This position is assigned to the Ophthalmology Section of Surgical Service and the Fayetteville NC Coastal Health Care System within the Mid Atlantic health Care Network (VISN 6). Position provides a wide variety of clinical and technical work and direct patient care support. The Health Technician (Ophthalmology) will support patient site care as part of the VA Technology-based Eye Care Services (TECS) program. The Health Technician (Ophthalmology) at this level performs a range of standard, but complex, diagnostic procedures. The following clinical duties and responsibilities are expected at the GS-8 assignment: Check 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 nd nonprescription medications; Accurately tests visual acuity at distance and near, with and with correction or with and without a pinhole; Measuring 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 relation afferent pupillary defect; Performs basic refractometry utilizing an auto refraction or habitual glass prescription in the phoropter or with a trial frame and lens; Instills eye medications (drops or ointments, including anesthetic, dye, dilating drops, cycloplegic drops, or antibiotics) following a protocol or under the direction of an eye provider (ophthalmologist or optometrist); Measures intraocular pressure with standard techniques, including Goldmann applanation tonometry, tonopen or rebound tonometer; Performs manual keratometry or automated topography to determine corneal curvature; 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; 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 cornea endothelial grafts, intra-vitreous injections, and laser surgical procedures; Educates patients and legal authorized representatives in eye care, including preoperative and postoperative instructions; 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; Ability to perform patient work ups efficiently and accurately in a location potentially remote from the eye provider while under the supervision of an eye provider; Obtains a detailed patient 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 prescriptions and non-prescription medications Assists with spectacle selection and obtains spectacle measurements and assists with glasses ordering Work Schedule: Monday - Friday 7:45am - 4:15pm 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.