Optometrist PORTSMOUTH

STS Federal - Norfolk, VA

OPTOMETRIST

 

SITE OF SERVICE:

  • Naval Medical Center Portsmouth, VA (NMCP) and its associated Branch Health/Medical Clinics (BHC) and Tricare Prime Clinics (TPC).
  • HCWs shall receive notification 48 hours prior to reassignment within a forty (40) mile commuting radius of their assignment MTF. The site of services is listed under 1.5.7. Hours of Performance.

 

POSITION QUALIFICATION/REQUIREMENTS:

  • Degree: Doctor of Optometry.
  • Education: Graduate from a school or college approved by the Accreditation Council on Optometric Education (ACOE) of the American Optometric Association.
  • Experience:
    • Possess a minimum of one (1) year of full-time experience fitting specialty lenses for keratoconus within the preceding eighteen (18) months.
  • Certifications:
  • Possess a certification to use Therapeutic Pharmaceutical Agents.
  • Possess current Basic Life Saver (BLS) hands-on certification through the AHA.
  • Licensure: Current, full, active, and unrestricted license to practice as an optometrist.
  • U.S. Citizenship: HCWs performing under this contract shall be U.S. citizens.
  • English Language Requirement: The Contractor shall ensure that all HCWs providing services under this contract are able to read, write, and speak English well enough to effectively communicate.
  • HCW Physical Capability: HCWs shall be physically capable of standing and/or sitting for extended periods of time and physically capable of performing all services required under the contract and TO.

 

SPECIFIC DUTIES:

  • Perform a full range of optometry services. The routine workload is scheduled by the treatment facility through the appointment system and is subject to the approval of the department head. The secondary workload is a result of consultation requests submitted to the facility by other staff health care providers. In addition to clinical responsibilities, the HCW will be assigned administrative tasks commensurate with the position.
  • Be evaluated annually on their performance and adherence to the requirements of the task order. However, the government reserves the right to evaluate the HCW semi-annually. Additional (i.e. special) evaluations may be performed to correct clinical or other performance deficiencies identified by the government. The totality of scheduled performance evaluations, any special evaluations, memoranda of counseling sessions, and any other documentation generated by the government will constitute the complete evaluation.
  • Perform administrative functions such as serving on boards and committees and attending or providing continuing education.
  • Provide optometric care in accordance with the community standard of care and American Optometric Association (AOA) clinical practice guidelines. This shall include the performance of all necessary tests and patient work-up to adequately diagnose patients. Examples include:
  • Performing basic visual acuity tests
  • Measuring and recording distance and near vision, color testing, and pinhole vision
  • Lensometry
  • Keratometry
  • Refraction (manual, automated, and retinoscopy)
  • Ocular motility tests
  • Binocular coordination testing (vergences, phorias, accommodation)
  • Visual field testing - automated and manual
  • External examination
  • Slit lamp examination
  • Applanation tonometry
  • Funduscopic Examination (Indirect and Direct)
  • Corneal topography
  • Pachymetry

 

  • Accurately transcribe into the patient medical record, past ocular history, adverse drug reactions, allergies, etc. according to established techniques and procedures. Identify the patient’s chief complaint and provide a written assessment of findings. Diagnosis and recommendations should be appropriate for the complaint and clinical findings. Appropriate follow-up should be indicated, patient education must be documented, and provider stamp and signature must be present.
  • Diagnostic Pharmaceutical Use: Provide accurate documentation of specific medication used, dosage, and time given. Document any adverse reaction.
  • Provide Dilation on patients following the below outline:

 

  • Asymptomatic low-risk patient: Every 3-5 years as needed under age 50
  • Every 1-3 years age 50 and over
  • Asymptomatic high-risk patient: Every 3-12 months as needed
  • Symptomatic patient: Promptly

 

 

  • Specific indications:
    • Previous diagnosis of retinal detachment, retinal holes, or lattice degeneration
    • History of significant trauma to the eye or orbit
    • Myopia in excess of -5.00 Diopters
    • Lumps behind the iris
    • Aphakia or pseudophakia (except with iris-fixed IOL's)
    • History of drug use that would cause adverse ocular effects:
  • Cataractogenic substances (e.g. corticosteroids)
  • Retinotoxic substances (e.g. hydroxychloroquine)
    • History of significant atherosclerosis with cardiac/carotid manifestation or CVA
    • History of diabetes mellitus
    • Complaints of flashes or floaters. (high risk)
    • The presence of a media opacity prevents a good view of the retina

 

  • Detect neuromuscular impairment or anomalies of binocular function.
  • Provide pre-op and post-op care for corneal refractive surgery patients to include LASIK, PRK, and implantable contact lenses (ICL).
  • Prescribe and dispense medications in accordance with privileges and as delineated by the Pharmacy and Therapeutics Committee.

 

GENERAL DUTIES.

  • Contractor personnel shall perform a full range of duties consistent with their labor category, education, training, experience, clinical privileges (as applicable), and assigned position.
  • General duties that apply to all personnel or across certain labor categories are given below.
  • Maintain a level of productivity comparable with that of other individuals performing similar services.
  • Participate in peer review and performance improvement activities.
  • Practice aseptic techniques as necessary. Comply with infection control guidelines to include the proper handling, storage, and disposal of infectious wastes, and the use of universal precautions to prevent the spread of infection.
  • Function with an awareness and application of safety procedures.
  • Perform efficiently in emergency patient situations following established protocols, remaining calm, informing appropriate persons, and documenting events. Anticipate potential problems/emergencies and make appropriate interventions. Notify supervisor, director, or other designated person regarding problems that the HCW is unable to manage.
  • Apply an awareness of legal issues in all aspects of patient care and strive to manage situations in a reduced risk manner.
  • Participate in the implementation of the Family Advocacy Program as directed. Participation shall include, but not be limited to, appropriate medical examination, documentation, and reporting.
  • Exercise awareness and sensitivity to patient/significant others' rights, as identified within the MTF.
  • Maintain an awareness of responsibility and accountability for own professional practice.
  • Participate in continuing education to meet own professional growth.
  • Attend and/or comply with all annual training classes required by the Command, including but not limited to online annual training provided by the MTF: disaster training, infection control, Sexual Harassment, Bloodborne Pathogens, Fire and Safety, Chemical, Biological, Radiological, Nuclear and Explosives (CBRNE), and all other required training.
  • Actively participate in the command’s Performance Improvement Program. Participate in meetings to review and evaluate the care provided to patients, identify opportunities to improve the care delivered, and recommend corrective action when problems exist.
  • Participate in the provision of in-service training to clinic staff members. Provide training and/or direction as applicable to supporting government employe­es (e.g., hospital corpsmen, students, etc.).
  • Attend and participate in various meetings as directed.
  • Perform timely, accurate, and concise documentation of patient care.
  • Operate and manipulate automated systems such as CHCS, AHLTA, ADS, Essentris, and Clinical Information System (CIS), participate in clinical staff Performance Improvement (PI) and Risk Management (RM) functions, as prescribed by the Commander. Maintain DOD email account as directed. The HCW shall be responsive to all email and voicemail communications.
  • Exercise appropriate delegation of tasks and duties in the direction and coordination of health care team members, patient care, and clinic activities.
  • Maintain documentation of all treatment provided in accordance with clinic directives, and prepare such records and reports as may be required. All records and reports must be legible. Abbreviations must be only those listed in local instructions.

 

CORE DUTIES:

  • Examine, diagnose, treat or prescribe courses of treatment for those suffering from diseases, injuries, or disorders of the visual system, the eye, and associated structures as well as diagnose related systemic conditions.
  • Promote prevention and wellness, vision conservation, education and training activities, vision screenings, and positive eye and vision health behaviors.
  • Conduct vision research in a problem area of considerable scope and complexity which requires novel approaches and which results in answers to important questions or important changes in existing methods and techniques.
  • Advise and make professional clinical recommendations as to courses of action on problems and considerations of national scope in all areas of optometry.
  • Provide a full spectrum of clinical services to treat the most complex optometric-related patient conditions.

 

HOURS:

  • Optometrist (BHC NAVSTA Norfolk) – Services shall be provided Monday through Friday, between the hours of 0700 and 1600 hours. Shifts will normally be scheduled for an eight and a half (8.5) hour period, including an uncompensated thirty (30) minute lunch break. In no instance will the HCW be required to provide services in excess of eighty (80) hours per two-week period. The clinic is open on the following Federal Holidays: Martin Luther King Jr's Birthday, President's Day, Columbus Day, and Veteran's Day. Services shall not be required on federal holidays when the clinic is open.

 

SPECIAL REQUIREMENTS/SKILLS

Must be comfortable in a fast-paced, dynamic environment. Must be able and willing to reprioritize on short notice and work on multiple simultaneous projects. Flexible and able to work with various personalities. Teamwork skills required. Time management skills are required. The ability to meet deadlines in a deadline-intensive environment is essential. High level of adaptability and willingness to embrace change in a fast-paced, demanding environment.

STS Federal, LLC. is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.



Posted On: Thursday, April 21, 2022



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