Veterans Affairs, Veterans Health Administration Health Technician (Ophthalmology) in Indianapolis, Indiana
Summary Ophthalmology Technicians in the Veterans Health Administration perform functions such as technical clinical care to patients who have received care provided by Ophthalmologists for diagnosis, treatment, prevention, follow-up care and patient counseling. This vacancy is located in Lafayette, Indiana. Responsibilities Checks and performs calibration of technical ophthalmology screening instruments. Performs fluorescein or indocyanine green (ICG) angiography, with diagnostic photography of retinal vessels. 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 basic refractometry utilizing an auto refraction or habitual glass prescription in the phoropter. Educates patients and legal authorized representatives in eye care, including preoperative and postoperative instructions. Performs pachymetry to determine corneal thickness and manual keratometry or automated topography to determine corneal curvature. 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. Performs patient screening and triage of potentially urgent ocular conditions. Instills eye medications (drops or ointments, including anesthetic, dye, dilating drops, cycloplegic drops , or antibiotics). Performs optical coherence tomography (OCT) of the anterior segment, retina and optic nerve. Assists in the education and training of medical students, residents and fellows in those facilities with medical school affiliations. Performs external photographs and fundus photography. Performs automated visual field testing using various perimetry machines. Performs intra-ocular lens calculations using an IOL Master or equivalent device. Measures intraocular pressure with standard techniques, including Goldmann applanation tonometry. Performs basic refractometry utilizing an auto refraction or habitual glass prescription in the phoropter. Accurately tests visual acuity at distance and near, with and without correction or with and without a pinhole. Performs pupil evaluation recording pupil size, shape, symmetry, reaction to light and accommodation. Performs swinging flashlight test to detect a relative afferent pupillary defect. Measures eyeglass prescription using manual or automated lensometer, recording sphere, cylinder, axis, and prism in both plus and minus cylinder. 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. Work Schedule: Monday-Friday 0800-1630 or 0730-1600 Financial Disclosure Report: Not required Requirements Conditions of Employment Qualifications 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 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. 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.Grade Determinations:GS-5 (Entry Level): Experience or Education. None beyond the basic requirements. GS-6 (Developmental Level 1): Experience. One year of experience equivalent to the GS-5 grade level. Examples of experience at this level include the following: (1) Operates and monitors commonly used equipment performing basic screening procedures. (2) Assists ophthalmology staff by obtaining an accurate medical and ophthalmic history, measuring and recording visual acuity, administering anesthetic eye drops, performing basic tonometry, estimating the anterior chamber depth and recording a simple spectacle reading through automated lensometry. (3) Deviations from regular procedures, unanticipated problems, complex patients and unfamiliar situations are referred to the supervisor for a decision or assistance. In addition to meeting the grade level experience, you must also be able to demonstrate the following knowledge, skills and abilities (KSAs) listed below: (1.) Knowledge of general outpatient clinical policies and procedures in a healthcare environment; (2.) Ability to obtain, document and record demographic and medical information from patients in order to develop an accurate medical record; (3.) Ability to use basic ophthalmic equipment; and (4.) Knowledge of basic disinfection of non-critical reusable medical equipment. GS-7 (Developmental Level 2): Experience. One year of experience equivalent to the GS-6 grade level. Examples of experience at this level include the following: (1) Triages patient phone calls or requests. (2) Ensures exam rooms are stocked with adequate supplies. (3) Instructs patients on administration of eye drops and post-operative instructions. (4) Accurately measures, compares, and evaluates pupillary responses. (5) Administers eye drops to dilate pupils. (6) Performs basic color vision screening. (7) Performs visual field testing (using Amsler grid or automated equipment). (8) Performs basic imaging testing such as corneal topography (9) External photography (10) Performs basic ocular testing such as pachymetry, tear production with test strips, glare testing, stereo acuity, contrast sensitivity, potential acuity meter, measuring spectacles using both automated and manual lensometry and transposing cylinders. In addition to meeting the grade level experience, you must also be able to demonstrate the following knowledge, skills and abilities (KSAs) listed below: (1.) Knowledge of anatomy and function of the eye and basic ocular pharmacology; (2.) Knowledge of outpatient eye care policies and procedures in a health care environment; (3.) Ability to use basic ophthalmic diagnostic equipment to perform preliminary ocular testing; (4.) Ability to perform minor extraocular surgical assisting; and (5.) Ability to provide eye care patient education. GS-8 (Full Performance Level): Experience. One year of experience equivalent to the GS-7 grade level. Examples of experience at this level include the following: (1) Responsible for obtaining patient physical history, to include chief complaint reason for visit; pertinent signs/symptoms; past 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. (2) Tests visual acuity at distance and near, with and without correction or with and without a pinhole. (3) Measures eyeglass prescription using manual or automated lensometer, recording sphere, cylinder, axis, and prism in both plus and minus cylinder. (4) Performs pupil evaluation recording pupil size, shape, symmetry, reaction to light and accommodation, and any abnormalities, including relative afferent pupillary defect. (5) Performs basic refractometry utilizing an auto refraction or habitual glass prescription in the phoropter. (6) Instills eye medications (i.e., drops or ointments, including anesthetic, dye, dilation, cycloplegic, or antibiotics. (7) Responsible for measuring intraocular pressure of the eye utilizing techniques, including Goldmann applanation tonometry. (8) Performs pachymetry to determine corneal thickness and manual keratometry or automated topography to determine corneal curvature. (9) Performs intra-ocular lens calculations using the IOL Master. (10) Performs automated visual field testing using various perimetry machines. Performance of external photographs and fundus photography. (11) Performs optical coherence tomography (OCT) of the anterior segment, retina and optic nerve. In addition to meeting the grade level experience, you must also be able to demonstrate the following knowledge, skills and abilities (KSAs) listed below: (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. References: VA Handbook 5005/98 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 under 15 pounds, use of both hands, use of fingers, walking and standing up to 3 hours, repeated bending up to 1 hour, both eyes required, depth perception, ability to distinguish different colors and shades of color. 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. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. 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. Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members. If you are unable to apply online view the following link for information regarding an Alternate Application.