Lead Health Technician (Ophthalmology)

Description:

Ophthalmology Technicians in the Veterans Health Administration support Ophthalmologists in diagnosis, treatment, prevention, follow-up care and patient counseling. At the GS-9 Lead Level, the Health Technician (Ophthalmology) performs difficult ophthalmic technical duties with considerable latitude for the exercise of independent judgement. The higher-level duties consist of significant scope, administrative independence, complexity and range of variety.

Requirements:

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.
• Experience and Education:
  • 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).
  • Exception. Non-certified applicants who otherwise meet the minimum qualification requirements may be appointed as a graduate Health Technician (Ophthalmology) under the authority of 38 U.S.C. 7405(c)(2)(B). The appointing official may waive the requirement of certification for a period not to exceed two years for a Health Technician (Ophthalmology) that
    provides care under the supervision of an Ophthalmologist. The exception only applies below the full performance level. For grade levels at or above the full performance level the candidate must be certified. Failure to obtain COA certification during that period is justification for termination of the temporary appointment and may result in termination of
    employment.
• Foreign Education: To be creditable, education completed outside the U.S. must have been submitted to a private organization that specializes in the interpretation of foreign educational credentials and such education must have been deemed at least equivalent to that gained in conventional U.S. programs.

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 :
Experience: One year of experience equivalent to the GS-8 grade level. Experience will include performing a range of standard, but complex, diagnostic procedures with responsibility for checking calibration of instruments prior to the procedure; obtaining patient physical history, including 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 testing visual acuity at distance and near, with and without correction or with and without a pinhole; measuring eyeglass prescription using manual or automated lensometer, recording sphere, cylinder, axis, and prism in both plus and minus cylinder; performing pupil evaluation recording pupil size, shape, symmetry, reaction to light and accommodation, and any abnormalities, including relative afferent pupillary defect; performing basic refractometry utilizing an auto refraction or habitual glass prescription in the phoropter; instilling 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; performing pachymetry to determine corneal thickness and manual keratometry or automated topography to determine corneal curvature; performing intra-ocular lens calculations using the IOL Master; performing automated visual field testing using various perimetry machines; performing external photographs and fundus photography; performing optical coherence tomography (OCT) of the anterior segment, retina, and optic nerve; performing patient screening and evaluating triage emergencies; identifying ocular emergencies; performing patient screening and telephone triage for immediate care; assisting 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; educating patients and legal authorized representatives in eye care, including preoperative and postoperative instructions; assisting in the education and training of medical students, residents, and fellows in those facilities with medical school affiliations; ensuring proper cleaning and disinfection; calibration, maintenance, backup, annual inventory, and ordering of instruments, supplies and equipment; obtaining quotes as needed; and reports needed repairs to biomedical engineering.

Assignment: 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. The Lead Health Technician (Ophthalmology) carries additional responsibilities that involve the oversight of specific services within the ophthalmology clinic. The Lead Health Technician (Ophthalmology) may assist with technician oversight duties including: making work assignments, monitoring workflow, providing input on performance, resolving daily workplace issues, and maintaining efficient flow of patient care. They may provide training to eye care staff, students and/or trainees; and may provide input into special advancements, promotions, and disciplinary actions.

Demonstrated Knowledge, Skills, and Abilities (KSA): In addition to the experience above, the candidate must demonstrate all of the following KSAs:

• Ability to work with a team to provide technical guidance, plan, organize, and coordinate activities of a Health Technician (Ophthalmology) in order to effectively complete job duties of assignment such as distributing workload, monitoring the status and progress of work, monitoring accuracy of work, etc;
• Ability to communicate effectively in order to meet program objectives. This may include preparing reports in various formats and presenting data to various organizational levels;
• Ability to assist in Health Technician (Ophthalmology) development, outcome management, and strategic planning; and
• Ability to act as liaison between Health Technicians (Ophthalmology) to resolve informal employee complaints and concerns.

Qualifications continued in the Education section of this announcement.