This position is located at the Salisbury VAHCS, Optometry Service, Salisbury, NC with duty at the Kernersville Health Care Center, Kernersville, NC. The incumbent provides varied range of significant patient-related duties in support of the eyecare, and treatment given to patients in Optometry Service.

Duties

Duties may include, but are not limited to: Obtaining a patient's physical history; Documents all pertinent information appropriately; Performs spectacle data collection; Glasses measurements; Frame selection, measurement and fitting; Tonometry, extra-ocular motility testing, and pupillary function Humphrey, Goldman and tangent screen visual field testing; Keratometry (manual and/or automated); B scan ultrasonography; Schirmer testing for quantitative tear production; Stereopsis testing using Titmus and stereofly tester; Color vision assessment; Amsler grid testing to evaluate each eye separately for distortion, metamorphopsia, micropsia, and scotomas; Ocular Coherence Tomography (OCT) testing; Setting up the minor procedure room for in-clinic procedures, assisting the doctor with these procedures, cleaning up after the procedures; Setting up the minor procedure room for removal of foreign body, lash epilating and cornea abrasion; Calling patients regarding appointments, filling out paperwork related to procedures performed in the clinic; Performing inventory of instruments, exam lens, eye medications, and other Eye Clinic supplies; Assisting the doctor in other non-specified technical areas within the clinic; Performs direct patient care in the form of changing eye dressings, instilling eye drops, etc.; Maintains all stock levels of ophthalmic medications and supplies necessary for the function of the clinic; Trains clerical support from other services, instructs residents and interns in the use of ocular instruments, computer usage, and the start-up of equipment; Independently records clinical photographs of the ocular fundus and other photographic procedures; Performs medical observation and identification of the side effects of the procedures; Promptly recognizes urgent or emergent patient care situations, seeks assistance appropriately and effectively intervenes as directed. Work Schedule: Full time, compressed. Subject to the needs of the Service. Compressed/Flexible:Available Telework: Not Available Virtual: This is not a virtual position. Functional Statement #: 000000 Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized

Requirements

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. Be a citizen of the United States. Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with 38 U.S.C. § 7407(a). Education or Experience. (1) Experience. One year of experience as a health technician or assistant in the health care field demonstrating the applicant's ability to perform the work or by demonstrating a basic understanding of work in the health care field; OR (2) Education. Successful completion of two academic years above high school with a minimum of 12 semester hours related to health technician/assistant or health technician (optometry)/assistant or associate degree, or completion of an independent study course in an optometry related technician or assistant field; OR (3) Experience/Education Combination. Equivalent combinations of experience and education are qualifying. Examples are listed below: (a) Six months of experience comparable to the next lower level which demonstrates the knowledge of optometry assistant theory and practices and general understanding of the health technician/assistant duties and one year above high school with a minimum of six semester hours of health technician/assistant or health technician (optometry)/assistant related courses. (b) Successful completion of a course for health care technicians or assistants, hospital corpsmen, medical service specialists, or hospital training in a program given by the U.S. Armed Forces, the U.S. Maritime Service, or the U.S. Public Health Service, may be substituted on a month-for-month basis. Licensure/Certification/Registration. None. English Language Proficiency. Health Technician (Optometry) candidates must be proficient in spoken and written English to be appointed as authorized by 38 U.S.C. § 7403(f). 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). Grade Determinations: In addition to the basic requirements for employment, the following criteria must be met when determining the grade of candidates. Health Technician (Optometry), GS-04 (1) Experience. None beyond the basic requirements. (2) Assignment. Employees at this grade level serve in a health technician (optometry) entry level position. More experienced staff members guide and provide daily direct supervision for the health technicians (optometry). Health Technician (Optometry), GS-05 (1) Experience. One year of experience equivalent to the next lower grade. (2) Demonstrated Knowledge, Skills and Abilities (KSA). In addition to the experience above, the candidate must demonstrate the following KSAs: (a) Knowledge of basic eye anatomy and function. (b) Ability to obtain, document and record ophthalmic and medical information from patients in order to develop an accurate electronic progress note. (c) Ability to practice basic hygiene and infection control in a patient care setting. (d) Ability to follow eye clinic and patient care medical policies and procedures. (e) Ability to perform minor eyeglasses repairs, such as replacing nose pads and screws. Health Technician (Optometry), GS-06 (1) Experience. One year of experience equivalent to the next lower grade. (2) Demonstrated Knowledge, Skills and Abilities. In addition to the experience above, the candidate must demonstrate the following KSAs: (a) Ability to provide patient education for eye health and/or vision conditions, to include assisting with patient contact lens insertion, removal and hygiene (cleaning and disinfection) care. (b) Ability to accurately enter into a phoropter the autorefractometry or habitual refractive prescription (i.e., eyeglasses prescription) or lensometer findings, including sphere, cylinder and axis. (c) Ability to perform patient spectacle fitting and dispensing, including selection of appropriate frame, ophthalmic lenses, interpupillary measurements (distance and near) and proper segment height determination, as well as the ability to transpose sphere, cylinder and axis. (d) Ability to provide basic triage of patient telephone calls or optometry requests. (e) Knowledge of ophthalmic medications and supplies needed in the process of restocking the eye clinic exam rooms. Health Technician (Optometry), GS-07 (1) Experience. One year of experience comparable to the next lower level which demonstrates the knowledge, skills and abilities related to the duties of the position to be filled. (2) Demonstrated Knowledge, Skills and Abilities. In addition to meeting the experience or educational requirements for this grade level, the candidate must fully demonstrate the following KSAs: (a) Ability to determine preliminary objective estimate and/or refinement of the optical status of the eye, not to include the patient's final subjective refraction. (b) Ability to triage and manage eyeglasses issues (e.g., measurement of vertex distance, base curve, prism correction, center thickness, slab off, Fresnel prism, decentration, etc.). (c) Ability to perform accurate assessment of accommodation, near point of convergence and ocular alignment (far and near). (d) Ability to assist the eye care provider (optometrist or ophthalmologist) with ophthalmic procedures. (e) Ability to assist with obtaining accurate ocular cultures and smears. (f) Knowledge and ability to provide advanced patient education for eye health and/or vision conditions. Reference: For more information on this qualification standard, please visit https://www.va.gov/ohrm/QualificationStandards/. The full performance level of this vacancy is GS-7. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-04 to GS-07. Physical Requirements: The individual must be able to work for sustained periods under pressure. Heavy clinics will occasionally require long hours under hectic conditions, and the ability to be flexible in regards to patient need is critical. More specifically, the position requires the operation of several different devices under dim illumination for the examination of patients. These generally require that the operator sit opposite the patient, using one hand to support the eyelids in the static position while the body, head, and other hand of the operator must be able to shift positions sometimes rapidly to obtain the optimal picture field during an angiography procedure. In addition, the operator's eye is employed in this arrangement and the combination of static position and adjusting movements can be stressful and tiring.

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: https://sites.ed.gov/international/recognition-of-foreign-qualifications/.

Contacts

• Address WG Bill Hefner Salisbury VA Medical Center 1601 Brenner Avenue Salisbury, NC 28144 US
• Name: Mark Johnson
• Phone: 318-272-2896
• Email: [email protected]