Start This Thang Off Right
Items to turn on when opening an exam room for the day
What are the Clearchart and Stand Lamp?
A patient calls in with a red, itchy, non-painful eye reporting intermittent vision loss. Denies recent trauma or surgery. Requests to be seen same day, providers are at capacity.
What is schedule within 1 week?
A patient reports that he has a family history of glaucoma. His wife and uncle have it and he would like to be checked out for it.
What is defer to doctor?
These tasks should be done to close an exam room at the end of the day
What is turn off the Clearchart, stand lamp, computer and wipe down the room?
The pertinent negatives are that to be asked to every patient seeing an OD with an uncomplicated "blurry vision" chief complaint
What are pain, flashes of light, floaters and diplopia
A patient calls to be seen, they were hit in the eye by a tree limb two days ago. Reports FB sensation, redness, light sensitivity and a constant decrease in vision. Wears contacts. Schedule at capacity for their primary doc, other doc has overbooking capacity.
What is discuss with doctor?
A patient presents for their annual exam, no complaints, VA OD has decreased from 20/30 to 20/50PH
What is order an OCT Mac?
The items in an exam room that should be cleaned between patients
What are the slit lamp chin and forehead rest, tonometer tip, phoropter, occluders and exam chair?
The metrics to be asked to all patients with diabetes being seen for an annual CEE
What are Last BG, BS ranges, last A1C and medication compliance?
Medical calls to schedule a patient with tearing, itchy eyes for 2 weeks, recently diagnosed with Rheumatoid Arthritis. Pt denies decease in vision, pain, or light sensitivity
What is schedule within 1 week?
A 65 year patient presents for their annual CEE, you discover their family history is positive for Macular Degeneration (Mother). This is the next step after workup
What is order an OCT Mac
These are the medications that should be in every exam room on counter
What are Tropicamide 1%, Proparacaine 2.5% and Fluress?
The iCare is clowning again, you are not able to get a measurement after 3-5 attempts per eye. This is the next step.
What is inform the doctor?
Neighbor from the community (not a CH patient) calls because he was diagnosed with DM in December 2022 and was advised to get an a baseline eye exam. Pt does not have any vision complaints and sees well out of current Rx he got from SCO last year. Pt is not working and does routine f/u at Christ Community.
What is do not schedule?
A patient presents painless vision loss associated with new onset flashes of light and floaters starting 1 week ago. VA OD decreased from 20/40 (2021) to HM (2023), these are the tests you would order.
What are OCT Mac and if unsuccessful, B-scan?
It's the end of the clinic day and the doc has a patient that is taking significantly longer than usual. All techs are packed and ready to go. This is the step
What is discuss amongst yourselves who will remain on standby with the provider until the exam is complete?
A Memphis Plan patient calls to schedule their annual eye exam. They mention that they are on their last pair of contacts and would like to be seen as soon as possible before they run out. This is your next step
What is inform the patient that we do not fit contact lenses at this time and discuss contact exam set-up with FocalPoint?
A patient calls in with new onset double vision (side by side red) & HAs, vision is the same. Denies pain, injury or light sensitivity. Wants to be seen in 2 days, schedule is at capacity.
What is discuss with doctor?
A new patient present for an annual CEE with painless IOPs of OD: 31mmHG and OS: 33mmHg, the doc reviews the chart and requests that you dilate and glaucoma testing. These are the tests you would order
You just completed an OCT Disc for a doctor. The patient is escorted to their next stop by a peer, this is your next step?
What is log out of the hedielberg software and windows?