Ophthalmic Technician (Vancouver, Washington)

Department Overview

OHSU Casey Eye Institute is a premier academic medical center providing eye care for adults and children in the Pacific Northwest and beyond. We treat eye conditions from the most straightforward to the most complex and offer expert care in all ophthalmology specialties. Since 1945, OHSU Casey Eye Institute doctors and vision scientists have worked side by side to discover the causes of eye disease and find new treatments. Bringing research and patient care together helps us turn possibilities into realities OHSU Casey Eye Institute is a "High Performing" eye hospital, which means we are ranked in the top 10 percent nationally by U.S. News & World Report. The purpose of this position is to provide ophthalmic patient care assistance to faculty in the Casey Eye Institute, Vancouver, WA satellite clinic. In addition to providing support to comprehensive eye clinics, the sub-specialty clinics include retina, cornea, oculoplastics, pediatrics, neuro-ophthalmology, glaucoma and comprehensive ophthalmology.

Pay Range: $28.25 - $38.19 per hour, Commensurate with Experience

Function/Duties of Position

• Screen patients for and obtain/record patient’s 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 as required per JCAHO. 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 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’s instructions. 
• 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. Perform SITA and Standard Humphrey (automated) (central and peripheral). 
• Assist doctors during examination and with minor surgeries as needed. Apply eye dressings, protective shields and dispense medications as directed by the physician. 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 for the sterilization process, either sterilizing instruments utilizing the sterilizer in the Minor Surgery Room per guidelines or preparing instruments to be sent for sterilization. Responsible for room maintenance including periodic cleaning of exam lanes. Keep rooms stocked with appropriate instruments, as well as necessary ophthalmic drops, per physician’s direction.
• Skills Maintenance and Certification: Participate in continuing education courses and activities. Have knowledge of and be able to practice JCAHO clinical guidelines. Demonstrate competence in all required skills during yearly skills evaluation. 
• 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. Set up ophthalmic examination rooms, stock supplies as necessary, perform minor repairs and triage to Clinical Engineering or outside vendors as necessary. Maintain instruments and be able to clean and properly sterilize items. Maintain ophthalmic exam rooms and ensure rooms are stocked, and have appropriate paperwork, and are orderly and clean. This includes periodic cleaning of trial lenses and examin