101.txt

Blood

Iris

Cornea

Muscle

Nerve

Skin

From, Away- abductor

Near, Toward-Adductor

Inward - esotropia, esophoria

Outward - exotropia, exophoria

Inside of - intraocular

Outside of - extraocular

Beside - paracentral

Around, surrounding - pericentral

Before - preoperative

After - postoperative

2 -bifocal

3 - trifocal

Many - multifocal

Among, between - intercostal

Before - ante room, antebrachium

Against, opposite of - antibacterial

Half - hemisphere

Same - homonymous

Upon, outermost - epidermis

Under, below - subconjunctival

Above, beyond - hyperphoria

Under, beneath - hypotropia

Above - supraorbital

Eye - opthalmic

Inflamation of - keratitis, iritis

Surgical removal of - iridectomy, appendectomy

Incision into - iridotomy

Condition of - hypnosis

Something written or drawn - cardiogram, monogram

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

Downward movement

Pupil becomes enlarged

Double vision

Swelling, fluid in intercellular tissiue, swelling of tissues from excess fluid accumulation

Electric instrument used to stop bleeding, or cauterize the tissue

Upward motion

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

Farsightedness

Inward rotation, intortion- rotation of the eyes 12oclock toward the nose

Part furthest from the midline

Becoming progressively worse

Middle, towards midline

Constricted pupils

Dilated pupils

Nearsightedness

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

Anit-inflamatory drug

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

Accommodation

Abnormal retinal correspondance

Base curve

Base down

Base in

Base out

Base up

With

Chief complaint

With correction

Counts fingers

Centralized material sect or section?

Certified opthalmic assistant

Certified opthalmic medical technician

Certified opthalmic technician

Diopter

Decentration

Diopter sphere

Distance visual acuity

Esophoria

Esotropia

Drop/drops

Hand movement

Internal oblique

Intraocular pressure

Inferior rectus

jeager

Joint Commission on Accreditation /Affiliation of Health Personnel in Opthalmology

Light preception

Light preception with projection

Lateral rectus

Milligrams

Millimeters

Millimeters of Mercury

Medial rectus

Nothing by mouth

Non contact tonometer

Near point of accommodation

Near vision

Near visual acuity

Octical center

Right eye, oculus dexter

Operating room

Left eye, oculus sinister

Both eyes, oculi uterque

Interpupillary distance

Pediatric, child

Pin hole

As needed

Patient

Without

Schiotz tonometer

Without correction

Segment height

Superior oblique

Spherical

Superior rectus

Applination tonometer

Ointment

Visual acuity

Axis

Exophoria

Exotropia

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.

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.

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.

• 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

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

• 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

• Perform duties that do not require the specific skills of the opthalmologists which include but not limited to
• Scheduling
• Testing diagnostics
• Surgical assistance
• Application of medications
• Patient education, guiding patiens through prescribed care

• Customer
• Relations

Someone who is seeking a service can be external or internal customer

Your first interaction with your customer, communication, can be done face to face or phone or e mail

External customer- a person whod does not belong to your organization, comes to your work center for an appointment,. Can be outside agency

Internal- your fellow staff memebers in your organization, logkistics, records etc

• Empower your people
• Work within the rules to make positive things happen
• Choos the result of the outcome

• The outcome
• To be happy or sad
• To be angry
• To be cordial or rude
• Feel good about yourself and what you do

• 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
• Remain positive
• Dont play the blame game
• Confirm information, so they know you are listening
• Never blow off the customer

• Be visually attractive
• Listen
• Think positively
• Speak positively
• Show empathy
• Take resposibility

• 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

• Structuring- is preventative and aims to restrain impulsive and unethical behavior
• Sensitizing- is educative and aims to raise the members ethical consciousness

Respect for autonomy, beneficence, non-malfeasance,. Justice

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

• Right to think as they wish even when others may disagree
• Can act freely even if others dont like choice

• 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

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

When they do all theu can to help a patient

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?

Most fundimental etnhical prencipal, ensures the procedure does not harm or woresen the condition of the client by intention, reckless action, or incompetence.

• 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

The principal that demands all patients are treated equally,. While upholding the spirit ofexisting laws and remainng fair to all involved

• Fair distribution of scarce resources
• Competing needs
• Right and obligations
• Potential conflicts with established legislations

• 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

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

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.

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

Any info about health status, provision of health care, or payment info that can be linked to an individual

• 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

Place where forms are filled

• 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

Composite health care systems

• ICD 9 International Classification of Disease
• E&M Evaluation and Management Codes
• CPT common Procedural Terminology Codes

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

• 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

99499

99211

Documentation

Some examples are, History of Present Illness HPI, Review of Systems ROS, Past Family and or Social History PFSH.

Common Procedural Termiology.

• 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

Physicals 99172 or 99173, spectacle,

V

Electronic system that is used to enter and store electronic medical records

Physical version of the electronic record.

Medical record four part folder.

Color coded according to sponsors last four.

Medication allergies, serious medical conditions, special duties, pt name rank status, assigned unit, dob, family member prefix and sponsor. SSN.

Privacy statement act.

Identify pt, support diagnosis, condition,, justify care, treatment, and service,, document the results of care, identify the MTF maintaining record.

Government

DD Form2766 Adult preventative and chronic care flowsheet, tis is a mini medical record, memeber deploys with.

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

• 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.

92370 spec rep fit, 92390 supply of specs

Near point convergence

Normal retinal correspondence.

CAC pin