Ophthalmic Medical Personnel
Competency-based
ONET: 29-2057.00
2
Years
107
Skills
Curriculum
- Intro Interpersonal Com
- Writing and Inquiry
- Medical Terminology I
- Intro to Ophth Med Assist
- Ocular Anat. & Physiology
- General Psychology
- Ophthalmic Clin Proc I
- Ophtha Med Assist Pract I
- Ophthalmic Clin Proc Il
- Ophtha Optics & Basic Refract
- Intro to Diseases of Eye
- Basic Ophthalmic Pharma.
- Ophthalmic Patient Care
- Ophtha Med Assist Pract Il
On-the-job training
- Measure the physical or physiological attributes of patients.
- Measure clients' bridge and eye size, temple length, vertex distance, pupillary distance, and optical centers of eyes, using measuring devices.
- Visual Assessment
- Test and record visual acuity appropriately for patient with all levels of acuity: - Counting fingers - Hand motion - Light perception - No light perception
- Test and record visual acuity using a distance visual acuity chart
- Testand record visual acuity on preliterate, illiterate, non-verbal, or foreign language patients
- Test and record visual acuity using pinhole occlude
- Test and record visual acuity for low vision patients
- Test and record near vision
- Test and record near point of accommodation and convergence
- Test for visual acuity (distance and near) using optotype (Allen figures or picture tests, Tumbling E, numbers, and Snellen)
- Use conversion tables to record visual acuity (e.g., Snellen chart, LogMar or metric systems)
- Visual Field Testing
- Test and record using an Amsler grid
- Determine proper correction for the visual field test
- Test and record using the Automated perimetry
- Perform and record Confrontation fields
- Pupil Assessment
- Measure, compare, and evaluate pupil function -Direct and consensual response.
- Document pupil shape
- Identify relative afferent pupillary defect (RAPD) using the swinging-light test
- Record patient medical histories.
- Maintain records of customer prescriptions, work orders, and payments.
- Instruct patients in the use of assistive equipment.
- Show customers how to insert, remove, and care for their contact lenses.
- Instruct clients in how to wear and care for eyeglasses.
- Operate diagnostic or therapeutic medical instruments or equipment.
- Determine clients' current lens prescriptions, when necessary, using lensometers or lens analyzers and clients' eyeglasses.
- Gather medical information from patient histories.
- Obtain a customer's previous record, or verify a prescription with the examining optometrist or ophthalmologist.
- Verify accuracy of patient information.
- Obtain a customer's previous record, or verify a prescription with the examining optometrist or ophthalmologist.
- Perform clerical work in medical settings.
- Obtain a customer's previous record, or verify a prescription with the examining optometrist or ophthalmologist.
- Perform administrative duties, such as tracking inventory and sales, submitting patient insurance information, and performing simple bookkeeping.
- Communication Skills, Patient Education, and Ophthalmic Counseling
- Communicate effectively in the work place
- Identify and provide care needs of diverse populations (cultural, gender, age, etc.)
- Demonstrate effective interpersonal relationship skills
- Recognize and refer to ophthalmologist, clinic administrator, or AOP supervisor to address patient dissatisfaction
- Instruct and educate patients on ocular/systemic diseases, medications, tests, procedures, results, and treatments
- Counsel and provide patient education on ophthalmic conditions, prevention, compliance, and acceptance
- Explain the effects prior to administering eye drops
- Demonstrate empathy for the patient
- Ophthalmic patient services and relations (Triage)
- Perform administrative duties, such as tracking inventory and sales, submitting patient insurance information, and performing simple bookkeeping.
- Demonstrate how to properly greet patients
- Assist patients and accompanying individuals with special needs (e.g. visually and hearing challenged)
- Identify procedures to be followed for appropriate patient referrals
- Apply and remove eye dressing and shields
- Identify available patient counseling and assistance for medication reimbursement programs in the community
- Demonstrate ability to properly document patient phone calls
- Demonstrate ability to complete legal forms for patient benefits (motor vehicle, government)
- Effectively communicate with patients regarding their spectacle needs
- Explain and care for ocular prosthetics, contact lenses and spectacles and other devices
- Elicit chief complaint or symptoms
- Classify symptoms according to severity
- Demonstrate ability to triage phone calls
- Understand emergency response procedures for acute ophthalmic drug reactions and emergencies (e.g., chemical burns)
- Coordinate patient flow File, locate, and copy patient charts (scan if Electronic Medical Records (EMR))
- Schedule non-ophthalmic medical diagnostic tests (e.g., magnetic resonance imaging[MRI], computed tomography [CT], blood tests)
- Vital Signs - Measure and record vital signs (e.g., blood pressure, pulse and respiration rate)
- Cardiopulmonary resuscitation (CPR) procedure - Implement emergency procedures and administer first aid, including cardiopulmonary resuscitation - Maintain control of emergency situations - Provide reassurance and support
- Keratometry
- Perform keratometry per practice preference automated or manual
- Tonometry
- Define and measure intraocular pressure
- Clean and disinfect tonometer
- Ocular Motility Testing
- Perform and record versions and ductions
- Perform and record positions of gaze
- Anomalies -Distinguish between phoria and tropia -Nystagmus
- Perform and record cover and uncover tests in correct sequence and tempo
- Perform and record stereoacuity testing
- Lensometry
- Neutralize and record spectacle lenses using automated and manual lens meters
- Describe spectacle prescription components
- Refraction, Retinoscopy, and Refinement
- Measure refractive error with an automated refractor
- Refine refractive error (sphere and cylinder) using phoropter or trial lenses in +/- cylinder
- Use refraction techniques: fogging, duo chrome, binocular balance
- Measure vertex distance
- Perform and recordtransposition
- Calculate and record spherical equivalence
- Determine near add (bifocal, trifocals, multifocal)
- Biometry
- Measure and record axial length (A-Scan biometry and Optical Coherence Biometer) - Describe contact and immersion techniques
- Calculate and record intraocular lens (IOL) power
- Low Vision
- Define low vision
- Measure visual acuity of a low vision patient
- Calculate approximate magnification needed to read a target acuity level
- Describe the advantages and disadvantages of different low vision devices
- Instruct patient in uses of low vision devices (optical and non-optical)
- Surgical Procedures (safety/sterilization training)
- Minor - Clean, sterilize, and prepare instruments for minor office surgical procedures
- Minor - Assist the physician with office-based minor surgical procedures
- Minor - Set up and assist in non-refractive laser surgery (argon, YAG, etc.)
- Minor - Maintain clinical asepsis and universal precautions
- Major - Apply proper sterile technique procedures to ensure safety/security
- Major - Maintain surgical asepsis and universal precautions
- Major - Maintain surgical instruments/equipment
- Supplemental Testing
- Perform and record glare testing (e.g. BAT)
- Perform and record Potential Acuity Meter (PAM)
- Demonstrate use of slit lamp lenses
- Demonstrate use of pen light
- Perform and record color vision
- Perform and record pachymetry
- Assess and record anterior chamber depth with a slit lamp or pen light
- Perform and record laser tests for glaucoma/retina (OCT)
- Perform and record tear tests
- Microbiology (safety and infection control training)
- Follow Universal Precautions and Infection Control measure to maintain clinical asepsis
- Assist in the collection of conjunctival and corneal specimens
- Ophthalmic Imaging
- Perform Corneal Topography
- Perform scanning computer ophthalmic diagnostic imaging preferred by practice (optical coherence tomography (OCT), GDx, HRT, etc.)
- Optics and Spectacles Skills
- Transpose cylinder readings
- Measure interpupillary distance
- Perform proper spectacle fitting
- Photography and Videography
- Slit lamp/anterior segment photography
- Fundus photography
- External photography
- Equipment Maintenance and Repair
- Change batteries/bulbs in ophthalmic instruments
- Maintain and calibrate ophthalmic equipment per manufacturer’s recommendations
- Maintain emergency equipment
- Clean lenses and prisms
- Order and maintain medical supplies and inventories
- Maintain clinical equipment and supplies
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