NOTICE: On March 1, 2023, the cost to take a certification exam is increasing to $140 USD.
If an exam application is received on or before February 28, HSPA will honor the exam fee of $125 USD.

Certified Instrument Specialist (CIS)

A secondary certification for instrumentation.

Technology changes. Standards update. Instrumentation evolves. The learning curve for Sterile Processing (SP) professionals is steep and ever-changing, and the demands placed on them are ever-growing. The CIS certification program is designed to recognize individuals who have demonstrated the experience, knowledge and skills necessary to provide competent services as an advanced instrument specialist in the SP department. CISs are essential members of the healthcare team who are responsible for demonstrating the knowledge and recognition of medical instruments and instrument support system functions necessary to help ensure the safe and timely delivery of surgical instruments to patients.

Initial Eligibility Requirements


Current, full CRCST certification must be obtained prior to taking the CIS exam and must be kept current to maintain your CIS certification.

To earn CIS certification, candidates are required to successfully demonstrate skills through the completion of 200 hours of hands-on work experience in a Sterile Processing department, as well as the successful completion of an examination developed to measure the understanding of all instrument reprocessing functions (including instrument support system functions, instrumentation practice skills, knowledge and recognition of medical instruments, plus Sterile Processing technician responsibilities). CIS certification holders are required to recertify annually through the completion of continuing education requirements.

Hands-On Hours of Experience

200 hours of experience must be completed in a Sterile Processing department (SPD), on a paid or volunteer basis. These hours must be completed at the time of application and must have been accumulated within the past five years. Hands-on experience provides an invaluable resource with which to better understand the standards, knowledge, and practices needed to be successful in an SPD and on the exam. These hours are broken down into the following areas of experience:

  • Instrument Decontamination (92 hours)
  • Instrument Assembly (92 hours)
  • Instrument Information System Management (12 hours)
  • Surgery Observation (4 hours)

Please be aware that HSPA does NOT provide placement services. It is your responsibility to find a department in which to complete your hours.

If you are unsure if your department is authorized to sign off on your hours, please fill out our Department Authorization Form.


HSPA believes that both training and experience contribute to the delivery of quality patient care.

The hands-on experience requirement provides an invaluable resource with which to better understand the standards, knowledge, and practices needed to be successful in a Sterile Processing department and on the CIS Exam.

View Exam Content Outline

How to Prepare for the Certification Exam

Those interested in becoming a CIS 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 CIS exam. HSPA's Instrument Resource Manual, 1st Edition (2018) was used as a reference in creating the exam, along with HSPA's CS Technical Manual, 8th Edition (2016), Rick Schultz's The World of Surgical Instruments–The Definitive Inspection Textbook (2018), and ANSI/AAMI ST79 (2017). You can order these publications through the HSPA Store.

  • Work Experience: You may take the exam based on your personal knowledge from experience in the field. It is not required that you take or pass a preparatory course or study materials on your own. Applicants can apply directly to take the exam without purchasing study materials or enrolling in a course.

Please note: Online/distance learning courses are not available for the CIS. HSPA has developed the materials above as an optional method to assist individuals in preparing for the CIS exam. They were developed and produced independently from the HSPA Certification Council, which does not develop, require, approve, or endorse any specific training materials.

Content & Composition of the Exam

The CIS exam will test your proficiency in the following areas:

  1. Instrument Cleaning & Decontamination Processes
  2. Instrument Identification
  3. Instrument Inspection, Testing & Assembly
  4. Preparation & Packaging
  5. Sterilization & High-Level Disinfection (HLD)
  6. Human Factors Impacting Instrument Systems

Each of the six knowledge domains listed above is comprised of a series of sub-domains which are explained in further detail in the CIS Exam Content Outline (updated January 2019). The Content Outline also describes further detail on the type and amount of content covered in each section as well as its weight on the certification exam.

Exam Structure

  • The exam is computer-based and no writing instruments are needed (a written version of the exam is not available)
  • The current version of the test is comprised of 150 multiple choice questions
  • You will have three hours in which to complete the exam
  • Questions can be marked for review and answered or changed later in the exam
  • A 15-minute tutorial describing how to take the exam on the computer precedes the test and is also available online, below

Test Tutorial

Verification of Examination Requirements

Hands-on experience is required for your examination, and documentation of that experience must be provided on the exam application as indicated. No other documentation is necessary or acceptable.

The sections of your application documenting your experience must be completed by your department's immediate manager/supervisor. An individual may never document their own experience.

Provided they are in a position above your own then experience hours can be documented by:

  • Lead technicians, coordinators, or supervisors
  • Managers, chiefs, directors, or administrators
  • Hospital-based educators or trainers

Hours cannot be documented by technicians or private instructors. In order to verify experience, all contact information provided for the manager or supervisor documenting your hours must be current or your application will be rejected.

Hands-on hours can be accumulated on a paid or volunteer basis and you need not be currently employed or volunteering with a facility in order to test.

Applications requiring hands-on experience may be subject to verification before processing. Once selected for verification an application cannot be processed further until the manager/supervisor documenting the applicant's hours of experience can be contacted and the experience confirmed. If the listed manager/supervisor cannot be reached for confirmation the application will be returned, unprocessed. If the manager/supervisor is reached but refutes the information submitted in any way, the application will be sent to the Certification Council for further investigation and review.

Applicants who have submitted a completed application and who are notified that they do not meet the eligibility requirements may appeal this decision by sending a written notice of the appeal to the Certification Council within 30 days of the time stamp on the eligibility decision. Appeals that cannot be resolved to the applicant's satisfaction will be forwarded by the Certification Manager to the Certification Council for review along with any relevant information from the initial review of the application. Written notice of the final decision will be sent to the applicant within 30 days of the review. The decision of the Certification Council will be final.

Apply Today

Validate that you meet the eligibility requirements detailed above and in the HSPA Certification Handbook and apply today.

Required Experience Documentation
CIS Exam: 200 hours + current CRCST
Application Fees*
Initial Exam: $140
Retake Exam: $140

*Fees are non-refundable and include the application and one exam attempt. Additional fees are required for each exam retake, as shown above.

**Application is valid for 1 year; allow 3-4 weeks for processing.

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