CRCST Academy

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Master the hard topics, one lesson at a time.

Each lesson teaches one topic in about 15 minutes: a short read, questions in different formats, a second read, then more questions. Lessons 1 to 4 need no account. Sign in free for lessons 5 to 20. Lessons 21 and up are part of Full Access.

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Lessons 1 to 4. No account needed.

Instrument tray, blue wrap and inspection magnifier in a sterile processing department.
Lesson 01Departmental Considerations

Introduction to sterile processing: the department, the cycle and the job

Sterile processing is not washing and wrapping. Devices move one way around a cycle, and every step guards the patient.

About 16 min · 2 short reads · 18 questions

Open medical reference book and word-part study cards beside a stethoscope.
Lesson 02Professional Development and Human Relation Skills

Medical terminology: how prefixes, roots and suffixes build a word

Medical words are not random. They are built from parts, such as a prefix, a root and a suffix, that you can read.

About 16 min · 2 short reads · 16 questions

Surgery scheduling clipboard beside a case cart ready for instrument planning.
Lesson 03Professional Development and Human Relation Skills

Procedure names, abbreviations and the surgery schedule

A procedure name is more than a label. Its ending says what the surgeon will do, and its front often says how.

About 16 min · 2 short reads · 18 questions

Anatomical torso model showing the organs of several body systems.
Lesson 04Professional Development and Human Relation Skills

Anatomy basics: cells, tissues, organs and the body systems

The body is not a list of parts to memorize. Cells build tissues, tissues build organs, and organs work as systems.

About 16 min · 2 short reads · 16 questions

Free with an account

Lessons 5 to 20. Sign in free to open them.

Skeleton teaching model beside surgical retractors used to study anatomy and procedures.
Lesson 05Professional Development and Human Relation SkillsFree account

Anatomy in surgery: body directions, procedures and instrument names

An anterior hip replacement is not a posterior one. Direction words can change the instruments.

About 16 min · 2 short reads · 18 questions

Microscope and petri dish used to study microorganisms.
Lesson 06Cleaning, Decontamination and DisinfectionFree account

Microbiology: bacteria, viruses, protozoa, fungi and prions

Microbes are not all alike: spores are very hard to kill, and prions resist standard sterilization.

About 16 min · 2 short reads · 18 questions

Handwashing with soap at a clinical sink for infection prevention.
Lesson 07Cleaning, Decontamination and DisinfectionFree account

Infection prevention: asepsis, hand hygiene and what you wear

Looking clean proves nothing. Asepsis, hand hygiene and the dress code protect what you cannot see.

About 16 min · 2 short reads · 18 questions

An interrupted chain beside hand sanitizer and a mask represents breaking infection transmission.
Lesson 08Cleaning, Decontamination and DisinfectionFree account

Breaking the chain of infection: six links and a clean department

Infection does not need a visibly sick person. It needs six links, and your daily habits can break them.

About 16 min · 2 short reads · 13 questions

Policy binders and a checklist for sterile processing regulations and standards.
Lesson 09Departmental ConsiderationsFree account

Regulations and standards: who makes the rules and who checks them

A standard is usually not law, but surveyors may still cite it, and the strictest regulation always applies.

About 16 min · 2 short reads · 19 questions

Closed instrument transport container returning used devices to decontamination.
Lesson 10Cleaning, Decontamination and DisinfectionFree account

Point-of-use treatment and transport: the trip back to decontamination

Decontamination does not start in decontamination. It starts where the instrument was used, before the soil dries.

About 16 min · 2 short reads · 18 questions

Ultrasonic cleaner, instrument basket and brushes for manual and mechanical cleaning.
Lesson 11Cleaning, Decontamination and DisinfectionFree account

Cleaning by hand and by machine: brushes, sonic cleaners and washers

Clean means every bit of soil is gone, seen and unseen. A shiny instrument or a finished cycle does not prove it.

About 17 min · 2 short reads · 14 questions

Three-sink cleaning station with a detergent bottle and measuring cup.
Lesson 12Cleaning, Decontamination and DisinfectionFree account

Cleaning chemistry and water: enzymes, detergents, pH and the three sinks

Water alone cleans poorly, and a detergent kills microorganisms only if it contains a biocide.

About 16 min · 2 short reads · 18 questions

Forceps, an endoscope and a blood pressure cuff illustrate different processing requirements.
Lesson 13Cleaning, Decontamination and DisinfectionFree account

Disinfection and Spaulding: choosing the level and disinfecting by hand

High-level disinfection is not sterilization, and a disinfectant works only where it stays wet for the full time.

About 16 min · 2 short reads · 13 questions

A gloved hand checks a disinfectant test strip beside a covered soaking tray.
Lesson 14Cleaning, Decontamination and DisinfectionFree account

Disinfectants and high-level disinfection: the chemicals, the machines and the MEC test

Soil weakens every disinfectant, and a high-level solution can fail its strength test before its reuse life ends.

About 16 min · 2 short reads · 17 questions

Scissors, hemostats, forceps and a retractor arranged for instrument identification.
Lesson 15Preparation and PackagingFree account

Surgical instruments: where they come from, how they are made and what they do

Two instruments that look alike can do different jobs, and stainless steel can still stain and rust.

About 16 min · 2 short reads · 19 questions

Open hemostat under a magnifier for inspection of its jaws and hinge.
Lesson 16Preparation and PackagingFree account

Inspecting and protecting instruments: checkpoints, sharpness tests and care

An instrument can look clean and still hide soil in a joint, have dull tips or be harmed by the wrong chemical.

About 17 min · 2 short reads · 18 questions

Surgical power tool, removable battery and rigid scope on an inspection mat.
Lesson 17Preparation and PackagingFree account

Powered and complex instruments: power sources, rigid scopes and insulation tests

A powered handpiece never goes under liquid unless its IFU allows it, and sound-looking insulation can hide tiny holes.

About 16 min · 2 short reads · 18 questions

Flexible endoscope and channel brushes in a reprocessing tray.
Lesson 18Cleaning, Decontamination and DisinfectionFree account

Flexible endoscopes: from point of use to a patient-ready label

A clean look is no proof for a flexible endoscope. Test it, dry it with air, not alcohol, and label it.

About 17 min · 2 short reads · 19 questions

Instrument tray, count sheet and sterilization wrap on an assembly bench.
Lesson 19Preparation and PackagingFree account

Preparation and assembly: the clean area, the count sheet and a pack that works

Assembly is more than filling a tray. Each item must work, match the count sheet and sit where the sterilant reaches it.

About 17 min · 2 short reads · 14 questions

Wrapped instrument tray and sealed peel pouch prepared as sterile barrier packages.
Lesson 20Preparation and PackagingFree account

Packaging and sterility: choosing, wrapping, sealing and labeling a pack

A pack is not just a cover. It must let the sterilant in, keep microbes out and open cleanly when it is used.

About 17 min · 2 short reads · 19 questions

Full Access

Lessons 21 to 52. Part of Full Access.

Compact steam sterilizer and rigid container for immediate-use processing.
Lesson 21Sterilization ProcessFull Access

Immediate use steam sterilization and heat-sensitive devices at the point of use

Immediate use steam sterilization is no shortcut: every normal step still happens, and the item goes straight to use.

About 16 min · 2 short reads · 13 questions

Stainless steel chamber and rack inside a hospital steam sterilizer.
Lesson 22Sterilization ProcessFull Access

How steam sterilizes: the four conditions, steam quality and the cycle

Hot is not enough. Steam must touch every surface, for long enough, and carry its moisture with it.

About 16 min · 2 short reads · 11 questions

Open steam sterilizer and loading trolley with spaced blue wrapped instrument trays.
Lesson 23Sterilization ProcessFull Access

Steam sterilizers at work: parts, cycle records, loading and wet packs

The cycle ending is not the end: read the record, cool the load untouched, and treat a wet pack as contaminated.

About 16 min · 2 short reads · 13 questions

Low-temperature sterilizers beside a tray holding a delicate medical cable.
Lesson 24Sterilization ProcessFull Access

Low-temperature sterilization: how ethylene oxide and hydrogen peroxide work

Low temperature is not one method: EO needs a long aeration, gas plasma needs none, and VHP aerates in the chamber.

About 16 min · 2 short reads · 16 questions

Steam and low-temperature sterilizers presented side by side.
Lesson 25Sterilization ProcessFull Access

Choosing and running a low-temperature method: materials, packs, loads and safety

Low-temperature methods are not interchangeable. The device, its pack and the load must all suit the method.

About 15 min · 2 short reads · 18 questions

Intact wrapped trays and sealed pouches stored on orderly sterile supply shelves.
Lesson 26Sterile Storage, Transport and Inventory ManagementFull Access

Sterile storage and shelf life: the room, the shelves and event-related sterility

A wrapper is a barrier, not a wall: a pack stays sterile only until an event, such as moisture or damage, ends it.

About 16 min · 2 short reads · 18 questions

Biological indicator incubator, indicator strips and a cycle printout on a clinical bench.
Lesson 27Sterilization ProcessFull Access

Monitoring sterilization: chemical indicators, printouts and biological indicators

A negative spore test does not prove every item is sterile. It shows the cycle met the conditions that sterilize.

About 16 min · 2 short reads · 18 questions

Instrument tray isolated with a red hold tag following a processing concern.
Lesson 28Sterilization ProcessFull Access

Records, failed checks and recalls: from load numbers to qualification testing

An incomplete record is as harmful as none. A recall relies on load records to find the packs.

About 16 min · 2 short reads · 13 questions

Two coworkers review a quality checklist beside an instrument tray.
Lesson 29Departmental ConsiderationsFull Access

Quality in sterile processing: customers, monitoring and the team behind it

Ninety-nine perfect sets do not make a quality department. The customer remembers the one with a missing instrument.

About 16 min · 2 short reads · 18 questions

Fishbone diagram and blank process-flow notes on a quality-improvement desk.
Lesson 30Departmental ConsiderationsFull Access

Quality tools and programs: indicators, FMEA, root cause analysis and outside checks

FMEA looks ahead for what could fail. Root cause analysis looks back at what did. They are not the same tool.

About 16 min · 2 short reads · 17 questions

Barcode scanner and replenishment cards in front of organized medical supply bins.
Lesson 31Sterile Storage, Transport and Inventory ManagementFull Access

Supply chain and inventory: the stock, sterile package labels and replenishment

Supply Chain usually buys the stock, but you keep what you handle in date, intact and in its place, and report problems.

About 16 min · 2 short reads · 18 questions

Infusion pump and wheelchair in a patient-care equipment area.
Lesson 32Patient Care Equipment and DistributionFull Access

Supporting other departments: patient care equipment, tracking and procedure trays

Used equipment that looks clean still counts as contaminated. You clean and check it; Biomed tests and repairs it.

About 16 min · 2 short reads · 18 questions

Instrument tracking workstation with a scanner and a coded stainless steel tray.
Lesson 33Departmental ConsiderationsFull Access

Information technology in sterile processing: the facility's systems and tracking

Tracking systems work only when people use them faithfully, and they need a back-up plan for the day they go down.

About 16 min · 2 short reads · 18 questions

Splash goggles and protective gloves near a mounted fire extinguisher and clear corridor.
Lesson 34Departmental ConsiderationsFull Access

Safety in sterile processing: everyday hazards, fire and disasters

Thinking an injury will never happen to you is not safety. It is a false sense of security.

About 16 min · 2 short reads · 18 questions

Chemical containers, safety-data binder and splash goggles at a safety station.
Lesson 35Departmental ConsiderationsFull Access

Chemical safety: labels, safety data sheets, exposure limits and sterilants

No smell does not mean no exposure. Monitors can detect chemicals far below what your nose can.

About 16 min · 2 short reads · 19 questions

Two healthcare colleagues communicate at a desk with a phone and computer.
Lesson 36Professional Development and Human Relation SkillsFull Access

Communication in sterile processing: speaking, listening, email and social media

Being heard is not being understood. "It's in the sterilizer" still leaves surgery guessing how long.

About 16 min · 2 short reads · 18 questions

Three sterile processing coworkers coordinate their work around an assembly table.
Lesson 37Professional Development and Human Relation SkillsFull Access

Human relations and teamwork: the professional, the team and the customer

Technical skill is not enough on its own. Success also turns on how well you get along with people.

About 16 min · 2 short reads · 18 questions

Two staff members practicing instrument identification at a training bench.
Lesson 38Professional Development and Human Relation SkillsFull Access

Personal and professional development: career goals, résumés, interviews and promotions

Development is not only for people chasing a promotion. Every technician has to keep current.

About 16 min · 2 short reads · 13 questions

Biological indicator vial and chemical indicator strips used to monitor sterilization.
Lesson 39Sterilization ProcessFull Access

Sterilization indicators and test results

A color change is not proof of sterility.

About 17 min · 2 short reads · 19 questions

Separated sterile processing work areas with ventilation grilles and transport routes.
Lesson 40Departmental ConsiderationsFull Access

Department workflow, airflow and environmental controls

The room rules are not trivia. Each one keeps contamination from moving toward clean items.

About 16 min · 2 short reads · 17 questions

Enclosed transport carts separated to keep sterile and soiled items apart.
Lesson 41Sterile Storage, Transport and Inventory ManagementFull Access

Transporting sterile and soiled items

The trip is part of the process. It can undo a sterile pack or injure the person who carries a soiled tray.

About 16 min · 2 short reads · 18 questions

Closed record folder and padlock beside a blank workstation represent patient privacy.
Lesson 42Professional Development and Human Relation SkillsFull Access

Patient privacy and HIPAA in sterile processing

Privacy rules are not only for the bedside. A pick list with a patient's name on it is protected too.

About 16 min · 2 short reads · 18 questions

Barcode scanner, supply bins and an isolated package for recall tracking.
Lesson 43Sterile Storage, Transport and Inventory ManagementFull Access

Device recalls and your inventory

Class I is the most serious recall, and an item from a recalled lot is recalled even when it looks perfect.

About 16 min · 2 short reads · 19 questions

Hospital equipment plug and power cord beside an electrical safety analyzer.
Lesson 44Patient Care Equipment and DistributionFull Access

Electrical safety for patient care equipment

"It powers on" is not a safety check. The cord and plug need a look first.

About 16 min · 2 short reads · 18 questions

Antiseptic dispenser, disinfection tray and wrapped instrument pack distinguish processing terms.
Lesson 45Professional Development and Human Relation SkillsFull Access

Processing terminology: antiseptic, disinfectant and sterile

Antiseptic and disinfectant are not two words for one thing, and nothing is partially sterile.

About 16 min · 2 short reads · 17 questions

Tagged infusion pump and incident-report clipboard for a device malfunction.
Lesson 46Patient Care Equipment and DistributionFull Access

Medical device reporting: deaths, injuries and malfunctions

A device report does not wait for proof, and user error still counts.

About 16 min · 2 short reads · 18 questions

Laser-etched device identification code on a surgical instrument handle.
Lesson 47Preparation and PackagingFull Access

Device identification: the UDI marked on reusable devices

A catalog number etched on an instrument is not its UDI.

About 16 min · 2 short reads · 18 questions

Neatly spaced wrapped instrument trays on sterile storage shelves.
Lesson 48Sterile Storage, Transport and Inventory ManagementFull Access

Storage safety: stacks, shelves and carts

Storage safety is not only about sterility. It also protects the people who stack the shelves and push the carts.

About 16 min · 2 short reads · 17 questions

Packaged disposable syringe beside reusable stainless steel forceps.
Lesson 49Preparation and PackagingFull Access

Reusable, single-use and reprocessed devices

Cleaning up well does not make a used single-use device reusable. Its labeling decides, not its looks.

About 16 min · 2 short reads · 18 questions

Upright medical gas cylinders secured to a transport trolley.
Lesson 50Sterile Storage, Transport and Inventory ManagementFull Access

Compressed gas cylinders: storage, transport and labels

An empty gas cylinder still stands upright and chained, and a cylinder's color is not its label.

About 16 min · 2 short reads · 18 questions

Healthcare coworkers practicing calm communication with space between them.
Lesson 51Professional Development and Human Relation SkillsFull Access

Workplace violence: threats, de-escalation and reporting

Workplace violence is not only a physical attack. A threat, verbal abuse or a coworker's bullying counts too.

About 16 min · 2 short reads · 18 questions

Sterilization wrap, peel pouch, rigid container and indicators for matching packaging to a cycle.
Lesson 52Preparation and PackagingFull Access

Matching packaging and indicators to the cycle

Cleared for steam does not mean cleared for every steam cycle. Match the wrap, pouch and indicators to the cycle.

About 17 min · 2 short reads · 19 questions

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