A person who practices or is concerned with a particular field - opthalmologist
Measuring device - keratometer, lensometer
To draw away from the midline
Ability to converge light rays at a close distance.
Having a short course or rapid onset.
Draw towards the midline.
Substance responsible for allergic reaction
Decreased vision to one or both eyes without detectable anotomic damage to the retina or visual pathways
Without crystalline lens,eg after cataract surgery
Abnormal curvature of theeye surface that does not allow the eye to focus properly.
Self limiting, not recurrent, not malignant, does not threaten health or life.
Having two sides, affecting or occuring on both sides
To apply heat or electrical current to destroy tissue or stop bleeding
Persists for a long time
Pupil becomes smaller
Pupil becomes enlarged
Swelling, fluid in intercellular tissiue, swelling of tissues from excess fluid accumulation
Electric instrument used to stop bleeding, or cauterize the tissue
Eyes are constantly turned in, eye misalignment in which one eye deviates inward while the other fixates normaly
Eyes constantly turned out, missalignment in which one eye deviates outwardly (away from nose, lateral deviation) while the other eye fiates normaly
Outward rotation, extorsion- outward rotation of one eye.
Tomur containing blood,
Having the same, located on the same side, usually refers to visual field defects
Inward rotation, intortion- rotation of the eyes 12oclock toward the nose
Part furthest from the midline
Becoming progressively worse
Middle, towards midline
Inward, middle, towards the nose
Uncontrolled rapid movement of the eye
MD that specializes in eye disorders and is an eye surgeon.
OD that cunducts examinations, treats eye injuries and diseases and prescribes spectacles, contact lens, and other therapies.
Branching, usually benign tumor
Giving origin to disease
To make a hole, perforation
Eyes loses its ability to accommodate
Deviation in eyes in which eyes do not focus on same object at the same time.
Part furthest from the midline, relating to side of head, direction away from nose, half of visual field from the midline toward the temple.
Swelling,. Morbid enlargement,
Pertaianing to one side
Applanation- method of flattening the cornea, used for measuring the intraocular pressure
Abnormal retinal correspondance
Centralized material sect or section?
Certified opthalmic assistant
Certified opthalmic medical technician
Certified opthalmic technician
Distance visual acuity
Joint Commission on Accreditation /Affiliation of Health Personnel in Opthalmology
Light preception with projection
Millimeters of Mercury
Nothing by mouth
Non contact tonometer
Near point of accommodation
Near visual acuity
Right eye, oculus dexter
Left eye, oculus sinister
Both eyes, oculi uterque
S caps s
SPH or sph
V or VA
What does the METC opthalmic program provide?
Provides enlisted personnel from multi servie, dod civilians with basic knowledge of subjects necessary to provide full assistance to opthalmologists and optometrists in military eye clinic.
What does the METC Opthalmic program provide the trained technician with?
Provides them with a basic knowledge of tasks relating to ocular screening, diagnosis, and treatment to include optical devices and surgical interventions, patient education and interaction skills, basic clinical administration, care of instruments and equipment, and operating room protocol.
What is the METC program objective?
Upon completion of this program ypu are expected to function as an entry level opthalmic technician in fixed and deployable medical facilities, performing tasks associated with ocular health and vision care.
What does it take to pass this course?
1 score a minimum of 70% on each examination.
2 maintain a minimum overall program average of 70%
3.maintain a minimum unit(course ubit lesson and topic) average of 70%
4 not exceed a total of two unit (course unit lesson topic) exam failure
5 pass retestable unit (course unit lesson topic) written exam with grade of 70% or above
6 pass performance exercises with a "PASS" in all academic units with Performance Exercises
What is acedemic risk status?
You will be placed on this if your over all program average or individual eaxmination gradeis between 75% and 79%. after it is over 79% you will be removed
What is the criteria for acedemic probation?
1 if your over all gpa falls below 75%
2 if you fail 1 written test or 1 performance exercise
3 if an instructor documents that your performance is marginal
What are the duties of the opthalmic technician?
Perform duties that do not require the specific skills of the opthalmologists which include but not limited to
Application of medications
Patient education, guiding patiens through prescribed care
The idea of costomer relations includes what?
What is a customer?
Someone who is seeking a service can be external or internal customer
What is a relation?
Your first interaction with your customer, communication, can be done face to face or phone or e mail
One type of two, customers?
External customer- a person whod does not belong to your organization, comes to your work center for an appointment,. Can be outside agency
Type two of two customers is?
Internal- your fellow staff memebers in your organization, logkistics, records etc
What proper techniques can lead to better conflict resolution?
Empower your people
Work within the rules to make positive things happen
Choos the result of the outcome
Always remeber you choose what?
To be happy or sad
To be angry
To be cordial or rude
Feel good about yourself and what you do
What are some techniques for dealing with conflict?
Take responsibility for the situation
Let the person vent, listen, make good eye contact
Ask questions to confirm details, keep them on track
Be aware of body language, yours and thiers
Dont be accusatory
Show genuine concern, ask how they are doing
Apologize for the event
Dont play the blame game
Confirm information, so they know you are listening
Never blow off the customer
What are the 6 keys to success?
Be visually attractive
What are the three ways medical ethics can be defined?
Principal or standards that guide professionals to do moral or right thing
Ethical standards are not static,. They evolve to reflect social change
A belief valued by an individual or group that describes what ought to be done in certain situations
The two major purposes for a code of ethics are?
Structuring- is preventative and aims to restrain impulsive and unethical behavior
Sensitizing- is educative and aims to raise the members ethical consciousness
What four principals must be respected for a medical practice to be considered ethical?
Respect for autonomy, beneficence, non-malfeasance,. Justice
What is autonomy?
Individuals right to self-detirmination, requires that the patient has freedom to thought, intention, and action when making desicions, patient must understand risks and benefits of tretment and likelihood of success
What are the charecteristics of autonomy?
Right to think as they wish even when others may disagree
Can act freely even if others dont like choice
What are some exemptions to autonomy?
Rigjht of an individual ends where the right of others begin
People incapable of understanding the implications of thier choices
Children, persons with severe brain damage , persons experiencing psychotic episode
What is beneficence?
Is the ability to do good for others, requires that procedure be provided with the intent of doing good for the pt, healthcare providers are expected to develope and maintain skills and knowledge
How does technician show beneficence?
When they do all theu can to help a patient
Charecteristics of beneficence?
Pt should be in a better place emotionaly at the end of the treatment,. Always ask the question. Is this action likely to benefit my client?
What is nonmalfeasence?
Most fundimental etnhical prencipal, ensures the procedure does not harm or woresen the condition of the client by intention, reckless action, or incompetence.
Charecteristics of nonmalfeasence include?
Extra precaution taken to assess the problem accurately
Procedure treatment is chosen after sufficient deliberation
Emphasis is placed on monitoring the impact of treatment procedure
What is justice?
The principal that demands all patients are treated equally,. While upholding the spirit ofexisting laws and remainng fair to all involved
What four areas must be considred when evaluating justice?
Fair distribution of scarce resources
Right and obligations
Potential conflicts with established legislations
What are the charecteristics of nonmalfeasence?
Treatment goals based on individual charecteristics of client not on dicriminatory attitudes
No pt is given a better or worse treatment based on thier status in society
Medical tech displays respectful unbiassed attitude wjhen dealing with clients of different background culture lifestyle etc
What is confidentially?
Keeping pt info to self not sharing if no need to know is there, shows respect for pt autonomy and thier right to control info relating to thier care
Charecteristics of confidentially include?
Self disclosure is kept confidential unless there is an overwhelming reason to breach such confidentiality,. Pts should never have thier visits terminated except for good reasoning such as referral. Some exception to breach, abuse, mandait reporting criteria, std. Etc.
What is HIPAA?
Health insurance portability and accountability act of 1996, enacted the privacy rule standard for the use and disclosure of an individuals health information or Protected Helath Information PHI
What is PHI?
Any info about health status, provision of health care, or payment info that can be linked to an individual
Here a few things to remember about PHI
You must have a need to know
protect PHI and insure only providers who are treating pt have access to info
Be cognizant of front desk are when dealing witjh pt info and pts during check in procedures
Protocol for relasing and requestking PHI
Documents that are to be filled out
What are records?
Place where forms are filled
Why do medical records exist?
To record pt care pt cant recall care, lots of info collected for care
To plan pt care. Promotes effecient pt care, decreases repetition of tests
Communication media. Doc to doc. Pt evacuation (aero evac), continuity of care (transient population)
Protection of both pt and facility, Government. Lega pt rights and govt rights
JCAHO. Paper trail for joint commisskions measuring quality of care
What is CHCS
Composite health care systems
What are the 3 componants of CHCS
ICD 9 International Classification of Disease
E&M Evaluation and Management Codes
CPT common Procedural Terminology Codes
What is ICD-9
Categorizes reasons for visit starting with chief complaint CC may have more then one and others are prioritized and listed inorder of importance, linked to CPT and becomes the justification for the CPT procedure. MEDICAL NECESSITY
What is E&M
Evaluation and management code, specifies level of service provided based on 3 elements
Level of history
Level of examination
Level of management and decision making. Documentation must be provided to support E&M decision like H&P systems review, past family and or social history
What is E&M code for optometrist?
What is E&M for technician?
What must be provided to to support E&M decisions?
What type of documentation must be provided to support E&M codes?
Some examples are, History of Present Illness HPI, Review of Systems ROS, Past Family and or Social History PFSH.
What is a CPT CODE?
Common Procedural Termiology.
What is the purpose of the CPT code?
Defines additional procedures not covered under the E&M codes
Ties together with the ICD9
Optometry specific................speticals ordering, visual fields, photos. Based on new or established
Tech codes may include....
Physicals 99172 or 99173, spectacle,
What is the prefix code for PHYSICAL EXAM?
What is AHLTA?
Electronic system that is used to enter and store electronic medical records
What are mannual medical records?
Physical version of the electronic record.
What is AF Form 2100A?
Medical record four part folder.
2100A uniqueness of..
Color coded according to sponsors last four.
Whats on the fron tof the 2100A?
Medication allergies, serious medical conditions, special duties, pt name rank status, assigned unit, dob, family member prefix and sponsor. SSN.
Whats on the back of the 2100A?
Privacy statement act.
Contents of medical record should contain enough information to do what?
Identify pt, support diagnosis, condition,, justify care, treatment, and service,, document the results of care, identify the MTF maintaining record.
Who do records belong too?
Whats in section one of the 2100A?
DD Form2766 Adult preventative and chronic care flowsheet, tis is a mini medical record, memeber deploys with.
What is in section 2 of the 2100A?
AF Form 745, Sensative duties program record identifier.,, PRP personnel reliability program or PSP presidential support program,, all medical treatment which may affect alertness or judgement must be reported to pts supervisor,,. ALWAYS TOP MOST FORM IN SECTION TWO
What is in section three of the 2100A?
DD Form 2005, Privacy act statement, if not printed on back side of 2100A
SF Form 88, Report of medical examination, used for complete physical exams
AF Form 422, Physical profile, indicates if member is world wide qualified
DD Form771, Eye wear prescription, used to order specs gass mask inserts etc
AF Form 1722, Eye examination,
Refractive surgery exam and follow up, visual field test print outs.