Ophthalmic Technician

OPHTHALMIC TECHNICHIAN RESPONSIBILITIES

Job title:  Ophthalmic TECHNICHIAN

Reports to: Clinical Manager

Summary of Responsibilities

Responsible for daily patient care and flow

 Basic Assistant Duties and Skills Required for Eye Examination:

The Ophthalmic assistant will:

  1. Introduce herself/himself to the patient using clear friendly manners; Ask birthdate.

  2. Inform the patient of the name of the doctor she is working with;

  3. Accurately document medical and ophthalmic history and chief complaints, medications and review of systems in a concise manner.

  4. Perform vision assessment with Snellen charts, pinhole, Allen cards, stereo acuity, near card and Amsler grid test.

  5. Perform best-corrected visual acuity using the equipment available (i.e.automated refractor, phoropter, retinoscopy).

  6. Assess pupil function and recognize an afferent pupil defect.

  7. Assess confrontational field exam.

  8. Perform contact lens over refraction.

  9. Accurately document any contact lens history including type, power, base curve, diameter, wear schedule, cleansing solution, replacement schedule and level of satisfaction.

  10. Conduct contact lens training.

  11. Convert plus and minus cylinder readings.

  12. Measure current glasses.

  13. Perform applanation tonometry or use the tonopen.

  14. Obtain consent for in office surgical procedures after doctor reviews risks and benefits of procedure.

  15. File necessary paper work for biopsy specimens and record into log book of pending labs.

  16. Understand the use of different dilating drops and dilate patient when appropriate.

  17. Complete Maryland driving license forms.

  18. Place ointment and pressure patch if necessary.

  19. Assist wheel chair patients and elderly to front desk after examination.

  20. Accurately perform pachymetry.

  21. Perform Shirmer test.

 II. Equipment

A full understanding of how to use the following equipment and related skills are required:

  1. Tonopen: The ability to calibrate, clean, store and use the tonopen to take IOP.

  2. Applanation tonometer:  To understand the basic principle of applanation tonometry.  The ability to measure a patients IOP and clean equipment with alcohol.

  3. Autorefractor: The ability to use the autorefractor for +/- cylinder and change paper when necessary.

  4. Use OPD -3 machine to obtain refraction readings.

  5. Lensometer: The ability to use the different lensometers in the different offices to measure power, cylinder, axis and prism correction for glasses.

  6. Projector: The ability to use the projector chart and assess visual acuity in children and adults.  To understand and use the red/green test when necessary. General care and maintenance of projector.  (i.e. light bulb changes/slide changes.)

  7. Retinoscopy: Ability to understand the basic fundamentals of retinoscopy.

  8. Phoropter: To understand how to use the phoropter to assess best corrected visual acuity, to understand and use the Jackson cross cylinder and near vision assessment.

  9. Slit lamp:  The ability to use the slit lamp.  General maintenance, cleaning and changing light bulbs.

  10. Humphrey visual field:  To understand how to use the HVF to perform neurological, glaucoma and macular visual field assessment.

  11. Farnsworth color vision assessment.

  12. Nerve fiber analysis:  To understand basic concepts and testing assistant to insure adequate NFA results.

  13. Camera: Be able to take photos of optic nerve, macula and any pathology doctor deems necessary.

  14. SLT: To understand the basic principle to SLT, selective laser trabeculoplasty, and to be able to set up and disassemble equipment. Perform general care and maintenance of equipment and storage of lenses.

  15. Minor surgery tray:  To be able to set up a minor surgical tray with appropriate equipment and suture material for minor surgery.  Keep equipment clean and sterilized.

  16. Botox: Able to assist with Botox.

 III. Maintenance Expectations:

One ophthalmic assistant in each office is designated as responsible for ordering all supplies for that office.

Every ophthalmic assistant will:

  1. Keep examination rooms organized, clean and stocked with frequently used medications, prescription pads, tissues and patient educational material.

  2. Keep the drug cabinet organized, clean and stocked with current meds.

  3. Keep trial lens set clean, organized and dust free.

  4. Keep trial contact lenses stocked, clean and organized.

  5. Monitor drug expiration dates.

IV. Other Expectations:

Every ophthlamic technichian will:

  1. Maintain patient confidentiality.

  2. Assure optimal patient flow and utilization of doctor’s time.

  3. Return telephone calls to patients and pharmacies.

  4. Maintain knowledge and skills required for optimal performance.

  5. Communicate with patients regarding followup care, surgeries, proedures, changes in schedule, symptoms, surgery scheduling, etc.

      1. 1. Each technichian will continue to learn upgrades/enhancements and changes to EMR system.

2.Technichains shall work together, sharing knowledge and skills where appropriate to  facilitate a learning environment.