CST Exam for National Board of Surgical Technology and Surgical Assisting (NBSTSA) Latest Update

Comprehensive Overview of the CST Exam for the National Board of Surgical Technology and Surgical Assisting (NBSTSA)

The Certified Surgical Technologist (CST) exam is a critical milestone for individuals pursuing a career in surgical technology. Administered by the National Board of Surgical Technology and Surgical Assisting (NBSTSA), the CST credential is recognized as a standard for surgical technologists, ensuring that professionals meet the high standards required for patient care in the operating room. This detailed examination measures an individual's knowledge, competence, and readiness to work effectively as a surgical technologist. Here, we will explore the key features, updates, and essential information for anyone considering taking the CST exam.

The Role of a Surgical Technologist

Before delving into the specifics of the CST exam, it is crucial to understand the role of a surgical technologist. Surgical technologists are integral members of the surgical team, responsible for preparing the operating room, sterilizing and passing instruments to surgeons, and assisting in patient preparation before, during, and after surgery. They play a vital role in maintaining a sterile environment, ensuring patient safety, and supporting the surgeon’s efforts throughout the procedure. Given these responsibilities, it is essential that surgical technologists undergo rigorous training and certification to ensure they are proficient in these tasks.

Exam Content and Structure

The CST exam assesses a candidate’s knowledge across four primary areas of surgical technology. These categories are designed to ensure that individuals are well-versed in the critical aspects of the job, from patient care to equipment handling. The exam consists of 175 multiple-choice questions, of which 150 are scored and 25 serve as pre-test questions for future exam revisions. Candidates are allotted 3 hours to complete the exam.

1. Surgical Patient Care (30%)

The largest portion of the CST exam focuses on surgical patient care. This category covers a wide range of topics related to patient preparation, safety, and post-operative care. Surgical technologists must be knowledgeable about pre-operative patient assessment, obtaining patient histories, performing appropriate diagnostic procedures, and ensuring all necessary patient documents are in order. Understanding patient positioning, draping, and preparing for anesthesia are also critical aspects.

In addition, infection control is a key area, as surgical technologists are responsible for maintaining sterile environments and preventing cross-contamination during surgery. Knowledge of aseptic techniques and sterilization procedures is essential.

2. Surgical Procedures (40%)

This section covers the core of a surgical technologist’s duties in the operating room. It includes the preparation of sterile fields, selection and handling of surgical instruments, and the general responsibilities of assisting during different types of surgeries. Surgical technologists are expected to have a solid understanding of various types of surgical procedures across numerous specialties, such as orthopedics, neurology, cardiology, and more.

Technicians must also know the specific needs for different surgical specialties. This can include specialized instruments, types of sutures, and unique patient considerations. Effective communication between surgical technologists and other operating room staff, such as nurses and surgeons, is vital during these procedures.

3. Perioperative Safety (15%)

Patient safety is at the core of the surgical technologist’s role. This section of the CST exam tests candidates on their ability to uphold safety protocols before, during, and after surgery. This includes maintaining a sterile field, understanding the importance of infection prevention, managing patient positioning to prevent injury, and properly handling medical equipment.

This section also includes knowledge of surgical safety checklists, equipment malfunction protocols, and the potential risks posed by various surgical procedures. Surgical technologists must be ready to respond to emergencies and be able to handle situations such as bleeding, adverse reactions, and other complications.

4. Surgical Equipment and Instrumentation (15%)

The final section of the exam focuses on the technical aspects of the surgical process, including the handling and maintenance of surgical instruments and equipment. Surgical technologists must be familiar with a wide variety of surgical tools and their uses, including scalpels, forceps, scissors, retractors, and specialized instruments used in different procedures.

Knowledge of proper sterilization techniques and maintenance procedures is critical. This section also includes the proper setup and disposal of surgical equipment and instruments to prevent cross-contamination and ensure their longevity.

Eligibility for the CST Exam

To sit for the CST exam, candidates must meet one of the following eligibility criteria:

1. Graduation from a CAAHEP-Accredited Program: Most candidates are required to have graduated from a program accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) or an equivalent body. These programs typically take around two years to complete and provide a comprehensive education in both theoretical and hands-on aspects of surgical technology.

2. Military Training: Individuals who have undergone military surgical technologist training are also eligible to take the exam. The NBSTSA has specific guidelines for military-trained candidates to ensure they meet the necessary qualifications.

3. Other Pathways: In some cases, candidates with significant surgical technology experience who have not completed a formal program may be eligible through an alternative pathway, such as demonstrating work experience in the field or completing continuing education credits.

Scoring and Results

The CST exam is scored on a scaled score ranging from 300 to 700. A passing score is 425 or higher, indicating that the candidate has demonstrated sufficient knowledge and competency in the areas tested. Results are typically available within 2-3 weeks of taking the exam. Candidates can request a re-score if needed, but the exam is carefully graded to ensure accurate results.

Exam Fees and Retakes

The cost of the CST exam varies depending on whether the candidate is a member of the NBSTSA. As of the most recent updates:

• Members: Approximately $290
• Non-members: Approximately $370

If a candidate does not pass the exam on the first attempt, they may retake the exam. However, a re-examination fee applies, and candidates must wait a minimum period before re-taking the exam.

Maintaining Certification

After passing the CST exam, the certification is valid for 4 years. To maintain certification, surgical technologists must either:

1. Earn Continuing Education (CE) Credits: Candidates need to complete 15 hours of CE in the field of surgical technology or surgical assisting.
2. Recertification Exam: Alternatively, candidates can choose to take the CST recertification exam to renew their credentials.

Continuing education ensures that surgical technologists stay up-to-date with new technologies, surgical practices, and patient safety protocols.

Updates to the CST Exam

The NBSTSA periodically revises the CST exam to reflect changes in surgical practices, technology, and patient safety standards. As of recent updates, more emphasis has been placed on infection control procedures, patient safety, and emerging technologies. The exam also reflects the growing role of surgical technologists in different types of surgeries and specialties, including robotic surgeries and minimally invasive procedures.

Preparation Resources

The NBSTSA offers several resources to help candidates prepare for the CST exam. These include practice exams, study guides, and online preparation tools. Candidates are encouraged to review the exam content outline and familiarize themselves with the specific areas that will be covered.

In addition to official resources, candidates can also find study materials from third-party providers, including textbooks, online courses, and practice tests.

Conclusion

The CST exam is an essential certification for surgical technologists, providing validation of their skills and ensuring they meet the standards required for safe and effective patient care in the operating room. By understanding the structure, content, and requirements of the exam, candidates can better prepare for success. With rigorous preparation and a commitment to continuous learning, surgical technologists can achieve certification and maintain it throughout their careers, contributing to better patient outcomes and enhanced surgical practices.