TexasSurgical Technologist License Requirements

Surgical technology programs are accredited by CAAHEP (Commission on Accreditation of Allied Health Education Programs) or ABHES (Accrediting Bureau of Health Education Schools). Programs typically include coursework in anatomy, physiology, microbiology, surgical procedures, sterile technique, pharmacology, and patient care. Clinical rotations provide hands-on experience in the operating room under supervision. Certificate programs are typically 12 months while associate degree programs are 24 months.

The CST (Certified Surgical Technologist) credential is administered by the NBSTSA (National Board of Surgical Technology and Surgical Assisting). The TS-C (Tech in Surgery-Certified) credential is administered by the NCCT (National Center for Competency Testing). Both certifications demonstrate competency in surgical technology and are recognized by employers nationwide. The CST exam requires graduation from a CAAHEP or ABHES accredited program. Certification maintenance requires ongoing continuing education.

The NBSTSA CST exam covers perioperative patient care, surgical procedures, anatomy and physiology, microbiology, surgical pharmacology, and sterile technique. The exam consists of approximately 175 multiple-choice questions. The NCCT TS-C exam is an alternative certification exam that covers similar content areas. Both exams use criterion-referenced scoring. Candidates must graduate from a CAAHEP or ABHES accredited program to be eligible for the CST exam.

Additional Notes

State registration required through DSHS since 2009.

Approximately 17 states currently require licensure or registration for surgical technologists. In states without regulation, employers typically require national certification (CST through NBSTSA or TS-C through NCCT) as a condition of employment. The trend toward state-level regulation has been increasing as more states recognize the importance of ensuring competency in the operating room.

Surgical technologists work as integral members of the surgical team in the operating room. Their primary responsibilities include preparing the operating room, arranging equipment, helping the surgical team with gowning and gloving, passing instruments and supplies during surgery, maintaining the sterile field, counting sponges and instruments, and preparing specimens. They work under the supervision of the surgeon and circulating nurse. Surgical technologists cannot independently administer medications, make clinical diagnoses, or perform tasks outside their scope of training.

CE Details

24 CE hours required per 2-year renewal cycle. Must include surgical technology, patient safety, and sterile technique topics.

Regulatory Board

Surgical technologist licenses must be renewed on schedule with the state licensing authority. Most licensing states require biennial renewal with 15-30 continuing education hours per cycle. CE requirements typically cover surgical technology advances, patient safety, sterile technique, infection control, pharmacology, and related clinical topics. NBSTSA also requires CE for CST certification maintenance (60 CE credits per 4-year cycle). CE activities may include conferences, workshops, online courses, and approved in-service training.

Reciprocity Requirements

• •Submit application to Texas regulatory body
• •Current CST or TS-C certification in good standing
• •Background check clearance
• •Payment of applicable fees

States that regulate surgical technologists generally accept national certification (CST or TS-C) from other states. Requirements typically include verification of current certification, graduation from an accredited program, and background check clearance. Because surgical technologist regulation is relatively new, reciprocity agreements are still developing. Always verify specific requirements with the destination state's licensing authority.