Health Technician (Ophthalmology)

Basic Requirements (all applicants must meet the following basic requirements): Citizenship: Citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified candidates in accordance with chapter 3, section A, paragraph 3g, this part.) Experience and Education Experience: One year of experience in a health care field, such as but not limited to nursing, medical assistant, or health technician.

OR 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 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.

01Certification

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). 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).

02Preferred Qualifications

Two years experience as an Ophthalmology Technician.

03Grade Determinations

In addition to meeting the basic requirements stated above, the following qualifications criteria must be met in determining the appropriate grade assignment of candidates. GS-8 (Full Performance Level) candidates must have: (a) Experience. One year of experience equivalent to the GS-7 grade level. (b) Assignment. This is considered to be the full performance level for this assignment.

The Health Technician (Ophthalmology) at this level performs a range of standard, but complex, diagnostic procedures with responsibility for checking calibration of instruments prior to the procedure. (c) 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; and 7. Knowledge of proper cleaning and maintenance of clinic equipment.

04Physical Requirements

See VA Directive and Handbook 5019. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/

Duties and responsibilities include, but not limited to: Check and performs calibration of technical ophthalmology screening instruments. Obtain 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. Measure eyeglass prescription using manual or automated lensometer, recording sphere, cylinder, axis, and prism in both plus and minus cylinder. Perform pupil evaluation recording pupil size, shape, symmetry, reaction to light and accommodation. Performs swinging flashlight test to detect a relative afferent pupillary defect.

Perform basic refractometry utilizing an auto refraction or habitual glass prescription in the phoropter. Must be competent at distance and near refractions and complex refractions. Instill eye medications (drops or ointments, including anesthetic, dye, dilating drops, cycloplegic drops , or antibiotics). Measure intraocular pressure with standard techniques, including Goldmann applanation tonometry.

• Perform pachymetry to determine corneal thickness and manual keratometry or automated topography to determine corneal curvature.
• Perform intra-ocular lens calculations using an IOL Master or equivalent device.
• Perform automated visual field testing using various perimetry machines.
• Perform external photographs and fundus photography.
• Perform optical coherence tomography (OCT) of the anterior segment, retina and optic nerve.
• Perform patient screening and triage of potentially urgent ocular conditions.

Assist 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. Educate patients and legal authorized representatives in eye care, including preoperative and postoperative instructions.

Assist in the education and training of medical students, residents and fellows in those facilities with medical school affiliations. Ensure 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. Able to work independently to do basic exam- including refraction, tonometry and non mydriatic photos.

Work Schedule: Monday through Friday from 8:30 am to 5:00 pm Telework: Not authorized Virtual: This is not a virtual position. Financial Disclosure Report: Not required