Veterans Affairs, Veterans Health Administration Health Technician (Ophthalmology) - External in Jamaica Plain, Massachusetts
Summary This Health Tech (Ophthalmology) position is located in Surgical Service at the Boston location. This position is a full-time at 40 per week. Responsibilities Included but are not limited to: 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. Based on the individual patient, the incumbent will work with the patient's capabilities to obtain the best information from the patient including: Medical history or specific test results Must have knowledge of age-specific competencies related to adult to older adult patients 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 nonprescription medications 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 hyphemz, repositioning of corneal endothelial grafts, intra-vitreous injections, and laser surgical procedures Full responsibility for the technical aspects of the procedures Performs a variety of procedures using numerous instruments and equipment. The complex procedures require skill and technique variation to obtain optimal results. This may also be altered by the patient's mental or physical status 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 Performs optical coherence tomography (OCT) of the anterior segment, retina and optic nerve. Measures eyeglass prescription using manual or automated lensometer, recording sphere, cylinder, axis, and prism in both plus and minus cylinder Performs basic refractometry utilizing an auto refraction or habitual glass prescription in the phoropter Work Schedule: Tour of Duty will be set between the hours of 7:30 am to 4:30 pm Compressed/Flexible Work Schedule: Not Authorized Telework/Virtual/Remote Work: Not Authorized Relocation, Recruitment, Permanent Change of Station (PCS) or Travel Incentives: Not Authorized Financial Disclosure Report: Not required Notifications: This position is an AFGE Bargaining Unit position. Travel and relocation expenses are not authorized. This position is covered by a special rate at the GS8 Selectee may be required to work at any Boston Healthcare System campus, as needed. This position is in the Excepted Service. Drug Testing Position: 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. Applicants will not be appointed to the position if a verified positive drug test result is received. Selectee will be required to complete additional forms to proceed with employment process. Current and former Federal employees must submit copies of their most recent SF-50, (Notice of Personnel Action). The SF-50 must identify the position title, series, grade, step, tenure and type of service (Competitive or Excepted). In some cases, more than one SF-50 may be required to show a higher grade previously held. Requirements Conditions of Employment 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: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. Experience and Education. 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 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 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. English Language Proficiency. Health Technicians (Ophthalmology) must be proficient in spoken and written English. Grade Determinations: Health Technician (Ophthalmology), GS-5 (Entry Level) Experience or Education. None beyond the basic requirements. Assignment. Employees at this grade level serve in a Health Technician (Ophthalmology) entry level position and are trainee in nature. The entry level performs limited routine assignments under daily direct supervision. Deviations from unanticipated problems and unfamiliar situations are referred to the supervisor for a decision or help. Obtains and records vital signs including blood pressure, pulse, and glucose levels. Participates in performance of quality assurance activities such as staff meetings, mandatory educational in-services, quality control reports, systems redesign, and team and morale improvement. Health Technician (Ophthalmology), GS-6 (Developmental Level 1) Experience. One year of experience equivalent to the GS-5 grade level. Demonstrated Knowledge, Skills, and Abilities (KSAs). In addition to the experience above, the candidate must demonstrate all of the following KSAs: 1. Knowledge of general outpatient clinical policies and procedures in a healthcare environment; 2. Ability to obtain, document and record demographic and medical information from patients in order to develop an accurate medical record; 3. Ability to use basic ophthalmic equipment; and 4. Knowledge of basic disinfection of non-critical reusable medical equipment. Health Technician (Ophthalmology), GS-7 (Developmental Level 2) Experience. One year of experience equivalent to the GS-6 grade level. Demonstrated Knowledge, Skills, and Abilities (KSA). In addition to the experience above, the candidate must demonstrate all of the following KSAs: 1. Knowledge of anatomy and function of the eye and basic ocular pharmacology; 2. Knowledge of outpatient eye care policies and procedures in a health care environment; 3. Ability to use basic ophthalmic diagnostic equipment to perform preliminary ocular testing; 4. Ability to perform minor extraocular surgical assisting; and 5. Ability to provide eye care patient education. Health Technician (Ophthalmology), GS-8 (Full Performance Level)Experience. One year of experience equivalent to the GS-7 grade level. 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 Physical Requirements: Work involves various physical demands requiring the employee to be versatile in the many functions performed. These include sedentary work performed at a desk with intermittent standing walking, bending, and lifting of lightweight records and supplies (rarely exceeding 25 pounds.) 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: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html. Additional Information Receiving Service Credit or Earning Annual (Vacation) Leave: Federal Employees earn annual leave at a rate (4, 6 or 8 hours per pay period) which is based on the number of years they have served as a Federal employee. VA may offer newly-appointed Federal employee's credit for their job-related non-federal experience or active duty uniformed military service. This credited service can be used in determining the rate at which they earn annual leave. Such credit must be requested and approved prior to the appointment date and is not guaranteed. This job opportunity announcement may be used to fill additional vacancies. It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment. This position is in the Excepted Service and does not confer competitive status. VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority. 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. If you are unable to apply online or need to fax a document you do not have in electronic form, view the following link for information regarding an Alternate Application.