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Certified Endoscope Reprocessor (CER) — Requirements & Free Practice

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Certified Endoscope Reprocessor (CER)

Licensing authority: Healthcare Sterile Processing Association

Initial by examination
Certified Endoscope Reprocessor (CER) exam
Experience
At least three months of regular hands-on endoscope reprocessing, paid or volunteer, in a medical center, hospital, surgery center, or independent endoscope center; completed by application within the preceding three years and covering pre-cleaning, testing, decontaminating, inspecting, disinfecting and/or sterilizing, transporting, and storing endoscopes. CRCST is not required.

Certified Endoscope Reprocessor (CER) exam

Format
Computer-based multiple-choice examination
Exam questions
Total questions: 150; Scored questions: 125; Unscored questions: 25; The total includes the scored and unscored questions.
Time limit
Three hours
Exam fee
$140 initial examination
Examination outline
  • Microbiology and Infection Control (12%)
    • Microorganisms
    • Biofilms
    • Environmental cleaning and surface disinfection
    • Chain of infection
    • Spaulding Classification system
    • Hygiene
    • Quality assurance systems
  • Endoscope Purpose, Design and Structure (10%)
    • Benefits of endoscopic procedures
    • Endoscope categories
    • Endoscope anatomy and components
    • Processing challenges related to design
    • Endoscope types and related procedures
    • Endoscope accessories
  • Work Area Design (12%)
    • Workflow design
    • Environmental requirements
    • Cross-contamination
    • PPE location
    • Decontamination and processing area requirements
    • HLD and sterilization area requirements
    • Storage area requirements
  • Endoscope Processing Steps (32%)
    • Point-of-use care
    • Transportation of soiled endoscopes
    • Initial visual inspection
    • Leak testing
    • Breach in process
    • Manual cleaning
    • Rinsing
    • Extended soak
    • Quality testing for cleaned endoscopes
    • Manual high-level disinfection
    • Automated endoscope reprocessors
    • Drying processes
    • Factors influencing high-level disinfection
    • Preparation for sterilization
    • Sterilization packaging methods
    • Sterilization methods
    • Sterilizer loading and unloading
    • Sterilization quality assurance
    • Factors influencing sterilization
    • HLD and sterilization documentation
    • Recall process
  • Endoscope Handling, Transport and Storage (16%)
    • Proper handling techniques
    • Storage requirements
    • Accessories
    • Storage systems
    • Hang time
    • Transportation of processed endoscopes
  • Endoscope Tracking, Repair and System Maintenance (10%)
    • Required processing documentation
    • Other processing documentation
    • Routine equipment checks
    • Shipping damaged endoscopes
    • Tracking repairs and loaned endoscopes
    • Repair issues and damage prevention
  • Human Factors That Impact Endoscope Systems (8%)
    • Human impact on endoscope processing systems
    • Processing errors and omissions
    • Staff requirements
    • Communication
    • Audits
    • Education, training and competencies
    • Safety
Examination sources