Sterile Processing Career and Education Overview
Many healthcare workers are considered essential, but few are as fundamentally important as sterile processing technicians. Without them, hospitals would not be able to function. Patients would not receive necessary surgeries. And many more people would lose their lives from preventable infection or untreated medical conditions. Their work impacts nearly every department within modern hospitals and surgical centers. You'd be hard-pressed to discover workers who make more of a critical difference at such a basic level.
You're already thinking about joining this crucial field—now you just need to know a bit more about it. Here are some of the most common topics and frequently asked questions regarding sterile processing, and the detailed information you need. And, once you're ready to find a school, this site is the perfect place to get started.
A sterile processing technician is someone who cleans and sterilizes used surgical instruments and other medical supplies so that they can be safely redistributed and reused on additional patients. This work is usually centralized in a special department of the medical facility.
Job titles in this occupation can also include variations such as:
- Central processing technician (CPT)
- Central sterile processing technician
- Sterile processing and distribution technician (SPD tech or CPD tech)
- Central service technician (CST)
- Central sterile supply technician (CSS tech)
- Surgical processing technician
A typical hospital uses (and reuses) tens of thousands of medical instruments every month. Although some supplies are disposable, many are not. The reusable supplies come with their own special instructions for proper cleaning and maintenance.
Sterile processing is the act of carrying out a specific set of procedures in order to decontaminate and sterilize used medical instruments so that they can be placed back into appropriate sets and safely reused on new patients.
Technicians primarily work for one of two types of employers:
- Hospitals (where most sterile processing techs work)
- Outpatient surgical centers
The most common work environment is a department located in an out-of-the-way area of a medical facility. The department is usually called something like sterile processing and distribution (SPD), central service, central processing, or central supply.
Typical Job Duties
Sterile processing technicians have various responsibilities, depending on which area of a central service department they are tasked to work in. But, since they often rotate through different areas, most share some common duties (even though they might not perform all of them on the same day):
- Decontaminating used surgical instruments and other medical devices
- Operating and maintaining special decontamination equipment like automatic washers
- Inspecting decontaminated items to make sure they are clean
- Organizing clean items and packaging them into appropriate instrument trays and sets
Sterilization and Storage
- Sterilizing assembled trays of instruments
- Precisely operating and monitoring special sterilization equipment like autoclaves
- Keeping detailed records of items that have been cleaned, sterilized, and stored
Inspection and Maintenance
- Keeping detailed records of equipment maintenance
- Inspecting and testing sterilizing equipment to ensure its effectiveness
- Reporting malfunctioning equipment
- Removing waste matter from equipment
- Stocking crash carts
- Organizing sterilized medical supplies
- Ensuring that sterile supplies don't become outdated
- Delivering sterile supplies where they are needed and picking up dirty ones
Essential Skills for the Job
- Using a variety of special tools such as barcode readers, steam autoclaves, and chemical and gas sterilizers
- Properly utilizing personal protective equipment (PPE) like gowns, face shields, and rubber gloves
- Using computer software for database and supply chain management
- Staying on top of the changing technologies and regulations that are relevant to the job
- Following precise instructions and adhere to rigid standards
A sterile processing technician salary depends greatly on geographic location and level of experience. The U.S. Bureau of Labor Statistics groups sterile processing technicians in with other "medical equipment preparers."
Based on national estimates from May 2018, the median annual wage for medical equipment preparers was $36,240.* This means that half earned more than that amount, and half earned less. The typical sterile processing tech salary likely falls close to this median.
Generally speaking, starting pay for sterile processing technicians tends to be around $11 per hour and can go as high as about $24 per hour with experience. Of course, this all depends on your employer and work location.
Most full-time sterile processing techs also receive full benefits like paid vacation and health insurance.
How to Become a Sterile Processing Technician
Find Out Whether You'll Need Certification
Many of the job openings in competitive regions will require proof that you are certified as one of the following:
- Certified Registered Central Service Technician (CRCST)
- Certified Sterile Processing and Distribution Technician (CSPDT)
CSPDT certification is offered through the Certification Board for Sterile Processing and Distribution (CBSPD).
CRCST certification is offered through the International Association of Healthcare Central Service Materiel Management (IAHCSMM).
To obtain either sterile processing certification, you must pass a written exam.
Choose a school to learn what you need to know.
The first step in preparing for certification is to enroll in a sterile processing program at a school of your choice. Depending on where you choose to attend, you could take part in an externship at a medical facility. This can provide you with good networking opportunities. Plus, hospitals often like to hire new techs that they've already worked with.
Do Sterile Processing Technicians Need to Be Certified?
In terms of government regulations, certification is currently required in only one state: New Jersey. However, legislation that would require sterile processing technicians to be certified is now pending in two other states: New York and Pennsylvania.
In all other states, certification is strictly voluntary. But that doesn't mean it isn't a good idea to obtain. Many hospitals and surgical centers prefer to hire certified sterile processing techs. Plus, some employers will increase your pay if you are certified.
The two main certifying organizations are the IAHCSMM and the CBSPD. Both require you to pass an exam. Once certified, you must accrue continuing education points in order to renew your certification at regular intervals.
Length of Training
Sterile processing technician programs at post-secondary schools tend to last nine months or less.
In-house training at hospitals generally takes from three to nine months regardless of prior experience, due to the unique layouts and policies of individual facilities.
What You Will Learn
When looking at sterile processing course options, you may find that programs can vary significantly in their curricula from school to school. In general, though, you are likely to have courses that cover the following subjects:
- Medical terminology
- Anatomy and physiology
- Infection control
Sterile Processing Basics
- Identifying surgical instruments
- Decontamination tools and processes
- Low- and high-temperature sterilization methods
- Point-of-use processing
- Assembling surgical instrument trays
- Inventory management
- Safety protocols
- Tracking systems
- Quality assurance
- Regulations and standards
Sterile processing is an entry-level healthcare position. As such, there is the opportunity to grow into more advanced positions by obtaining additional formal training and relevant credentials.
Within central service departments, technicians who have the right credentials sometimes advance into supervisory positions such as lead tech or department manager.
Beyond the central service department, some technicians go on to train for careers as surgical technologists. Sterile processing provides an excellent gateway to surgical technology because of the routine handling of all the many different types of surgical instruments.
With the growing healthcare needs of the aging population, demand should remain high.
Benefits of this Career Choice
- A sense of great purpose—It can be very fulfilling to know that your work is so meaningful.
- Plenty of work to keep you stimulated—If you enjoy a steady routine, then boredom is unlikely. Most hospitals always have more than enough work to keep their central service departments busy.
- Shift flexibility—The sterile processing departments of most hospitals are active 24 hours a day, seven days a week. With experience and seniority come opportunities to choose the shifts that best fit your preferred schedule.
* Bureau of Labor Statistics, U.S. Department of Labor, Occupational Employment Statistics, web site last accessed on April 18, 2019.
The Occupational Information Network (O*NET), web site last accessed on December 11, 2017.
International Association of Healthcare Central Service Material Management (IAHCSMM), web site last accessed on December 11, 2017.
The Certification Board for Sterile Processing and Distribution, Inc. (CBSPD), web site last accessed on December 11, 2017.
Association for the Advancement of Medical Instrumentation (AAMI), web site last accessed on December 11, 2017.
The Center for Public Integrity, "How dirty medical devices expose patients to infection" Joe Eaton, February 22, 2012. Web site last accessed on December 11, 2017.