The Health technician/Dispensing Optician works as a member of the Eye Care Service, under the supervision of the Chief of Optometry for Jonathan M. Wainwright VAMC in Walla Walla, WA. The Eye Care Service provides comprehensive outpatient and low vision rehabilitation services to eligible veterans. The incumbent will independently provide direct patient care services in ophthalmic dispensing involving education, selection, verification, adjustment and repair of ophthalmic lenses and eyewear. Duties include but are not limited to: The Optician/ technician will independently provide direct patient care services related to patient education, selection, ordering, verification, troubleshooting, adjustment and repair of ophthalmic lenses and eyewear. Will educate the patient on the lens materials, lens designs, frames, tints and coatings that they are eligible and entitled to receive. Measures interpupillary distances, optical centers, and multifocal or progressive addition lens segment heights will be accurately obtained and documented. Will properly adjust eyeglasses for comfortable fit and proper alignment of optical centers and segment heights for optimal visual performance. Will repair broken or defective eyeglasses. Will triage patient concerns by manual or automated lensometry verification and troubleshooting protocol. If a patient concern with new eyeglasses cannot be satisfactorily addressed by adjustment, and the eyeglasses were fabricated as prescribed, the patient will be scheduled for refraction in Optometry. Will appropriately triage patients incidentally presenting to Optical Services with new signs or symptoms of ophthalmic or systemic morbidity. Resolve patient complaints/disputes and acts as a patient advocate. Will initiate and monitor scheduling of patients for special procedures and specialty clinics, counsels the patient and family with reference to preventive care, outpatient care, and the use of prescribed treatment and drugs. Receives and directs patients, answers routine inquiries, and makes referrals. Assists patients, visitors, and others requesting information, guidance, or referral for special assistance. Will perform supervised routine and advanced technical procedures to provide optometrists and ophthalmologists with information and data necessary to assist with delivery of comprehensive eye and vision care services. Cares for patients and sets up and gives treatments that require auxiliary equipment. Performs the full range of complex procedures and examinations for which instructions have been standardized. Monitors patients for adverse reactions and takes corrective action based on established policy. Preliminary medical histories will be completed. Medication reconciliation will be performed. Monocular and binocular visual acuities will be measured and documented for both distance and near. Spectacle lenses will be verified and documented. Color vision and stereo visual acuity will be measured and documented. Visual fields will be measured and documented. Corneal curvature will be measured with a manual keratometer or automated corneal topographer. Pupillary size, symmetry, reactivity to light and the presence or absence of an afferent pupillary defect will be assessed and documented. Will safely move and position patients before, during and after eye examinations and procedures. This will include safe transfer of patients in wheelchairs, and proper use of sighted guide technique for blind veterans. Will perform more advanced technical procedures under the supervision of staff Optometrists. Will perform refractions by retinoscopy and/or subjective methods. Soft and gas permeable contact lenses will be removed, cleaned and inserted as clinically indicated. Diagnostic and therapeutic eye medications will be topically administered to facilitate examination and treatment. Ophthalmic imaging of the posterior segment using digital retinal cameras, OCT and HRT will be performed. Intraocular pressure will be measured by applanation tonometry. Biometric measurement of axial length will be measured using ophthalmic ultrasound. Corneal thickness will be measured with a pachymeter. Will demonstrate knowledge of instruments, procedures, supplies and equipment. Is responsible for the proper use and maintenance of all instrumentation and equipment required for the performance of their patient care duties. This includes proper infection control practices before and after each patient use in addition to following standard protocol for hand hygiene and reprocessing of RME. Will assist the Eye Care Team in maintaining continued readiness for the Joint Commission with particular attention to the environment of care and information security. Work Schedule: Monday-Friday, 8am-4:30pm Position Description Title/PD#: Health Technician (Optometry)/PD80188A Physical Requirements: The work requires an ongoing mix of sitting, standing, walking, bending, and carrying light weight items. Many of the positions major duties require a high degree of manual dexterity and accuracy. All patient care activities require PC keyboard and mouse use for data entry in the electronic patient record. Occasional heavy lifting will be required, particularly for patient transfers. In some instances, interaction with patients, caregivers, and staff can become intense, and the employee may be placed in a position of stress.
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.