


Behind every medical procedure is a sterile processing team responsible for cleaning, disinfecting, and sterilizing instruments so they're ready when needed. Sterile processing training can help prepare staff for these positions, but what happens when healthcare facilities lack a standardized training program for professionals in these roles? The effects may be felt throughout the organization.
Inconsistent and/or ineffective sterile processing training could lead to:
A January 2025 study identified "staffing and training" as a driver of sterile processing defects, naming insufficient staffing levels as a key contributor.7 Industry reports echo this concern, citing a "chronic workforce shortage" for sterile processing professionals for this sector of the healthcare workforce.8
An understaffed SPD could compromise organizations' decontamination and sterilization processes by not having the professionals needed to perform these services. Additionally, the strain of these shortages may worsen as the demand for sterile processing technicians increases.
Research indicates that human error is the most common cause of sterile processing failures.10 This can elevate risks for hospitals, surgical centers, outpatient clinics, dental offices, labs, dialysis centers, and other healthcare facilities performing medical procedures.
The CDC's sterile practice guidelines indicate that a comprehensive program ensures operator competence for performing and monitoring the entire process.11 Implementing a standardized training program can help employers ensure that all sterile processing staff understand and can effectively apply the proper cleaning, disinfection, and sterilization protocol.
Skills learned during sterile processing training can include:
Sterile processing technicians can also benefit from several soft skills, including critical thinking, active listening, and active learning.12
Certification can enable organizations to validate sterile processing team members' competency for applying infection control practices. A standardized training program can help employees prepare them for the Certified Registered Central Service Technician (CRCST) credential.13
The CRCST exam administered by the Healthcare Sterile Processing Association (HSPA) assesses candidates' knowledge and skills in seven areas:14
In some states, certification may be required. For instance, effective January 1, 2028, all new central service technicians in Minnesota must obtain certification within two years of their hire date.15
While many healthcare organizations may face similar challenges, each facility has its own unique goals and skills gaps. Nasium Training offers a 16-week Sterile Processing Training Program16 that can be tailored to meet your organization's individual needs.
This hybrid training series consists of 75% online learning and 25% clinical instruction. It covers surgical instrumentation preparation, equipment and supplies for scheduled and emergency surgeries, legal and ethical responsibilities, using special sterilization equipment, assessing and tracking the location of sterilized inventory, safety and security procedures, infection control procedures, and maintaining surgical equipment.
Nasium Training's Sterile Processing Training Program also helps prepare your employees to sit for the CRCST certification exam.17
In 2025, the HSPA administered 15,369 CRCST certification exams, of which 10,083 passed and 5,286 failed.18
Nasium Training's Sterile Processing Training isn't just a healthcare employee upskilling or reskilling program. It's a partnership that enables you to tailor the curriculum to the needs of your organization, developing a standardized training program that can be built into your process. We also provide you with real-time feedback, while offering your employees wraparound support services.
Contact us to learn more or to discuss your needs and how we can help you address them.
What causes sterile processing failures? The most common cause of sterile processing failures is human error.10 Implementing a standardized training program can help employers ensure that consistent information is provided to all sterile processing employees, covering important cleaning, disinfecting, and sterilizing procedures and techniques.
What information is covered in a sterile processing technician training program? Nasium Training's Sterile Processing Training program covers surgical instrumentation preparation, equipment and supplies for scheduled and emergency surgeries, legal and ethical responsibilities, using special sterilization equipment, assessing and tracking the location of sterilized inventory, safety and security procedures, infection control procedures, and maintaining surgical equipment. Contact us to learn more.
What is CRCST certification? CRCST stands for the Certified Registered Central Service Technician credential. This certification helps validate worker competency in several areas related to sterile processing techniques, considerations, and procedures.
1 Bush, K.M., & Gantt, B.M. Impact of Leadership Structures on Sterile Processing Performance and Patient Safety. Biomedical Instrumentation & Technology, Abstract, Results. https://www.researchgate.net/publication/403111514_Impact_of_Leadership_Structures_on_Sterile_Processing_Performance_and_Patient_Safety
2 McClenathon, B. Unseen but Essential: The Sterile Processing Knowledge Demand and Staffing Crisis, What's at Stake: When SPD Fails, Everyone Pays, para. 2. https://www.surgicaldirections.com/insights/whitepaper/2025/09/09/unseen-but-essential-the-sterile-processing-knowledge-demand-and-staffing-crisis/
3 Highpower Validation Testing & Lab Services. Negative Effects of Improperly Sterilized Medical Devices, Risks of Infection and Disease Transmission. https://highpowervtls.com/2025/03/negative-effects-of-improperly-sterilized-medical-devices/
4 Natarus, M.E., Shaw, A., & Studer, A. et al. Optimization of a Sterile Processing Department Using Lean Six Sigma Methodology, Staffing Enhancement, and Capital Investment. Journal on Quality and Patient Safety, Conclusion, para. 2. https://www.jointcommissionjournal.com/article/S1553-7250(24)00300-3/fulltext
5 Trapotsis, A. Top 13 Sterile Processing Mistakes in Hospitals. Consolidated Sterilizer Systems, Dangers of Sterile Processing Mistakes, Citations and fines. https://consteril.com/sterile-processing-mistakes/
6 SpecialtyCare. How Your Hospital May Save Millions of Dollars Per Year By Improving Sterile Processing Quality, Report Findings: $1.5 Million Per Year in Losses From SPD Errors. https://specialtycareus.com/how-your-hospital-saves-millions-of-dollars-per-year-by-improving-sterile-processing-quality/
7 Natarus, M.E., Shaw, A., & Studer, A. et al. Optimization of a Sterile Processing Department Using Lean Six Sigma Methodology, Staffing Enhancement, and Capital Investment, Methods: Staffing and Training. https://www.jointcommissionjournal.com/article/S1553-7250(24)00300-3/fulltext
8 McClenathon, B. Unseen but Essential: The Sterile Processing Knowledge Demand and Staffing Crisis, The Staffing Crisis: Why It Is So Hard to Fill These Roles.
9 Bureau of Labor Statistics. Occupational Outlook Handbook. Data for Occupations Not Covered in Detail, Medical equipment preparers. https://www.bls.gov/ooh/about/data-for-occupations-not-covered-in-detail.htm#Healthcare%20support%20occupations
10 Shenoy, E.S., Weber, D.J., & McMullen, K. et al. Multisociety guidance for sterilization and high-level disinfection. Infection Control & Hospital Epidemiology, Section 3, question 43. Should HCP participating in sterilization or HLD be educated, trained, and assessed for competency? https://www.cambridge.org/core/journals/infection-control-and-hospital-epidemiology/article/multisociety-guidance-for-sterilization-and-highlevel-disinfection/CF829F279CADE2BF9AC2655EEB742DF8
11 Centers for Disease Control and Prevention. Sterilizing Practices. Overview, para. 2. https://www.cdc.gov/infection-control/hcp/disinfection-sterilization/sterilizing-practices.html
12 O*NET OnLine. Medical Equipment Preparers 31-9093.00, Essential Skills. https://www.onetonline.org/link/summary/31-9093.00
13 The CRCST certification exam is administered by the Healthcare Sterile Processing Association. Applicants must have 400 hours of experience, either paid or volunteer, for full certification. Alternatively, they can apply to take the exam without this experience, and receive provisional certification, in which they must obtain 400 hours of hands-on experience within six months of passing the test. Learn more at https://myhspa.org/certification/certification-overview/certified-registered-central-service-technician-crcst/
14 HSPA. Certified Registered Central Service Technician (CRCST) Exam Content Outline. https://myhspa.org/wp-content/uploads/2024/01/HSPA_CRCST_Content_Outline_2023.Revision.pdf
15 HSPA. Minnesota Governor Signs Bill into Law that Promotes Quality and Patient Safety, para. 1. https://myhspa.org/wp-content/uploads/2025/06/HSPA_Press-Release-1.pdf
16 Training program availability varies by state.
17 Completion of this course does not fulfill eligibility requirements for certifications. Learners must meet eligibility criteria to sit for applicable certification exams.
18 HSPA. Certification Statistics. https://myhspa.org/certification/statistics/
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