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Clinical Responsibilities
The GS-8 level (Full Performance Level) is the full performance level for this assignment.
The Health Technician (Ophthalmology) at this level performs a range of standard, but complex, diagnostic procedures. In addition to the duties expected of the GS-7 level, the following clinical duties and responsibilities are expected at the GS-8 assignment:
i. Checks and performs calibration of technical ophthalmology screening instruments.
ii. Obtains patient physical history, to include chief complaint; reason for visit; pertinent signs and symptoms; current medication allergies; past ocular and general medical history both ocular and general; family history both ocular and general; social history; and review of medications and allergies, including current ocular prescription and nonprescription medications.
iii. Accurately tests visual acuity at distance and near, with and without correction or with and without a pinhole.
iv. Measures eyeglass prescription using manual or automated lensometer, recording sphere, cylinder, axis, and prism in both plus and minus cylinder.
v. Performs pupil evaluation recording pupil size, shape, symmetry, reaction to light and accommodation. Performs swinging flashlight test to detect a relative afferent pupillary defect.
vi. Performs basic refractometry utilizing an auto refraction or habitual glass prescription in the phoropter.
vii. Instills eye medications (drops or ointments, including anesthetic, dye, dilating drops, cycloplegic drops, or antibiotics).
viii. Measures intraocular pressure with standard techniques, including Goldmann applanation tonometry.
ix. Performs pachymetry to determine corneal thickness and manual keratometry or automated topography to determine corneal curvature.
x. Performs intra-ocular lens calculations using an IOL Master or equivalent device.
xi. Performs automated visual field testing using various perimetry machines.
xii. Performs external photographs and fundus photography.
xiii. Performs optical coherence tomography (OCT) of the anterior segment, retina and optic nerve.
xiv. Performs patient screening and triage of potentially urgent ocular conditions.
xv. 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, intravitreous injections, and laser surgical procedures.
xvi. Educates patients and legal authorized representatives in eye care, including preoperative and postoperative instructions.
xvii. Assists in the education and training of medical students, residents and fellows in those facilities with medical school affiliations.
xviii. 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.

SUPERVISORY CONTROLS The GS-8 Full Performance Level Ophthalmology Technician will respond to the needs of the staff ophthalmologists, the supervisory technician or other designated administrative supervisor who will maintain daily supervision and guidance. Independent work is an integral part of the position. The technician plans and carries out examinations in line with training and accepted practices, and independently makes recommendations about clinical situations, procedures or changes to procedures in some situations. The providers must be able to accept the technician's assessment without rechecking the work. The technician uses methods, recognizes conditions that cause erroneous results or creates dangerous situations, and may independently troubleshoot clinic problems and complex instruments. The technician resolves most differences that arise with patients, coordinates work with others as necessary and interprets policy such as eligibility for prosthetic devices. The ophthalmology technician is ultimately responsible to the Ophthalmology Program Coordinator (if present) and the Chief of Ophthalmology.

Preferred Experience: COA or COT x 1 yr. or more
Work Schedule: Monday - Friday 7:00 am - 3:30 pm
Financial Disclosure Report: Not required.

Conditions of employment

• You must be a U.S. Citizen to apply for this job.
• All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
• Selective Service Registration is required for males born after 12/31/1959.
• Must be proficient in written and spoken English.
• You may be required to serve a probationary period.
• Subject to background/security investigation.
• Selected applicants will be required to complete an online onboarding process.
• Must pass pre-employment physical examination.
• Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
• Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details.

Qualifications

BASIC REQUIREMENTS
a. Citizenship. Citizen of the United States. (Non-citizens may be appointed when it is not possible to recruit qualified candidates in accordance with chapter 3, section A, paragraph 3g, this part.)
b. Experience and Education
(1) Experience. One year of experience in a health care field, such as but not limited to nursing, medical assistant, or health technician.
OR
(2) Education. Two years above high school with a minimum of six semester hours directly related to a health care field or associate degree in a health care related degree.
OR
(3) Experience/Education Combination. Equivalent combinations of experience and education are qualifying. Examples are listed below:
(a) Six months of experience in the health care field; and one year above high school; or
(b) Six months of experience in the health care field and successful completion of a course for healthcare technicians, hospital corpsmen, medical service specialists, or ophthalmology technicians given by the U.S. Armed Forces; or
(c) Six months of experience in the health care field and completion of an independent study course in Ophthalmic Medical Assisting.
c. 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).
Loss of Credentials. A Health Technician (Ophthalmology) who fails to maintain the required certification must be removed from the occupation, which may also result in termination of employment.
Physical Requirements. See VA Directive and Handbook 5019.
English Language Proficiency. Health Technicians (Ophthalmology) must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 38 U.S.C. 7407(d).
GRADE REQUIREMENTS a. Creditable Experience
(1) Knowledge of Current Health Technician (Ophthalmology) Practice. To be creditable, theexperience must have demonstrated the knowledge, skills, and abilities associated with a health care field or knowledge, skills, and abilities related to the current occupation. Experience satisfying this requirement may be paid or non-paid employment in the health care field.
(2) Quality of Experience. Qualifying experience must be at a level comparable to Health Technician (Ophthalmology) experience at the next lower grade level of the position being filled. 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.
(3) Part-time Experience. Part time experience as a Health Technician (Ophthalmology) is creditable according to its relationship to the full-time work week. For example, a Health Technician (Ophthalmology) employed 20 hours per week, or on a ½ time basis, would receive one full-time work week credit for each two weeks of service.
b. Grade Determinations. In addition to the basic requirements for employment in section A, the following criteria must be met when determining the grade of candidates.
Health Technician (Ophthalmology), GS-8 (Full Performance Level)
(a) Experience. One year of experience equivalent to the GS-7 grade level.
(b) 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.
(c) Demonstrated Knowledge, Skills, and Abilities (KSA). In addition to the experience above, the candidate must demonstrate all of the following KSAs:.
1. Ability to perform advanced tonometry and pupil evaluation;
2. Ability to perform calculations for selection of intraocular lens;
3. Knowledge of clinic based ophthalmic surgical assisting;
4. Knowledge of eye anatomy and physiology;
5. Knowledge of medication effects and proper instillation in the eye;
6. Knowledge of optics; and
7. Knowledge of proper cleaning and maintenance of clinic equipment.

References: VA HANDBOOK 5005/98 PART II APPENDIX G52 FEBRUARY 7, 2018

The full performance level of this vacancy is GS-08. The actual grade at which an applicant may be selected for this vacancy is GS-08.

How you will be evaluated

You will be evaluated for this job based on how well you meet the qualifications above.

IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE. Your application, resume, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.

Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.

It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.