Spotlights
Certified Surgical Technician, Certified Surgical Technologist (CST), Operating Room Surgical Technician (OR St), Operating Room Technician (OR Tech), Operating Room Technologist (OR Tech), Surgical Scrub Technician, Surgical Scrub Technologist (Surgical Scrub Tech), Surgical Technician, Surgical Technologist (Surgical Tech)
Performing surgery on a patient takes extreme focus, which is why surgeons work as part of a larger healthcare team. Each team member has their own unique role, from the surgeon to the anesthesiologist, certified registered nurse anesthetist, operating room nurse, physician assistant, and others. The job of the Surgical Technologist—also known as the Operating Room Tech or “scrub tech”—is to arrive early, review requirements for the day’s procedures, gather the needed tools and equipment, then carefully prep patients, equipment, and the room itself.
During the surgery, they may hand sterile instruments or supplies to the surgeon or their assistant. They may also perform basic steps such as suctioning blood from an incision. As the procedure is being completed, Surgical Technologists take stock of all items to ensure everything is accounted for. They may then help apply bandages, take patients to their recovery area, and return to stock the operating room for the next surgery.
- Ensuring proper medical instruments and equipment are ready
- Keeping patients safe by maintaining a sterile environment
- Working as part of a medical team helping patients and saving lives
Working Schedule
Surgical Technologists work full-time, with shifts that may start very early. If working in an ER, they may be assigned to night, weekend, or holiday shifts.
Typical Duties
- Ensure instruments are kept sterile during medical operations
- Take inventory of all supplies and instruments used before and after surgery, to ensure nothing was left inside a patient
- Perform scrub cleaning on other team members’ hands and arms
- Assist others with putting on masks, gloves, and gowns so they don’t have to touch anything
- Prep patients for their operations. Assist with getting them onto the table and covering them up. Wash and disinfect incision sites
- As needed, give sterile instruments or supplies to surgeons or their assistants
- Ensure needed solutions and fluid supplies such as saline, blood, or plasma are on hand
- Assist with holding various instruments steady while the surgeon is operating
- Manage tissue specimens needed for lab analysis
- Clean and sterilize operating room equipment
- Anticipate needs during surgical procedures
- Aid with applying bandages to patients after surgery
- Keep all relevant medical supplies in stock. Reorder, as needed
- Review the daily schedule of surgeries and ensure all necessary instruments, supplies, and equipment will be on hand
- Organize and transfer appropriate instruments, supplies, and equipment to the operating room and arrange items according to the scheduled procedure
- Keep an eye on equipment to ensure proper functioning. Adjust, as needed
- Take note of the patient vital signs
Additional Responsibilities
- Train new technologists
- Stay up-to-date on relevant industry changes
- Maintain physical and electronic records
Soft Skills
- Analytical
- Compliance-oriented
- Detail-oriented
- Diligent
- Independence
- Integrity
- Methodical
- Observant
- Organized
- Patient
- Safety conscious
- Sound judgment
- Stamina
- Strong communication skills
Technical Skills
- Biological waste handling
- Database query software
- Electronic medical records and patient tracking
- Familiarity with IV fluids such as saline, blood, plasma, and glucose
- Medical bandaging
- Medical instrument terminology and usage
- Medical sanitation and disinfection
- Operating surgery-related medical equipment
- Patient vital signs
- Personal protective equipment usage
- Scrub procedures
- Supply ordering procedures and programs
- Surgery workflow communication programs
- Hospitals and surgical centers (including emergency rooms, intensive care units, and labor/delivery units)
- Outpatient care centers
- Private practices (including dental, vision, and plastic surgery)
Whether it’s open surgery or minimally invasive, surgical operations are inherently risky due to a myriad of factors. Among these is the risk of patient infection from hazardous germs. Patients are already in a compromised state when they’re laying on a table under anesthesia, so surgical teams must do everything possible to mitigate the risk by being organized and following stringent protocols.
Surgical Technologists play a crucial role in this endeavor and must know and follow very methodical procedures to ensure patient safety. Surgical Technologists are at risk themselves, frequently exposed to chemicals, all manner of germs, and potentially hazardous biological materials such as blood or bodily fluids.
Around the world, hospitals have been grappling with the problem of keeping areas free from germs and infectious diseases. Many have needed to strengthen their cleaning practices to avoid having patients exposed to healthcare-acquired infections, which can be fatal in some cases. The Centers for Disease Control and Prevention has stressed that healthcare institutions closely follow hygiene precautions to protect both patients and healthcare workers. A few trends on this front include the use of continuously active disinfection chemicals and materials. Complimenting these measures, hospitals are turning to innovative disinfectant delivery methods such as misting systems and ultraviolet technology.
Surgical Technologists were most likely very tidy people who liked to keep things organized. They were probably patient and calm, able to focus on tasks with great attention to detail. They may have enjoyed being part of group activities in school because they work well on teams and are comfortable with juggling responsibilities.
Education Needed
- Surgical Technologists need to complete a certificate or associate’s degree program at a vocational school, community college, university, or hospital
- Programs must be accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) or the Accrediting Bureau of Health Education Schools (ABHES)
- Training may last from one year for a certificate to two years for an associate’s degree (if going full-time)
- Note, some programs may feature an expedited curriculum, but make sure they are accredited and meet state licensing or regulatory requirements
- Many classes can be conducted online, but hands-on experience may be preferred for some topics
- Common classes include:
- Anatomy
- Cleaning and disinfection
- Decontamination and sterilization
- Infection control and prevention
- Inventory management
- Medical and surgical terminology
- Microbiology
- Patient care
- Medical equipment setup
- Physiology
- Surgical instruments usage and storage
- Some jobs require techs to have CPR/Basic Life Support training
- Surgical Techs can either work in general surgery or specialize in an area such as cardiology, neurosurgery, organ transplants, orthopedics, pediatrics, or plastic surgery
- Optional certifications can boost one’s odds of getting hired. Certifying organizations include:
- National Board of Surgical Technology and Surgical Assisting - Certified Surgical Technologist
- National Center for Competency Testing - Tech in Surgery
- Many Surgical Techs learn their trade as enlisted members in a branch of the military
- Surgical Technologists don’t need a four-year degree from a university to get started. Students can complete a certificate or associate’s at a local community college or vocational training school
- General considerations include tuition costs (in-state/out-of-state rates), discounts, scholarships, and course delivery options (on-campus, online, or hybrid program)
- Ideally, you’ll want a program that offers hands-on work experience
- High school students can prepare by taking classes in health, biology, chemistry, and computer science
- Decide if you want to apply to a certificate program or an associate’s degree program at a community college, vocational school, or university
- Talk to program staff about work opportunities where you can pick up real-world job skills as you learn
- Apply for part-time jobs working with healthcare settings to gain experience and have some work history on your resume
- Start an exercise program where you can build up stamina needed for standing and working on your feet for long periods or moving equipment
- Keep a list of contacts (including phone numbers or emails) who might serve as future job references
- Check out articles and video tutorials about surgical procedures and think about areas you might want to specialize in
- Get started on a draft resume early and keep track of the skills you learn
- Have your education, training, and relevant certification completed
- Ask your school’s faculty or career center for tips about connecting with employers
- Let your professional network know that you’re job-seeking
- Review job portals such as Indeed, Glassdoor, HospitalCareers, and HealthJobsNationwide
- Look at the career pages of local hospitals and surgeon’s offices
- Search for apprenticeship opportunities
- Consider speaking with a military recruiter about Surgical Technology jobs
- Keep your social media clean and professional, in case job recruiters take a peek
- Review Surgical Technologist resume templates
- Read Surgical Technologist interview questions, learn your career-related terminology, and practice your answers
- Remember to get permission from potential references before giving out their contact info
- Practice doing a few mock interviews with friends or relatives
- Dress professionally for interviews
- Talk with your supervisor and let them know your career goals. Ask for their advice on how to move up
- Earn a certification in a hard-to-fill specialty area
- Note, the Bureau of Labor Statistics notes that techs will be increasingly needed to help with older patients in the years to come
- Advancement opportunities for Surgical Technologists include working as a surgical assistant or nurse, which will require additional training. Becoming a registered nurse will mean returning to college to earn a BS in Nursing to qualify for licensure in most states
- Master your duties, be on time, and follow all hygiene protocols to the letter
- Stay up-to-date on relevant hospital or clinic policies and procedures
- Study manufacturer and software guides for medical equipment you operate
- Ask lots of questions and keep learning from other members of the surgical team
- Demonstrate leadership and train new staff diligently
- Get engaged with professional organizations. Attend events, volunteer to give speeches, hold positions on committees, and get articles published to advance your reputation
Websites
- American Board for Transplant Certification
- American Board of Cardiovascular Perfusion
- American Board of Surgical Assistants
- Association of Surgical Technologists
- Cardiovascular Credentialing International
- Centers for Disease Control and Prevention
- Certification Board for Sterile Processing and Distribution
- Commission on Accreditation of Allied Health Education Programs
- Healthcare Sterile Processing Association
- Joint Commission on Allied Health Personnel in Ophthalmology
- Medical-Surgical Nursing Certification Board
- National Board for Certification of Orthopaedic Technologists
- National Board of Surgical Technology and Surgical Assisting
- National Center for Competency Testing
- National Commission for the Certification of Surgical Assistants
Books
- Pocket Guide to the Operating Room, by Maxine A. Goldman BS RN
- Surgical Technology, by Joanna Kotcher Fuller
- Surgical Technology for the Surgical Technologist: A Positive Care Approach, by Association of Surgical Technologists
Working as a Surgical Technologist can be exciting but exhausting work! If you’re curious about additional healthcare careers, below are a few popular examples to consider:
- Cardiovascular Technologists and Technicians
- Clinical Laboratory Technologists and Technicians
- Dental Assistants
- Diagnostic Medical Sonographers
- Endoscopy Technicians
- Licensed Practical and Licensed Vocational Nurses
- Medical Assistants
- Medical Equipment Preparers
- Physicians and Surgeons
- Registered Nurses
- Surgical Assistants
- Surgical Technologists