The Training Manual is the premier reference and review publication for individuals preparing for examinations given by The Certification Board for Sterile Processing and Distribution. It is a concise, applicable tool that can be used for orientation, training, and instructional programs in health care facilities and in institutions for learning. The Fifth Edition of the manual is the largest and most comprehensive to date.

Table of Contents:
Foreword to the Fifth Edition xi Foreword to the Fourth Edition xiii Foreword to the Third Edition xvii Foreword to the Second Edition xix Foreword to the First Edition xxiii 1 Introduction to Central Service 2 Educational Objectives 2 Organizational Structure 3 Objectives and Functions 4 Major Areas in Central Service 5 Ethics 9 Safety 10 Personal Cleanliness 14 Continuous Quality Improvement 14 Rules and Regulations 15 Communication 19 Summary 21 2 Human Anatomy and Physiology 22 Educational Objectives 22 Cell Biology 23 The Skeletal System 25 The Muscular System 27 The Nervous System 28 The Circulatory System 30 The Respiratory System 34 The Digestive System 35 The Urinary System 39 The Reproductive System 41 The Endocrine System 42 The Sensory System 44 Summary 47 3 Microbiology and Infection Control 48 Educational Objectives 48 Basic Microbiology 49 Disease Transmission 55 Disease Prevention 58 Nosocomial Infections and Cross-Contamination 59 Disinfection Principles 62 Sterilization Principles 63 Isolation 65 Summary 65 4 Decontamination 66 Educational Objectives 66 Collection and Transport of Used Supplies and Equipment 67 Decontamination Area 69 Standard Precautions 70 Detergents and Cleaning Agents 76 Disinfectants 77 Cleaning and Processing Equipment 82 Cleaning, Disinfection, and Preparation Procedures 91 Summary 101 5 Instrumentation 102 Educational Objectives 102 Handheld Surgical Instruments 104 Powered Instruments 111 Endoscopic Instruments 112 Summary 115 6 Preparation and Packaging for Sterilization 116 Educational Objectives 116 Preparation of Instruments 117 Pack Construction 121 Basin Set Preparation 123 Miscellaneous Preparation 125 Principles of Packaging 125 Types of Packaging Materials 128 Wrapping Techniques 129 Pouches 134 Containerized Packaging 135 Labeling Packages 140 Shelf Life 140 Summary 141 7 Sterilization 142 Educational Objectives 142 Factors Affecting Sterilization 143 Monitoring the Sterilization Process 144 Steam Sterilization 152 EtO Sterilization 163 Dry-Heat Sterilization 169 Liquid Chemical Sterilization 171 Gas Plasma Sterilization 174 Ozone Sterilization 175 Summary 177 8 Sterile Storage 178 Educational Objectives 178 Maintaining Product Sterility 179 Stock Arrangement, Rotation, and Shelf Life 185 Summary 187 9 Distribution 188 Educational Objectives 188 Types of Distribution Systems 189 Delivery Methods and Equipment 194 Distribution Work Practices 195 Summary 197 10 Inventory Control 198 Educational Objectives 198 Measuring Inventory Performance 199 Managing Inventory 200 Summary 205 Appendix A: Central Service Terminology 207 Appendix B: Medical Terminology for Central Service Department Employees 249 Appendix C: Symbols Used by Device Manufacturers 263 Bibliography 267