The position performs a range of standard, but complex, optical duties, diagnostic ophthalmic procedures, and patient education. This position has extensive optical duties to include performing glasses measurements, fittings, ordering, dispensing, adjusting, and repair of ophthalmic lenses and eyewear. The position is located at the Spokane, Washington VA Medical Center, Coeur d'Alene CBOC, and Wenatchee CBOC. This is the full-performance level of the position. List does not include all duties assigned: The technicians perform duties such as measuring and recording visual acuity (with use of pinhole testing as indicated), obtaining accurate potential acuity meter, laser interferometry, contrast sensitivity or other specialized visual acuity measurements. The technicians also evaluate pupillary light responses and measure pupil size, determine the presence or absence of fusion and perform 2 stereo acuity measurements. The health technicians (optometry) perform Amsler grid testing, administer eye drops under the supervision of an eye care provider (optometrist or ophthalmologist), perform basic tonometry (e.g., non-contact, Goldmann, Tono-Pen) and estimate the anterior chamber depth with a penlight or slit lamp biomicroscope. The technicians are skilled in properly reading a basic spectacle prescription using an automated or manual lensometer, obtaining accurate auto refractometry and keratometry measurements, performing confrontation and standard automated visual field testing and administering and scoring basic color vision tests (e.g., pseudo ischromatic plates, Farnsworth D-15). The technicians are also adept at measuring and recording corneal thickness by pachymetry as well as performance of advanced corneal measurements, exophthalmometry, tear testing and ocular imaging (e.g., stereo fundus photography, basic slit lamp biomicroscopy, intraocular lens master measurements, ocular ultrasonography, posterior segment optical coherence tomography, fundus auto fluorescence and/or ocular angiography). The technician provides day-to-day direction of volunteers and optometry trainees to ensure that program goals are met, that clinical care flows smoothly, and assigned tasks are completed in a timely manner. 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. Assists scheduler in scheduling patients for exams at the VAMC to provide prompt medical care. 3 Documents the patient's testing results and data into EHMR (or similar automated patient medical record system) for co-signature by a staff optometrist or ophthalmologist. 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. The incumbent performs patient screening and triage of potentially urgent ocular conditions. Assists Veterans and providers with coordination of care between Veterans Affairs and Community Care Programs. Manages Cerner pool requests for both clinical and optical pools. Complete related tasks not mentioned in this document as directed by the Chief of Optometry. Complies with all station, service, and clinic policies. Completes mandatory annual training requirements in a timely fashion. Work Schedule: Monday through Friday, 8:00 a.m. to 4:30 p.m. 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.