Ophthalmology Technicians in the Veterans Health Administration (VHA) support Ophthalmologists in diagnosis, treatment, prevention, follow-up care and patient counseling. At the Advanced Level, Health Technician (Ophthalmology) performs difficult ophthalmic technical duties with considerable latitude for the exercise of independent judgment. Clinical Responsibilities (75% of time) The Health Technician (Ophthalmology) at the advanced level performs difficult ophthalmic technical duties with considerable latitude for the exercise of independent judgment. In addition to the duties expected of the GS-8 level, the following clinical duties and responsibilities are expected at the GS-9 Advanced Technician assignment: i. Refractometry utilizing retinoscopy to determine spectacle prescription; ii. Kinetic visual field testing (Goldmann); iii. Intraocular pressure measurements by applanation tonometry and other current methods; iv. Pupil evaluation recording pupil size, shape, symmetry, reaction to light and accommodation, and any abnormalities, including relative afferent pupillary defect; v. Basic slit lamp biomicroscopy evaluation to check for abnormalities prior to dilation (i.e.: anterior chamber depth/iris anomalies). vi. May perform advanced color vision testing of the entire visual spectrum to detect complex color vision defects such as monochromats, dichromats and anomalous trichromats. vii. Measures eyeglass prescriptions using manual lensometer, recording sphere, cylinder, axis and prism in both plus and minus cylinder. viii. Performs A-scan ultrasonography, including intra-ocular lens calculations, using immersion A-scan on eyes with complex pathology such as corneal scarring, irregular and/or high astigmatism, zonular weakness, high refractive error that requires multiple alternative calculating formulas. ix. Performs B-scan ultrasonography to identify intraocular masses or abnormalities. x. Determines the corneal curvature by either manual keratometry or automated topography. xi. Performs fluorescein or indocyanine green (ICG) angiography, with diagnostic photography of retinal vessels. xii. Performs slit lamp photography. xiii. May perform anterior segment OCT, confocal microscopy, electroretinography, electrooculography, and visual evoked potential. xiv. Assists in minor clinical surgical procedures, including laser surgery and intravitreal injections. xv. May assist as scrub technician in main OR surgical procedures, set up of sterile fields, operation and maintenance of phacoemulsification and vitrectomy units, cryosurgery, endolaser units, all of which require a thorough understanding of complex instrumentation and the ability to troubleshoot problems quickly and efficiently during surgical procedures and care of instruments. xvi. Assists with the microbiology testing of patients with sight-threatening ocular infections, preparing instrumentation and media for intraocular biopsy and/or culture. xvii. Performs thorough preparatory cleaning of critical reusable medical equipment used in surgical procedures. xviii. Responsible for training other health technicians (ophthalmology). SUPERVISORY CONTROLS The GS-9 Advanced Level Ophthalmology Technician will respond to the needs of the staff ophthalmologists, the supervisory technician or other designated administrative supervisor who will maintain daily supervision and guidance. Independent work is an integral part of the position. The technician plans and carries out examinations in line with training and accepted practices, and independently makes recommendations about clinical situations, procedures or changes to procedures in some situations. The providers must be able to accept the technician's assessment without rechecking the work. The technician uses methods, recognizes conditions that cause erroneous results or creates dangerous situations, and may independently troubleshoot clinic problems and complex instruments. The technician resolves most differences that arise with patients, coordinates work with others as necessary and interprets policy such as eligibility for prosthetic devices. The advanced ophthalmology technician is ultimately responsible to the Supervisory Ophthalmology Technician (if present), the Ophthalmology Program Coordinator (if present) and the Chief of Ophthalmology. Work Schedule: Monday-Friday: 8:00am to 4:30pm Financial Disclosure Report: Not required
Internal Number: 598991700
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.