (e.g., incorrect BI recall protocol, incorrect Spaulding classification that would result in patient harm) triggers a mandatory remediation conference before a retake is scheduled; students who score between 75 and 79 may attempt one retake of the question session within two weeks.
Assessments
AssessmentTypeWeightPass standardMethod & rubric
Integrated Workflow Simulation ProjectProject60%85% or higher on the competency checklist with zero unresolved critical safety steps; all documentation forms complete and accurate with no missing required fieldsStudents independently execute a complete sterile processing cycle for an assigned instrument set in the simulated department, responding correctly to three instructor-injected workflow failures and completing all required sterilization, inspection, and incident documentation in real time. This project is the primary performance assessment and maps directly to HSPA CRCST decontamination, instrumentation, sterilization, and quality domains and CBSPD CSPDT processing and sterilization competency areas.
Meets specification · Within estimate · Workmanship · Safety · Documentation
Capstone Documentation PortfolioPortfolio20%80 points out of 100 on the portfolio rubric with all required documents present, no critical documentation errors, and all corrections documented on the revision logStudents submit an organized binder containing all workflow planning and execution documents—including the department procedure, inspection logs, sterilization load records, biological indicator tracking log, corrective-action incident reports, and inventory reconciliation sheet—reviewed first by a peer and then by the instructor before the oral defense. The portfolio demonstrates professional documentation practices required for compliance with AAMI standards and accreditation expectations and supports preparation for HSPA CRCST and CBSPD CSPDT examination domains covering records and quality assurance.
Completeness · Organization · Evidence quality
Capstone Oral DefenseOral / panel20%80 points out of 100 on the domain-mapped evaluation rubric with no unanswered critical safety questions; one retake of the question session permitted for scores between 75 and 79Students present their capstone workflow and documentation to a two-person evaluation panel and respond to questions spanning all six program content domains as mapped to HSPA CRCST and CBSPD CSPDT competency areas, demonstrating the ability to justify processing decisions with accurate technical reasoning. The oral defense assesses higher-order application and communication skills essential for professional practice and for the scenario-based questions found in both credentialing examinations.
Explains decisions · Answers technical questions · Professional communication
HLT-STER66-08 Externship / clinical

Clinical Practicum: Supervised Sterile Processing in a Healthcare Facility

162 hr · $650 COMPLIMENTARY

Students complete 162 supervised hours in a functioning sterile processing department at an approved healthcare facility, applying decontamination, instrument inspection, assembly, packaging, sterilization, and sterile-storage skills under the direct oversight of a credentialed preceptor. Work is evaluated against real departmental standards and documented through structured employer evaluations and a reflective practicum log. This course bridges classroom and credential-exam readiness by exposing students to the full sterile processing workflow in an authentic patient-care environment.

Outcomes
Course text

Students complete 162 supervised hours in a functioning sterile processing department at an approved healthcare facility, applying decontamination, instrument inspection, assembly, packaging, sterilization, and sterile-storage skills under the direct oversight of a credentialed preceptor. Work is evaluated against real departmental standards and documented through structured employer evaluations and a reflective practicum log. This course bridges classroom and credential-exam readiness by exposing students to the full sterile processing workflow in an authentic patient-care environment.

How the course runs. 4 blocks: Facility Orientation and Department Integration; Decontamination and Instrument Inspection Under Supervision; Instrument Assembly, Packaging, Sterilization, and Storage; Quality Systems, Professional Practice, and Practicum Reflection.

What competent looks like. Perform decontamination of soiled instruments and devices according to facility protocol and manufacturer instructions for use, consistently meeting the preceptor's quality standard. Inspect, assemble, and package instrument sets correctly, identifying damaged or missing items and resolving discrepancies before sterilization. Load, operate, and document sterilizer cycles—including steam, low-temperature, and any additional modalities used by the facility—recording all required parameters and biological indicator results. Maintain sterile-storage area organization and distribute sterile supplies following first-in, first-out rotation and event-related shelf-life principles. Communicate professionally with surgical and clinical staff, respond to instrument shortages or recalls appropriately, and follow facility chain of command for quality events. Demonstrate consistent compliance with standard precautions, PPE requirements, and traffic-flow policies throughout all areas of the sterile processing department.

Lessons · 4 blocks
#LessonHrTypeObjectiveActivitiesMaterialsCheck
1Facility Orientation and Department Integration20fieldStudents will locate and correctly use all sterile processing department zones, equipment stations, and safety resources while following facility-specific policies for PPE, traffic flow, and incident reporting.
  1. Complete the facility's general employee orientation and department-specific safety walk-through, signing off on infection control, fire, and chemical safety policies; record key policy points in the practicum log.
  2. Shadow a credentialed sterile processing technician through a full shift, documenting each task category observed (decontamination, assembly, sterilization, storage, distribution) and the quality checks applied at each step.
  3. Review the facility's instrument management software or tracking system with the preceptor, locate at least five instrument sets in the system, and practice documenting a simulated loaner tray receipt according to departmental procedure.
Facility PPE (scrubs, impervious gown, gloves, face shield, shoe covers), facility policy and procedure manuals, instrument tracking system terminal, practicum log binder, HSPA CRCST Central Service Technical Manual (current edition)Preceptor verifies student can independently don and doff full PPE in correct sequence, identify all department zones without prompting, and locate a policy document within the management system; pass = preceptor marks all three items satisfactory on the Lesson 1 orientation checklist.
2Decontamination and Instrument Inspection Under Supervision50fieldStudents will receive, sort, manually clean, and mechanically process soiled instruments following manufacturer instructions for use and facility protocol, then inspect each item for cleanliness and function before passing it to the assembly area.
  1. Receive and sort a minimum of ten soiled case carts per week: verify contents against the pick list, separate sharps, discard single-use items, and route reusable items to the correct cleaning method; record any discrepancy or damage on the departmental tracking form.
  2. Perform manual pre-cleaning and ultrasonic or automated washer-disinfector processing on mixed instrument loads on at least fifteen separate occasions, checking detergent concentration, water temperature, and cycle completion printout each time and filing printouts in the practicum log.
  3. Using magnification loupes or the department's inspection light, inspect a minimum of 30 instruments across the rotation for soil, corrosion, alignment, sharpness, and missing parts; flag and document at least one defective instrument, route it through the facility's repair or retirement process, and obtain preceptor sign-off.
Impervious PPE, enzymatic detergent (per facility formulary), automated washer-disinfector, ultrasonic cleaner, inspection light, magnification loupes, bore brushes and cleaning brushes (instrument-specific), facility pick lists, practicum log, HSPA CRCST Central Service Technical ManualPreceptor evaluates three separate observed decontamination cycles using the facility's competency checklist; student must score satisfactory on all critical-safety steps (PPE compliance, correct detergent dilution, correct cycle documentation) and ≥80% overall on the checklist for each of the three observations to pass.
3Instrument Assembly, Packaging, Sterilization, and Storage72fieldStudents will assemble instrument sets from count sheets, select and apply appropriate packaging materials, load and run sterilizer cycles, interpret all monitoring outputs, and place released sterile goods in storage according to event-related shelf-life and FIFO principles.
  1. Assemble at least 20 different instrument sets from written count sheets, verifying each instrument against the count sheet, positioning items for steam penetration or low-temperature sterilant contact, applying internal chemical indicators, and wrapping or pouching using double-wrap or peel-pouch technique as specified; preceptor inspects each set before it advances to sterilization.
  2. Load, initiate, and unload a minimum of 25 sterilizer cycles across steam and at least one low-temperature modality used by the facility; record all required cycle parameters (temperature, pressure, exposure time, cycle number) on the departmental log; interpret biological indicator and chemical indicator results each day and immediately report any indicator failure to the preceptor, documenting the event and the recall steps taken.
  3. Rotate through the sterile-storage and distribution areas for at least ten shifts, receiving and shelving released sterile sets using FIFO, checking packaging integrity and external indicator status before shelving, fulfilling at least five case-cart build requests from OR case-scheduling sheets, and processing at least two sterile-supply returns including integrity inspection and reprocessing decisions.
Instrument sets and count sheets, CSR wrap (non-woven), peel pouches, heat-sealer, internal and external chemical indicators, biological indicator incubator and spore-test strips, steam sterilizer, low-temperature sterilizer (per facility), sterilizer log forms, sterile-storage shelving, case-cart system, practicum log, HSPA CRCST Central Service Technical Manual, AAMI ST79 (current edition) and applicable low-temperature sterilization standardsPreceptor scores the student on five randomly selected observed assembly-through-release cycles using the facility competency checklist; student must achieve satisfactory on all biological-indicator handling and documentation steps and ≥80% overall on each of the five observations; a single critical error (releasing a failed load without recall) is an automatic fail requiring remediation before reassessment.
4Quality Systems, Professional Practice, and Practicum Reflection20fieldStudents will participate in at least one department quality-improvement activity, resolve a real or simulated instrument shortage or recall scenario with appropriate communication, and complete a structured reflection connecting practicum experience to HSPA CRCST and CBSPD CSPDT exam content areas.
  1. Attend or review documentation from a department quality meeting, quality audit, or accreditation readiness activity; write a one-page summary in the practicum log identifying one quality metric tracked, what the acceptable threshold is, and how the department responds when the threshold is not met.
  2. Work through a preceptor-staged instrument shortage or sterile-storage recall scenario: identify the affected sets, notify the appropriate clinical or surgical staff using the facility's communication chain, quarantine items, and document the event on the facility's nonconformance or recall form; debrief with the preceptor immediately after.
  3. Complete the structured practicum exit reflection in the log: for each HSPA CRCST exam content domain (decontamination; assembly and packaging; sterilization; sterile storage and distribution; quality assurance; management of the department), write two to three sentences describing a specific practicum experience that illustrates that domain, then self-rate readiness on a 1–4 scale and identify one study priority for the Certification Exam Preparation course.
Facility quality audit tools or meeting minutes (de-identified), facility nonconformance/recall form, practicum log with structured exit-reflection template, HSPA CRCST exam content outline, CBSPD CSPDT exam content outlineProgram instructor reviews the exit reflection for completeness and specificity: all six HSPA CRCST content domains addressed with a concrete example, self-ratings completed, and at least one study priority identified per credential; pass = all six domains addressed with a concrete, plausible example and the preceptor's final evaluation form returned with an overall rating of satisfactory or above.
Assessments
AssessmentTypeWeightPass standardMethod & rubric
Preceptor Clinical EvaluationClinical evaluation70%Overall rating of Satisfactory (meets entry-level standard) or above on the facility's standardized competency evaluation form across all assessed domains; no Unsatisfactory rating on any patient- or worker-safety critical item.The assigned credentialed preceptor completes the program's standardized employer evaluation form at the midpoint and at the conclusion of the 162-hour rotation, rating the student on decontamination technique, instrument inspection, assembly accuracy, sterilization operation and documentation, sterile-storage practices, quality-system participation, PPE compliance, communication, and professionalism. The final form is signed by both preceptor and student, submitted to the program, and becomes the primary clinical_eval credential for course completion; a midpoint rating of Unsatisfactory on any safety-critical item triggers a documented remediation plan before the student may continue.
Competency · Safety · Attendance · Conduct · Initiative
Practicum LogLog30%Log is complete (all required entries present), entries are legible and specific (not generic), and the program instructor rates the exit reflection as meeting the standard described in Lesson 4; a score of at least 80% on the instructor's log-completeness rubric is required to pass.Students maintain a bound practicum log throughout all 162 hours, recording daily task entries (date, shift, tasks performed, quality checks observed, questions raised), copies or photographs of sterilizer cycle printouts and BI results (de-identified per facility policy), the instrument-defect documentation from Lesson 2, the quality-event summary from Lesson 4, the recall-scenario debrief notes, and the structured exit reflection; the completed log is the lab_log artifact submitted to the program instructor within five business days of the final practicum shift and is evaluated against a published rubric for completeness, accuracy, and reflective depth.
Complete · Verified
HLT-STER66-09 Exam prep

Certification Exam Preparation: CRCST and CSPDT

45 hr · $450 COMPLIMENTARY

This course provides a structured, competency-mapped review of every domain tested on the HSPA CRCST and CBSPD CSPDT certification examinations, using practice questions, timed mock exams, and targeted remediation. Students identify personal knowledge gaps across decontamination, sterilization, instrument care, infection prevention, inventory, and safety, then build test-taking strategies to perform confidently on exam day. Emphasis is placed on exam-format familiarity, professional ethics, and completing the credentialing application process correctly.

Outcomes
Course text

This course provides a structured, competency-mapped review of every domain tested on the HSPA CRCST and CBSPD CSPDT certification examinations, using practice questions, timed mock exams, and targeted remediation. Students identify personal knowledge gaps across decontamination, sterilization, instrument care, infection prevention, inventory, and safety, then build test-taking strategies to perform confidently on exam day. Emphasis is placed on exam-format familiarity, professional ethics, and completing the credentialing application process correctly.

How the course runs. 4 blocks: Exam Landscape, Eligibility, and Diagnostic Baseline; Domain Deep-Dive: Decontamination, Sterilization, and Instrument Care; Domain Deep-Dive: Infection Control, Inventory, Safety, and Professional Standards; Full Mock Certification Examinations and Final Readiness Review.

What competent looks like. Accurately answer practice questions drawn from all major CRCST and CSPDT exam content domains at a rate consistent with passing standard benchmarks. Identify and remediate individual knowledge gaps in decontamination, sterilization science, instrument care, infection control, and inventory management. Apply time-management and question-analysis strategies to complete a full-length timed mock certification examination within the allotted period. Explain the eligibility requirements, application steps, and professional-conduct expectations associated with HSPA CRCST and CBSPD CSPDT credentialing. Interpret standards-based terminology and scenario-based questions drawn from AAMI, CDC, and OSHA guidance as tested on both exams. Complete a self-directed study plan that prioritizes low-scoring domains identified during diagnostic and mid-course practice testing.

Lessons · 4 blocks
#LessonHrTypeObjectiveActivitiesMaterialsCheck
1Exam Landscape, Eligibility, and Diagnostic Baseline8theoryStudents will describe the structure, content domains, and eligibility requirements of both the HSPA CRCST and CBSPD CSPDT exams and establish a personal diagnostic baseline score across all domains.
  1. Instructor-led walkthrough of both credential blueprints: students annotate a side-by-side comparison chart showing domain names, approximate weighting, and question formats for CRCST and CSPDT, noting where domains overlap and where they differ.
  2. Students complete a 100-question untimed diagnostic practice exam covering all content domains; results are scored by domain and students enter scores into a personal gap-tracking spreadsheet to identify the three lowest-performing areas.
  3. Small-group discussion: each student reads the current HSPA and CBSPD candidate handbooks (provided as PDFs), then writes a one-page eligibility checklist confirming their own readiness to apply, including required work-hours documentation and application deadlines.
HSPA CRCST Candidate Handbook (current edition), CBSPD CSPDT Candidate Handbook (current edition), domain comparison chart (instructor-prepared), 100-question diagnostic question bank (instructor-prepared from publicly available practice pools), gap-tracking spreadsheet template, computers or tablets with PDF access.Student gap-tracking spreadsheet is complete with accurate domain scores entered; student can verbally state the correct number of content domains for each exam and identify their two weakest domains without reference materials. Pass mark: all spreadsheet fields completed and three weakest domains correctly identified.
2Domain Deep-Dive: Decontamination, Sterilization, and Instrument Care14practiceStudents will answer domain-specific practice questions on decontamination processes, sterilization methods and monitoring, and surgical instrument identification and care at or above a benchmark pass rate.
  1. Rotating station review: three 30-question practice sets (one per domain—decontamination, sterilization science, instrument ID and care) completed individually under light time pressure; after each set students self-score, then pairs compare incorrect answers and locate the correct rationale in AAMI ST79, the HSPA Central Service Technical Manual, or the CBSPD reference guide before recording the corrected concept in their study notes.
  2. Instructor-facilitated scenario analysis: instructor presents six real-world sterile processing error scenarios (e.g., failed biological indicator, incorrect point-of-use treatment, improper tray assembly); students work in groups to identify the error, cite the violated standard, select the correct action, and explain why the distractors are wrong—mirroring the reasoning required for exam scenario questions.
  3. Timed 45-question mixed practice quiz covering all three domains under simulated exam conditions (no notes, fixed time); students record scores on their gap tracker and write two targeted study action items for any domain scoring below 75%.
AAMI ST79 (current edition, excerpts), HSPA Central Service Technical Manual (current edition), CBSPD sterile processing reference guide, domain-specific question banks (decontamination, sterilization, instrument ID), scenario cards (instructor-prepared), gap-tracking spreadsheet, answer-rationale log (student notebook).Students score at or above 75% on the timed 45-question mixed quiz; all incorrect answers have a written rationale correction entered in the answer-rationale log. Pass mark: 75% on timed quiz and rationale log complete for every missed item.
3Domain Deep-Dive: Infection Control, Inventory, Safety, and Professional Standards12practiceStudents will answer practice questions on infection prevention principles, inventory and distribution management, OSHA and workplace safety regulations, and professional and ethical standards at or above a benchmark pass rate.
  1. Jigsaw expert groups: class divides into four groups, each assigned one domain (infection control, inventory/distribution, safety/OSHA, professional standards); each group works through a 25-question practice set, consolidates key concepts onto a one-page reference card, then teaches their domain to the full class using the reference card—reinforcing both content mastery and communication skills.
  2. Crosswalk exercise: using OSHA Bloodborne Pathogens Standard and CDC Standard Precautions guidance, students complete a matching worksheet that links each infection control concept to the specific exam question stem language used by CRCST and CSPDT, practicing how regulatory content is translated into multiple-choice format.
  3. Timed 40-question mixed practice quiz covering infection control, inventory, safety, and professional standards; students score by domain, update gap trackers, and meet individually with the instructor for a five-minute review of their two lowest sub-scores to receive a targeted reading or practice-question assignment.
OSHA Bloodborne Pathogens Standard (29 CFR 1910.1030, current version, plain-language summary), CDC Standard and Transmission-Based Precautions guidance, HSPA Central Service Technical Manual chapters on inventory and distribution, CBSPD reference guide, domain-specific question banks, jigsaw reference card template, gap-tracking spreadsheet.Students score at or above 75% on the timed 40-question mixed quiz; each student completes a one-on-one five-minute debrief with the instructor who confirms the gap tracker is current and a remediation assignment is recorded. Pass mark: 75% on timed quiz and documented remediation plan for any domain below 75%.
4Full Mock Certification Examinations and Final Readiness Review11practiceStudents will complete two full-length timed mock certification examinations—one modeled on CRCST format and one on CSPDT format—and score at or above the program's readiness benchmark, demonstrating exam-day stamina, time management, and comprehensive domain knowledge.
  1. Full-length CRCST-format mock exam completed individually under strict timed, closed-book conditions mirroring actual exam protocols; after scoring, instructor leads a 45-minute answer-explanation session focused on the five most commonly missed questions across the class, with students annotating rationales in their logs.
  2. Full-length CSPDT-format mock exam completed individually under strict timed, closed-book conditions the following session; students self-score by domain and compare results to their diagnostic baseline scores from Lesson 1, calculating improvement or identifying persistent gaps.
  3. Final readiness conference: each student presents their gap tracker showing diagnostic versus final mock scores, confirms credential application materials are assembled (work-hour logs, application forms, photo ID checklist), and receives instructor sign-off on exam readiness; class closes with a group debrief on test-day logistics, exam-day conduct expectations, and professional ethics in credentialed practice.
CRCST-format full mock exam (150 questions, instructor-prepared from available practice pools), CSPDT-format full mock exam (150 questions, instructor-prepared), answer sheets, timers, gap-tracking spreadsheet, HSPA and CBSPD application checklists, candidate handbooks, student answer-rationale logs.Students score at or above 75% on both full-length mock exams scored by domain; gap tracker shows documented improvement from diagnostic baseline in at least two of three initially lowest domains; instructor signs readiness confirmation form. Pass mark: 75% on each mock exam and instructor-signed readiness form.
Assessments
AssessmentTypeWeightPass standardMethod & rubric
Dual Mock Certification ExaminationMock certification exam100%Score of 75% or higher on both the CRCST-format and CSPDT-format full-length mock exams, with no single content domain scoring below 65%; completed gap tracker showing documented improvement from diagnostic baseline; instructor-signed exam readiness confirmation.Students complete two full-length, timed, closed-book mock examinations—one aligned to HSPA CRCST content domains and one aligned to CBSPD CSPDT content domains—under simulated testing conditions. Performance is scored by domain to confirm comprehensive readiness, and results combined with the cumulative gap tracker constitute the summative assessment for course completion and program graduation clearance.
Score · Time management
Program completion

External credential: CBSPD CSPDT; HSPA CRCST

Graduates are prepared to sit the CRCST examination offered by the Healthcare Sterile Processing Association (HSPA) and/or the CSPDT examination offered by the Certification Board for Sterile Processing and Distribution (CBSPD), both of which are nationally recognized, employer-valued credentials in the sterile processing trade. Pass standard: Credential issued by the body.

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