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The Certified Surgical Technologist I (CST) is an individual with specialized education who handles instruments, supplies, and equipment necessary for surgical procedures; has an understanding of the procedures being performed and anticipates the needs of the surgeon; has the necessary knowledge and ability to ensure quality patient care during the operative phase; and is constantly on vigil for maintenance of the sterile field.   

CST Tier I

• 10 hours minimum per pay period

CST Tier 2

• 20 hours minimum per pay period

    Performs assigned surgical procedures and preparations in conjunction with the activities of the total surgical team
    Maintains sterile technique/environment 
    Prepares operating room for surgical procedures with appropriate supplies, equipment, and instrumentation 
    Ensures sterility of instruments and supplies
    Prepares/maintains/labels medication on the sterile field 
    Provides for appropriate handling/labeling/disposition of surgical specimens
    Performs appropriate counts with circulating nurse 
    Assists with patient positioning and positioning devices, and providing patient comfort measures
    Gowns and gloves self and other sterile personnel
    Prepares/maintains sterile field and drapes 
    Handles, cares for, cleans, and passes instruments
    Assists/holds retractors or instruments as directed by the surgeon
    Accounts for all instrumentation 
    Cleans and stocks room 

OB CST additional duties include:

Cleaning and restocking warmers, delivery tables, and LDR supplies
Checking for outdated supplies before restocking
Setting up ready rooms and stock rooms including linen, masks, boots, and hats
Setting up infant warmers in OR
Assisting RN in delivery room obtaining supplies and equipment
Transporting surgical specimens to pathology per hospital policy
Preparing instruments for processing 
Delivering and retrieving instrument carts to CSR
Communicating with Clinical Manager supplies/instruments that need to be special ordered
Placing foley/I&O cath
Perform blood draw on adults
Perform EKG on adults
Perform Point of Care Testing including Accucheck, Urine dip stick, and UPT
Weighing triage patients
Taking vital signs on adults
Placing EFM and Toco on patients with communication to charge/lead nurse
Assist with labor positioning
Taking vital signs on baby
Obtaining length of baby
Obtaining weight of baby
Obtaining footprints of baby
Performing heel sticks on baby (including serum bili & PKUs)
Performs ABRs
Gives baby baths

    Current CST certification through the National Board of Surgical Technology and Surgical Assisting (NBSTSA).  
    CSTs must complete continuing education credits for AST and NBSTSA recertification every 2-years
    15 CEUs annual
    2 years experience as CST  
    Current BLS certification
    Member of Association of Surgical Technologists (AST)(preferred)
 

    Skills in the use of sterilization equipment, highly technical surgical equipment, and accurate use and care of instrumentation
    Knowledge and application of anatomy/physiology as it applies to surgical procedures
    Knowledge of instruments/supplies/equipment required for surgical procedures
    Ability to identify/apply principles of asepsis, disinfection, sterilization, and environmental control
     Maintains an empathetic attitude toward patients
    Ability to make sound decisions during highly stressful situations, anticipate/prioritize to maintain proficient performance
    Ability to communicate effectively, both verbal and written
    Ability to follow exact specifications, and oral/written instructions
    Ability to concentrate and exhibit continuous attention/perception during surgery-related tasks
    Knowledge and skills to provide care appropriate to the age of patients served.  
    Must be able to help evacuate patients via stairwells
    Ability to maintain visualization of instrumentation, equipment, supplies and items on sterile field in dimly lit environment