Association of Surgical Technologists

Nevada State Assembly

Association of Surgical Technologists
Association of Surgical Technologists



AST Legislative Position:


            NVSA is Proud to let everyone know that our Team Nevada Legislation Efforts to set Standards for the Practice of Surgical Technology and Surgical Technologists in the State of Nevada has achieved that goal with the Passage of AB347!!
                         Nevada Surgical Technology Education and Certification Bill AB347 Signed into Law
                         May 23, 2017 by Nevada Governor Sandoval                     


Nevada Surgical Technology Law

News Release:  KOLO TV Reno

Every surgical patient deserves a Certified Surgical Technologist (CST) in every operating room.

The Certified Surgical Technologist is an allied health professional who helps assure the care and safety of the surgical patient with an effective and positive outcome on all surgical procedures. All patients facing the unknowns of surgery will now be able to count on the Certified Surgical Technologist to have the education, training and expertise to perform the surgical procedure safely and competently as part of the surgical team.   



Creates a pathway of "standard entry"  to the profession  for  NEW  surgical technologists.

Protects patients by requiring hospitals to hire surgical technologists that are graduates of accredited programs and hold and maintain the CST credential.

Protects the jobs of all surgical technologists that exist now by grandfathering in surgical technologists who are employed and working as surgical technologists prior to the passing of the law. 

Officially recognize our profession for the first time in the state law



AST's legislative mission and goal has long been "Graduation from an accredited program in surgical technology and holding / maintaining the Certified Surgical Technologist (CST) credential administered by the National Board of Surgical Technology and Surgical Assisting (NBSTSA) as a condition of employment." This law accomplishes that goal, while recognizing those individuals who have long practiced in the state and allowing them to continue their careers uninterrupted.

It is a simple regulation that accomplishes much for the profession, including the definition within state law of surgical technology as a real profession for the first time in the State of Nevada, along with education and credentialing standards.

At this time there are nine (9) states that have passed this law.
Indiana, Massachusetts, Nevada, New Jersey, New York, Oregon, South Carolina, Tennessee, Texas

1 State : Education and Certification Requirements: Certification Required:
Administrative Code in the State of Idaho.
Surgical Technologist Education/Certification Requirements Rules and Minimun Standards for Hospitals in Idaho.

3 States Require State Registration:  
Colorado, North Dakota, and Washington
CST NOT Required for Registration

Arkansas, Illinois, Virginia
All Require CST Certification to Register

There are many State Assemblies of AST that are at some phase of the process of following suit, by building on the
language of the AST legislative mission to get the law passed in their states.

                                   Nevada Surgical Technologist  Certification Law
                                                           Main Points
                                               Effective   January  1, 2018

    The Law Requires:  ALL  NEW  SURGICAL TECHNOLOGISTS entering the profession:
(1) to graduate from a Nationally-Accredited Surgical Technology program  and
(2) to earn and maintain the Certified Surgical Technologist (CST) Credential from
      the National Board of Surgical Technology and Surgical Assisting (NBSTSA).

    ♦  The CST Credential is the ONLY CERTIFICATION  that will be honored for
         hiring Surgical Technologists in Nevada.

    ♦  The law contains a  "grandfather" exception, which means continued employment of surgical technologists
       (whether certified or not) who were employed as surgical technologists before January 1, 2018.

                ΔΔ "Grandfathered"  does  NOT  mean automatic certification! ΔΔ

    ♦  Military-Trained Surgical Technologists do NOT need to re-train as civillians or obtain the CST Credential.

    ♦  "Grandfathered" and "Military-Trained" surgical technologists (Except Federal Employees) working in Nevada
        are required to complete 15 hours of Continuing Education (CE) each year.

    ♦  CSTs are still required to complete 60 CEs every four years to renew their CST Credential.

    ♦  Nurses do  NOT  need to become CSTs to scrub.
        Nothing in the law prohibits a licensed practitioner from performing Surgical Technology
        tasks or functions, as long as they are acting within the scope of their license.

    Association of Surgical Technologists
    Nevada State Assembly of Surgical Technologists
    October 2017

   Surgical Technologist Scope of Practice Inquiries / Association of Surgical Technologists:

Please note the Association of Surgical Technologists provides this information on an educational basis and does not offer legal advice. AST recommends that individuals or health care facilities consult with their attorneys for answers to legal questions.

"Scope of Practice" is a legal term that is addressed through city, county, state and federal laws and regulations. Scope of practice is specific to licensed professionals only; for example, physicians and physician assistants have laws and regulations in place that address scope of practice through their respective state boards. However, surgical technologists do not have a scope of practice; if a state has a surgical technology law in place the law may include a list of duties ("intraoperative surgical patient care that involves" or "surgical patient care that includes, but is not limited to, the following tasks or functions"), but it is not a scope of practice.

Generally speaking, surgical technologists fall under the board delegatory authority of surgeons. The underlying principle is that surgeons may delegate intraoperative tasks to surgical technologists when those tasks are performed in the presence of an under the direct supervision of the surgeon, and the surgeon and/or employer has made a reasonable determination that the person to whom thsoes tasks are to be delegated has the appropriate skills and knowledge to safely perform those tasks.

It is recommended that the health care facility consult with legal counsel and risk management to research the state medical laws, in particular if a surgical technology state law has been established. This also provides the health care facility the ability to document the results of the research in order to support surgery deparment employee policies.

The following states require surgical technologists to be a graduate of an accredited surgical technology program, and hold and maintain surgical technologist certification: Idaho, Indiana, Massachusetts, New Jersey, New York, Nevada, Oregon, South Carolina, Tennessee and Texas. Registration is mandatory for surgical technologists working in Colorado and Washington, and registration is voluntary in Arkansas, Illinois and Virginia.