Ophthalmology Technicians support Ophthalmologists in diagnosis, treatment, prevention, follow-up care and patient counseling. At the Advanced Level, Health Technician (Ophthalmology) performs difficult ophthalmic technical duties with considerable latitude for the exercise of independent judgment.

Duties

Functions of Practice/Clinical ResponsibilitiesThe Health Technician (Ophthalmology) at the advanced level performs difficult ophthalmic technical duties with considerable latitude for the exercise of independent judgment. In addition to the duties expected of the GS-8 level, the following clinical duties and responsibilities are expected at the GS-9 Advanced Technician assignment:

Requirements

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. English Language Proficiency: LPMHCs must be proficient in spoken and written English in accordance with VA Handbook 5005, Part II, chapter 3, section A, paragraph 3.j. Education and 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: 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).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). 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. Grade Determinations: Health Technician (Ophthalmology) GS-0640-9 (Advanced)Experience and Education: In addition to the basic requirements, candidates must have at least one year of experience equivalent to the GS-8 . Examples of Specialized Experience GS-8 includes; measures eyeglass prescriptions using manual lensometer, recording sphere, cylinder, axis and prism in both plus and minus cylinder. Performs A-scan ultrasonography, including intra-ocular lens calculations. Determines the corneal curvature by either manual keratometry or automated topography. Assists in minor clinical surgical procedures, including laser surgery and intravitreal injections. Knowledge of ophthalmic surgical instruments. Knowledge of appropriate preparatory cleaning of reusable medical equipment. . Determines the corneal curvature by either manual keratometry or automated topography. Assists in minor clinical surgical procedures, including laser surgery and intravitreal injections between other functions. Examples of Specialized Experience GS-9 includes but are not limited to the following: For all assignments above the full performance level, the higher level duties must consist of significant scope, administrative independence, complexity (difficulty) and range of variety as described in this standard at the specified grade level and be performed by the incumbent at least 25% of the time. At the advanced level, the Health Technician (Ophthalmology) performs difficult ophthalmic technical duties with considerable latitude for the exercise of independent judgment. Duties include but are not limited to: refractometry utilizing retinoscopy to determine spectacle prescription; kinetic visual field testing (Goldmann); intraocular pressure measurements by applanation tonometry and other current methods; pupil evaluation recording pupil size, shape, symmetry, reaction to light and accommodation, and any abnormalities, including relative afferent pupillary defect; and basic slit lamp biomicroscopy evaluation to check for abnormalities prior to dilation (i.e.: anterior chamber depth/iris anomalies). The technician may perform advanced color vision testing of the entire visual spectrum to detect complex color vision defects such as monochromats, dichromats and anomalous trichromats. Measures eyeglass prescriptions using manual lensometer, recording sphere, cylinder, axis and prism in both plus and minus cylinder. Performs A-scan ultrasonography, including intra-ocular lens calculations, using immersion A-scan on eyes with complex pathology such as corneal scarring, irregular and/or high astigmatism, zonular weakness, high refractive error that requires multiple alternative calculating formulas. Performs B-scan ultrasonography to identify intraocular masses or abnormalities. Determines the corneal curvature by either manual keratometry or automated topography. Performs fluorescein or indocyanine green (icg) angiography, with diagnostic photography of retinal vessels. Performs slit lamp photography. May perform anterior segment OCT, confocal microscopy, electroretinography, electrooculography, and visual evoked potential. Assists in minor clinical surgical procedures, including laser surgery and intravitreal injections. Scrub technician assists in main OR surgical procedures, set up of sterile fields, operation and maintenance of phacoemulsification and vitrectomy units, cryosurgery, endolaser units, all of which require a thorough understanding of complex instrumentation and the ability to troubleshoot problems quickly and efficiently during surgical procedures and care of instruments. Assists with the microbiology testing of patients with sight-threatening ocular infections, preparing instrumentation and media for intraocular biopsy and/or culture. Performs thorough preparatory cleaning of critical reusable medical equipment in the operating room. Responsible for training other health technicians (ophthalmology). In addition to the experience above, the candidate must demonstrate all of the following KSAs for the GS-9: 1. Knowledge of advanced clinical optics, advanced ocular motility, advanced diagnostic testing, and microbiology testing; 2. Knowledge of ophthalmic surgical instruments. 3. Knowledge of appropriate preparatory cleaning of reusable medical equipment; and 4. Ability to assist in ophthalmic surgical procedures performed in the main operation room. Preferred Experience: Certification at the Ophthalmic Medical Technician (COT) level or higher *** References: VA Handbook 5005/98 Part II Appendix G52. The vacancy is above the performance level is GS-09. The actual grade at which an applicant may be selected for this vacancy is GS-09. Physical Requirements: Light lifting, under 15 pounds; light carrying, under 15 pounds; pushing; use of fingers; use of both hands required; standing; specific visual requirement; hearing without aid; electrical energy, working around machinery with moving part; working closely with others. Applicants must have Certified Retinal Angiographer credentials (CRA).

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.

Contacts

• Address Bruce W Carter Department of Veterans Affairs Medical Center 1201 Northwest 16th Street Miami, FL 33125 US
• Name: Joselyne Figueroa-Cruz
• Phone: 787-600-0438
• Email: [email protected]