Ophthalmology Technicians in the Veterans Health Administration (VHA) support Ophthalmologists and Optometrist in diagnosis, treatment, prevention, follow-up care and patient counseling. The incumbent performs complex, diagnostic procedures, assists during clinic-based surgical procedures, educates patients and legal representatives, assists with the education of medical students and residents. GS-5 Health Technician (Ophthalmology) An Entry Level Ophthalmology Technician will respond to the needs of the staff Ophthalmologists and Optometrists. Limited routine assignments under daily direct supervision is an integral part of the position. Clinical Responsibilities include but are not limited to the following: Obtains and records vital signs including blood pressure, pulse, and glucose levels; Participates in performance of quality assurance activities such as staff meetings, mandatory educational in-services, quality control reports, systems redesign, and team and morale improvement. GS-6 Health Technician (Ophthalmology) A Developmental Level Ophthalmology Technician operates and monitors commonly used equipment performing basic screening procedures. Some assignments at this level also include developmental duties involving more complex procedures performed under supervision. Clinical Responsibilities include but are not limited to the following: Obtains an accurate medical and ophthalmic history; Measures and records visual acuity; Administers anesthetic eye drops; Responsible for performing basic tonometry, v. Estimates the anterior chamber depth; Records a simple spectacle reading through automated lensometry. GS-7 Health Technician (Ophthalmology) A Developmental Level 2 Ophthalmology Technician will respond to the needs of the staff ophthalmologists and Optometrist, the supervisory technician or other designated administrative supervisor who will maintain daily supervision and guidance. Basic screening assignments under daily direct supervision is an integral part of the position. Clinical Responsibilities include but are not limited to the following: Triages patient phone calls or requests; Ensures exam rooms are stocked with adequate supplies; Instructs patients on administration of eye drops and post-operative instructions; Accurately measures, compares, and evaluates pupillary responses; v. Administers eye drops to dilate pupils; Performs basic color vision screening; Performs basic visual field testing (using Amsler grid or automated equipment); Performs basic imaging testing such as corneal topography; external photography; 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; Assists the ophthalmologist during minor ophthalmic surgical procedures and is adept at applying sterile technique and infection control procedures; Performs autorefractor to determine spectacle prescription. GS-8 Health Technician (Ophthalmology) The GS-8 level is the full performance level for this assignment. The Health Technician (Ophthalmology) at this level performs a range of standard, but complex, diagnostic procedures. In addition to the duties expected of the GS-7 level*, the following clinical duties and responsibilities are expected at the GS-8 assignment: Clinical Responsibilities include but are not limited to the following: 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. Work Schedule: Fresno Location: Monday - Friday, 8:30 am - 5:00 pm San Francisco Location: Monday - Friday, 8:00 am - 4:30 pm 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.