Health Technicians (Ophthalmology) have a higher responsibility for support Ophthalmologists in diagnosis, treatment, prevention, follow-up care and patient counseling. The Health Technician 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. May perform direct patient care services under the supervision of Ophthalmologists. The duties and responsibilities of the Health Technician (Ophthalmology) are expected to perform a range of standard, but complex diagnostic procedures with responsibility for checking calibration of instruments prior to the procedure, obtaining patient physical history, to include chief complaint; reason for visit; pertinent signs/symptoms; past 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. Additional duties and responsibilities are expected, accurately tests visual acuity at distance and near, with and without correction or with and without pinhole; measures eyeglass prescription using manual or automated lensometer, recording sphere, cylinder, axis, and prism in both plus and minus cylinder, pupil evaluation recording pupil size, shape, symmetry, reaction to light and accommodation, and any abnormalities, including relative afferent pupillary defect. Major duties included but not limited to; Instills eye medications under the direction of an Ophthalmologist or Optometrist (drop or ointments, including anesthetic, dye, dilating drops, cycloplegic drops, or antibiotics). Measures intraocular pressure with standard techniques, including iCare Tonometer, Tonopen, and Goldman applanation tonometry. Performs refraction utilizing auto-refractor or habitual glasses prescription in phoroptor or trial frame and lenses. Performs intra-ocular lens calculations using an IOL Master/Lenstar or equivalent device. Performs automated or manual visual field testing using various perimetry machines. Performs external photographs and fundus photography. Performsoptical coherence tomography (OCT) of 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 hyphemia, and laser surgical procedures. Educates patients and caregivers in eye care including pre and post operation 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. Frames selection and measurement. Work Schedule: Monday - Friday, 8:00 AM - 4:30 PM There may be extended work hours and weekend coverage; as well as rotations between the main facility and Henrico Community Base Outpatient Clinic (CBOC). Financial Disclosure Report: Not required
Internal Number: 599980000
About Veterans Affairs, Veterans Health Administration
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.
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