Health Technician (Ophthalmology)

We need to output HTML fragment with sections: About the role? The posting includes summary, qualifications, duties, work schedule, pay, benefits. We must use

for section headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We need to include sections only when posting has real specific content. We have content for summary (About the role), qualifications (Qualifications), duties (Responsibilities), work schedule (Schedule), pay (Pay), benefits (Benefits). Also maybe Skills? Not explicit separate; but we could embed skills within qualifications or responsibilities. The instruction: Prefer a few substantive sections over many thin ones. So we could combine some. But we must use headings exactly as listed if we include them. We can choose to include About the role, Responsibilities, Qualifications, Benefits, Pay, Schedule. Skills maybe not needed as separate if not explicit. Requirements maybe same as Qualifications? The posting has "Qualifications" section with basic requirements, experience/education, certification, etc. So we can use Qualifications heading. Requirements maybe not needed. We'll include About the role (summary), Responsibilities (duties), Qualifications, Benefits, Pay, Schedule. We must not repeat job title as heading. No Job ID etc. Remove boilerplate. Preserve all substantive info. Must not invent or summarize away detail. Must not include placeholder text like "competitive salary" is okay? It's actual content. Pay section: "Competitive salary and regular salary increases..." plus details about step rate, etc. We'll include that. Benefits: list Paid Time Off, Parental Leave, Child Care Subsidy, Retirement, Insurance. Also maybe mention Telework not available etc but that's not benefit. We'll include those. Schedule: Monday-Friday 8:00am-4:30pm, may change, telework not available, virtual not. We need to use

• for any list of duties/requirements/benefits. For prose use

  . So for each section we need to decide if content is list or prose. About the role: summary paragraph ->

  . Responsibilities: list of duties ->

  • each duty. Qualifications: includes basic requirements, experience/education, certification, exception, etc. Could be a mix; we can make a
    for each bullet. Benefits: list of benefits ->
    . Pay: prose ->

    . Schedule: prose ->

    . We must not include headings with empty content. Ensure we include all substantive info. Let's extract details. Summary: "The Health Technician (Ophthalmology) is posted within the Eye Clinic at the John D. Dingell VA Medical Center in Detroit - Michigan. The position is organizationally aligned under the Surgical Service - supervised by Section Chief - Optometry. Ophthalmology Technicians in the Veterans Health Administration (VHA) support Ophthalmologist and/or Optometrist in diagnosis - treatment - prevention - follow-up care and patient counseling." We'll put that as

    . Responsibilities: The duties section includes many items. Let's list them as bullet points. From "At the full performance level of GS-8 - major duties include - but are not limited to:" then list. We'll extract each duty sentence. List: - Checks and performs calibration of technical ophthalmic screening instruments - Obtains patient physical history - to include chief complaint, reason for visit, pertinent signs and symptoms, current medication allergies, past ocular and general medical history both ocular and general - Accurately tests visual acuity at distance and near - with and without correction or with and without a pinhole - Measures eyeglass prescription using manual or automated lensometer - recording sphere - cylinder - axis - and prism in both plus and minus cylinder - Performs pupil evaluation recording pupil size - shape - symmetry - reaction to light and accommodation - Performs swinging flashlight test to detect a relative afferent pupillary defect - Performs basic refractometry utilizing an auto refraction or habitual glass prescription in the phoropter - Instills eye medications (drops or ointments - including anesthetic - dye - dilating drops - cyloplegic drops - or antibiotics) - Measures intraocular pressure with standard techniques - including Goldmann applanation tonometry - Performs pachymetry to determine corneal thickness and manual keratometry or automated topography to determine corneal curvature - Performs intra-ocular lens calculations using an IOL Master or equivalent device - Performs automated visual field testing using various perimetry machines - Performs external photographs and fundus photography - Performs optical coherence tomography (OCT) of the anterior segment - retina and optic nerve - Performs patient screening and triage of potentially urgent ocular conditions - Assists during clinic-based ophthalmic surgery - including revision of wounds - biopsies of the eyelid lesions - cultures of conjunctive - or cornea, reformation of anterior chamber - evacuation of hyphema - repositioning of corneal endothelial grafts - intra-vitreous injections - and laser surgical procedures - Educates patients and legal authorized representatives in eye care - including preoperative and postoperative instructions - Assists in the education and training of medical students - residents and fellows in those facilities with medical school affiliations - Ensures proper cleaning and disinfection, calibration - maintenance - backup - and annual inventory and ordering of instruments - supplies and equipment, obtains quotes as needed, and reports needed repairs to biomedical engineering We'll keep as bullet list. Qualifications: Let's extract. Basic Requirements: - United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy - English Language Proficiency: Candidates must be proficient in spoken and written English as required by 38 U.S.C. 7402(d) and 38 U.S.C. 7407(d) - Experience: One year of experience in a health care field - such as but not limited to nursing - medical assistant - or health technician - OR Education: Two years above high school with a minimum of six semester hours directly related to a health care field or associate's degree in a health care related degree - OR Experience/Education Combination: Equivalent combinations of experience and education are qualifying Examples: - Six months of experience in the health care field and one year above high school - Six months of experience in the health care field and successful completion of a course for health care technicians - hospital corpsmen - medical service specialists - or ophthalmology technicians given by the U.S. Armed Forces - Six months of experience in the health care field and completion of an independent study course in Ophthalmic Medical Assisting - Certification: All applicants must be certified as a Certified Ophthalmic Assistant (COA) with the Joint Commission on Allied Health Personnel in Ophthalmology (JCAHPO) The COA certification is JCAHPO's entry-level certification examination for a Health Technician (Ophthalmology) - Exception: Non-certified applicants who otherwise meet the minimum qualification requirements may be appointed as a graduate Health Technician (Ophthalmology) under the authority of 38 U.S.C. 7405(c)(2)(B) The appointing official may waive the requirement of certification for a period not to exceed two years for a Health Technician (Ophthalmology) that provides care under the supervision of an Ophthalmologist The exception only applies below the full performance level For grade levels at or above the full performance level the candidate must be certified Failure to obtain COA certification during that period is justification for termination of the temporary appointment and may result in termination of employment - Failure to Obtain Certification: In all cases - the Health Technician (Ophthalmology) must actively pursue meeting certification requirements starting from the date of appointment At the time of appointment - the supervisor will provide the uncertified Health Technician (Ophthalmology) with the written requirement to obtain certification - the date by which the certification must be acquired - and the consequences for not becoming certified by the deadline Failure to become certified within two years from date of appointment will result in removal from the Health Technician (Ophthalmology) - GS-0640 series and may result in termination of employment - Loss of Credentials: A Health Technician (Ophthalmology) who fails to maintain the required certification must be removed from the occupation - which may also result in termination of employment - Grandfathering Provision: May qualify based on being covered by the Grandfathering Provision as described in the VA Qualification Standard for this occupation (only applicable to current VHA employees who are in this occupation and meet the criteria) - Grade Determinations: Health Technician (Ophthalmology) - GS-5 (Entry Level) Experience or Education: None beyond the basic requirements - Health Technician (Ophthalmology) - GS-6 (Developmental Level 1) Experience: One year of experience equivalent to the GS-5 grade level Demonstrated Knowledge - Skills - and Abilities (KSAs): - Knowledge of general outpatient clinical policies and procedures in a healthcare environment - Ability to obtain - document and record demographic and medical information from patients in order to develop an accurate medical record - Ability to use basic ophthalmic equipment - Knowledge of basic disinfection of non-critical reusable medical equipment - Health Technician (Ophthalmology) - GS-7 (Developmental Level 2) Experience: One year of experience equivalent to the GS-6 grade level Demonstrated Knowledge - Skills - and Abilities (KSA): - Knowledge of anatomy and function of the eye and basic ocular pharmacology - Knowledge of outpatient eye care policies and procedures in a health care environment - Ability to use basic ophthalmic diagnostic equipment to perform preliminary ocular testing - Ability to perform minor extraocular surgical assisting - Ability to provide eye care patient education - Health Technician (Ophthalmology) - GS-8 (Full Performance Level) Experience: One year of experience equivalent to the GS-7 grade level Demonstrated Knowledge - Skills - and Abilities (KSA): - Ability to perform advanced tonometry and pupil evaluation - Ability to perform calculations for selection of intraocular lens - Knowledge of clinic based ophthalmic surgical assisting - Knowledge of eye anatomy and physiology - Knowledge of medication effects and proper instillation in the eye - Knowledge of optics - Knowledge of proper cleaning and maintenance of clinic equipment - Reference: For more information on this qualification standard - please visit https://www.va.gov/ohrm/QualificationStandards/ - The full performance level of this vacancy is GS-8. The actual grade at which an applicant may be selected for this vacancy is in the range of GS-5 to GS-8. - Physical Requirements: The work is primarily sedentary but also requires some standing - walking - bending - lifting and carrying of light items The work requires above average ability and dexterity The work may require heavy lifting and carrying (45+ lbs) reaching above shoulder - use of fingers both hands required walking (5 hours) standing (92 hours) [typo? maybe 9.2? but keep as given] use of legs and arms near vision correctable at 13' to 16' Jaeger 1 to 4 far vision correctable in one eye to 20/20 and to 20/40 in the other specific visual requirement both eyes required depth perception ability to distinguish basic colors ability to distinguish shades of colors hearing (aid permitted) The incumbent in this position has the ability to ascertain details at close range (within a few feet of the observer) - as well as the ability to listen to and understand the needs of others in a clinical environment In this position he/she has ability to make precisely coordinated movements of the fingers of one or both hands to grasp - manipulate - or assemble very small instrumentation Associated with this is the ability to identify and manage essential patient information. We need to include all this. It's a lot