
Nebraska Surgical Technologist Requirements
This page explains Nebraska Surgical Technologist requirements, including the state’s current non‑licensure status, common CST® and TS‑C expectations, education options, and salary and job‑outlook data.[1][2][3][4]
Overview
Nebraska does not require state licensure, registration, or state‑mandated certification for surgical technologists at this time.[1][2] There is no active Nebraska practice act that creates a personal state credential for this role.[1][3]
Instead, hospitals and surgical facilities in Nebraska use their own hiring and credentialing rules.[1][2] Typically, employers expect graduation from an accredited surgical technology program and national certification such as CST® or TS‑C.[1][4]
National law maps list Nebraska among the states without a surgical technologist law that is currently in force.[2][3] As a result, the state is legally non‑regulated, but daily hiring often looks like a certification‑preferred environment.[1][4]
State Classification
Nebraska is classified as a non‑regulated state for surgical technologists under current law.[1][2][3] The state does not issue a surgical technologist license, maintain an active registry, or protect the title by statute.[1][3]
In addition, national law summaries group Nebraska with states where employers and national certification bodies set standards rather than a state board.[2][3] Previous legislative proposals, such as the Surgical Technologist Registry Act (LB360, 2017), have not resulted in a permanent, implemented licensure system as of early 2026.[5]
Statutory Requirements
As of early 2026, Nebraska statutes and regulations do not create active licensure or registration requirements for surgical technologists.[1][2][3] State law also does not reserve the titles “surgical technologist” or “certified surgical technologist” for a licensed group in current practice.[1][3]
Legislative Bill 360 once proposed a Surgical Technologist Registry Act that would have required registry within a set timeframe after hire and outlined education or competency pathways.[5] However, current licensure and career guides describe Nebraska as a state with no active license, registration, or mandatory certification requirement for surgical technologists.[1][2]
Because a dedicated surgical technologist statute is not in effect, Nebraska facility‑licensing rules focus on safe operating‑room practice and adequate staffing.[2][3] Individual hospitals and health systems then decide which education and certification credentials they require from technologists.[1][3][4]
Certification Requirements
Nebraska law does not require surgical technologists to hold CST®, TS‑C, or any other national credential.[1][2] Certification is voluntary at the state level, but it is common in employer job postings and workforce guidance.[1][4]
LicenseMap explains that CST® certification through NBSTSA is the industry standard in Nebraska and is required by most employers.[1] National certification, while not mandated by statute, is strongly recommended for long‑term employability in the state.[1][4]
Accredited surgical technology programs that serve Nebraska students typically last 12–24 months and lead to a certificate or associate degree.[1][4] These programs emphasize eligibility for the national CST® exam and include both classroom and supervised clinical experience in the operating room.[4]
After certification, technologists must follow recertification rules from NBSTSA or NCCT.[1][4] This typically involves earning continuing education credits or passing periodic exams, and many Nebraska employers monitor certification status during ongoing credentialing.[1][4]
Registration or Licensure Requirements
No Nebraska agency currently issues a surgical technologist license or maintains an active surgical technologist registry.[1][2][3] There is no Nebraska ST license application, no state ST license fee schedule, and no state ST license renewal form in use.[1][3]
Earlier legislative proposals described how a registry might work, including age, education, and competency documentation for registrants.[5] Nevertheless, up‑to‑date licensure resources indicate that surgical technologists now practice in Nebraska without a state license or registry requirement, and employers handle credential verification themselves.[1][2]
Surgical technologists who also hold another professional license, such as nursing or another allied health license, remain under the authority of that separate board.[2][3] However, their day‑to‑day surgical technologist duties still follow employer policies and national standards rather than a Nebraska ST license.[2][3]
Renewal Requirements
Because Nebraska does not license or register surgical technologists, the state does not set renewal dates, renewal fees, or continuing education rules for this role.[1][2][3] Renewal responsibilities instead come from national certifying bodies such as NBSTSA and NCCT and from employer policies.[1][4]
NBSTSA and NCCT publish detailed recertification requirements for CST® and TS‑C, including continuing education and time limits.[1][4] Many Nebraska employers require technologists to keep these credentials active as a condition of continued employment and privilege in the operating room.
Background Checks
Nebraska does not operate a background‑check system that is specific to surgical technologists.[2][3] There is no state ST license, so there is no ST‑only background screening tied to license issuance or renewal.[2]
Instead, hospitals and surgery centers rely on their own onboarding and credentialing processes.[3][4] These usually include criminal background checks, drug screening, immunization verification, and reference checks for surgical technologists and other perioperative staff.[3][4]
Scope of Practice
Nebraska does not define a statutory scope of practice for surgical technologists in current law, and the title is not legally protected by an active practice act.[1][2][3] Therefore, the role is described mainly through job descriptions, employer policies, and national professional guidelines.[3][4]
In daily work, Nebraska surgical technologists typically prepare the operating room and arrange instruments and sterile supplies.[1][4] They also assist with gowning and gloving, maintain the sterile field, pass instruments, handle specimens, and help with counts under the supervision of surgeons and circulating nurses.[1][4]
Governing Agency
Nebraska does not have a licensing board devoted solely to surgical technologists under current law.[1][2][3] No single state agency directly regulates this occupation as a licensed profession at the individual level.[1][3]
Instead, state agencies license and inspect health‑care facilities, such as hospitals and ambulatory surgery centers.[2][3] Within those facilities, credentialing offices and medical staff committees set internal standards for surgical technologist education, certification, and competency.[3][4]
Statute Citations
- Current status: As of early 2026, Nebraska does not operate an active surgical technologist license or registry, and national law summaries list Nebraska as a non‑licensure state where surgical technologists practice under employer rules rather than a state credential.[1][2][3]
- Legislative history: Legislative Bill 360 (2017) proposed a Surgical Technologist Registry Act that would have required registration and outlined eligibility and scope, but current licensure and career resources still describe Nebraska as having no state license or registry requirement for surgical technologists.[5][1]
Nebraska Surgical Technologist Salary & Job Outlook
National Occupational Employment and Wage Statistics (OEWS) data for Surgical Technologists (SOC 29‑2055) report a national annual mean wage of about $60,900 for full‑time employee wage and salary workers as of May 2023.[4] BLS OEWS state‑level tables for Nebraska provide full‑time wage and salary estimates for surgical technologists that can be compared with this national baseline.[4][6]
Salary tools and regional workforce resources show that Nebraska surgical technologist wages generally track close to regional averages, with variation by employer type, experience level, and whether the role is in a larger health system or smaller facility.[1][4] Nationally certified technologists may earn toward the upper end of local ranges for full‑time positions, especially in higher‑volume hospitals and metropolitan areas.[1][4]
Summary
Nebraska does not license or register surgical technologists, and state law does not currently require CST® or TS‑C.[1][2][3] Employers therefore decide which education and certification credentials are needed to work in the operating room.[1][4]
In practice, most Nebraska facilities prefer graduates of accredited surgical technology programs who hold national certification.[1][4] This makes Nebraska function as a certification‑preferred state even though no formal ST license or registry is in effect.[1][2]
References
- [1] LicenseMap. “Nebraska Surgical Technologist (CST) License Requirements (2026)” – confirms that Nebraska does not require state licensure, registration, or mandatory certification for surgical technologists and that CST® or TS‑C are employer‑driven credentials and the industry standard. https://licensemap.com/surgical-technologist/nebraska/
- [2] Asheville‑Buncombe Technical Community College (A‑B Tech). “State Contact Agencies – Surgical Technology” – Nebraska entry notes that there are no state or federal laws requiring licensure or certification of surgical technologists in Nebraska and that education and certification requirements are left to employers. https://abtech.edu/student-resources/onlinedistance-learning/professional-licensure/surgical-technology-state-licensing-boards
- [3] Association of Surgical Technologists (AST). “Surgical Technologist and Surgical Assistant State Law Map / Legislative Overview” – national overview identifying which states have ST laws and listing Nebraska among states without an implemented surgical technologist practice act as of the latest update. https://www.ast.org/Public_Policy/Legislative_Overview/
- [4] Nebraska and regional surgical technology program pages and BLS OEWS wage data describing accredited curricula, typical 12–24 month program lengths, and wage information for surgical technologists. Examples: Central Community College Surgical Technology – https://www.cccneb.edu/programs-of-study/health-sciences/surgical-technology; Western Nebraska Community College Surgical Technology – https://www.wncc.edu/academics/programs/surgical-technology; Southeast Community College – Surgical Technology – https://www.southeast.edu/surgicaltechnology/; U.S. Bureau of Labor Statistics, “Occupational Employment and Wages, May 2023 – 29‑2055 Surgical Technologists” – https://www.bls.gov/oes/2023/may/oes292055.htm
- [5] Nebraska Legislature. “Legislative Bill 360 (2017) – Surgical Technologist Registry Act” – proposed, but not implemented, legislation that would have required surgical technologist registration and outlined education and competency options and task lists for registered technologists. https://nebraskalegislature.gov/FloorDocs/105/PDF/Intro/LB360.pdf
- [6] U.S. Bureau of Labor Statistics. “May 2023 State Occupational Employment and Wage Estimates – Nebraska” – OEWS state table providing full‑time wage and salary estimates for surgical technologists, used to compare Nebraska wages with national figures. https://www.bls.gov/oes/2023/may/oes_ne.htm
