Coming Soon:
IAHCSMM Endoscope Reprocessing Manual, Endoscope Certification


The International Association of Healthcare Central Service Materiel Management (IAHCSMM) has partnered with industry experts and leaders in endoscope reprocessing to publish the IAHCSMM Endoscope Reprocessing Manual. This comprehensive resource will provide valuable information to all endoscope reprocessing technicians and managers, regardless of their level of experience.

“Studies and surveys supported the need for endoscope education, and providing needed education is aligned with IAHCSMM’s mission,” said IAHCSMM Education Director Natalie Lind. “This has been an exciting project. We pulled together some of the best resources in the field to create a text that is informative and user friendly.”

No question, the need for targeted guidance on proper endoscope reprocessing is great. Inadequate endoscope reprocessing has made the news and ECRI Institute identified inadequate cleaning of flexible endoscopes before disinfection as the number one health technology hazard in ECRI Institute’s Top 10 list for 2016.

Broad-based content

In addition to providing pertinent information on a range of technical topics, the Endoscope Reprocessing Manual will also provide information on other topics that will strengthen the practices of any endoscope reprocessing area.

“We developed this text to provide a resource for endoscope reprocessing staff and anyone associated with endoscope reprocessing,” said Lind. “It takes the reader through all aspects of endoscope reprocessing. If Instructions for Use (IFU) provide the hows, this text provides the whys.”

Major topics addressed in the text include:

  1. Introduction to Endoscopes
  2. Endoscope Anatomy, Procedures and Terminology
  3. Microbiology Basics for Endoscope Reprocessing Technicians
  4. Work Area Design
  5. Cleaning Basics
  6. Point-of-Use Cleaning, Transport and Leak Testing
  7. Cleaning Processes for Flexible Endoscopes
  8. Endoscope Inspection and Preparation
  9. High-level Disinfection Processes for Flexible Endoscopes
  10. Sterilization Processes for Flexible Endoscopes
  11. Endoscope Handling, Storage and Transport
  12. Rigid and Semi-Rigid Endoscopes
  13. Human Factors in Endoscope Reprocessing
  14. Regulations, Standards and Resources
  15. Endoscope System Management

The text will be available as a standalone publication or as a boxed set (which will include a study workbook as well as the text).

From education to certification

In addition to this important new manual, IAHCSMM has also been working to create a new endoscope certification program. Beginning in June 2016, several test development meetings were held with Subject Matter Experts (SMEs) throughout the country, culminating in an industry-wide endoscope survey released last fall. The work of these SMEs and the results of the survey have allowed IAHCSMM to map out a blueprint for the upcoming Certified Endoscope Reprocessing (CER) exam. Using that blueprint, additional SMEs will work this summer to create, edit and review new questions for the upcoming exam.

In December 2017, following this year’s round of SME workshops, IAHCSMM will offer a discounted pilot exam for the new CER certification. Then, in the spring of 2018, the endoscope certification exam will be released for regular testing


  1. To maintain CER certification, annual recertification will be required. This involves attaining 6 approved CE credits annually. Exam retesting is not required — just the CEs.

  2. Is there any books that i can check out at the library on this subject as well as a manual with the surgical tools?

    • Those interested in becoming a CER can prepare in one of the following ways:

      • Self-Study: You may purchase reference materials and choose to study on your own to prepare for the CER exam. IAHCSMM’s Endoscope Reprocessing Manual (1st ed.) was used as a reference in creating the CER exam, along with ANSI/AAMI’s ST91 (2015 ed.), and the following articles by the Society of Gastroenterology Nurses & Associates (SGNA): Standard of Infection Prevention in the Gastroenterology Setting (2015), and Standards for Infection Prevention in Reprocessing Flexible Gastrointestinal Endoscopes (2016).
      • You may order the IAHCSMM and ANSI/AAMI publications through the IAHCSMM website at and download the SGNA articles from their website at
        • Please Note: IAHCSMM’s education department developed some of the materials referenced above as an optional method to assist individuals in preparing for the CER exam. They were developed and produced independently from the Certification Council, which does not develop, require, approve or endorse any specific training materials.
        • You may want to check to see with your local library or hospital library to see if any of these references are available.
      • Work Experience: Individuals may take the exam based on their personal knowledge from experience in the field; it is not required that they take or pass a preparatory course, or prepare using study materials on their own. Applicants may apply directly to take the exam without purchasing study materials or enrolling in a course. Note: Hands-on experience is required before taking the exam. Prior to testing, CER certification also requires the completion of three months of hands-on experience reprocessing endoscopes. Because of the complex nature of endoscopes, first-hand experience is essential to supplement an individual’s understanding of the necessary knowledge and concepts of reprocessing, and to illustrate their practical use.


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