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Health Technician (Optometry)

U.S. Department of Veterans Affairs, Smyrna, GA, United States


Summary
This Health Technician (Optometry) position is in the Surgical Care services at the Togus VA Medical Center providing care at the Community Based Outpatient Clinics (CBOCs) located at the Bangor – Maine or Lewiston – Maine locations. This position is intermittent at part‑time hours per week.

Qualifications

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: Must be proficient in both spoken and written English

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 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 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

Grade Determinations: GS-04: Experience

None beyond the basic requirements

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)

GS-05: Experience One year of experience equivalent to the next lower grade GS-04

Demonstrated Knowledge - Skills and Abilities (KSAs) In addition to the experience above - the candidate must demonstrate the following KSAs: Knowledge of basic eye anatomy and function

Ability to obtain - document and record ophthalmic and medical information from patients in order to develop an accurate electronic progress note

Ability to practice basic hygiene and infection control in a patient care setting

Ability to follow eye clinic and patient care medical policies and procedures

Ability to perform minor eyeglasses repairs - such as replacing nose pads and screws

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

GS-06: Experience One year of experience equivalent to the next lower grade GS-05

Demonstrated Knowledge - Skills and Abilities Ability to provide patient education for eye health and/or vision conditions - to include assisting with patient contact lens insertion - removal and hygiene (cleaning and disinfection) care

Ability to accurately enter into a phoropter the autorefractometry or habitual refractive prescription (i.e. - eyeglasses prescription) or lensometer findings - including sphere - cylinder and axis

Ability to perform patient spectacle fitting and dispensing - including selection of appropriate frame - ophthalmic lenses - interpupillary measurements (distance and near) and proper segment height determination - as well as the ability to transpose sphere - cylinder and axis

Ability to provide basic triage of patient telephone calls or optometry requests

Knowledge of ophthalmic medications and supplies needed in the process of restocking the eye clinic exam rooms

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

GS-07: Experience One year of experience comparable to the next lower level GS-06

Demonstrated Knowledge - Skills and Abilities In addition to meeting the experience or educational requirements for this grade level - the candidate must fully demonstrate the following KSAs: Ability to determine preliminary objective estimate and/or refinement of the optical status of the eye - not to include the patient's final subjective refraction

Ability to triage and manage eyeglasses issues (e.g. - measurement of vertex distance - base curve - prism correction - center thickness - slab off - Fresnel prism - decentration - etc.)

Ability to perform accurate assessment of accommodation - near point of convergence and ocular alignment (far and near)

Ability to assist the eye care provider (optometrist or ophthalmologist) with ophthalmic procedures

Ability to assist with obtaining accurate ocular cultures and smears

Knowledge and ability to provide advanced patient education for eye health and/or vision conditions

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

GS-08: Experience One year of experience comparable to the next lower level GS-07

Demonstrated Knowledge - Skills and Abilities In addition to meeting the experience or educational requirements for this grade level - the candidate must fully demonstrate the following KSAs: Ability to provide patient education and training to manage complex eye and vision conditions

Knowledge of advanced triage of patients depending upon level of urgency or optometry needs

Knowledge of complex - non-standard treatment and/or complex examinations and techniques

Knowledge of ocular pharmacology and systemic medications with ocular side effects

Preferred Experience: Optometry Health Tech Experience Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/

The full performance level of this vacancy is 8

The actual grade at which an applicant may be selected for this vacancy is in the range of 4 to 8

Physical Requirements: See VA Directive and Handbook 5019.

Duties

The Health Technician (Optometry) performs duties such as measuring and recording visual acuity – obtaining accurate potential acuity meter – laser interferometry – contrast sensitivity or other specialized visual acuity measurements

At the full performance level – Health Technician assignments typically involve more complex optometry needs which can vary within a range of predictable to unpredictable requirements including peer education/mentorship

Based on assignment and grade – major duties and responsibilities may include but are not limited to: 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

Evaluate pupillary light responses and measure pupil size – determine the presence or absence of fusion and perform stereoacuity measurements

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

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

Administering and scoring basic color vision tests (e.g. – pseudoischromatic plates – Farnsworth D‑15)

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)

Consistently responds to patients, families, and co‑worker's requests for assistance promptly and in a friendly and cooperative manner

Consistently provides written and oral communication that is thorough and correct – using clear precise communication methods to ensure that customers understand

Applies therapeutic communication techniques when interacting with demanding or distressed patients

Demonstrates professionalism at all times – modeling the tenants of I‑CA Work Schedule: Intermittent – Days TBD – Schedule 7:30 am – 4:00 pm Compresed/Flexible: Not Authorized Recruitment Incentive (Sign‑on Bonus): Not Authorized Permanent Change of Station (Relocation Assistance): Not Available 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 #: FS03147 at GS-04 – FS03148 at GS-05 – FS03149 at GS-06 – FS03021 at GS-07 – F05987 at GS‑8

Permanent Change of Station (PCS): Not Authorized

PCS Appraised Value Offer (AVO): Not Authorized

Notifications: Due to critical staffing shortage – U.S.C. 7412 waives the requirement to apply Veteran's preference for this job announcement

This position is in the Excepted Service

This position is covered by locality‑based comparability pay

Current and former Federal employees may be required to 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

Narrative responses to the knowledge - skills and abilities (KSAs) may be required from the selectee in order to proceed with the appointment

This position is AFGE Bargaining Unit Position.

Benefits

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 #: FS03147 at GS-04 – FS03148 at GS-05 – FS03149 at GS-06 – FS03021 at GS-07 – F05987 at GS‑8

Permanent Change of Station (PCS): Not Authorized

PCS Appraised Value Offer (AVO): Not Authorized

Notifications: Due to critical staffing shortage – U.S.C. 7412 waives the requirement to apply Veteran's preference for this job announcement

This position is in the Excepted Service

This position is covered by locality‑based comparability pay

Current and former Federal employees may be required to 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

Narrative responses to the knowledge - skills and abilities (KSAs) may be required from the selectee in order to proceed with the appointment

This position is AFGE Bargaining Unit Position.

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