How to pass National Certification Examination for the Surgical Technology?

How to pass National Certification Examination for the Surgical Technology?

How to pass National Certification Examination for the Surgical Technology?

HAND BOOKS FOR SURGICAL TECHNOLOGY CERTIFICATION EXAMINATION based on NEW SYLLABUS of NBSTSA prescribed on January of 2019. Now available in many Allied Health College Library. 

Please review and provide honest feedback to improve the quality of this Handbook.

I thank you for providing me the aspiration to write these two Handbooks. 

You have asked me "how can I pass this CST examination in my next attempt"  and others shared the need for a new Handbook which covers total syllabus and also cost effective.

I am able to keep the price very low with the help from Amazon direct publishing and KDP SELECT.

Use this tools to pass the CST examination on your first attempt and become a CST to practice with pride, Compassion, Acceptance, Respect, and Empathy. 

I have given my twenty five years experience in Surgical Technology to carefully and diligently write these two Handbooks. 

 A DAY IN THE OPERATING ROOM WITH SAM

COMPASSION

ACCEPTANCE

RESPECT

EMPATHY

I would like to teach the courses of the Surgical Technology and Surgical First Assisting to students who are pursuing the program. You can access tutorial through online. All you need access of a p.c.

Contact me by using this blog or using social media e.g. Facebook. 

Medical community need Nationally Certified Surgical Technologists and First Assistants. The way the Health Care is moving the Same Day Surgery Centers are being used for a large volume of surgeries. The need for Surgical Technologist is growing very fast. 

The dynamic and complex nature of technology is rapidly changing with the innovations through research and development to optimize the benefit for a patient.

We as Technologists has the duty to keep up with the changes taking place in the operating room, with the new procedures, and instruments.

SURGICAL TECHNOLOGY QUIZ

ANSWERS FOR THE QUIZ TWENTY NINE:

1-A, 2-C, 3-A, 4-D, 5-C, 6-A, 7-B, 8-D, 9-A, 10-A

Minimally invasive surgery (MIS) spinal fusion 

Posterior Lumbar Fusion (PLF)

Transforaminal Lumbar Interbody Fusion (TLIF)

Overview and Indications

Today modern state of the art technology provides minimally invasive surgery (MIS) spinal fusion procedure to perform only through tiny nick hole incisions and reduce recovery time. This technique is being used to perform posterior lumbar fusion (PLF) and transforaminal interbody fusion (TLF). Less tissue trauma, less pain, and less time is needed.

Posterior Lumbar Fusion (PLF) is the technique used to create fusion of two or more lumbar spines. Bone graft is grafted by the spines to fuse. Minimally invasive PLF is performed with metal screws and rods to provide instant stabilization while the graft fuses fast to yield high fusion rate.

MIS TLIF with PLF also may incorporate interbody fusion where the intervertebral disc is replaced with bone spacer of metal or plastic. Technique requires no retraction of the spinal nerves. MIS TLIF is done with facetectomy and laminectomy.

As a second phase procedure for the multiple level ALIF, this MIS PLF is highly preferred to avoid laminectomy.  

These procedures are indicated for spondylolisthesis, degenerative disc disease, and many other spinal problems.

Surgical Technique

Patients are positioned in prone on wilson frame or special OR table with adequate padding to avoid pressure injury. IV antibiotic is administered. For general anesthesia endotracheal tube is inserted for ventilation during surgery. Surgery site low back is prepped and draped with lumbar laminectomy drape. Using aseptic technique surgery team is gowned and gloved.

Surgeon made less than one-inch holes on both side of the required spinal levels. Cannula with sleeves is introduced through these holes. Pedicle screws and rods are implanted to fuse facet using C-arm.

When TLIF is done, laminectomy and facetectomy are performed followed by discectomy using kerrison rongeur, and pituitary rongeur. Microscope and C-arm is used for this procedure. Proper size spacer is implanted using a distractor instrument.

Irrigated wound with antibiotic water. Layers are sutured with two 2-0 vicryl pop offs. Skin is approximated with surgical glue and one sponge is used as dressing.    

QUIZ THIRTY:

Intra-Operative Procedures

SPECIAL TECHNIQUE 1 Reconstruction of cleft palate is common for pediatric patient, which of  the following surgery is performed  A otoplasty B blepharoplasty C cheiloplasty D chelotomy 2 What are the changes in body system that commonly occur in the older adult  A urinary system become nocturnal, kidney decrease size for the aging process,  reproductive organs atrophy with age B heart valve become  thicker as aging process, absorption rate of nutrients  decrease C aging process of the skin increases resistance to infection D hair and skin becomes drier, bones become  porous, joints become  too stiff E A, B, and D only 3 Which of the following is not true regarding the geriatric care A blood flow increases in elderly patient, they need to be positioned quickly,   geriatric patients are treated as part of the common population B they require anti-embolism stockings, extra pillows are needed for  positioning due to arthritis or degenerative problems C geriatric patients  are required special care in the operating room D blood and fluid loss should be carefully monitored 4 Inter-vertebral disc is composed of gel like substance A synovium B nucleus pulposus C disc D all of the above 5 Relieve of pressure from the nerve root in the vertebrae A discectomy B decompression C ablation  D ligation 6 Muscles function inside the eyeball as such  iris and ciliary body A Globe B intrinsic eye muscles C Iris D extrinsic eye muscles 7 The eye structure which  refracts light rays and focuses them on the retina A Globe B Retina C Crystalline lens D Sclera 8 Eyeball is housed in this socket in the cranium  A Globe B Sclera C Zonules D bony orbit 9 Light rays focus in front of the retina near sightedness A Hyperopia B Extraocular C Amblyopia D Myopia 10 Innermost structure of the eyeball receives images through the lens A extraocular B Pupil C Retina D Sclera Have fun with this Quiz TWENTY NINE. Answers will be posted on my next blog.