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. Originally developed in 1985, the Training Manual for Central Service Technicians has proven to be a valuable resource for central service managers, educators, and technicians. 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. Designed to help both those who are taking a formal class and those who are studying on their own, the fourth edition of the manual provides students with current regulations, techniques, and trends in the central service/sterile processing profession. The Fifth Edition of the manual is the largest and most comprehensive to date. CS/SPD is a dynamic field: information and technology are constantly changing. Regular updates on regulations and procedural innovations are crucial for keeping those working in this field abreast of changes and for building and maintaining an efficient, safe work environment.