The CertifiedOphthalmic Assistant works with the Ophthalmologist in providing eye care topatients of various ages according to the policy of the individual practice, inaccordance with nursing professional standards and medical group policies and procedures.
Clinical duties includedocumentation of chief complaint and/or reason for appointment; medical andocular histories of the patient and the immediate family; administration of eyemedications under the direction of the Ophthalmologist; demonstration ofintermediate skills in Ophthalmic testing as described below; performing anddocumenting the ancillary tests necessary and preliminary to highly specificeye exams.
These include allmodalities of monocular and binocular vision testing; Tonometry by Tonopen and
Applanation; Auto-Refractometry; Auto- and Manual Keratometry; Auto- and ManualLensometry recognizing prism in prescription; recognition of Pupil and
Extraocular Muscle abnormalities; recognition of Afferent Pupillary Defect(APD); assessment of Narrow Angles by flashlight exam; Confrontation and
Intermediate Automated Visual Field testing with recognition of abnormality;Fundus and External ocular photography, Pachymetry, Brightness Acuity testing(BAT); Potential Acuity testing (PAM); Schirmer's Tear Function testing; AmslerGrid testing.
The Certified OphthalmicAssistant also maintains cleanliness and orderliness of the exam rooms andsupplies; cleans and performs minor instrument maintenance (bulbs/fuses) underthe direction of the COT/Supervisor.
Two-year Ophthalmic training course orcommensurate experience working in a ophthalmology clinicrequired, successful completion of an approved independent home studycourse such as the American Academy of Ophthalmology's Home StudyCourse; successful qualification and completion of the Joint Commission ofAllied Health Personnel in Ophthalmology's COA level certification examination.
Any combination equivalentto experience and education that could likely provide the required knowledgeand abilities would be qualifying.
Minimum of one (1) yearexperience working with an Ophthalmologist within the last five (5)years, demonstrated experience within a healthcare environment;understanding of vision insurances and managed care health plans; working withvarious fee schedules and payment mechanisms; documentation of pertinentinformation in patient charts in legible handwriting; blood pressuretechnique; vital signs; and ancillary ophthalmic testing techniques;intermediate level visual field testing; and diagnostic testing under thedirection of the Ophthalmologis.
Licensures and Certifications
Certified Ophthalmic Assistant
Basic Life Support
Skills and Knowledge
Knowledgeof: Health care industry; HIPPA; completion of Sutter RegionalMedical Foundation's Orientation training.
Basic Anatomy and
Physiology of the following systems: Cardiovascular, Respiratory, Endocrine,and Nervous.
Basic understanding of thefollowing systemic diseases: Diabetes, Hypertension, Cancer, Atherosclerosis,Blood diseases and dyscrasia; infections and infectious diseases; OcularAnatomy and Terminology; Minor Surgical set-up and assisting.
Indications and proper useof ocular dressings; Knowledge of Ocular Conditions and Diseases, suchas: Refractive errors and presbyopia, infection, injury, red eye, andother common disorders; Understanding of sources of errors in ophthalmicdiagnostic testing within the scope of practice.
Understanding of the theory for skills performed; Understanding of classes of ophthalmic medications.
Knowledge of various drug delivery systems.
Correct spelling of pharmaceuticals; Ocular first aid and ocular emergency management in absence of physician.
Ability to: Ability to establish and maintain effective working relationships with physicians, vendors, and other team members is critical.
Ability to communicate effectively in written and oral form in the English language is essential.
Skills in data base management and word processing are required as well as the ability to be a self-started and self-directed in work habits.
Metric and spectacle prescription conversions.
Fundamentals of microbial control.