The (NBSTSA) National Board of Surgical Technology and Surgical Assisting provided the syllabus for the Surgical Technologist participating in the Certification Examination for the Certification process. There will be 175 questions from the syllabus. This Hand Book Two provides 2195 questions and answers guided by the (NEW) syllabus prescribed by the board in the year 2019. CONTENTS: QUESTIONS AND ANSWERS TO PREPARE SURGICAL TECHNOLOGIST FOR THE CERTIFICATION EXAMINATION TO BECOME THE CST. PRE-OPERATIVE CARE: Pre-Operative Preparation - Surgical technologist must learn to use Preference cards. Surgical equipment for each case must be checked and be secured. Protective attire must be used. Proper preoperative documentation should be completed. Each patient has specific requirement must be met. Operating room preparation for the surgery includes temperature, humidity, laminar flows, spot lights, equipment, room furniture, anesthesia etc. Need for special equipment such as sequential hoses device, hypo/hyperthermia units must be verified. Instruments, supplies, implants, consignment items must be secured per preference card. Surgical hand scrub must be performed. Integrity of sterile items must be maintained. Practice aseptic technique while setting up for the case. Surgical technologist perform surgical hand scrub using aseptic technique. Surgical technologist perform gowning and gloving using aseptic technique. Surgical technologist must be prepared with instruments and supplies according to the procedure need. Care must be provided to transport patient to and from operating room. Care must be provided to transfer patient to and from the operating room table. Patient safety is maintained always. Patient is monitored carefully. Patients is positioned safely for surgery. Surgical site is prepared. Surgical Technologist gowns and gloves sterile team members. Surgical Technologist drapes the patient. Bovie and suction etc must be secured to the drape. Microscopes, C-arm, fracture table, Da- vinci etc. must be draped. "Time Out"must be performed. INTRA-OPERATIVE PROCEDURES: Aseptic technique for each procedure must be met. Universal precaution and all standards must be practiced. Surgical technologist must learn each steps of the surgical procedures to anticipate the surgeons need. Counts with the circulator must be done. Solutions and medications must be measured and labelled properly. Assistance under the supervision of the surgeon must be provided. Surgical technologist must know all types of incision methods. Surgical technologist learns function, classification, and implementation of each instruments. Surgical technologist must learn all the special equipment required. Duties include use of all the retractor, instruments, and sutures, staplers, and needles. Duties include use of stapling device and suture. Hemostasis must be practiced. Proper practice of medication, irrigation, sponge, suction, and solution must be followed. Implant and graft must be used properly. Must label and handle specimens appropriately. All catheters, drains, IV access devices must be checked. Peri-operative status of the patient in the OR must be observed. During emergency surgical technologist must act properly. Must learn to act in hazardous condition in the OR properly. Drains and suctions must be handled properly. Cast, brace, sterile dressing etc. must be used properly. POST-OPERATIVE PROCEDURES: Notify the amount of local anesthetics used. Requires to do case debrief during medico-legal event. Drapes and items must be removed from the patient. Abnormal bleeding or abnormal condition of the patient must be notified. Wastes and sharps must be discarded properly. Transfer of the patient must be done properly. OR must be decontaminated.