Specialist Orthoptist - London, United Kingdom - Moorfields Eye Hospital NHS Foundation Trust

Moorfields Eye Hospital NHS Foundation Trust

Verified Company

London, United Kingdom

3 weeks ago

Posted by:

Tom O´Connor

beBee Recruiter

Description

All normal orthoptic clinical duties, including: a) To be responsible for the orthoptic assessment, diagnosis and appropriate management of new patients referred to the orthoptic department from the Trusts specialist services at City Road including Primary Care Clinic (PCC) and A&E. This patient group, many of which are tertiary referrals, comprises all cases of strabismus and amblyopia, highly complex congenital and acquired ocular motility disorders, nystagmus, congenital and acquired orbital and adnexal disorders, congenital and acquired neurological conditions, congenital and developmental ocular abnormalities, genetic disorders and systemic diagnoses with associated ocular abnormalities. b) To be responsible for evaluation of visual acuity and visual behaviour in referrals from the specialist services, particularly strabismus and paediatric referrals, PCC and A&E. This includes all infants and young children, patients of all ages with poor cooperation, adult illiterates, functional visual loss and learning disabled patients.

c) To be responsible for the orthoptic assessment, diagnosis and appropriate management of new and follow-up patients seen in any of the Moorfields satellite clinics. d) To be responsible as an independent practitioner for planning, implementing and monitoring orthoptic treatment for patients of all ages and for appropriately following up patients who fail to attend or comply with treatment, in conformance with Trust and departmental policies. e) To be responsible as an independent practitioner for orthoptic monitoring of patients under the care of specialist services and for re-referral to specialist services if indicated. f) To collaborate with the specialist services to ensure appropriate and effective patient management.

This includes patients attending the Neuro-ophthalmology, Strabismic, Orbital, Toxin and satellite clinics. g)

As an autonomous practitioner, to be responsible for the decision to instil drops for diagnostic and refractive purposes, the appropriate strength required and to advise patients / parents / carers of side effects accordingly, in line with Patient Group Direction (PGD) Specialist orthoptic clinical duties, including:
a) To take responsibilities as an independent practitioner for the assessment and appropriate management of patients referred to the multi-disciplinary clinics e.g. neurology, paediatric glaucoma and genetic clinics. b) To arrange referral to another professional, either within or outside own discipline if needed after discussion with a senior colleague.

c) To consent follow-up strabismus patients for Botulinum Toxin procedures. d) To prepare patients for Botulinum Toxin injections by instillation of drops and preparation and attachment of electrodes. e) To identify surgical risks (pre and post-surgery) and to discuss this with the patients (parent/carer) and surgeon. f) To be responsible for the orthoptic role in adjustable suture procedures post squint surgery.

g) To accurately perform Octopus kinetic field testing. h) To demonstrate, teach and supervise were appropriate a range of medical and non-medical personnel from undergraduate orthoptics and medical students, junior doctors, pre-registration optometrists and work experience students as directed by Education Lead.