Back Submodule: SPS224c5

Patient Assessment

Work-based content

Competencies

# Learning outcome Competency Action
# 1 Learning outcome 1 Competency

Control infection risks in accordance with departmental protocols

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# 2 Learning outcome 1 Competency

Minimise risks and hazards in compliance with health and safety policies

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# 3 Learning outcome 2 Competency

Interpret referral letters in conjunction with medical and ophthalmic history, together with any pre-existing optometric, imaging or electrophysiological findings where available, to formulate the appropriate testing strategy

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# 4 Learning outcome 2 Competency

Explain the procedure for assessment to the patient and address any questions they may have relating to the procedure, including the process after the procedure and how the patient will be informed of the results

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# 5 Learning outcome 2 Competency

Gain informed consent for each investigation

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# 6 Learning outcome 2 Competency

Obtain a comprehensive ophthalmic history from the patient To include:

  • a patient presenting with ocular and/or visual symptoms and no previous history of vision disorder
  • a patient with recurring symptoms
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# 7 Learning outcome 3 Competency

Assess the requirements of visually impaired patients and their carers and ensure that the clinical environment is suitable for patients with vision impairment

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# 8 Learning outcome 2,3 Competency

Prepare and position the patient appropriately for a comprehensive ophthalmic examination

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# 9 Learning outcome 2,6 Competency

Perform a comprehensive ophthalmic examination safely and effectively, to include:

  • external examination of ocular adnexae
  • assessment of pupil size and reactions
  • examination of anterior segment with a slit lamp or direct ophthalmoscope
  • fundus examination
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# 10 Learning outcome 2,6 Competency

Observe and note any abnormalities of head posture or facial appearance

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# 11 Learning outcome 4 Competency

Derive a differential diagnosis and identify further investigations that will facilitate reaching a diagnostic conclusion

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# 12 Learning outcome 5 Competency

Maintain an ongoing, accurate, relevant and legible record of information in the patient record

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# 13 Learning outcome 6 Competency

Administer appropriate and approved eye drops where required, according to applicable protocols

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Assessments

You must complete:

  • 1 case-based discussion(s)
  • 1 of the following DOPS/ OCEs:
Switch on and calibrate equipment and lighting levels DOPS
Prepare a consultation plan for visual impaired patient activity DOPS
Derive differential diagnoses DOPS
Perform an external examination of the eyes and adnexia, checking pupil reactions DOPS
Instil eye drops DOPS
Perform fundoscopy DOPS
Practice safe hygiene and probe placement and care for tonometery DOPS
Report findings in notes, accurately and legibly DOPS
Review the referral letter and medical notes to extract all relevant information OCE
Introduce clinician and outline purpose of interaction, goals and address any questions arising OCE
Take a detailed and relevant patient history OCE
Take patients consent for procedures OCE
Review medical history for contra-indications, check data dosage and drug, observe safe hygiene, prepare and inform patients of procedure OCE
Discuss outcomes broadly with patients and explain next steps OCE

Learning outcomes

  1. Interpret referral letters in conjunction with medical and ophthalmic history, together with any pre-existing optometric, imaging or electrophysiological findings, where available, to formulate the appropriate testing strategy
  2. Care for visually impaired individuals and their families appropriately, with due consideration of the impact of their visual impairment
  3. Undertake a comprehensive ophthalmic examination safely and effectively, including external examination of ocular adnexae, assessment of pupil size and reactions, examination of anterior segment with a slit lamp or direct ophthalmoscope and fundus examination, and understand of the principles of tonometry
  4. Derive a differential diagnosis and identify further investigations that will facilitate reaching a diagnostic conclusion
  5. Maintain an ongoing accurate, relevant and legible recording of information in the patient record
  6. Administer appropriate and approved eye drops where required, according to applicable protocols
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