Summary

This position serves to support Ophthalmologists in diagnosis - treatment - prevention - follow-up care and patient counseling. They perform a range of standard - but complex - diagnostic procedures - assisting during clinic-based surgical procedures - educating patients and legal representatives - and assisting with the education of medical students and residents.

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.

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
• English Language Proficiency: A candidate will not be appointed under authority of 38 U.S.C. chapters 73 or 74 - to serve in a direct patient-care capacity in VHA who is not proficient in written and spoken English
• See chapter 2 - section D - paragraph 5a - this part
• Experience and Education: Experience: One year of experience in a health care field that demonstrates the applicant's ability to perform the work or provides an understanding of the work such as but not limited to a medical or clinical assistant (or technician) or health technician
• OR Education: Four academic years above high school leading to a bachelor's degree with courses related to the occupation
• OR Experience/Education Combination: Equivalent combination of experience and education are qualifying for entry level for which both education and experience are acceptable
• Grandfathering Provision: All persons employed in VHA as a Health Technician (Ophthalmology) on the effective date of this qualification standard are considered to have met all qualification requirements for the title - series and grade held - including certification requirements
• For employees who do not meet all the basic requirements in this standard - but who met the qualifications applicable to the position at the time they were appointed to it - the following provisions apply: Such employees may be reassigned - promoted up to and including the full performance (journeyman) level - or changed to lower grade within the occupation - but may not be promoted beyond the journey level or placed in supervisory or managerial positions
• Health Technicians (Ophthalmology) who were appointed on a temporary basis prior to the effective date of the qualification standard may not have their temporary appointment extended or be reappointed - on a temporary or permanent basis - until they fully meet the basic requirements of the standard
• Employees initially grandfathered into this occupation - who subsequently obtain additional education and/or certification that meet all the basic requirements of the qualification standard must maintain the required credentials as a condition of employment in the occupation
• Health Technicians (Ophthalmology) who are converted to title 38 hybrid status under this provision and subsequently leave the occupation lose protected status and must meet the full VA qualification standard requirements in effect at the time of reentry to the occupation
• GS8 Grade Requirements: Experience: One year of experience equivalent to the next lower grade level - GS7
• There is no education substitution for this grade level of this position
• 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
• Knowledge of proper cleaning and maintenance of clinic equipment
• Assignment: This is considered to be the full performance level for this assignment
• The Health Technician (Ophthalmology) at this level performs a range of standard - but complex - diagnostic procedures with responsibility for checking calibration of instruments prior to the procedure
• 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
• 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 - and any abnormalities - including relative afferent pupillary defect
• Performs basic refractometry utilizing an auto refraction or habitual glass prescription in the phoropter
• Instills eye medications (i.e. - drops or ointments - including anesthetic - dye - dilation - cycloplegic - or antibiotics
• Responsible for measuring intraocular pressure of the eye utilizing 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 the IOL Master
• Performs automated visual field testing using various perimetry machines
• Performance of external photographs and fundus photography
• Performs optical coherence tomography (OCT) of the anterior segment - retina and optic nerve
• Performs patient screening and triage emergencies identifying ocular emergencies
• Performs patient screening and telephone triage for immediate care
• 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
• Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/
• Physical Requirements: The work requires some physical exertion such as prolonged periods of standing - bending - reaching - crouching - stooping - stretching - and lifting moderately heavy items such as manuals - record boxes - equipment or assisting patients
• The work requires above average agility and dexterity
• The incumbent may be required to travel between VA and/or Non-VA clinical care sites and possession of a valid driver's license may be required.

Duties

• Total Rewards of a Allied Health Professional Major duties for this position may 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 medical history both ocular and general medical history
• family history both ocular and general
• social history
• and review of medications and allergies - including current ocular prescription and nonprescription medications
• Accurately tests visual acuity at distance and near with and without correction or with and without 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 light test to detect a relative afferent pupillary defect
• Performs basic refractometry utilizing an autorefraction or habitual eyeglass prescription in the phoropter
• Instills eye medications (drops or ointment - including anesthetic - dye - dilating drops - cycloplegic drops - or antibiotic)
• 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 IOL Master or equivalent device
• Performs automated visual field testing using various perimetry techniques
• 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 eyelid lesions - cultures of conjunctiva or cornea
• reformation of anterior chamber
• evacuation of hyphema repositioning of corneal endothelial grafts
• intravitreal injections
• and laser 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 to repairs to biomedical engineering
• Performs other duties as necessary
• Work Schedule: Monday-Friday - 7:30 AM-4:00 PM EST Recruitment Incentive (Sign-on Bonus): Not authorized Permanent Change of Station (Relocation Assistance): Not authorized Pay: Competitive salary and regular salary increases
• When setting pay - a higher step rate of the appropriate grade may be determined after consideration of higher or unique qualifications or special needs of the VA (Above Minimum Rate of the Grade)
• Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave - 13 days of sick leave - 11 paid Federal holidays per year) Selected applicants may qualify for credit toward annual leave accrual - based on prior [work experience] or military service experience
• Parental Leave: After 12 months of employment - up to 12 weeks of paid parental leave in connection with the birth - adoption - or foster care placement of a child
• Child Care Subsidy: After 60 days of employment - full time employees with a total family income below $144 -000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66
• Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework: Not available Virtual: This is not a virtual position
• Functional Statement #: 55544F Permanent Change of Station (PCS): Not Authorized