Ophthalmology Technicians in the Veterans Health Administration (VHA) support Ophthalmologists in diagnosis, treatment, prevention, follow-up care and patient counseling. The Full Performance Health Technician (Ophthalmology) 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. The Health Technician (Ophthalmology) may perform many "direct patient care services" under the supervision of Ophthalmologists. The following clinical duties and responsibilities are expected at the GS-8 assignment: i. Checks and performs calibration of technical ophthalmology screening instruments. ii. 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. iii. Accurately tests visual acuity at distance and near, with and without correction or with and without a pinhole. iv. Measures eyeglass prescription using manual or automated lensometer, recording sphere, cylinder, axis, and prism in both plus and minus cylinder. v. Performs pupil evaluation recording pupil size, shape, symmetry, reaction to light and accommodation. Performs swinging flashlight test to detect a relative afferent pupillary defect. vi. Performs basic refractometry utilizing an auto refraction or habitual glass prescription in the phoropter. vii. Instills eye medications (drops or ointments, including anesthetic, dye, dilating drops, cycloplegic drops , or antibiotics). viii. Measures intraocular pressure with standard techniques, including Goldmann applanation tonometry. ix. Performs pachymetry to determine corneal thickness and manual keratometry or automated topography to determine corneal curvature. x. Performs intra-ocular lens calculations using an IOL Master or equivalent device. xi. Performs automated visual field testing using various perimetry machines. xii. Performs external photographs and fundus photography. xiii. Performs optical coherence tomography (OCT) of the anterior segment, retina and optic nerve. xiv. Performs patient screening and triage of potentially urgent ocular conditions. xv. 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. xvi. Educates patients and legal authorized representatives in eye care, including preoperative and postoperative instructions. xvii. Assists in the education and training of medical students, residents and fellows in those facilities with medical school affiliations. xviii. 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: Monday - Friday (7:00am - 3:30pm) 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.