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Investigational Managers Meeting Investigational Managers Meeting August 30, 2006 August 30, 2006 Fort Lauderdale, FL Fort Lauderdale, FL Robert M. Easton, Jr., O.D., F.A.A.O. Robert M. Easton, Jr., O.D., F.A.A.O. Optometric Physician Optometric Physician Member, Florida Board of Optometry Member, Florida Board of Optometry Optometry Chapter 463 Rules 64B13

Optometry Investigators

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Tyoical rules on equipment required for Optometric Exams

Text of Optometry Investigators

  • 1. Optometry Chapter 463 Rules 64B13Investigational Managers Meeting August 30, 2006 Fort Lauderdale, FLRobert M. Easton, Jr., O.D., F.A.A.O.Optometric Physician Member, Florida Board of Optometry

2. What constitutes a completeexamination of the eye? CPT Procedure Codes, Laws, and Rules 92004 New Patient 92014 Established Patient 463.005(c) Minimum procedures which shall constitute a visual examination. 64B13-3.007 (2) (a-l) Minimum Procedures for Vision Analysis 3. Optometrys Required Eye Exam Patient History; medical and ocular, includes patients chief complaint Family History; medical and ocular Visual Acuity; unaided and aided in each eye External Examination Pupillary Examination must document size, direct and consensual response Visual Field by confrontation using finger counting in each quadrant Ophthalmoscopy, internal examination; recording c/d ratio, a/v ratio, and any other abnormalities. A dilated exam is required on all New Patients Biomicroscopy or Slit Lamp Examination of lids, lashes, conj, cornea, a/c, iris, lens. Corneal Iris Angle assessment of narrow or wide Tonometry or pressure of each eye with the time it was taken Refraction for distance with acuities, and near refraction assessment of accommodation with acuities Extra ocular muscle balance assessment by cover test, phorias, stereopsis, versions Other tests indicated based upon the patient history or by objective signs and symptoms discovered during the eye exam Diagnosis which can be cross referenced to a ICD-9 code Treatment Plan such as correction, medications, referral, and when to return 4. What Equipment must an Optometrist have to perform a completeexamination? 463.005 (b) Minimum equipment which a licensed practitioner shall at all times possess to engage in the practice of optometry. 64B13-3.004 (1-8) Minimum Equipment Requirements 5. (1) Ophthalmoscope(s) 6. (2) Tonometer 7. (3) Retinoscope 8. (4) Keratometer orTopographer 9. (5) Biomicroscope or SlitLamp 10. (6) Phoropter or trial frame, trial lenses, and prisms 11. (6) Phoropter or trial frame, trial lenses, and prisms 12. (7) Standard Acuity Charts 13. (8) Field Testing Equipment 14. Certified Optometristsequipment64B13-3.011 (4) (c) 3. Goldmann applanation tonometer 4. Static threshold visual field unit 5. Gonioscope 6. Fundus camera 7. Biomicroscope 8. Stereoscopic view of optic nerve usinglenses such as digital high mag, Volk 90,hruby lens 15. Goldmann Tonometer 16. Visual Field Unit 17. Gonioscope 18. Fundus Camera 19. Biomicroscope or Slit Lamp 20. Stereoscopic Viewing Lenses 21. Foreign Body Removal463.014 (4) Surgery of any kind, including the use of lasers, is expressly prohibited. Certified optometrists may remove superficial foreign bodies. For the purposes of this subsection, the term "superficial foreign bodies" means any foreign matter that is embedded in the conjunctiva or cornea but which has not penetrated the globe. 22. Foreign Body Removal Tools Spud Disposable Syringe Needle Alger Brush 23. Spud 24. Disposable Syringe Needle 25. Alger Brush 26. Distinction of Duties in theoffice 463.002 Definitions 6) "Direct supervision" means supervision to an extent that the licensee remains on the premises while all procedures are being done and gives final approval to any procedures performed by an employee. 27. Distinction of Duties in theoffice 463.002 Definitions7) "General supervision" means the responsible supervision of supportive personnel by a licensee who need not be present when such procedures are performed, but who assumes legal liability thereof. Except in cases of emergency, "general supervision" shall require the easy availability or physical presence of the licensee for consultation with and direction of the supportive personnel. 28. Distinction of Duties in theoffice 463.009 Supportive personnel.--No person other than a licensed practitioner may engage in the practice of optometry as defined in s. 463.002(5). Except as provided in this section, under no circumstances shall non-licensed supportive personnel be delegated diagnosis or treatment duties; however, such personnel may perform data gathering, preliminary testing, prescribed visual therapy, and related duties under the direct supervision of the licensed practitioner. Non-licensed personnel, who need not be employees of the licensed practitioner, may perform ministerial duties, tasks, and functions assigned to them by and performed under the general supervision of a licensed practitioner, including obtaining information from consumers for the purpose of making appointments for the licensed practitioner. The licensed practitioner shall be responsible for all delegated acts performed by persons under her or his direct and general supervision. 29. Typical Optometric Violations 463.007 Renewal of license; continuing education.-- 3) Unless otherwise provided by law, the board shall require licensees to periodically demonstrate their professional competence, as a condition of renewal of a license, by completing up to 30 hours of continuing education during the 2-year period preceding license renewal. For certified optometrists, the 30-hour continuing education requirement shall include 6 or more hours of approved transcript-quality coursework in ocular and systemic pharmacology and the diagnosis, treatment, and management of ocular and systemic conditions and diseases during the 2-year period preceding application for license renewal. 30. Typical Optometric Violations 463.016 Grounds for disciplinary action; action by the board.- f) Advertising goods or services in a manner which is fraudulent, false, deceptive, or misleading in form or content. 31. Typical Optometric Violations 463.014 Certain acts prohibited.-- (1)(a) No corporation, lay body, organization, or individual other than a licensed practitioner shall engage in the practice of optometry through the means of engaging the services, upon a salary, commission, or other means or inducement, of any person licensed to practice optometry in this state. Nothing in this section shall be deemed to prohibit the association of a licensed practitioner with a multidisciplinary group of licensed health care professionals, the primary objective of which is the diagnosis and treatment of the human body. 32. Proper Entrance Sign 33. Proper Display of License 34. Other Equipment Needed butnot required 35. Other Equipment Needed but not required 36. Other Equipment Needed butnot required 37. Thank You