| Screen patients for and obtain/record patient\u2019s chief complaint, take accurate history of illnesses/surgeries (Ophthalmic and General), past ocular history, family history, drug allergies, and medications. Assist physician with completing/transferring patient information to the patient problem list. Perform ophthalmic testing as appropriate per patient. This includes but is not limited to checking/documenting distance and near vision in adults and children with and without correction, clearly determining from patient history if the patient is needing new glasses on any given visit. Pupillary assessment to rule out afferent defect and to check pupil size (rule out asymmetry), corneal curvature, corneal pachymetry, corneal topography, color vision testing, must be proficient in performing lensometry including reading lenses with multifocal and progressive adds, power of sphere, axis of cylinder and cylinder power, and orientation and power of prism and measurement of interpupillary distance. Perform applanation tonometry, and utilize Tonopen (noncontact tonometry) to check intraocular pressure. Perform confrontation visual fields. Must be proficient in auto refraction, fogging with astigmatic dials, cross cylinder refinement and measurement of accommodation. Must be able to perform cover/uncover test, alternate cover test and quantify strabismus. Must be able to document ocular motility, presence of strabismus or nystagmus. Must be able to perform Worth 4-dot test and Stereopsis test. Must be able to test near point of convergence, ductions, versions and vergences. Must be able to perform Potential Acuity Meter testing, Glare Testing. Instill dilating and other ophthalmic drops per physician\u2019s instructions.Assist doctors during examination as needed including scribing using Epic where indicated. Prepare for, set up and assist in minor surgical, and laser procedures, including all types of lasers. Must be familiar with preoperative and pre-laser patient education. Apply eye dressings, protective shields. Provide patient instruction, education and assistance as required. Always be willing to assist patients in clinic areas. Per standard guidelines, clean exam lanes and minor surgical instruments. Prepare instruments to be sent for sterilization. Responsible for room maintenance including periodic cleaning of exam lanes. Perform calibration of automated and non-automated perimeters. Maintain a working knowledge of computerized visual field programs, and be able to perform Amsler Grid testing. Maintain a working knowledge of disease processes that may affect the visual pathway and resultant changes in the visual field due to these disease processes in order to adequately perform Goldmann (non-automated) perimetry (central and peripheral). Perform SITA and Standard Humphrey (automated) (central and peripheral). Other duties: Take tech calls as needed to assist front desk scheduling team, refill pharmacy requests as per physician guidelines; fax/send glasses prescriptions as indicated. Perform minor repairs and triage to Clinical Engineering or outside vendors as necessary. Maintain instruments and be able to clean and properly sterilize items. Periodic cleaning of trial lenses and examining lenses, ordering of supplies and medications from pharmacy. Provide administrative assistance and support as required including back-up surgery scheduling (cases in OR as well as in the Minor surgery room and lasers), enlisting translators when necessary, procuring pre-surgery history and physicals from primary care physician\u2019s offices, verifying patient insurance information, obtaining surgical insurance authorizations/referrals where indicated. Assisting physician in filling out forms such as Commission for the Blind forms and forms regarding the visual impairment of patients, and other such forms. Learn computer applications (scheduling, order entry, etc.) used in the clinic and achieve understanding of insurance authorization process. Other duties as requested by supervisor. Exhibit initiative and teamwork in performing all daily tasks. |
