Sr. Diagnostic Technician

%

Time

20%

Patient Screening and Preliminary Testing  

• Manages patient expectations by providing practice-specific guidelines related to service/visit.  Seeks clinical input when appropriate.
• Creates a professional and positive first impression for patients and referring physicians.   
• Prescreening: Review and record patient demographics and prepares electronic patient records for physician review. Demographics is inclusive of, but not limited to:
  • Ophthalmic and Systemic Medical History
  • Medication reconciliation
  • History of Present Illness
  • Chief Complaint
  • Allergies, sensitivities and side effects
  • Family and Social History 
• HLT III Position requires fluency and competency in preliminary screening and testing in all subspecialty clinics

• Visual Assessment: Performs and documents various acuity measurements and diagnostics tests as per physician requirement/symptomology. 

• Refractive Assessment: Distinguishes between different spectacle types (single vision distance, single vision near, bifocal or multifocal) 
• Tonometry/Pachymetry: Performs testing as indicated for patient’s age and/or physician order.
• Promptly and professionally assists physicians and optometrists in patient care.
• Compiles all paperwork for pre-operative examination.  Ensures that all paperwork has been appropriately completed, including patient and physician signatures.  Completes patient health survey.
• Administers and legibly documents the administration of ophthalmic medication drops 

• Ensures that the physician’s orders are followed, confirms all ordered testing is completed and verifies that testing results are reconciled in the medical record.

   

Complex Diagnostic Testing 

• Performs complex diagnostic ancillary tests requiring an advanced level of knowledge of the anatomy and physiology of the eye within the scope of practice of an ophthalmic technician.
• Cleans and maintains the advanced diagnostic instrumentation as needed. 
• Understands and maintains calibration of all diagnostic instrumentation used.
• Entry level to the Ophthalmic Technician III position requires a demonstrated competency in two (2) or more of the following diagnostic testing skill categories (outlined on the following page)

Diagnostic Testing:

1. Goldmann perimetry  
2. Ultrasound
   • Diagnostic Echography (AScan) 
   • Diagnostic Echography (BScan) 
3. Axial length and IOL calculations for cataract surgery
   • Axial-length (AScan biometry) 
   • IOL Measurement and Calculation
4. Electrophysiology 
   • Multi-focal Electroretinogram (ERG)
   • Visually Evoked Potential (VEP)
   • Electro-oculogram (EOG)
5. Microperimetry
6. Corneal Mapping and Related Testing
   • Endothelial Cell Count (ECC)
7. Optical Coherence Tomography
8. Non-Invasive Fundus Photography
9. Fluorescein Angiography (FAs) & ICG Angiography 
10. Slit Lamp Photography
11. Biometry and ultrasound

Quality & Performance Improvement

• Contributes to/Leads team building by actively participating/leading in meetings and discussions with other providers regarding practice activities.
• Works with supervisor and co-workers to improve procedures and administrative systems.  Actively Participates in performance improvement projects and customer service initiatives.
• Has a supportive role in familiarizing new employees including Fellows, Residents, Medical students to the clinical functions, policies, and procedures of UCSF Medical Center and the Department of Ophthalmology.
• Maintains and monitors for HIPAA compliance with electronic protected health information
• As assigned, fills in for other co-workers to help address work load problems and cover vacation or sick leave openings. 
• Attends training classes provided by the Department of Ophthalmology, UCSF Medical Center, and other venues as required to keep skills and clinical practice updated.
• Maintains, troubleshoots, and cleans all equipment being used.  Reports nonworking equipment to supervisor. Understands and maintains calibration of all diagnostic instrumentation used.
• Maintains exam rooms, replenish supplies and drops       
• Compliance with the Medical Center House and Telephone Standards
• Cleans and maintains department instrumentation as needed.