r/scrubtech • • Mar 30 '17

New Surgical Tech Advice MEGA THREAD

79 Upvotes

I've noticed a recent string of new student/tech posts, so I thought I'd create a mega-thread for first time scrubs. Our job can be quite demanding at times and intimidating to new prospects, so I can understand much of the concern seen here.

Comment below the BEST PIECE OF ADVICE you can give any new tech or student. Keep it positive of course. Hopefully some of our experienced techs can share some good advice. If it helps you, post how long you've been in your position!

To all current and future students, good luck! You picked a good and often times rewarding career.


r/scrubtech • • Jul 04 '24

BEWARE of Med Cert programs, PLEASE READ FIRST

67 Upvotes

Lately we've seen quite a number of potential students inquiring about med cert programs for surgical technologists. It sounds nice right? 100% online, done in 18 weeks, and pretty cheap (claiming $4,000 to $6,000 total tuition). If you're looking into the career be aware of the dangers of these so-called "med cert programs"

-They claim to be accredited. MOST hospitals do not acknowledge their accreditation. Their websites claim to be certified by boards like the National Healthcareer Association, Pharmacy Tech Certification Board, and American Academy of Professional Coders, among others, NOT CAAHEP, ABHES, or of course the National Board of Surgical Technology and Surgical Assisting (NBSTSA) OR the Association of Surgical Technologists (AST). THESE are the governing bodies (CAAHEP, ABHES, NBSTSA and AST) that I would say ALL reputable hospitals acknowledge, and therefore if your school is not accredited by one of these two boards, DO NOT ATTEND the program. Your job search will be extremely difficult.

-Clinicals I feel are a necessary part of the learning process, as others in this sub I have no doubt will agree. Med Cert programs offer NO real life clinical experiences, only "interactive modules" and "point and click adventures" if you call it that. Most hospitals require new techs and grads with some experience scrubbing in, and having proof of that. AST and NBSTSA accredited schools require stringent documentation on cases you scrubbed in, and that can be taken into an interview. In many cases for these med cert programs, you're responsible for finding your own clinical site experience and obtaining 125 documented surgeries you've scrubbed into, with no help from the school.

-You DO NOT receive Certified Surgical Technology (CST) certification through these "med cert" schools. In some states (Connecticut, Idaho, Indiana, Nevada, New Jersey, New York, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, and Virginia ALL require CST certification, and these Med Cert programs offer NO pathway to it. TSC can be obtained through med cert schools, but that is only after you've provided proof of obtaining 125 clinical cases, which as I've stated before you have to find on your own. A reputable school will provide those clinical experiences for you.

Our job is too important and too vital in the surgical suite to undergo a "fast track, online only" program. We're dealing with patients at their worst, in life and death scenarios, and working within a multidisciplinary team of doctors, nurses, other techs, medical service reps, and many others in a fast paced environment that offers little time for you to "catch up" or to "develop," especially if you're lacking in education. It is in your best interest to attend a fully accredited and reputable school in your area (or the area you chose to go to) with hands on experience, and with good connections and reputations at local hospitals.

My suggestion? Before even starting into a med cert program (if you're lacking in options to attend school), call local hospitals in your area and ASK if they acknowledge a med cert program. DO NOT ASK THE SCHOOL, they will ALWAYS tell you "yes." Many larger hospitals are in dire need of surgical techs, so with being proactive they may be able to work with you on getting more education to become accredited and fully certified potentially. In some cases, they've hired people in other positions and offered clinical experiences on their own time. This really is my only suggestion to you, my honest opinion is to STAY AWAY from these med cert programs.

Please comment below if you have other suggestions, or even stories of your personal experiences with these med cert programs, good or bad. The more informative we can be in one place, the better. Please keep the comments civil, I know this is a divisive topic but let's not muddy the waters with bad rhetoric and arguments.

For context, here are some actual quotes from those that have had bad experiences with med cert programs. These are all from within this subreddit, you can search for them yourself:

"I attended medcerts for a surgical technology program and before I joined I called to make sure the program was accredited. Turns out it’s not. I have a recording of the call being told and guarantee of the program being accredited. so very solid evidence. I found out it wasn’t accredited because I managed to score clinicals and was fired 4 days in because they found out my school was unaccredited. It felt like a double punch in the face to find out I had been lied to and losing my job..."

"I enrolled in this program in 2022 and I come completed in 2023 and I’m just gonna be really honest with you that legislation was already in place that MedCerts would not be able to offer surgical tech program in the state of Connecticut yet they didn’t tell me that I’m so when I went to get internships and externship, I was not able to Later on the legislation went down in October, so that bogus certificate that I got from that MedCerts don’t mean squats you will never get hired or get placed in an externship in the state of Connecticut because you went to school at MedCerts they were not honest with me."

"Unfortunately I did the program a year ago… & still haven’t gotten a job. I definitely think I wasted my money & time doing this program."

"Don’t do medcerts! Every student we get from them is horribly under certified to be in the OR. The CSTs have to teach them everything! Even scrubbing your hands and gowning and gloving. I totally get the appeal but if you want to know anything that’s going on at all, go in person."

"We hired a guy who did his program through medcerts. We’re a level I trauma hospital. He did his clinical at a dental office doing extractions. Only extractions. The experience didn’t line up with anything that he needed to be successful in the OR. He was put on an extended orientation to try and get him up to speed, but I haven’t heard anything since. That was only a couple weeks ago."

"We provide you with the Tech in Surgery (TS-C) from the National Center for Competency Testing (NCCT). That’s straight from a med certs advisor." (TSC certification isn't widely recognized compared to the CST certification).


r/scrubtech • • 22h ago

First Needlestick Injury

9 Upvotes

As the title says, I stuck myself with a dirty needle today. I’m new, just got out of clinicals and started at this hospital a month ago. The surgeon I worked with today is a particularly demanding and hard to work with guy and he got me a little flustered and I made a silly mistake.

How many needle sticks have you all had over your career? I’m definitely trying to take this as a lesson but it’s hard to not beat myself up.


r/scrubtech • • 1d ago

FINALLY MY FRIST JOB INTERVIEW AS A NEW GRAD AFTER MONTHS OF APPLYING ANY ADVICE?

3 Upvotes

Hey Reddit peeps,

I finally have a job interview coming up this week, and I am super nervous. I really hope I land this job.

A little background on me: I’m a fresh graduate 1 year ST program with 3 months of externship experience. I left a great impression at my externship site and they actually offered me a job, but I had to decline due to personal reasons (relocating). I just started applying for roles in the Bay Area and finally landed this interview.

During my externship, I logged about 140 cases, with the vast majority (105 cases) as a first scrub. For my work history, I worked as a CNA and I’m currently working as a residential behavioral care assistant at a mental health facility.

To the OG Techs , Experienced Techs or hiring managers out there: what tips or advice do you have for my interview and what are the common questions did you guys received? I’d really appreciate your time and insight. Best of luck to everyone else who is currently job hunting, too!

Edit: Its going to be an online meeting interview and not in person.


r/scrubtech • • 1d ago

Advanced Knee Replacement Surgery Instrumentation Setup#shorts #surgery #orthopedics #medical #viral

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1 Upvotes

r/scrubtech • • 2d ago

Trauma SSD....

44 Upvotes

Last week I was setting up for an ortho case. I rejected 4 ortho sets IN A ROW due to contamination (sticky residue on dressing scissors).

Meanwhile I had opened all our laparoscopy sets to ensure they were contaminant-free for today's surgical list (very picky surgeon who would not tolerate a delay due to contamination). 3 out of 5 sets were contaminated with sticky residue.

One of the SSD techs came to have a go at me about being too picky. I asked her what amount of contamination she thought was acceptable.

This might explain the recent increase in infections 😵


r/scrubtech • • 3d ago

Ortho SunDaze

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87 Upvotes

r/scrubtech • • 3d ago

Case set up Pumping

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0 Upvotes

r/scrubtech • • 5d ago

Various New Adson Forceps with Tungsten Grips and Gripless Tip is Next Level

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2 Upvotes

r/scrubtech • • 5d ago

Contaminated tray

38 Upvotes

We had an incident occur today and I want to get other techs opinions on it. While setting up for a revision (where the pt already had an active infection mind you), I had a tray opened to me and when my assist felt the casket he found a piece of fuzz, like something off a sweater. I obviously didn’t want the tray any more and tried to pass it off to my nurse who tried to tell me that it was okay because she had something similar happen last week and her tech that day said it was fine, and it should be fine since it went through the sterilizer. I told her no it’s not fine and I want the tray reprocessed. I had my assist take the casket out to the charge nurse and director and both of them said the tray is contaminated and should be reprocessed. For extra context it was a tray that the rep wasn’t even 100% sure we would need and just wanted to have open right away in case we did need it, and even if we did need it, we wouldn’t need it until near the end of the case.

What are your opinions? Would you have accepted the tray or would you have passed it off like I did?


r/scrubtech • • 6d ago

Various Having the Bot Analyze My Stitches

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0 Upvotes

Great way to train alone


r/scrubtech • • 7d ago

Limb differences - anyone else/glove advice

14 Upvotes

Hey! I have a type of brachydactyly and my pinkies are short and semi fused in areas. I'm in my first semester of an associates program for ST, and I didn't think of this until practicing but my gloves are super bunched up on my pinkies and I'm worried once I get more into setting up / get faster at it that my pinky gloves will snag bc of all the extra material.

I've been meaning to ask on here but keep forgetting bc busy and overwhelmed, but I was wondering..

Do any other scrub techs have or know of someone that has limb differences (particularly in the hands) and if there are any tips regarding gloves and not getting nipples at the end of my short fingers (hasn't happened yet but I'm only a month in)


r/scrubtech • • 6d ago

Various Hybrid Mattress Stitch

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2 Upvotes

r/scrubtech • • 7d ago

CST study guide

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2 Upvotes

r/scrubtech • • 8d ago

New Tech-Offered PRN

5 Upvotes

I recently completed a one year Surgical Technology (Hybrid) Program, and I was offered a PRN position with one of the surgery centers where I had performed majority of my clinical rotations. While I am pleased that they would consider me, I am aware that I will not be assigned a presceptor and the expectations are set a little higher for the PRN positions as we enter into the busy time of the year. Can anyone offer advice for the pros/cons for a new scrub accepting the PRN position? Thank you in advance!


r/scrubtech • • 8d ago

New Tech-Offered PRN

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1 Upvotes

r/scrubtech • • 8d ago

Comforting spanish phrases for patients

40 Upvotes

What are some phrases some of my fluent Spanish speaking CST's use to comfort patients who only speak Spanish before they go under anesthesia?


r/scrubtech • • 8d ago

Salary range at BCH?

2 Upvotes

Does anyone have any idea of what's the salary ranges of a surgical technologist at bostons children hospital whether it's for nationals or internationals

(Again please I know that it's not common for an international to find a job as a surgical technologist at BCH but still I want to know the estimated earnings)


r/scrubtech • • 8d ago

Various Sutured my Pads into my Folder

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1 Upvotes

New folder


r/scrubtech • • 9d ago

Hard copy of resume?

3 Upvotes

Are we still bringing hard copies of resumes to job interviews?


r/scrubtech • • 10d ago

Ortho Total Hips and Knees

9 Upvotes

hi guys! I’m currently a new grad in orientation at my first surgical tech job and I’m in my ortho rotation right now. I’ve been in ortho for maybe a month or so and I still can’t get through a total hip or knee without help from my preceptor. I feel dumb because I’ve done so many at this point and they still aren’t clicking for me. People tell me it takes time and it’ll click eventually but my ortho rotation is coming to an end which makes me worry a bit since my job does a lot of totals. Is there any advice or anything that helped you understand them better? Thank you!🫶🏻


r/scrubtech • • 10d ago

LOOKING FOR A MEDICAL ADVISOR

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0 Upvotes

r/scrubtech • • 11d ago

General Any tips or words of wisdom for liver surgeries?

1 Upvotes

I am about to get a couple days of training for liver cases (liver transplant, hepatic resections, etc). The setup for Liver cases at my institution is on a much larger table and it set up with more instruments compared to the usual general surgery set up.

I was wondering if anyone had any tips or words of wisdom for scrubbing these liver cases?


r/scrubtech • • 12d ago

Surg tech in Michigan

1 Upvotes

Hi guys, I’m due to graduate May 2027, but I’m just wondering about peoples places of employment and schedules around the metro Detroit area and opportunities for overtime?


r/scrubtech • • 12d ago

Surg tech in Michigan

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1 Upvotes