Where does a visual impairment begin? Vision disorders can be influenced by a combination of genetic factors, environmental conditions, and lifestyle choices. When taking these into account, beginning with proper prenatal care is a good place to start.
Because of its potential to reveal serious retinal, neurologic or other disease, pupil testing is a crucial part of the ophthalmic examination and requires astute observation. This procedure should be included as a component of every comprehensive examination or any time a patient needs to be dilated—in addition to any problem-focused visit involving eye health, such as a red eye visit, ocular emergency, or intraocular pressure (IOP) check.
By now you have heard and read a lot regarding ICD-10 changes coming in October. This is the most significant coding change in health care in more than 30 years, and the impact on healthcare practices cannot be overstated. Let’s discuss some of the changes in the new diagnosis coding system and how you can prepare for the transition.
The common eye problems found in adults, developing over decades of life as acquired disease, are different in children. There is an old pediatrics adage that “children are not little adults.” This is certainly true when it comes to the pediatric eye exam that many allied health care personnel find themselves facing, often with dread, on a weekly or daily basis.
In Part I, I discussed the importance of preoperative preparation, including a detailed medical history to insure a safe surgical experience. (See Fall 2014 issue) In this piece, I will cover the specific medications used with anesthesia, how they are used together to achieve the goals for a particular operation, and finally a discussion of aspects of post-operative management.
Over the years of interviewing, hiring, and training staff, I realized that there are some technicians who are just adequate. They were for the most part reliable, usually made good decisions, and did their job adequately. Nothing more. I also noticed there were other technicians who were superstars.
I don’t want good technicians working in our clinic; I want the best technicians working in the clinic. Many people make the assumption that if they pass the JCAHPO, COA, COT, or COMT tests that they are good technicians. That might mean it would also be safe to say that the higher the certification, the better the technician.
The technician is usually the patient’s first contact in the clinic. He or she frequently will perform the initial history to include both medical and ocular conditions and may perform the initial stages of the exam, including dilating the patient. As the first contact, the technician has an important role in obtaining a good medical history and a detailed medication and allergy list. In addition, the technician needs to understand the significance of this information in preparing the patient for surgery.