Health Technician - Optometry

Description:

The health technician for the Optometry department measures and accurately records visual acuity; obtains accurate specialized visual acuity measurements; accurately assesses accommodation, near point of convergence, and ocular alignment; and determines a preliminary objective estimate of optical status of the eye (not to include final subjective refraction).

Requirements:

Basic Requirements:

Citizenship. Be a citizen of the United States (U.S.). Non-citizens may be appointed when it is not possible to recruit qualified citizens in accordance with 38 U.S.C. § 7407(a).

Experience and Education.

(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.

Grandfathering Provision. (See additional information)

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.

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).

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): (See in duties section)
(3) Assignment. Employees at this grade level serve as developmental level 1 health technicians (optometry). It is expected they receive guidance from more experienced staff members for patient issues and require daily and direct contact with senior optometry personnel at the work site.

Health Technician (Optometry), GS-06
(1) Experience. One year of experience equivalent to the next lower grade.
(2) Demonstrated Knowledge, Skills and Abilities: (See in duties section)
(3) Assignment. Employees at this grade level serve as developmental level 2 health technicians (optometry). The technicians operate and monitor commonly used equipment performing basic screening procedures. The health technicians (optometry) understand basic hygiene, cleaning and disinfection of reusable medical equipment (RME) instruments and ophthalmic equipment. At this level, the technicians assist optometry staff by obtaining an accurate medical/ophthalmic history, as well as coding and entering eye testing performed on the encounter form. Deviations from regular procedures, unanticipated problems and unfamiliar situations are referred to the supervisor for a decision or assistance. Assignments at this level involve procedures performed under supervision from senior optometry personnel.

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: (See in duties section)
(3)Assignment. Employee at this grade level serves as a full performance level health technician (optometry). 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 stereoacuity 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 autorefractometry and keratometry measurements, performing confrontation and standard automated visual field testing and administering and scoring basic color vision tests (e.g., pseudoischromatic 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, basic slit lamp biomicroscopy, intraocular lens master measurements, ocular ultrasonography, posterior segment optical coherence tomography, fundus autofluorescence and/or ocular angiography).

References: A Handbook 5005/142, Part II Appendix G68

Physical Requirements: The position may require prolonged standing and/or sitting for greater than 4 hours. This position may require lifting at most 45 pounds; the individual should not lift more and should arrange for assistance from the correct service line and/or point of contact. The position may require repetitive stooping, bending, kneeling, squatting, carrying items from one area to another, and/or transferring of patients to or from elevated surfaces.