Download Form 2A, Page 1 FLORIDA STATE COLLEGE AT JACKSONVILLE

Form 2A, Page 1
FLORIDA STATE COLLEGE AT JACKSONVILLE
COLLEGE CREDIT COURSE OUTLINE
COURSE NUMBER:
OPT 2351
COURSE TITLE:
Advanced Clinical Procedures II
PREREQUISITE(S):
OPT 1330 and OPT 2090
COREQUISITE(S):
None
CREDIT HOURS:
3
CONTACT HOURS/WEEK:
3
CONTACT HOUR BREAKDOWN:
Lecture/Discussion:
3
Laboratory:
Other:
FACULTY WORKLOAD POINTS:
3
STANDARDIZED CLASS SIZE
ALLOCATION:
30
CATALOG COURSE DESCRIPTION :
This course is a continuation of Advanced Clinical Procedures I (OPT 2350). Diagnostic testing performed by the
technician and physician are discussed. Ophthalmic surgical and laser procedures are presented, and the
technician’s role in ophthalmic surgery is discussed.
SUGGESTED TEXT(S):
The Ophthalmic Assistant: A Guide for Ophthalmic Medical
Personnel by Harold A. Stein, Bernard J. Slatt, Raymond M.
Stein, Mosby
IMPLEMENTATION DATE:
Fall Term 2013 (20141)
REVIEW OR MODIFICATION DATE:
Fall Term, 2013 (20141)
Form 2A, Page 2
COURSE TOPICS
CONTACT HOURS
PER TOPIC
I.
Ophthalmic Biometry
6
II.
IOL Calculations
3
III.
Corneal Measurements
3
IV.
Pachymetry
2
V.
Specular Microscopy
2
VI.
Gonioscopy
2
VII.
Ophthalmoscopy
3
VIII.
Fundus Photography
3
IX.
Retinal Angiography
6
X.
Retinal and Optic Nerve Imaging
6
XI.
Surgical Procedures
6
XII.
Aseptic Technique and Surgical Assisting
3
45
Form 2A, Page 3
PROGRAM TITLE:
Ophthalmic Technician
COURSE TITLE:
Advanced Clinical Procedures II
CIP NUMBER:
1351180301
Florida Department of Education
Student Performance Standards
12.0
Demonstrate the taking of a medical history–The student will be able to:
12.01
12.02
12.03
12.04
12.05
13.0
Demonstrate the performance of diagnostic tests–The student will be able to:
13.01
13.02
14.0
Describe the principles of human physiology.
Identify and describe tissues and cellular structures of the eye.
Apply the correct medical terminology to body structures and functions of the eye.
Identify cause and effect of the most common pathological conditions of each body system as they
relate to the eye.
Demonstrate testing of ocular functions (including visual acuity and visual fields)–The student will be able
to:
15.01
15.02
15.03
16.0
Perform competently within the scope of training and education.
Accept responsibility for professional actions.
Demonstrate anatomical and functional ocular measurements–The student will be able to:
14.01
14.02
14.03
14.04
15.0
Communicate effectively in written and oral communications.
Use appropriate medical terminology in recording the medical history.
Maintain patient confidentiality.
Maintain applicable ethical and legal standards.
Identify body structures and describe the physiological processes of the eye.
Describe the interaction of light, lenses, laws of optics.
Describe optical properties of the human eye.
Measure objectively and subjectively the refractive state of the eye.
Demonstrate the administration of topical ophthalmic and oral medications–The student will be able to:
16.01
16.02
16.03
16.04
16.05
16.06
16.07
Identify commonly administered drugs, their uses and effects upon the human body.
Identify the correct abbreviations and terminology relating to pharmaceutical preparations.
Identify the various routes of drug administration.
Describe the legal records necessary for the administration and dispensing of drugs by the
physician.
Describe the ethical standards necessary for the administration and dispensing of drugs by the
physician.
Administer and record specified topical and oral medications at the direction of the physician and
in accordance with medical standards.
Identify security procedures of medications as regulated by law.
Form 2A, Page 4
16.08
17.0
Demonstrate the instruction of the patient in personal eye care and in the use of contact lenses–The
student will be able to:
17.01
17.02
18.0
18.02
18.03
Describe the fundamentals of microbial control.
Describe procedures for sterilization, disinfection and sanitation.
Describe methods for control of infection and prevention of contamination in the medical facility.
Describe the appropriate procedure for the handling of contaminated equipment and supplies.
Describe the appropriate method for disposal of contaminated materials.
Describe and accurately perform handwashing techniques.
Implement appropriate The Joint Commission patient safety goals.
Demonstrate the maintaining of ophthalmic office equipment–The student will be able to:
20.01
20.02
20.03
20.04
20.05
21.0
Describe the fundamental principles of the maintenance, inventory control, and ordering of
ophthalmic instruments.
Maintain a clinic inventory of the instruments.
Describe the appropriate safety/security procedures for the instruments.
Demonstrate the caring for, maintaining and sterilizing of surgical instruments–The student will be able to:
19.01
19.02
19.03
19.04
19.05
19.06
19.07
20.0
Instruct the patient in the correct methods of insertion and removal of the contact lenses.
Instruct the patient in the appropriate methods of daily care of the eye and the contact lenses.
Demonstrate the caring for and maintaining of ophthalmic instruments–The student will be able to:
18.01
19.0
Describe appropriate procedures for the disposition of medications and clinical supplies in
reference of shelf-life expectancies and/or expiration dates.
Describe the fundamental principles of the maintenance, inventory control, and ordering of
ophthalmic supplies and equipment.
Maintain and inventory of office equipment.
Apply appropriate safety/security procedures for equipment.
Perform quality assurance procedures on all clinical equipment.
Describe and perform appropriate maintenance programs for various ophthalmic equipment.
Demonstrate assisting in ophthalmic surgery in the office or hospital–The student will be able to:
21.01
21.02
21.03
21.04
21.05
21.06
21.07
21.08
21.09
21.10
Describe the fundamentals of microbial control.
Describe the procedures for sanitation, disinfection, and sterilization.
Describe methods for infection control and prevention of contamination in the medical facility.
Describe procedures for safe handling of contaminated equipment and supplies.
Describe the appropriate method and demonstrate appropriate handwashing techniques.
Describe the appropriate method for creating and maintaining sterile fields for dressings and minor
surgery.
Describe the correct methods for disposal of contaminated materials.
Describe the appropriate methods for sterilizing and preparing surgical instruments.
Maintain and use aseptic technique when applicable.
Prepare the examination and treatment in accordance with the appropriate sterile or aseptic
technique.
Form 2A, Page 5
21.11
22.0
Demonstrate the taking of diagnostic measurements–The student will be able to:
22.01
22.02
22.03
22.04
22.05
22.06
22.07
22.08
23.0
Describe the appropriate methods of assisting the physician with various minor office surgical
procedures.
Describe the fundamentals of extraocular muscle balance and binocular vision.
Test ductions and versions.
Perform cover tests.
Perform basic tests to evaluate binocular vision.
Perform tonometry.
Perform anterior and posterior photography.
Perform manual and automated corneal measurements.
Perform A and B Scan ultrasound.
Demonstrate the fitting of contact lenses–The student will be able to:
23.01 Describe the principles and utilization of hard, soft and gas permeable lenses.
23.02 Perform the fitting and evaluation of contact lenses.
23.03 Provide patient education relative to wearing and maintaining contact lenses.
24.0
Demonstrate the adjusting and making of minor repairs on spectacles–The student will be able to:
24.01 Describe the principles of ophthalmic patient services.
24.02 Make simple and minor repairs to spectacles such temple adjustments and adjustment of the nose
piece.
24.03 Adjust the spectacles to patient comfort.
25.0
Describe other tasks as may be delegated consistent with sound medical practice (e.g. use of computerized
ophthalmic equipment)–The student will be able to:
25.01 Describe the appropriate application of various tests and procedures.
25.02 Recognize any deviation from the normal test results.
25.03 Describe procedures for collecting, labeling, preserving, staining and culturing of specimens from
patients with ocular problems.
25.04 Give appropriate instructions to patients.
Student Performance Standards
CoA-omp Accreditation Standards
Course Overview:
Ophthalmic Biometry
Course Outcome:
1.0
The student will be able to discuss the components of ophthalmic biometry, and discuss testing
methods and indications for ophthalmic biometry
Specific Learning Objectives:
Upon completion of this unit, the student will be able to
Form 2A, Page 6
1.1
1.2
1.3
1.4
1.5
1.6
1.7
1.8
1.9
1.10
List the indications for ophthalmic biometry
Describe the components of ophthalmic biometry
Differentiate between optical and ultrasound biometry
Identify the spikes of a contact ultrasound A-scan
Discuss common errors in contact ultrasound a-scan
Discuss artifact in ultrasound biometry
Describe the scan pattern of an immersion ultrasound A-scan
Describe optical coherence biometry
Describe the signal to noise ration of the optical biometry
Discuss changes in the speed of light or sound through different optical media
Course Overview:
IOL Calculations
Course Outcome:
2.0
The student will be able to perform IOL calculations for surgical consideration
Specific Learning Objectives:
Upon completion of this unit, the student will be able to:
2.1
Discuss the component of an intraocular lens (IOL)
2.2
Identify the possible placement of an intraocular lens in the eye
2.3
Describe different lens materials used in IOL manufacture
2.4
Discuss the A-constant of an IOL
2.5
List the measurements needed to calculate the desired IOL power
2.6
Differentiate between theoretic and regression IOL formulas
2.6.1 Calculate a lens power using a regression formula
2.7
Discuss the target refraction
Course Overview:
Corneal Masurements
Course Outcome:
3.0
The student will be able to discuss indications and application of keratomerty and corneal
topography
Specific Learning Objectives:
Upon completion of this unit, the student will be able to:
3.1
Describe the corneal anatomy
3.2
Differentiate between regular and irregular corneal astigmatism
3.3
Discuss curvature measurements with manual or automated keratometry
3.2
Describe the use of corneal topography in contact lens fitting
3.3
List indications for keratometry measurement
3.4
Describe corneal topography
3.5
Differentiate between placedo disc, Schimpflug and slit beam technology
3.6
List indications for corneal topography
3.7
Describe topography patterns for corneal disorders
3.8
Describe the user of corneal topography in management of corneal disease
3.9
Describe the use of corneal topography in contact lens fitting
3.10
Discuss the use of corneal topography in refractive surgery evaluation
Form 2A, Page 7
Course Overview:
Pachymetry
Course Outcome:
4.0
The student will be able to discuss the indications and methods of corneal pachymetry
Specific Learning Objectives:
Upon completion of this unit, the student will be able to:
4.1
Describe the corneal layers
4.2
Discuss central and peripheral corneal thickness
4.3
List corneal disorders that affect the corneal thickness
4.4
Discuss the relationship of central corneal thickness and intraocular pressure
Course Overview:
Specular Microscopy
Course Outcome:
5.0
The student will be able to discuss the corneal endothelium and specular microscopy technology
Specific Learning Objectives:
Upon completion of this unit, the student will be able to:
5.1
Describe the role of the corneal endothelium
5.2
Discuss endothelial cell loss due to aging or trauma
5.3
List corneal pathology that affects the corneal endothelium
5.4
Describe the process of the endothelial cell count
5.5
Discuss endothelial loss patterns due to guttatae and Fuch’s corneal dystrophy
Course Overview:
Gonioscopy
Course Outcome:
6.0
The student will be able to describe indications and methods of evaluation of the anterior chamber
angle
Specific Learning Objectives:
Upon completion of this unit, the student will be able to:
6.1
Describe the anatomy and physiology of the anterior chamber angle
6.2
List ocular pathology that affects the anterior chamber angle
6.3
Describe visual estimation of the anterior chamber angle depth at the slit lamp
6.4
List different types of gonio prisms
Course Overview:
Ophthalmoscopy
Course Outcome:
7.0
The student will be able to describe visualization of the ocular fundus
Specific Learning Objectives:
Upon completion of this unit, the student will be able to:
7.1
Describe the anatomy and physiology of the retina, choroid and optic nerve
Form 2A, Page 8
7.2
7.3
7.4
7.5
7.6
7.7
Discuss common pathology of the ocular fundus
Differentiate between direct and indirect ophthalmoscopy
Discuss evaluation of the posterior pole at the slit lamp
Describe evaluation of the fundus with a direct ophthalmoscope
Discuss evaluation of the fundus with the indirect ophthalmoscope
List lenses used in ophthalmoscopy
Course Overview:
Fundus Photography
Course Outcome:
8.0
The student will be able to discuss methods of fundus photography using film and digital fundus
cameras.
Specific Learning Objectives:
Upon completion of this unit, the student will be able to:
8.1
Discuss indications for fundus photography
8.2
List the parts of the fundus camera
8.3
Differentiate between film and digital fundus cameras
8.4
Explain the focusing process
8.5
Discuss illumination and flash in fundus photography
8.6
Describe the steps in locating pathology for photography
8.7
Discuss color photography and monochromatic filters
8.8
Discuss image size and angle
8.9
Describe patient fixation
8.10
Describe fields of photography for posterior pole and peripheral retina
Course Overview:
Retinal Angiography
Course Outcome:
9.0
The student will be able to discuss fluorescein and indocyanine green angiography in the ophthalmic
practice
Specific Learning Objectives:
Upon completion of this unit, the student will be able to:
9.1
Describe the vasculature of the ocular fundus
9.2
Discuss the indications for fluorescein angiography
9.3
Discuss the indications for indications for indocyanine green dye
9.4
Describe the qualities of fluorescein dye
9.5
Describe the qualities of indocyanine green dye
9.6
Describe the camera filters used for fluorescein andindocyanine green angiography
9.7
Discuss the administration of fluorescein or indocyanine green dye
9.8
List the phases of the circulation of fluorescein in the eye
9.9
Discuss causes of leakage, pooling and staining
9.10
Describe hyperfluorescence and hypofluorescence
9.11
List potential reactions associated with fluorescein and indocyanine green angiography
9.12
Discuss informed consent for angiography
9.13
Describe emergence support for allergic or anaphylactic reactions
Form 2A, Page 9
Course Overview:
Ultrasound Retinal and Optic Nerve Imaging
Course Outcome:
10.0
The student will be able to discuss non-photographic methods of imaging the retina and optic nerve
Specific Learning Objectives:
Upon completion of this unit, the student will be able to:
10.1
Describe the anatomy of the optic nerve, nerve fiber layer and macular area
10.2
Discuss indications for retinal imaging
10.3
Discuss indications for optic nerve imaging
10.4
Describe optical coherence tomography
10.4.1 Discuss time domain OCT
10.4.2 Describe spectral domain OCT
10.5
Discuss the use of scanning laser ophthalmoscope in ocular imaging
10.6
Exlain confocal laser scanning ophthalmoscopy
10.7
Describe scanning laser polorimetry
10.8
Discuss ultrasound evaluation of the eye and orbit
10.8.1 B scan evaluation
10.8.2 A-B scanning
10.9
Discuss imaging examples of retinal and optic nerve pathology
10.10 Discuss the use of retinal imaging versus fluorescein angiography
Course Overview:
Surgical Procedures
Course Outcome:
11.0
The student will be able to define and describe surgical procedures performed by the
ophthalmologist
Specific Learning Objectives:
Upon completion of this unit, the student will be able to:
11.1
Discuss surgical terminology
11.2
Discuss the process of informed consent
11.3
Describe laser procedures performed in the eye care clinic
11.4
Discuss minor surgical procedures performed in the eye care clinic
11.5
List and describe oculoplastic surgical procedures
11.6
Discuss surgical correction of strabismus
11.7
List and describe procedures performed on the anterior segment
11.8
Describe vitreo-retinal procedures
11.9
Discuss surgical procedure performed for glaucoma management
Course Overview:
Aseptic Technique and Surgical Assisting
Course Outcome:
12.0
The student will be able to describe the process of aseptic/sterile technique in the surgical setting,
and discuss the role of the ophthalmic surgical assistant
Form 2A, Page 10
Specific Learning Objectives:
Upon completion of this unit, the student will be able to:
12.1
List the members of the surgical team, and their role in the surgical process
12.2
Differentiate between a sterile, non-sterile, and contaminated state
12.3
Describe the surgical sterile field
12.4
List the steps in the surgical scrub
12.5
Describe the process of gowning and gloving members of the surgical team
12.6
Describe the patient prep and draping procedure
12.7
List sterile and non-sterile equipment used in the operating suite
12.8
Describe proper technique of opening sterile supplies
12.9
Describe methods of sterilization of instruments and supplies
12.10 Describe the management of contamination of supplies or surgical team members
12.11 Discuss the role of the ophthalmic surgical assistant
12.12 List the steps of and instruments/supplies used in procedures
12.12.1 Cataract
12.12.2 Cornea
12.12.3 Glaucoma
12.12.4 Retinovitreous
12.12.5 Strabismus
12.12.6 Oculoplastic
Florida State College
At Jacksonville
Course Learning Outcomes & Assessment
NOTE: Use either the Tab key or mouse click to move from field to field. The box will expand to accommodate your entry.
Section 1
SEMESTER CREDIT HOURS (CC): 3
CONTACT HOURS (NCC):
COURSE PREFIX AND NUMBER: OPT 2351
COURSE TITLE: Advanced Clinical Procedures II
Section 2
TYPE OF COURSE: (Click on the box to check all that apply)
AA Elective
AS Required Professional Course
College Prep
AS Professional Elective
AAS Required Professional Course
Technical Certificate
Other
PSAV
Apprenticeship
General Education: (For General Education courses, you must also complete Section 3 and Section 8)
Section 3 (If applicable)
INDICATE BELOW THE DISCIPLINE AREA FOR GENERAL EDUCATION COURSES:
Communications
Social & Behavioral Sciences
Natural Sciences
Humanities
Mathematics
Section 4
INTELLECTUAL COMPETENCIES:
Reading
Speaking
Critical Analysis
Writing
Listening
Information
Literacy
Quantitative
Skills
Ethical
Judgment
Scientific Method of Inquiry
Working Collaboratively
Section 5
STATE GENERAL EDUCATION LEARNING OUTCOME AREA
Critical
Communication
Scientific and Quantitative Reasoning
Thinking
Information
Global Sociocultural Responsibility
Literacy
Section 6
LEARNING OUTCOMES
The student will be able to describe the
testing sequence of basic testing and
diagnostic skills, and associate testing
 2
procedures with clinical findings and/or
diagnosis
The student will be able to determine testing
for basic and diagnostic testing for
 strategies
3
different patient populations.
The student will be able to describe the
 proper care and maintenance of ophthalmic
equipment
The student will have a working knowledge

of safety measures taken in an ophthalmic
Type of
Outcome:
Gen. Ed,
Program,
Course
METHOD OF ASSESSMENT
Course
Written examinations, projects
Course
Written examinations, projects
Course
Written examinations, projects
Course
Written examinations, projects
clinical practice
The student will be able to describe methods
 employed to reduce infection or
contamination in the workplace.
The student will be able to discuss
 intraocular pressure and describe the
methods of measurement
The student will be able to discuss different
methods of determining the patient’s central

and peripheral visual field, and associate
visual field defects with disease processes
Course
Written examination, projects
Course
Written examination, projects
Course
Written examination, projects
Section 7
Name of Person Completing This Form: Pattie Lamell
Date: 2/15/13