Health Technician
1 month ago
Summary
Ophthalmology Technicians-Technology-based Eye Care Services (TECS) Technician in the Veterans Health Administration (VHA) support Ophthalmologists in diagnosis, treatment, prevention, follow-up care and patient counseling. The employee in this position performs a range of standard, but complex, diagnostic procedures, assists during clinic-based surgical procedures, educates patients and legal representatives, assists with the education of medical students and residents.
Duties
The major duties of this position will include:Knowledge, Skills and Abilities: Perform advanced tonometry and pupil evaluation; Perform calculations for selection of intraocular lens; Knowledge of clinic based ophthalmic surgical assisting including preparation of the surgical field; Knowledge of eye anatomy and physiology; Knowledge of medication effects and proper instillation in the eye; Knowledge of optics; and Knowledge of proper cleaning and maintenance of clinic equipment. Clinical Responsibilities: Checks and performs calibration of technical ophthalmology screening instruments. Obtains patient physical history, to include chief complaint; reason for visit; pertinent signs and symptoms; current medication allergies; past ocular and general medical history both ocular and general; family history both ocular and general; social history; and review of medications and allergies, including current ocular prescription and non-prescription medications. Accurately tests visual acuity at distance and near, with and without correction or with and without a pinhole. Measures eyeglass prescription using manual or automated lensometer, recording sphere, cylinder, axis, and prism in both plus and minus cylinder. Performs pupil evaluation recording pupil size, shape, symmetry, reaction to light and accommodation. Performs swinging flashlight test to detect a relative afferent pupillary defect. Performs basic refractometry utilizing an auto refraction or habitual glass prescription in the phoropter. Instills eye medications (drops or ointments, including anesthetic, dye, dilating drops, cycloplegic drops , or antibiotics). Measures intraocular pressure with standard techniques, including Goldmann applanation tonometry. Performs pachymetry to determine corneal thickness and manual keratometry or automated topography to determine corneal curvature. Performs intra-ocular lens calculations using an IOL Master or equivalent device. Performs automated visual field testing using various perimetry machines. Performs external photographs and fundus photography. Performs optical coherence tomography (OCT) of the anterior segment, retina and optic nerve. Performs patient screening and triage of potentially urgent ocular conditions. Assists during clinic-based ophthalmic surgery, including revision of wounds, biopsies of the eyelid lesions, cultures of conjunctiva, or cornea; reformation of anterior chamber, evacuation of hyphema, repositioning of corneal endothelial grafts, intra-vitreous injections, and laser surgical procedures. Educates patients and legal authorized representatives in eye care, including preoperative and postoperative instructions. Assists in the education and training of medical students, residents and fellows in those facilities with medical school affiliations. Ensures proper cleaning and disinfection; calibration, maintenance, backup, annual inventory and ordering of instruments, supplies and equipment; obtains quotes as needed; and reports needed repairs to biomedical engineering. Supports the Telehealth Optometry Store and Forward program include Technology Based Eye Care Services (TECS), Tele Retinal Imaging onsite, and offsite. Expected to float to other Community Based Outpatient Clinics as appropriate for patient care coverage and program expansion covering of Optometry services.
Work Schedule : Monday - Friday , 8:00am-4:30pm
Compressed/Flexible : Not Authorized
Telework : Not Available
Virtual: This is not a virtual position.
Relocation/Recruitment Incentives : Not Authorized
Permanent Change of Station (PCS): Not Authorized
Fi nancial Disclosure Report: Not required
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