The position is located in the Department of Veterans Affairs, Veterans Health Administration, Mid-Atlantic Health Care Network (VISN 6), Salem VA Medical Center, Specialty Care Service Line, Salem, VA. The Health Technician (Ophthalmology) is expected to perform portions of an outpatient ophthalmological examination under the direct supervision of a physician. Basic Requirements: 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. 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). 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's 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 health care 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. 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). The exception only applies below the full performance level. Grade Determinations:GS-8 (Full Performance Level): Experience. One year of experience equivalent to the GS-7 grade levelDemonstrated 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 7. Knowledge of proper cleaning and maintenance of clinic equipment References: VA HANDBOOK 5005/98, PART II, APPENDIX G52 The full performance level of this vacancy is GS-8. The actual grade at which an applicant may be selected for this vacancy is GS-8. Physical Requirements:The physical requirements of this position include occasional lifting, prolonged standing and sitting, frequent bending, walking (distance), climbing, reaching (overhead, extensive/repetitive), repetitive motion, and stooping. The mental/sensory requirements include recall, reasoning, problem-solving, hearing, speaking clearly, writing legibly, reading, and logical thinking. ["Duties and responsibilities for this position include but are not limited to the following: GS-8 (Full Performance Level): Patient intake assessment. Incumbent will take brief patient history including medication, allergies and patient interim status. Visual acuity assessment. Incumbent must take visual acuity with and without correction, distance and near. Intraocular pressure determination. Incumbent must be able to take IOP with air tonometer, Goldmann tonometer, handheld and pneumotonometers. Lensometry. Incumbent must know how to neutralize lenses both single vision and multifocal. Opticianry. In addition to lens neutralization, incumbent must measure pupillary distance, distance and near, determine proper nasal bridge, bifocal size and appropriate frame size in order to appropriately fit our patients with spectacles. Frame adjustment before dispensing glasses is necessary. Maintenance of clinic. Incumbent is required to keep all cupboards stocked and clean with appropriate supplies. All orders for supplies are to be ordered by computer. Lines are to be stocked for use in minor surgery. Instruments are to be treated in instrument milk and cleaned before packaging for sterilization in the central supply. Small instruments require special handling and covers for tips at time of preparation. Countertops are to be properly maintained. When instruments return sterilized, they are to be stored in their appropriate area. Refraction of patients. Incumbent must know how to determine refractive error in patients using auto refractor. Ultrasonography/diagnostic. Incumbent must know how to set up the instrument used for diagnostic B scan determination including operation of the machine itself, the camera attachment and positioning of the patient. Photos taken must be mounted, labeled and procedure logged in. Ultrasonography-Axial Length Determination. Incumbent must know how to operate the machine, calibrate, set up the probe and position the patient. Incumbent must know how to sue both the A and B scan instruments and their proper care. Keratometry. Incumbent must know how to operate the several types of keratometers which are used for measuring corneal curvature in the eye clinic. Corneal curvature is used in the calculation of intraocular lens implant power prior to cataract surgery. Photography. The incumbent must know how to use all the cameras in the Eye Clinic, proper care of their mechanisms, order appropriate film and supplies necessary to their use. Work Schedule: 8:00AM-4:30PM Monday-Friday Permanent Change of Station (Relocation Assistance): Not Authorized Paid Time Off: 37-50 days of annual paid time offer per year (13-26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Selected applicants may qualify for credit toward annual leave accrual, based on prior [work experience] or military service experience. Parental Leave: After 12 months of employment, up to 12 weeks of paid parental leave in connection with the birth, adoption, or foster care placement of a child. Child Care Subsidy: After 60 days of employment, full time employees with a total family income below $144,000 may be eligible for a childcare subsidy up to 25% of total eligible childcare costs for eligible children up to the monthly maximum of $416.66. Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Telework: Not Available Virtual: This is not a virtual position. Functional Statement #:0000000 Permanent Change of Station (PCS): Not Authorized"]
About Veterans Affairs, Veterans Health Administration
The Veterans Health Administration (VHA) is the largest integrated health care system in the United States, providing care at 1,321 health care facilities, including 172 VA Medical Centers and 1,138 outpatient sites of care of varying complexity (VHA outpatient clinics) to over 9 million Veterans enrolled in the VA health care program. VHA Medical Centers provide a wide range of services including traditional hospital-based services such as surgery, critical care, mental health, orthopedics, pharmacy, radiology and physical therapy. In addition, most of our medical centers offer additional medical and surgical specialty services including audiology & speech pathology, dermatology, dental, geriatrics, neurology, oncology, podiatry, prosthetics, urology, and vision care. Some medical centers also offer advanced services such as organ transplants and plastic surgery.
