CRCST vs CBSPD: Which Sterile Processing Certification Should You Get First

Certification Path
CRCST vs CBSPD: Which Certification First?

Both credentials are recognized. Both carry weight with employers. They are not interchangeable, and picking the wrong one first costs you time and money. Here is how to choose based on where you are right now.

Short answer: Get the CRCST first. Lower experience bar, required by statute in more states, requested more often in job postings. Add the CBSPD once you have a year of experience.
The Two Credentials

What Each Certification Actually Is

CRCST
Entry Point

Certified Registered Central Service Technician, issued by IAHCSMM. The most widely recognized sterile processing certification in the United States, and required by law in several states including New Jersey, New York, and Tennessee.

Requires 400 hours of on-the-job experience in a sterile processing or central service department. No degree required. The exam covers decontamination, prep and packaging, sterilization, storage and distribution, and department management. $139 for IAHCSMM members, $199 for non-members, administered online through Proctortrack. Full breakdown in the CRCST certification guide.

CBSPD (CSPD)
Later Stage

Certified in Sterile Processing and Distribution, issued by the Certification Board for Sterile Processing and Distribution. The CBSPD offers several credentials; the CSPD is the primary one for technicians entering the field.

Requires at least one year of full-time experience, or the equivalent in part-time hours. Exam fee is $225, available online, covering similar core competency areas. See the CBSPD certification guide for exam structure and prep.

Head to Head

Key Differences That Matter

01
Experience ThresholdCRCST needs 400 hours. CBSPD needs a full year. That gap alone makes the CRCST accessible far earlier in your career.
02
State MandatesThe CRCST is named or accepted by statute in more states, which matters if you plan to work across state lines.
03
Employer DemandJob postings request the CRCST more often, especially hospital systems that reference IAHCSMM guidelines in their hiring criteria.
04
Where CBSPD Holds GroundStrong recognition in ambulatory surgery centers and outpatient facilities. Some employers accept either and may pay a premium for both.
The Sequence

Which One To Get First

Get the CRCST. Lower entry bar, more state mandates, more job postings. If you are still accumulating your 400 hours, start studying now and sit for the exam the moment you qualify.

Once you have a full year of experience, adding the CBSPD is a real differentiator, particularly if you are targeting specialty roles or supervisor and lead positions where dual certification signals depth.

If You Have Zero Hours Yet

You need the hours before you can sit for anything. Start with a training program that includes a clinical externship, or find an employer willing to hire and train. See how to get hired with no experience.

States That Mandate Certification

  1. New Jersey. CRCST or equivalent required.
  2. New York. Certification required within one year of hire.
  3. Tennessee. Certification required for employment.
  4. Connecticut. Required for hospital-based roles.
  5. Verify before you assume. Confirm current requirements with your state's Department of Health. Regulations change.
Common Questions

FAQ

Can I take the CRCST exam before I finish my 400 hours?

You can begin studying immediately, but you must complete the 400 hours of on-the-job experience in a sterile processing or central service department to qualify to sit for the exam.

Is the CBSPD worth getting if I already have the CRCST?

Yes, once your experience qualifies you. Holding both strengthens your position for advancement, travel assignments, and higher pay. Employers hiring for lead and supervisor roles increasingly prefer candidates with dual certification.

How much do the exams cost?

The CRCST exam costs $139 for IAHCSMM members and $199 for non-members. The CBSPD exam fee is $225. Both are administered online.

Do I need a degree for either certification?

No. The CRCST has no formal degree requirement, only the 400-hour experience requirement. The CBSPD requires one year of full-time experience or equivalent part-time hours.

Which certification do employers ask for more often?

The CRCST appears in job postings more frequently, particularly in hospital systems that reference IAHCSMM guidelines in their hiring criteria. Some employers list both as acceptable.

Browse Certified Roles

See current openings that list CRCST or CBSPD in their requirements.

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