CER Certification

The Certified Endoscope Reprocessor credential — specialized certification for technicians who reprocess flexible endoscopes.

What is CER?

The CER (Certified Endoscope Reprocessor) is a specialty certification from HSPA for technicians who reprocess flexible endoscopes — colonoscopes, bronchoscopes, duodenoscopes, and other complex devices that require high-level disinfection (HLD) rather than traditional sterilization.

Endoscope reprocessing is one of the highest-risk areas in healthcare. Improperly reprocessed scopes have caused major infection outbreaks. The CER credential demonstrates that you understand the unique challenges of scope reprocessing and can perform it safely.

Why CER is in High Demand

FDA safety communications have put endoscope reprocessing under intense scrutiny

CMS now requires facilities to have documented scope reprocessing competencies

The Joint Commission actively surveys endoscope reprocessing areas

Several states are considering CER-specific mandates for endoscopy staff

Hospital risk management teams increasingly require certified reprocessors

Eligibility Requirements

Active CRCST certification (must be current)

Minimum 1 year of endoscope reprocessing experience

Current employment involving scope reprocessing duties

Documentation of endoscope-specific training (IFU review, competency records)

Exam Details

Questions100 multiple-choice
Time2.5 hours
Passing score70% scaled
Cost$125 (HSPA members) / $175 (non-members)
TestingPrometric centers
PrerequisiteActive CRCST + 1 year scope experience

Exam Content Areas

Scope anatomy, channels, and components~20%
Pre-cleaning and leak testing~15%
Manual cleaning procedures~20%
High-level disinfection (HLD) methods~20%
Storage, transport, and documentation~15%
Quality monitoring and outbreak response~10%

Key Standards to Know

AAMI ST91

Flexible and semi-rigid endoscope reprocessing in healthcare facilities

SGNA Guidelines

Standards of infection prevention in reprocessing flexible GI endoscopes

FDA Guidance

Reprocessing of reusable medical devices (including manufacturer IFUs)

AORN Guidelines

Perioperative standards for flexible endoscope processing

Career Benefits

Pay premium

$1-3/hour above base CRCST rate

Specialized role

Dedicated endoscopy reprocessing positions

Regulatory value

Satisfies CMS and TJC competency requirements

Job security

Growing demand as GI procedures increase

Preparing for the CER exam?

Practice endoscope reprocessing questions covering HLD, leak testing, and scope anatomy.

CER Practice Test