Veterans Affairs, Veterans Health Administration HEALTH TECHNICIAN (OPHTHALMOLOGY) in Spokane, Washington
Summary The position performs a range of standard, but complex, diagnostic ophthalmic procedures, assists during clinic-based surgical procedures, educates patients, assists with the education of optometry students and residents, calibrates instruments, and performs ordering, dispensing, adjusting and repair of ophthalmic lenses and eyewear. Responsibilities Duties will vary based on grade. At the GS-8 full performance level for this assignment, the incumbent operates independently as the technician responsible for generating important and complex diagnostic procedures to produce information to be used by the eye clinic licensed providers with whom they work. Duties will include: Performs optical functions including functioning as an optician either with independent licensure or under the supervision of the optometric physicians, including spectacle fitting, ordering, adjustment, repair; able to transpose prescriptions from plus to minus cylinder, triage optical/spectacle complaints, measure for properly fitting frames for monovision, bifocal, trifocal, and progressive addition lenses and coordinates with prosthetics and fabrication laboratory for orders and corrections as needed. Maintains effective control of the optometry work area by assisting to coordinate and organize the workflow to expedite care delivery. Assists in creating, implementing, and preparing written and oral reports for the completion of continuous or problem focused Process Improvement and Quality Assurance processes. Keeps current in new techniques and technological advances as employed by the eye clinic. Accepts accountability by effective cost containment for departmental equipment and supplies. Consults with bio-med and maintenance personnel within the VA to report daily equipment problems, notifies supervisor of issues. Anticipates needs for supplies and equipment and notifies supervisor. Assists in training and in-service programs to aid in the instruction of nurses and physicians on procedures, operation and/or maintenance of new and existing medical equipment. Assists with establishing written procedures and protocol for use with new medical equipment. Provides reports of accomplishments, proposals for improved effectiveness and pays attention to the state of equipment/reports problems. Maximizes efficiency in the number of images performed without compromising quality standards. Reports complaints and requests from patients, physicians and other personnel concerning activities of the Optometry department such as: appointment schedules, examinations, policies and procedures. Maintains adequate supplies and pharmaceuticals used in the department. Responsible to report equipment malfunctions for repair to biomed and or to their immediate supervisor. Documents the patient's testing results and data into CPRS (or similar automated patient medical record system) for co-signature by a staff optometrist or ophthalmologist. Works closely with ophthalmologist to schedule ocular surgeries (cataract surgery, etc) and assists with the coordination of ocular surgical services to include appropriate medications and labs ordered, patient education, arranging appropriate surgery pre/post-op appointments and available as point-of-contact for patients with regards to ocular surgery and questions. Assists the program support clerk by responding to telephone calls and visitors to the clinic, determining the purpose of the contact and taking appropriate action. This includes management of patient phone calls, secure messaging, and/or walk-in messages, questions, and concerns. 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. Work Schedule: Monday - Friday 08:00AM-4:30PM Telework: Not Available Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not require Requirements Conditions of Employment Qualifications Applicants must meet all requirements by the closing date of this announcement. 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. 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: 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). Exception: Non-certified applicants who otherwise meet the minimum qualification requirements may be appointed as a graduate Health Technician (Ophthalmology) under the authority of 38 U.S.C. 7405(c)(2)(B). The appointing official may waive the requirement of certification for a period not to exceed two years for a Health Technician (Ophthalmology) that provides care under the supervision of an Ophthalmologist. The exception only applies below the full performance level. For grade levels at or above the full performance level the candidate must be certified. Failure to obtain COA certification during that period is justification for termination of the temporary appointment and may result in termination of employment. 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: Health Technician (Ophthalmology), GS-5 (Entry Level): None beyond the basic requirements. Health Technician (Ophthalmology), GS-6 (Developmental Level 1): Experience: One year of experience equivalent to the GS-5 grade level. Demonstrated Knowledge, Skills, and Abilities (KSAs). In addition to the experience above, the candidate must demonstrate all of the following KSAs: 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; and Knowledge of basic disinfection of non-critical reusable medical equipment. Health Technician (Ophthalmology), GS-7 (Developmental Level 2): Experience: One year of experience equivalent to the GS-6 grade level. Demonstrated Knowledge, Skills, and Abilities (KSA). In addition to the experience above, the candidate must demonstrate all of the following KSAs 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; and Ability to provide eye care patient education. Health Technician (Ophthalmology), GS-8 (Full Performance Level): Experience: One year of experience equivalent to the GS-7 grade level. Demonstrated Knowledge, Skills, and Abilities (KSA). In addition to the experience above, the candidate must demonstrate all of the following KSAs: 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. References: VHA Handbook 5005, Part II, Appendix G52. The full performance level of this vacancy is GS-8. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-5 to GS-8. Physical Requirements: Light lifting and carrying (under 15lbs), pushing, reaching above shoulder, use of fingers, both hands required, walking, standing, both legs required, ability for rapid mental and muscular coordination simultaneously, near vision correctable at 13" to 16" to Jaeger 1 to 4, depth perception, ability to distinguish basic colors, hearing (aid may be permitted), mental and emotional stability, working closely with others, working alone, protracted or irregular hours of work. Education IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education. Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. Additional Information Receiving Service Credit or Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. VA may offer newly-appointed Federal employee's credit for their job-related non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. This job opportunity announcement may be used to fill additional vacancies. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.