Ophthalmology Technicians in the V A support Ophthalmologists in diagnosis, treatment, prevention, follow-up care and patient counseling. The Health Technician GS-08 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 and may perform "direct patient care services" under the supervision of Ophthalmologists. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. Health Technicians (Ophthalmology) must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 38 U.S.C. 7407(d). Experience and Education: Candidates must meet the Basic Requirement of Experience and/or Education in 1,2 or 3 below. Transcripts must be provided at time of application if you are basing any of your eligibility on your education. (1) Experience: One year of experience in a health care field, such as but not limited to nursing, medical assistant, or health technician. OR (2) Education: Two years above high school with a minimum of six semester hours directly related to a health care field or associate's degree in a health care related degree. OR (3) Experience/Education Combination: Equivalent combinations of experience and education are qualifying. Examples are listed below: (a) Six months of experience in the health care field; and one year above high school; or (b) Six months of experience in the health care field and successful completion of a course for health care technicians, hospital corpsmen, medical service specialists, or ophthalmology technicians given by the U.S. Armed Forces; or (c) Six months of experience in the health care field and completion of an independent study course in Ophthalmic Medical Assisting. Certification. All applicants must be certified as a Certified Ophthalmic Assistant (COA) with the Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPO). The COA certification is JCAHPO's entry-level certification examination for a Health Technician (Ophthalmology). Grandfathering Provision: May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria). Please read more in the Education section of this vacancy announcement. Grade Determinations: Health Technician (Ophthalmology), GS-8 (Full Performance Level) In addition to the Basic Requirements of this occupation you must meet the experience and Demonstrated Knowledge, Skills, and Abilities listed below to be found qualified at the GS-08 level . Experience: One year of experience equivalent to the GS-7 grade level. Examples of this related experience are; 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 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. The employee assists the ophthalmologist during minor ophthalmic surgical procedures and is adept at applying sterile technique and infection control procedures. Performs autorefractor to determine spectacle prescription. AND, Demonstrated Knowledge, Skills, and Abilities (KSA): In addition to the experience above, the candidate must demonstrate all of the following KSAs: 1. Ability to perform advanced tonometry and pupil evaluation; 2. Ability to perform calculations for selection of intraocular lens; 3. Knowledge of clinic based ophthalmic surgical assisting; 4. Knowledge of eye anatomy and physiology; 5. Knowledge of medication effects and proper instillation in the eye; 6. Knowledge of optics; 7. Knowledge of proper cleaning and maintenance of clinic equipment. Preferred Experience: None above the qualification standard. References: VA HANDBOOK 5005/98 PART II APPENDIX G52 Promotion Potential: The full performance level of this vacancy is GS-08. Physical Requirements: See VA Directive and Handbook 5019 ["The duties of this occupation include but are not limited to the following: 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. xiv. 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. Work Schedule: Full Time 8:00am - 4:30pm Monday- Friday Compressed/Flexible: Not Available Telework: Not Available Virtual: This is not a virtual position. Functional Statement #:PDF03129 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized PCS Appraised Value Offer (AVO): Not Authorized Financial Disclosure Report: Not required"]
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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.