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CER Online Lesson Plans

Sponsored By: Healthmark

Complete IAHCSMM's CER Online Lesson Plans Today

Once you've purchased a lesson plan, you will have immediate access to view the content through your IAHCSMM Account. Following each reading, there will be a quiz to take in order to receive credit toward your renewals.

This series of self-study lessons on Supervisory topics was developed by the International Association of Healthcare Central Service Materiel Management (IAHCSMM). The lessons provide ongoing education focusing on superviosry or management issues. These lessons are designed for CER re-certification, but can be of value to any CRCST in a management or supervisory role. These CER lesson plans offer continuing education for CER and CRCST renewals.


Introduction: Processing flexible endoscopes is one of the biggest challenges facing reprocessing departments today. Those challenges include delayed reprocessing, issues of inadequate manual cleaning, inadequate or non-existent cleaning verification, among others. One aspect of flexible endoscope reprocessing that shouldn’t be challenging, yet often is, is the selection and use of personal protective equipment (PPE).
Introduction: The consequences of using contaminated endoscopes on patients have been well documented in the news media over the last several years. These lapses have highlighted the need to do more to ensure these devices are safe for patients. Visual inspection is a crucial step in every endoscope manufacturer’s instructions for use (IFU).
Introduction: In accordance with ANSI/AAMI ST90, Processing of health care products—Quality management systems for reprocessing in health care facilities, healthcare facilities should establish a comprehensive quality assurance (QA) and safety program to monitor all aspects of device processing, including all flexible endoscopes.
Introduction: Effective drying of endoscopes reduces the risk of microbial contamination following high-level disinfection (HLD). If moisture remains in the channel of the endoscope and these endoscopes are stored wet while exposed to the environment, there is a possibility for recontamination of the device by the environment and replication of any remaining bacteria.
Introduction: Healthcare facilities should establish a comprehensive quality assurance and safety program to monitor all aspects of endoscope processing. This program should incorporate both visual inspections and testing of the equipment to identify conditions that may affect the cleaning or disinfection processes.
Introduction: Flexible endoscopes are complex and sophisticated devices. That complexity and sophistication makes them a wonderful tool for diagnostic and therapeutic procedures; however, it also makes endoscopes difficult to process and susceptible to damage. In addition to being thoroughly and diligently cleaned, most flexible endoscopes must also be leak tested each time they are processed.
Introduction: Infections and outbreaks associated with contaminated flexible endoscopes continue to occur and studies have shown that many facilities do not follow standards and instructions for use (IFU). The 2018 ECRI Top 10 Health Technology Hazards lists endoscope reprocessing failures as its number two concern.
Introduction: An outbreak has been traced to a contaminated endoscope at Hospital A. Several patients were notified that a contaminated flexible endoscope may have been used for their endoscopy procedures at Clinic B. One need only search “contaminated endoscopes” on the internet to find information regarding incidents where contaminated (unsafe) endoscopes have been used in patient procedures.


IAHCSMM offers only online grading for the lesson plans. Mailed submissions to IAHCSMM will not be graded and will not be granted a point value. Quizzes may be graded by a manager/supervisor as an in-service worth 1 CE per quiz passed with a 70% or higher (proper documentation of the in-service is required for re-certification, and IAHCSMM does not provide answer keys for any of the lesson plans).

International Association of
Healthcare Central Service Materiel 
Management (IAHCSMM)

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