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Exam Number : NBSTSA-CST
Exam Name : Certified Surgical Technologist
Vendor Name : NBSTSA
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NBSTSA-CST test Format | NBSTSA-CST Course Contents | NBSTSA-CST Course Outline | NBSTSA-CST test Syllabus | NBSTSA-CST test Objectives

The CST examination consists of 175 questions, 150 of which are scored. The 25 pretest items (unscored) are randomly distributed throughout the examination for the purpose of analysis and statistical evaluation. The passing score is the
minimum number of questions that must be answered correctly. Candidates should refer to for the number of questions which must be answered correctly in order to obtain a passing score. Score reports are provided to all candidates who take the examination


A. Preoperative Preparation (18 items)

- Review surgeons preference card.

- Verify availability of surgery equipment (e.g., reserve equipment for surgery).

- Don personal protective equipment.

- Utilize preoperative documentation (e.g., informed consent, advanced directives, allergies, laboratory results).

- Consider patient needs (e.g., bariatrics, geriatrics, pediatrics, immunocompromised, patient allergies).

- Prepare the operating room environment (e.g., temperature, lights, suction, wiping down the room and furniture).

- Coordinate additional equipment (e.g., bovie pad, pneumatic tourniquet, sequential compression devices, thermoregulatory devices, positioning devices).

- Obtain instruments and supplies needed for surgery.

- Perform medical hand wash.

- Check package integrity of sterile supplies.

- Open sterile supplies/instruments while maintaining aseptic technique.

- Perform surgical scrub (e.g., initial, waterless).

- Don gown and gloves.

- Assemble and set up sterile instruments and supplies for surgical procedures.

- Transport the patient to and from operating room.

- Transfer patient to operating room table.

- Apply patient safety devices (e.g., bovie pad, safety strap, protective padding, x-ray safety).

- Apply patient monitoring devices as directed.

- Participate in positioning the patient.

- Prepare surgical site (e.g., hair removal, surgical preparation).

- Gown and glove sterile team members.

- Participate in draping the patient.

- Secure cords/tubing to drapes and apply light handles.

- Drape specialty equipment (e.g., c-arm, Da Vinci, microscope).

- Participate in Universal Protocol (Time Out).

B. Intraoperative Procedures (61 items)

- Maintain aseptic technique throughout the procedure.

- Follow Standard and Universal Precautions.

- Anticipate the steps of surgical procedures.

- Perform counts with circulator at appropriate intervals.

- Verify, receive, mix, and label all medications and solutions.

- Provide intraoperative assistance under the direction of the surgeon.

- Identify different types of operative incisions.

- Identify instruments by:

- function.

- application.

- classification.

- Assemble, test, operate, and disassemble specialty equipment:

- microscopes.

- computer navigation systems.

- thermal technology.

- laser technology (e.g., helium, argon, CO2 beam coagulators).

- ultrasound technology (e.g., harmonic scalpel, phacoemulsification).

- endoscopic technology.

- power equipment.

- Assemble and maintain retractors.

- Pass instruments and supplies.

- Identify appropriate usage of sutures/needles and stapling devices.

- Prepare, pass, and cut suture material as directed.

- Provide assistance with stapling devices.

- Differentiate among the various methods and applications of hemostasis (e.g., mechanical, thermal, chemical).

- Irrigate, suction, and sponge operative site.

- Monitor medication and solution use.

- Verify with surgeon the correct type and/or size of specialty specific implantable items.

- Prepare bone and tissue grafts (e.g., allograft, autograft, synthetic).

- Verify, prepare, and label specimen(s).

- Prepare drains, catheters, and tubing for insertion.

- Observe patients intraoperative status (e.g., monitor color of blood, blood loss, patient position).

- Perform appropriate actions during an emergency.

- Initiate preventative actions in potentially harmful situations.

- Connect and activate drains to suction apparatus.

- Prepare dressings and wound site.

- Assist in the application of casts, splints, braces, and similar devices.

C. Postoperative Procedures (12 items)

- Report medication and solution amount used.

- Participate in case debrief.

- Remove drapes and other equipment (e.g., suction, cautery, instrumentation,nondisposable items) from patient.

- Report abnormal postoperative findings (e.g., bleeding at surgical site,hematoma, rash).

- Dispose of contaminated waste and drapes after surgery incompliance with Standard Precautions.

- Transfer patient from operating table to stretcher.

- Dispose of contaminated sharps after surgery in compliance with Standard Precautions.

- Perform room clean up and restock supplies.


A. Administrative and Personnel (9 items)

- Revise surgeons preference card as necessary.

- Follow proper cost containment processes.

- Utilize computer technology for:

- surgeons preference cards

- interdepartmental communication

- continuing education.

- research.

- Follow hospital and national disaster plan protocol.

- Recognize safety and environmental hazards (e.g., fire, chemical spill, laser, smoke).

- Understand basic principles of electricity and electrical safety.

- Apply ethical and legal practices related to surgical patient care.

- Use interpersonal skills (e.g., listening, diplomacy, responsiveness) and group dynamics.

- Understand the importance of cultural diversity.

- Understand concepts of death and dying.

- Participate in organ and tissue procurement.

- Serve as preceptor to perioperative personnel.

B. Equipment Sterilization and Maintenance (17 items)

- Troubleshoot equipment malfunctions.

- Decontaminate and clean instruments and equipment.

- Inspect, test, and assemble instruments and equipment.

- Sterilize instruments for immediate use (e.g., short cycle).

- Package and sterilize instruments and equipment.


A. Anatomy and Physiology (20 items)

- Use appropriate medical terminology and abbreviations.

- Demonstrate knowledge of anatomical systems as they relate to the surgical procedure:

- cardiovascular.

- endocrine.

- gastrointestinal.

- genitourinary.

- integumentary.

- lymphatic.

- muscular.

- neurological.

- ophthalmic.

- otorhinolaryngology.

- peripheral vascular.

- pulmonary.

- reproductive.

- skeletal.

- Demonstrate knowledge of human physiology as they relate to the surgical procedure:

- cardiovascular.

- endocrine.

- gastrointestinal.

- genitourinary.

- integumentary.

- lymphatic.

- muscular.

- neurological.

- ophthalmic.

- otorhinolaryngology.

- peripheral vascular.

- pulmonary.

- reproductive.

- skeletal.

- Identify the following surgical pathologies:

- abnormal anatomy.

- disease processes.

- malignancies.

- traumatic injuries.

B. Microbiology (6 items)

- Apply principles of surgical microbiology to operative practice:

- classification and pathogenesis of microorganisms (e.g., cultures).

- infection control procedures (e.g., aseptic technique).

- principles of tissue handling (e.g., Halsted principles, tissue manipulation methods, traction/counter traction).

- stages of, and factors influencing wound healing (e.g., condition of patient, wound type).

- surgical wound classification.

- Identify and address factors that can influence an infectious process.

C. Surgical Pharmacology (7 items)

- Apply principles of surgical pharmacology to operative practice:

- anesthesia related agents and medications.

- blood and fluid replacement.

- complications from drug interactions (e.g., malignant hyperthermia).

- methods of anesthesia administration (e.g., general, local, block).

- types, uses, action, and interactions of drugs and solution (e.g., hemostaticagents, antibiotics, IV solutions).

- weights, measures, and conversions.

- Maintain awareness of maximum dosage.

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NBSTSA Study Guide


The top-rated ebook To team Synergy | Resources

The contemporary idea of synergy become proposed by chemists. They discovered that each time they separated atoms or molecules from a posh compound, the behavior of the separate components might by no means explain the behavior of all of them interconnected. as an instance, the chemical behaviors of isolated hydrogen (H2) and remoted oxygen (O2) do not present any form of counsel in regards to the chemical behavior of water (H2O). Chemist referred to as this concepts synergy, a form of collective transmutation that allowed for endless analysis and innovation in chemistry.

via the equal token, Synergy is truly a systemic principle that explains how a crew's collective efficiency is unpredictable primarily based fully on its member’s individual performances. for this reason, a group’s collective efficiency can be either improved or worse than the sum of its individuals’ particular person performances. This introduces a level of chance that is commonly disregarded by means of most authors and that holds the important thing to realizing organizational success versus organizational failure. here is why we have to focus on high-quality synergy versus bad synergy and the way to pursue the former whereas avoiding the latter.

fantastic synergy vs. negative synergy

Going returned to chemistry for only a moment, we understand that if we add sulfur (S8) to a managed environment already containing water (H2O), given the right temperature and drive circumstances we can turn spoke of water into sulfuric acid (H2SO4). In other words, we can transform a life-giving substance, water, right into a destructive one, sulfuric acid. here's a metaphor to show how fine synergy may also be grew to become into bad synergy by adding the “incorrect” aspect. In teamwork, the identical can take place.

in this regard, introducing the “incorrect” grownup right into a crew can have devastating effects on efficiency. achieving and sustaining nice synergy is a really advanced assignment, and it starts with hiring the appropriate americans. Of route, nice synergy relies upon additionally on respectable management and other ongoing individuals-management procedures. although, any person who has ever had actual team management obligations knows that hiring the incorrect adult is far worse than no longer hiring the correct adult. Figuratively speaking, it is much more complex to show a piece of carbon right into a diamond than to proceed to mine for genuine diamonds. The query is, then, what should still companies do to obtain effective synergy?

The chemistry of teamwork

I even have found that, simply because the numbers of protons, neutrons, and electrons outline the skills for chemical synergy,  allow us to discover each and every of these elements additional.

  • regular pastimes. When individuals share general hobbies, they align their individual efforts towards the same intention. extra primarily, they discover personal affinities that support them work collectively, are searching for opportunities to leverage each different’s advantage, and measure the results of their collective efforts with admire to their average goal.
  • usual values. When individuals share ordinary values, they could forge effective, long-lasting alliances. more mainly, I even have discovered that americans who share the values of humility, honesty, trust, and discipline achieve the maximum synergies.
  • Humility is the skill to acknowledge one’s own truth. This allows each team member to have a clear photo of the self and handle all own growth and professional construction wants in a timely vogue.
  • Honesty is the skill to share one’s personal truth with others. This makes it possible for team members to understand each and every different greater intently, develop have confidence, support each and every other, and carry out group improvement initiatives with additional reach.
  • have confidence is the capability to center of attention on one’s task while letting others focus on theirs, therefore optimizing efforts. Equally, have confidence additionally allows for for crew contributors to check up on every different to be certain all initiatives remain aligned with the regular aim. Likewise, have faith leads naturally to loyalty and harmony.
  • self-discipline is the capacity to proceed to work towards a goal in spite of the circumstances. self-discipline requires dedication, courage, resilience, and pressure.
  • Complementary abilities. When individuals have complementary capabilities, they can overcome adversity, live focused, and achieve success greater efficaciously. In my skilled opinion, each group’s highest quality portfolio of knowledge is masterfully summarized in Dr. Ichak Adizes’s famous PAEI model. PAEI stands for Producer, Administrator, Entrepreneur, and Integrator. not one grownup can have all four competencies. Even the so-known as Renaissance men or girls, widespread for being multi-proficient, will infrequently be capable of boost and practice all competencies effectively inside a group. each person needs help and teamwork is according to crew participants assisting each and every different. beneath, each ability in detail.
  • Producers center of attention on the fruits and ensure the closing product or carrier meets all consumer or client expectations. Producers are ultimately chargeable for best facing the market in order that they will be certain all different group contributors keep in mind the importance thereof.
  • administrators center of attention on how the projects are completed and ensure all other group individuals are in compliance with existing policies, approaches, mandates, and instructions. they are subsequently responsible for the common sustainability, effectiveness, and efficiency of the organizational gadget.
  • Entrepreneurs center of attention on envisioning and growing the longer term. they're impressed and inspiring. They commonly get a hold of new concepts about items, capabilities, and the right way to do accepted task. they're nearly in the back of every important innovation and are ultimately chargeable for helping agencies live present, circulation ahead, and introduce market- disruptive improvements.
  • Integrators focal point on bringing individuals together and helping construct personal and useful bridges among all crew participants. they are in the end liable for developing an organizational tradition in line with the imaginative and prescient and values shared with the aid of all team participants.
  • See additionally: Han Solo Vs. Boba Fett: A Lesson On skill Acquisition

    When the entire aforementioned elements are in synch, crew synergy will undoubtedly be positive. however, when they are out of synch, crew synergy will most likely be poor. in consequence, in an effort to achieve advantageous synergy, organizational leaders must make sure their organization’s vision, values, and ability portfolio are aligned with each and every different and with market wants. in addition, organizational leaders should make certain their recruiting and leadership practices aid such alignment.

    What do you think?

    have you ever ever been part of a synergic relationship? have you ever done fine synergy together with your work group? What do the 11 legal guidelines of programs thinking have to do with in the hunt for, achieving, and sustaining high-quality synergy? have you ever ever experienced terrible synergy? in your event, what are the main limitations to reaching advantageous synergy?

    Luis E. Romero is an MIT-informed Economist, certified train, skilled speaker and posted creator. comply with him on Forbes, Twitter and LinkedIn, and seek advice from his website here.

    additionally on Forbes:


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