Ophthalmology Technicians in the Veterans Health Administration (VHA) perform functions such as technical clinical care to patients who have received care provided by Ophthalmologists for diagnosis, treatment, prevention, follow-up care and patient counseling. This vacancy will remain open until filled. The first cut-off date is June 1, 20201. Additional applications will be referred as needed. Duties include but are not limited to the following: Clinical Responsibilities GS-5 Level Obtains and records vital signs including blood pressure, pulse, and glucose levels Participates in performance of quality assurance activities such as staff meetings, mandatory educational in-services, quality control reports, systems redesign, and team and morale improvement GS-6 Level Obtains an accurate medical and ophthahnic history Measures and records visual acuity Administers anesthetic eye drops Performing basic tonometry Estimates the anterior chamber depth Records a simple spectacle reading through automated lensometry GS-7 Level Triages patient phone calls or requests Ensures exam rooms are stocked with adequate supplies Instructs patients on administration of eye drops and post-operative instructions Accurately measures, compares, and evaluates pupillary responses Administers eye drops to dilate pupils Performs basic color vision screening Performs basic visual field testing (using Amsler grid or automated equipment) Performs basic imaging testing such as corneal topography; external photography Performs basic ocular testing such as pachymetry, tear production with test strips, glare testing, stereo acuity, contrast sensitivity, potential acuity meter, measuring spectacles using both automated and manual lensometry and transposing cylinders Assists the ophthalmologist during minorophthalmic surgical procedures and is adept at· applying steriletechnique and infectioff control procedures Performs autorefractor to determine spectacle prescription GS-8 Level 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 rep01ts needed repairs to biomedical engineering Customer Service Meets the needs of customers while supporting the Medical Center, Service and national VA priorities. Consistently communicates and treats customers (patients, visitors, volunteers, and all Medical Center staff) in a courteous, tactful, and respectful manner. Provides the customer with consistent information according to established policies and procedures: Handles conflict and veteran complaints constructively and appropriately. Collaborates with other health care staff in a manner that enhances coordination of comprehensive patient care. Maintains confidentiality of patient medical records according to policy. Stays current with required training through the VA TMS related to customer service and interpersonal skills Work Schedule: Monday - Friday 8:00a.m. - 4:30p.m. Financial Disclosure Report: Not required
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.