b. Temporary/Relief Optometrist will provide examination, diagnosis, treatment, prescription information, and simple repairs only, in accordance with Business and Professions Code § 3041 et al;
c. Temporary/Relief Optometrist will refer, upon approval of the Institution/Facility CEO/CME or designee, patient/youth for consultation, diagnosis, treatment(s), and/or surgery to CDCR/CCHCS contract physicians and/or healthcare facilities, Medical/surgical emergencies where contract provider(s) are not immediately available are exempt;
d. Temporary/Relief Optometrist shall maintain continuity of all work performed from start to finish;
e. Temporary/Relief Optometrist shall provide Optometry visual services and diagnoses and treatment for the following specific conditions: allergies, infectious diseases, and non-systematic inflammations of the conjunctiva, using diagnostic agents and topical products; e.g., miotics, lubricants, nonsteroidal anti-allergy agents, non-steroidal anti-inflammatories, antibiotic agents, and hyperosmotics, in accordance with Chapter 7 of the Business and Professional Code and National Standards (1) Optometry services shall include, but not be limited to, the following:
(a) Complete Optometry/Optometric evaluation/diagnostic assessment.
I. FULL EXAMINATION
1. Preliminary Testing
a. Visual Acuity, History, Visual Field Services with appropriate diagnostic equipment
b. Cover Test at 20' and 16'
c. Near Point Convergence
d. Rotations
e. Pupils
f. Tonometry (equipment and supplies provided by Institution).
2. Ophthalmoscopy (undilated)
3. Refraction
a. Retinoscopy
b. Subjective
c. Muscle Balance
d. Near Point Add
e. PD and Segment Height Measurement
II. PARTIAL EXAMINATION
1. Anterior Segment Exam
2. Glaucoma Evaluation; e.g., Tonometry and Ophthalmoscopy (perform monitoring of glaucoma patients)
3. Retinal Disease Evaluation
III. ADDITIONAL SERVICES
1. Recheck
a. Verification of prescription
b. If an error in the prescription is found, Temporary/Relief Optometrist will redo refraction
2. Mechanical Adjustments & Repair (Institution/Facility will supply replacement materials)
a. Fittings
b. Adjustment of frames
c. Simple repair (e.g., replacing lenses into frames, replace nose pad, etc.)
(b) Optometry examination and writing/issuance of prescription;
(c) Optometric treatment such as medication, face-to-face therapy, including ocular health examination of diabetic patient/youth (dilate Fundoscopy and recommendations for referral to retinal specialist when indicated);
(d) Development of an individual treatment plan and coordination of professional and para-professional services (includes frame selection, dispensing and fitting of corrective lenses and/or contact lenses when medically necessary and approved by the Institution/Facility CEO/CME or designee);
(e) Ongoing evaluation and prognostication;.
(f) Provide ophthalmic referrals when professionally indicated;.
(g) Emergency ocular services for trauma or systemic disease including coordination of treatment plan with staff physicians, but only during clinic hours;
(h) Follow-up services.
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