The role of an optical assistant (OA) is a varied one. It may sometimes include being called upon to help patients choose new spectacle frames and, for the more experienced OA, spectacle lenses. However, it is important to understand the constraints for OAs when assisting patients, and so in this article we will look at the meaning of supervision.
Firstly, statutory regulation does not permit the dispensing of spectacle prescriptions by unqualified persons to children aged under 16, and patients who are registered as sight impaired or severely sight impaired (blind or partially sighted patients). Sales of spectacles to patients in these categories can only be made by, or under the supervision of, a registered practitioner.
So what does ‘under supervision’ mean? The General Optical Council (GOC) defines supervision as: ‘The supervisor must be on the premises, in a position to oversee the work undertaken and ready to intervene if necessary‘.
This means the supervisor must be able to see and hear you whilst you are interacting with the patient. The supervisor takes full responsibility for all interactions, but you should always make sure the supervisor is in a position to oversee the interaction before you begin.
A supervisor in practice can either be a qualified dispensing optician, optometrist or ophthalmic medial practitioner. It is advisable for the OA to have any dispensings checked by a registered practitioner, but it is a legal requirement to have all dispensing and fitting interactions with restricted category patients supervised. This is for patient protection, as these patients are the most vulnerable in terms of their vision and visual development.
Supervision must occur at every stage, and this includes the initial dispense, checking the selection of a spectacle frame, discussing any lens options, and measuring and fitting any spectacles. It includes checking the spectacles using the focimeter, and the collection of the spectacles afterwards. It also includes any ongoing aftercare, including repairs and adjustments made to the frames.
If, for example, a child comes to collect their new spectacles with their parent, and there is no registered professional on the premises, then you should not allow the collection to take place at that time. This could clearly create a difficult situation, and the best way to deal with this is to explain to the parent that it is for the child’s benefit that a qualified practitioner ensures the correct fitting of the spectacles, and then book a collection appointment at the earliest possible opportunity when there is a registrant on site.
To summarise, supervision is in place to protect patients, and the rules and regulations regarding supervision should be understood and closely followed.
Read the General Optical Council Standards and Guidance here.
Sue Deal FBDO R is a practising dispensing optician, ABDO College examiner, senior tutor and supervisor for dispensing opticians. She is also a practice visitor and external moderator for ABDO. She was recently awarded the ABDO Medal of Excellence for her outstanding services to the profession.