CST case studies
CST · Put your knowledge to work in context.
The Certified Surgical Technologist (CST®) credential is issued by the National Board of Surgical Technology and Surgical Assisting (NBSTSA), which describes itself as the premier standard in certification for the surgical technology field. The credential is built for practicing surgical technologists who want to demonstrate a level of training, professional competency, and commitment above that of a non-certified technologist. NBSTSA also issues the Certified Surgical First Assistant (CSFA®) credential, the advanced step for technologists who assist the surgeon directly with tasks such as controlling bleeding and closing incisions. The CST exam samples the full perioperative role: preparing instruments and supplies, establishing and protecting the sterile field, anticipating the surgeon's needs during the procedure, managing counts and specimens, handling post-procedure care, and applying professional and administrative knowledge such as documentation, standards, and patient-safety practices. The CST case studies are 5 cases and about 2,970 words.
107:10 Add-On Pressure: The Crackers at 0300
The first case is a 58-year-old woman scheduled for elective laparoscopic cholecystectomy at 07:30 for symptomatic cholelithiasis. In preop holding she volunteers that she "had a few crackers and some juice around 3 this morning" because she felt shaky.
547 words, about 3 min219 of 20 at Fascial Closure
Exploratory laparotomy for adhesive small bowel obstruction in a 71-year-old. The initial count was correct: 20 laps, 10 radiopaque sponges, 12 needles.
670 words, about 3 min3Saturated Dressing at the Stretcher
The scrub tech has just applied a pressure dressing and is helping transfer a 44-year-old woman to the stretcher after total thyroidectomy with central neck dissection for papillary carcinoma. Estimated blood loss was 80 mL, and one 10 Fr drain was placed with 20 mL output in the first 15 minutes.
539 words, about 3 min4The Tray With No Biological Indicator
A three-room ambulatory surgery center. Room 2 is opening a tray for a laparoscopic hernia repair.
601 words, about 3 min5Add-On at 19:20: Left, Right, and a Daughter Interpreting
A 61-year-old Spanish-speaking man is scheduled for knee arthroscopy. The signed consent reads "left knee arthroscopy." Today's H&P reads "right knee pain, medial joint-line tenderness." The MRI report in the chart describes a left medial meniscus tear.
613 words, about 3 min