Health Technician (Ophthalmology)

Summary The Health Technician (Ophthalmology) GS-0640-08 position is located at the Richard L. Roudebush VAMC Indianapolis - IN within the Nursing - Perioperative Service. Qualifications Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy 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: Six months of experience in the health care field and one year above high school OR 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 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) 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) Grade Determinations: GS06: You must have one year experience equivalent to the GS-5 grade level Candidates must also demonstrate all of the knowledge - skills - and abilities below: Knowledge of general outpatient clinical policies and procedures in a healthcare environment Ability to obtain - document and record demographic and medical information from patients in order to develop an accurate medical record Ability to use basic ophthalmic equipment Knowledge of basic disinfection of non-critical reusable medical equipment GS07: You must have one year experience equivalent to the GS-6 grade level Candidates must also demonstrate all of the knowledge - skills - and abilities below: Knowledge of anatomy and function of the eye and basic ocular pharmacology Knowledge of outpatient eye care policies and procedures in a health care environment Ability to use basic ophthalmic diagnostic equipment to perform preliminary ocular testing Ability to perform minor extraocular surgical assisting Ability to provide eye care patient education GS08: You must have one year experience equivalent to the GS-7 grade level Candidates must also demonstrate all of the knowledge - skills - and abilities below: Ability to perform advanced tonometry and pupil evaluation Ability to perform calculations for selection of intraocular lens Knowledge of clinic based ophthalmic surgical assisting Knowledge of eye anatomy and physiology Knowledge of medication effects and proper instillation in the eye Knowledge of optics and Knowledge of proper cleaning and maintenance of clinic equipment Preferred Experience: Strong ability to perform comprehensive patient workups - including: -Gathering a complete patient history (HPI) -Visual acuity assessment - Intraocular pressure measurement - Instillation of diagnostic eye drops - Proficiency with key diagnostic testing equipment - including: - Humphrey Visual Field - Heidelberg OCT - Clarus fundus photography - Immersion Ascan - Pentacam - IOL Master Reference: For more information on this qualification standard - please visit The full performance level of this vacancy is GS08 The actual grade at which an applicant may be selected for this vacancy is GS6 - GS7 - or GS8 based on Knowledge - Skills - & Abilities demonstrated in your application Physical Requirements: Individual is required to move from one examination room to another many times during the clinic day This may require some periods of walking - sitting - and standing in changing duration He/she is required to lift moderate weight in the movement of medical charts and clinic supplies Also - he/she must maneuver wheelchairs and litters when taking patients to other areas of the clinic Also - must lift and position patients for test and procedures with assistance or use a mechanical lift Both hands required - use of fingers He/she require both eyes - near vision correctable to Jaeger 1 to 4 - distance Duties Duties include but are not limited to: 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 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 Performs fluorescein or indocyanine green (ICG) angiography - with diagnostic photography of retinal vessels Work Schedule: Full Time - Monday - Friday 8-4:30pm Compressed/Flexible: May be available Telework: Not Available Virtual: This is not a virtual position Functional Statement #: GS8: 91978-0 GS7: 91977-0 GS6: 91976-0 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized #J-18808-Ljbffr