Course Title: Dispense atypical prescriptions

Part B: Course Detail

Teaching Period: Term1 2019

Course Code: OPSC5062C

Course Title: Dispense atypical prescriptions

School: 174T School of VE Engineering, Health & Science

Campus: City Campus

Program: C4375 - Certificate IV in Optical Dispensing

Course Contact: Jade Cusworth

Course Contact Phone: 03 9925 8382

Course Contact Email: jade.cusworth@rmit.edu.au


Name and Contact Details of All Other Relevant Staff

Ralph Richter: ralph.richter@rmit.edu.au

Timothy Haigh: timothy.haigh@rmit.edu.au

Leigh Robinson: leigh.robinson@rmit.edu.au

 

Nominal Hours: 120

Regardless of the mode of delivery, represent a guide to the relative teaching time and student effort required to successfully achieve a particular competency/module. This may include not only scheduled classes or workplace visits but also the amount of effort required to undertake, evaluate and complete all assessment requirements, including any non-classroom activities.

Pre-requisites and Co-requisites

None

Course Description

This unit describes the skills and knowledge required to evaluate client needs, take measurements and make calculations to facilitate effective dispensing for atypical prescriptions, including for low vision clients. Low vision occurs when, after accurate refraction and the provision of spectacles or contact lenses to correct the refractive error, good visual acuity is not achievable.

 


National Codes, Titles, Elements and Performance Criteria

National Element Code & Title:

HLTOPD003 Dispense atypical prescriptions

Element:

1. Evaluate client needs

Performance Criteria:

1.1 Interpret the parameters of atypical prescriptions and transpose as required

1.2 Analyse the prescription and identify areas of freedom and constraints

1.3 Assess the individual needs and requirements of the client

1.4 Select possible frame, lens and treatment combinations to suit individual requirements based on principles of low vision aid selection, depending on client’s needs

Element:

2. Determine specifications for atypical prescriptions

Performance Criteria:

2.1 Take accurate measurements and make calculations necessary to accurately dispense atypical prescriptions

2.2 Select option that best meets cosmetic, optical and functional needs

2.3 Determine the correct working distance for low vision aids

Element:

3. Fit frames and lenses for atypical prescriptions

Performance Criteria:

3.1 Organise required fitting equipment and materials

3.2 Select and specify appropriate bevelling and edging requirements to enhance the cosmetics and quality of the spectacles

3.3 Select appropriate lens treatments or additional requirements to maximise the visual performance and enhance the quality of the finished spectacles

3.4 Measure and specify the most appropriate lens fitting criteria

3.5 Ensure the quality of the finished spectacles

3.6 Fit and adjust the spectacles to client needs

Element:

4. Instruct client on wear and care

Performance Criteria:

4.1 Provide client with details about how to wear the appliance

4.2 Offer information about appliance care routines

4.3 Reinforce and support advice provided by low vision practitioner on correct use of low-vision aids

Element:

5. Finalise dispensing process

Performance Criteria:

5.1 Complete financial transactions in accordance with relevant policies and procedures

5.2 Follow correct procedures for client rebates

5.3 Complete and store records in accordance with relevant policies, procedures and confidentiality requirements

5.4 Offer follow up services in accordance with organisation procedures


Learning Outcomes


See elements above

 


Details of Learning Activities

A combination of activities will support students learning in this course, such as:
• Face to face and or online lectures to cover theoretical and practical concepts for each topic in the course
• Students will learn to apply their skills and knowledge to work integrated learning (WIL), during simulations and classroom based learning
• Observations of performance in the workplace and industry placement or simulated environment will be a valuable part of your learning experience
• Tutorial activities (individually and in teams) to discuss, debate, critique and consolidate your ideas and extend your understanding around key concepts within specific topics
• Online discussion and activities support you to collaborate with other students in your course and debate and debate and discuss ideas
• Self directed study time to enhance and strengthen your knowledge and understanding of theoretical concepts
• To further facilitate learning, students are strongly encouraged to use a range of communication tools between themselves and their course instructor as well as between themselves and fellow students by using the online learning platform 
  


Teaching Schedule

  

 Atypical teaching schedule 2019

 

Date

Wednesday 09:30-12:30

1st Semester Wednesday 1:30-4:30 pm

2nd Semester Friday 1.30-4.30pm

Week 11

01/05

 

Legal Terminology

Duty of care

Work health and safety

Week 12

08/05

 

1. Evaluate client needs

1.1 Interpret the parameters of atypical prescriptions and transpose as required

1.2 Analyse the prescription and identify areas of freedom and constraints

1.3 Assess the individual needs and requirements of the client

The requirements of dispensing spectacles to clients with special or complex needs, including:

-commonly occurring problems in a dispensing situation and outline possible solutions

-the appropriate action to be taken according to prescription requirements and the special needs of the client

-the low vision and how various aids may be used to assist such clients

-visual screening and define visual work health and safety (WHS) requirements in industry

 

 Informed Consent

Week 13

15/05

 

1.4 Select possible frame, lens and treatment combinations to suit individual requirements based on principles of low vision aid selection, depending on client’s needs

  • Types of ophthalmic lenses and spectacle frames and their performance    characteristics
  • Accurately analyse the performance of an optical appliance and determine whether this meets specifications

Privacy, confidentiality and disclosure

Week 16

05/06

 
  • Assist clients select the most appropriate optical appliance, including:
  • how to assess the client needs and interpret the requirements of a prescription
  • the principles of cosmetics and fashion to spectacle selection
  • the important parameters of lifestyle and image in the selection of spectacles
  • how to select suitable frames for clients
  • how to select a suitable lens and lens treatment for the client
  • the inter-pupillary distance and multifocal fitting heights
  • basic facial fitting and adjustment of spectacle frames and mounts

Work role boundaries – responsibilities and limitations

Week 17

12/06

 

2. Determine specifications for atypical prescriptions
2.1 Take accurate measurements and make calculations necessary to accurately dispense atypical prescriptions
2.2 Select option that best meets cosmetic, optical and functional needs 
2.3 Determine the correct working distance for low vision aids

 

Records management

Week 18

19/06

 

3. Fit frames and lenses for atypical prescriptions
3.1 Organise required fitting equipment and materials
3.2 Select and specify appropriate bevelling and edging requirements to enhance the cosmetics and quality of the spectacles
3.3 Select appropriate lens treatments or additional requirements to maximise the visual performance and enhance the quality of the finished spectacles
3.4 Measure and specify the most appropriate lens fitting criteria
3.5 Ensure the quality of the finished spectacles
3.6 Fit and adjust the spectacles to client needs

  • Apply a range of strategies to resolve problems encountered in supplying optical appliances in accordance with industry best practice
  • Apply Australian Standards to verification of completed spectacles 

24/06

 

Semester Break, 24/06/19 to 05/07/19

01/07

Week 01

10/07

4. Instruct client on wear and care
4.1 Provide client with details about how to wear the appliance
4.2 Offer information about appliance care routines 
4.3 Reinforce and support advice provided by low vision practitioner on correct use of low-vision aids 

 

4. Instruct client on wear and care
4.1 Provide client with details about how to wear the appliance
4.2 Offer information about appliance care routines 
4.3 Reinforce and support advice provided by low vision practitioner on correct use of low-vision aids

Week 2

17/07

5. Finalise dispensing process
5.1 Complete financial transactions in accordance with relevant policies and procedures
5.2 Follow correct procedures for client rebates 
5.3 Complete and store records in accordance with relevant policies, procedures and confidentiality requirements
5.4 Offer follow up services in accordance with organisation procedures

  • Anticipate, identify and solve problems encountered when dispensing spectacles including:

-how to visualise the completed spectacles to anticipate problems with weight, lens thickness, centration or curvature

-the steps in spectacle hand-over

-how to identify and remedy wearing problems commonly occurring with the completed spectacles

 

 

 Spectacle magnification including:

  • effects on visual acuity
  • positive v negative lenses
  • retinal image size

Calculate spectacle magnification and determine ways to reduce the effects of aniseikonia

 

Low vision, what is it, and how various aids may be used to assist such clients Field of view including:

  • apparent v real
  • aspheric lenses
  • calculations
  • high minus corrections
  • high plus corrections

 Calculate field of view and determine ways to improve the field of view
   

 

Spectacle magnification including:

  • effects on visual acuity
  • positive v negative lenses
  • retinal image size

Calculate spectacle magnification and determine ways to reduce the effects of aniseikonia

Week 3

24/07

High ametropia including:

  • back Vertex Power 
  • Front Vertex Power
  • compensated surface power
  • corrections
  • prescription requirements and constraints
  • thick lens power

Calculate vertex distance and measurements including:

  • change in vertex distance
  • compensated power (Fc)
  • effective power (Fe)
  • effectivity
  • prescriptions requiring compensations

vertex distance measurement techniques

Week 4

31/07

Aphakic lenses including:

  • aspheric lens design
  • centering
  • compensating for BVD change
  • edging/bevelling treatments
  • full field lens design
  • general problems associated with dispensing aphakic lenses including jack-in-the-box effect and ring scotoma
  • lenticular designs

Aphakic lenses including:

  • aspheric lens design
  • centering
  • compensating for BVD change
  • edging/bevelling treatments
  • full field lens design
  • general problems associated with dispensing aphakic lenses including jack-in-the-box effect and ring scotoma
  • lenticular designs

Week 5

07/08

Multifocal and progressive lenses including:

appropriate formulae when performing calculations related to multifocal and progressive lenses

the range of multifocal and progressive lenses available

High minus lenses and negative lenticulars including:

  • centering
  • compensating for BVD change
  • dispensing high index materials
  • edging/bevelling treatments
  • high index materials
  • lenticular types and designs
  • surface reflections and the need for AR and multi-coatings

Week 6

14/08

The concepts and principles behind the design of spectacle lenses including

examples of current lens designs

how lens aberrations can be corrected or reduced

how to determine and specify appropriate lens design

the design and performance of spectacle lenses

the function of aspheric lens designs

the six main types of aberrations which are encountered in specific lenses

Handling aniso and antimetropia including:

  • base curve selection
  • correcting vertical imbalance problems
  • effects of lens form (shape)
  • effects of thickness
  • prism differential

Calculate differential prismatic effect and compensation using different sized segments or slab off bifocals

Week 7

21/08

Multifocal and progressive lenses including:

appropriate formulae when performing calculations related to multifocal and progressive lenses

the range of multifocal and progressive lenses available

Visual physiology including:

common disorders of the eye

structure of the human eye and its physiological functioning

the procedures involved in cataract extraction with intra-ocular lens implant and refractive surgery

the processes and assessment of vision, colour vision and perception
  • Calculate differential prismatic effect and compensation using different sized segments or slab off bifocals

 

 

 

Week 8

28/09

Multifocal and progressive lenses including:

appropriate formulae when performing calculations related to multifocal and progressive lenses

 

The range of multifocal and progressive lenses available

The requirements of dispensing spectacles to clients with special
or complex needs, including:

commonly occurring problems in a dispensing situation and outline possible solutions

the appropriate action to be taken according to prescription requirements and the special needs of the client

the low vision and how various aids may be used to assist such clients

visual screening and define visual work health and safety (WHS) requirements in industry

High prismatic corrections including:

edging/bevelling treatments

fresnels and their use

high horizontal prism

high vertical prism

 

02/09

 Mid Semester Break, 02/09/19 to 07/09/19

Week 9

11/09

The requirements of dispensing spectacles to clients with special or complex needs, including:

commonly occurring problems in a dispensing situation and outline possible solutions

the appropriate action to be taken according to prescription requirements and the special needs of the client

the low vision and how various aids may be used to assist such clients

visual screening and define visual work health and safety (WHS) requirements in industry

 

Contact lenses including:

acceptable hygiene standards

Australian Standards for completed spectacles

examples of causes of wearing problems and demonstrate an awareness of appropriate referral protocol and procedures

health fund and rebate requirements

lens hygiene and the correct procedures for lens maintenance

relevant Quality Assurance Standards

the correct methods of contact lens handling, insertion and removal

the parameters of contact lenses from prescription data supplied and describing how lenses are manufactured
  • Compound and resolving prism
  • legal and ethical considerations for dispensing optical advice to clients:
  • duty of care
  • informed consent
  • privacy, confidentiality and disclosure
  • records management
  • work role boundaries – responsibilities and limitations
  • work health and safety

 

Week 10

18/09

Revision

Week 11

25/09

Case studies

30/09

Weeks 12 – 13 - 14 

 

Industry Placements: 3 weeks commencing 30/09/19

07/10

14/10

23/10

 

Assessment period

30/10

13/11

No Class

 

 

 

 


Learning Resources

Prescribed Texts


References


Other Resources

 

D. A. Wilson and S.  Daras (2014)  ’Practical Optical Dispensing’ (3rd Edition), TAFENSW Western Sydney Institute Print + Media, NSW

 C. W. Brooks and I. M. Borish (2007) ’System for Ophthalmic Dispensing’ (3rd Edition), Butterworth-Heinemann, an imprint of Elsevier Inc.

PowerPoint Summary

Additional learning materials available through CANVAS

RMIT Library (www.rmit.edu.au/library)


Overview of Assessment

Assessment Task 1: Exam

Assessment Task 2: Case Studies

Assessment Task 3: Workplace Evidence Log Book

 

 

 

 

 

 

 

 

 

 

 


Assessment Tasks

Assessment task 1: Exam. Due date 24/10/19

 

Assessment task 2: Atypical Case studies. Due date 26/09/19

 

Assessment task 3: Evidence Log. Due date 18/10/19


Assessment Matrix

 

 

Course Overview: Access Course Overview