Certified, Eye Care Assistant, Leader- Taylor

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Clinical/Allied Health
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2111831 Requisition #

GENERAL SUMMARY
Under direct supervision, the Leader- Ophthalmic Technician- Certified (COT) provides leadership to a staff of at least four. Performs leadership functions about 30% of the time and Ophthalmic Technician -Certified duties the remaining 70% of the time. Assists the ophthalmologist in the clinic setting. In addition to the assistant level skills, a certified ophthalmic technician must also demonstrate accuracy in measuring a refractive error, performing tests of ocular motility and other specialized tests as indicated such as A-scan ophthalmic ultrasound, fitting and verification of contact lenses, and fundus photography.


PRINCIPAL DUTIES AND RESPONSIBILITIES
Leadership Duties

  • Leads a group of four or more staff.
  • Performs leadership function approximately 30% of the time and duties of an Ophthalmic Tech Certified the remaining 70%.
  • Assists in the selection, orientation, and training of new staff; and may provide input into performance appraisals.
  • Schedules staff and distributes work assignments.
  • Monitors work flow and makes appropriate work assignment adjustments.
  • Provides professional expertise as needed.
  • Develops an educational plan to address staff development.
  • Assists in validating competencies of staff.

COT Duties

  • Medical History Taking: Obtain and accurately record patient’s medical and ocular history including chief complaint, medications, allergies, and review of systems in accordance with compliance guidelines. Select and complete appropriate forms and protocol as required by the supervising ophthalmologist and/or sub-specialist. Use approved medical abbreviations. May scribe for the physician.
  • Visual acuity testing: Perform visual acuity testing to determine the basic ability of a person to see both near and far, with and without correction. Conduct pinhole acuity test, glare test, and potential acuity test (e.g. BAT, PAM) Measure vision without charts (CF, HM, LP, etc.).
  • Lensometry: Apply basic optics necessary to measure the power of corrective lenses using automated or manual lensometers. Verify spectacle lens power, bifocal addition power, mark optical centers, and detect prism, if present. Measure base curves. Verify prescribed and unwanted prism as ground-in or induced. Visual Fields: Perform confrontation visual field and screening tests using automated and/or Frequency Doubling perimetry. Detect central field abnormalities with an Amsler grid. Diagram confrontation field defects. Plot peripheral isopters using Goldmann-type perimeter. Identify visual field defects typical of various ophthalmic and neurologic conditions.
  • Tonometry: Demonstrate proper aseptic technique and measure intraocular pressure with non-contact, digital and/or Goldmann applanation tonometers. Calibrate TonoPen and Goldmann applanation tonometers.
  • Instrument maintenance: Care for, maintain, and perform minor servicing of exam room equipment. Maintain records, equipment manuals, and repair logs. Restock supplies as rooms are opened; protect and properly store instruments as rooms are closed. Replace light bulbs and fuses as needed. Troubleshoot electrical instrument failure. Calibrate special equipment (Goldmann perimeter, projectors, keratometers, applanation tonometers, etc.). Calibrate A-scan ultrasound equipment.
  • Other specialized tests: Perform color vision testing with color plates. Measure pupil size and detect abnormalities in pupil reaction. Estimate anterior chamber depth by slit lamp evaluation. Obtain measurements using automated refractors and/or keratometers. Measure stereopsis with Titmus test. Evaluate reflex tear production with Schirmer’s test strips. Measure corneal thickness with digital (ultrasonic) pachymeter. Measure axial length by contact and immersion A-scan ultrasound. Identify proper spike pattern required for visual axis alignment. Demonstrate methods for targeting and achieving appropriate post-operative refractive errors.
  • Other patient services: Coordinate patient flow and appointments. Apply and remove eye dressings and shields. Instill drops and ointment into patient’s eye as directed for completion of diagnostic evaluation of patient by ophthalmologist. Recognize the symptoms of allergic reactions to medications. Follow department protocol on prescription refill processing. Measure and record vital signs (blood pressure, pulse, and respirations). Provide patient education on tests – why done, when results are expected. Participate in telephone triage and assist trauma patients. May perform minor repairs of spectacles.
  • Contact lens assisting: Take history from the patient on contact lens wear and identify problems. Perform visual acuity with contacts. Instruct patients on insertion, removal, care, and solutions for all types of lenses. Insert trial contact lenses. Order contact lenses for patients per doctor specifications and initiate purchase orders. Maintain contact lens stock and patient files. Care for contact lenses and ocular prosthetics and instruct patients in contact lens insertion and removal. May measure lens specification such as power, curves, diameter, edge and center thickness of all types of contacts. May clean and polish hard and gas permeable contacts. May check new contacts from lab and verify specifications. Measure corneal curvature with manual keratometers. Perform corneal topography and distinguish between normal and abnormal readings. Troubleshoot fitting problems.
  • Refractometry: Enter spectacle data into Phoropter. Refine spectacle correction or automated findings using a Phoropter. Measure a refractive error by retinoscopy. Refine objective refraction using a Phoropter and/or trial lenses and trial frame. Calculate reading add at 40 centimeters (16 inches). Measure vertex distance.
  • Ocular motility assessment: Measure near point of convergence. Use cover tests to identify deviations of alignment by type and amount. Distinguish between normal and abnormal binocular movements (versions and vergences).
  • Photography: Identify instruments used for imaging in the eye. Set up for, explain, and prepare patient for IV fluorescein angiography (IVFA). Recognize and respond to possible complications of intravenous fluorescein angiography (IVFA) Obtain color fundus photos of the optic disc. Perform tomographic imaging of the optic nerve and retina (OCT) as required.
  • Surgical Assisting: Set up and assist in non-refractive laser surgery (argon, YAG, etc.) and minor surgery. Prepare instrument tray for minor surgical procedures. Disinfect lenses and instruments that make contact with the eye. Maintain surgical instruments in accordance with OSHA standards. Properly gown and glove self and assist others in gowning and gloving. Select proper instruments using physician’s preference for common ocular surgical procedures. Drape an ophthalmic surgical patient. Identify the sterile field and instruments and maintains aseptic technique. Clean, prepare, package, and sterilize microsurgical instruments. Identify instrumentation for refractive surgery and assist in refractive procedures. Set up ophthalmic surgical machines and instruments. Identify appropriate wound closure materials. Identify surgical medications, including anesthetics, miotics, mydriatics, viscoelastics, osmotic diuretics, enzymes, narcotics, and other medications as required.
  • Performs other related duties as required.

EDUCATION/EXPERIENCE REQUIRED

  • High school diploma and a minimum of four years of experience as a COT are required.

CERTIFICATIONS/LICENSURES REQUIRED

  • Certification as a Certified Ophthalmic Technician by the Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPO) is required.
  • Failure to maintain COT certification will result in demotion to an Eye Care Assistant classification with appropriate change in pay.

    Overview

       Under the leadership of President and CEO Wright L. Lassiter, III, Henry Ford Health System is a

       $6 billion integrated health system comprised of six hospitals, a health plan, and 250+ sites

       including medical centers, walk-in and urgent care clinics, pharmacy, eye care facilities and

       other healthcare retail. Established in 1915 by auto industry pioneer Henry Ford, the health system

       now has 32,000 employees and remains home to the 1,900-member Henry Ford Medical Group, one

       of the nation’s oldest physician groups. An additional 2,200 physicians are also affiliated with the

       health system through the Henry Ford Physician Network. Henry Ford is also one of the region’s  

       major academic medical centers, receiving between $90-$100 million in annual research funding and

       remaining Michigan’s fourth largest NIH-funded institution. Also an active participant in medical

       education and training, the health system has trained nearly 40% of physicians currently practicing

       in the state and also provides education and training for other health professionals including nurses,

       pharmacists, radiology and respiratory technicians. visit HenryFord.com.

     Benefits

       Whether it's offering a new medical option, helping you make healthier lifestyle choices or

       making the employee enrollment selection experience easier, it's all about choice.  Henry

       Ford Health System has a new approach for its employee benefits program - My Choice

       Rewards.  My Choice Rewards is a program as diverse as the people it serves.  There are

       dozens of options for all of our employees including compensation, benefits, work/life balance

       and learning - options that enhance your career and add value to your personal life.  As an

       employee you are provided access to Retirement Programs, an Employee Assistance Program

       (Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness,                 and a whole host of other benefits and services.  Employee's classified as contingent status are not         eligible for benefits.    

      Equal Employment Opportunity/Affirmative Action Employer

        Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health System is

        committed to the hiring, advancement and fair treatment of all individuals without regard to

        race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,

        weight, marital status, family status, gender identity, sexual orientation, and genetic information,

        or any other protected status in accordance with applicable federal and state laws.

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