Competency 2.2.2 Flashcards

1
Q

What Roles do we Use in Specsavers Alloa?

A
  • Retail director
  • Ophthalmic director
  • Optical practise manager
  • Optometrists
  • Dispensing Optician
  • Contact Lens Optician
  • Optical Assistant
  • (Other Healthcare Professionals)
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2
Q

Role of the Retail Director

A
  • Has no ophthalmic qualification or registration number (business is registered, not them)
  • Will look after the retail and business aspects of the business and look after the team
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3
Q

Role of the Ophthalmic Director

A
  • Is a registered GOC practitioner with relevant qualifications
  • Deals with side of business regarding optical products and equipment, using their knowledge to facilitate diagnostic capabilities
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4
Q

Role of Optical Practise Manager

A
  • Not likely to have received any formal optical training or have GOC membership
  • Will bridge the gap from ownership to floor staff
  • Needs in-depth knowledge of many factors relevant to the business including GOS contract, optical British standards and GDPR etc.
  • Also involved in high up management such as holidays and rota work, in combination with directors.
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5
Q

Role of Optometrist

A
  • Fully qualified GOC professionals
  • Can be further qualified in areas such as IP, or glaucoma specialist which determines what they are able to perform, but they are all able to perform GOS eye examinations
  • Can be a supervisor if undertaken college training module and been qualified for 3 years and have currently got 2 years of continuous registration.
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6
Q

Role of Dispensing Optician

A
  • GOC registered
  • Can sign off prescriptions and instils drops, but cannot issue prescriptions or make choice of drops
  • Receive extensive training on dispensing issues making them better qualified to deal with problems than we are
  • Can dispense and sign off VIP and U16 dispenses
  • Good first point of contact for ocular concerns with public
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7
Q

Role of Contact Lens Optician

A
  • Trained as DO, so has DO experience and abilities
  • Have detailed knowledge on CL matters including pathology
  • Must be GOC registered
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8
Q

Role of Optical Assistant

A
  • Not GOC registered
  • Able to assist with frame and lens choices in the vast majority of patients
  • Able to take clinical measurements e.g. pressures/photos though the interpretation is left upto optometrist
  • Can dispenseVIP/U16 but has to be signed off by registered practitioner
  • Can complete a voucher but no issue one, and cannot complete vouchers for pretected groups i.e. VIP/U16
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9
Q

Who is Entitled to a Free GOS Eye Exam?

A
  • Live in UK
  • Are refugee/asylum seeker
  • Eligible oversees visitor (FT student on recognised course)
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10
Q

2006 Changes to Eyecare in Scotland

A
  • Optometrist was made first port of call for ocular issues
  • GPs no longer needed to send HES referral
  • More focus on shared care schemes such as pharmacy and stroke teams
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11
Q

National Shared Care Schemes

A
  • GOS Sight Tests
  • DR screening
  • HES referral
  • Pharmacy First
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12
Q

GOS Supplementary Codes

A

2.0 - Cyclo refraction
2.1 Paedeatric review (without dilation)
2.2 Follow-up/repeat procedure (without dilation)
2.3 Suspect glaucoma (without dilation)
2.4 <60 requiring dilation following PEE
2.5 Anterior eye condition (without dilation)
2.7 Post-operative cataract exam (without dilation)
2.8 Unschedules appointment (without dilation)
2.9 Cataract referral advice and councelling
3.0 Additional appointment to complete PEE in patient with additional needs

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12
Q

GOS Sight Test in Shared Care

A
  • Adapted in 2006 to provide a primary care function which can be progressed into a secondary setting if required
  • Allowed more conditions to be managed in community without need for referral
  • Introduced supplementary examinations which can be used to treat conditions or refine referrals
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13
Q

GOS Enhanced Supplementary Codes

A

4.1 Paediatric review (with dilation)
4.2 Follow-up/repeat poprcedure (with dilation)
4.3 Suspect glaucoma (with dilation
4.5 Anterior eye condition (with glaucoma)
4.6 Cycloplegia refraction of child referred from HES
4.7 Post-operative cataract examination (with dilation)
4.8 Unschedules appointment (with dilation)

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14
Q

DR Screening in Shared Care

A
  • Not designed to replace sight test as primary eyecare
  • Uses funds photos to detect deferrable DR which can be acted upon by optometrists with the relevant qualifications in the field
  • Every diabetic over the age of 12 invited to attend yearly appointment which can take as little as 10 mins (30 if drops required)
  • Aims to improve referral accuracy and improve convenience for patient
  • Contact GP to get screening set up if patient is not yet attending
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15
Q

HES Referral

A
  • Using SCI Gateway
  • Can be Routine, Urgent or Urgent (suspected Cancer)
  • Amount of information is dependent on condition
16
Q

Example of Management Guideline from Eyes.Scot

A
  • Supply chloramphenicol 1% ointment tds for 1 week in case of bacterial conjunctivitis
  • Refer if corneal involvement or fails to resolve
17
Q

SIGN Glaucoma Referral Guidelines

A
  • Optic disc signs consistent with glaucoma in either eye
    -Reproducible VF defect consistent with glaucoma in either eye
  • Grade 2 or 1 VH angle
  • 270 or more degrees of gonioscopy where the posterior pigmented TM is not visible
  • Pressures under 26mmHg and CCT under 555nm if under 65 years of age
18
Q

Local Scheme Protocols

A
  • Use of SCI gateway to send referrals which will be triaged by lead consultant who gets the final say on urgency
  • Forth valley has a document made which shows where to refer different conditions to, and what information would be expected in these referrals
19
Q

Local Shared Care Schemes

A
  • Forth Valley Board Specific HES Referral
  • Triage phone line
  • GP referral
20
Q

Who is Eligible for Pharmacy First?

A
  • Essentially anybody living in Scotland
  • Visitors excluded
21
Q

How Does Pharmacy First Work?

A
  • Pharmacy first means patients should present at pharmacy for minor conditions rather than e.g. GP
  • Eye conditions can be referred to optometry from here
  • Entry-level practitioners can use pharmacy first sheet to issue prescription via pharmacy rather than via GP
22
Q

What Medications Available on Pharmacy First?

A

Infected Eyes
- Chloramphenicol 0.5% eye drops
- Chloramphenicol 1% eye ointment

7.2 Inflammaed/Dry Eyes
- carbomer 980 0.2% gel
- clinitas carbomer gel
- Xailin gel
- Xailin night eye ointment preservative free
- Hylonight ointment preservative free
- Hypromellose 0.3% eye drops
- Sodium cromoglicate 2% eye drops

7.3 Allergic Eye Conditions
- Olopatidine drops

23
Q
A