The College of Optometrists

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Guidance content

  1. Knowledge, skills and performance
  2. Develop and maintain knowledge and skills
  3. Key points
  4. Develop and maintain competence
  5. Work within your competence
  6. Continuing education and training (CET)
  7. Professional development
  8. Useful information and links
  9. Patient records
  10. Key points
  11. Purpose of keeping records
  12. What to record
  13. Electronic record keeping
  14. Ownership of patient records
  15. Confidentiality and privacy
  16. Data Protection Act 1998
  17. The routine eye examination
  18. Key points
  19. Principles of the routine eye examination
  20. Conducting the routine eye examination
  21. After completing the routine eye examination
  22. Frequency of eye examinations
  23. Clinical reasons for earlier recall
  24. Patients requesting re-examination
  25. Examining younger children
  26. Key points
  27. Definition of younger children
  28. Key information to gather and tests to carry out
  29. Other important tests
  30. Communicating with younger children
  31. Protecting yourself
  32. Safeguarding children
  33. Vision screening in schools
  34. Examining patients with learning disabilities
  35. Key points
  36. Definition of learning disability
  37. Some causes of learning disability
  38. Ocular and health conditions of patients with learning disabilities
  39. Principles of examining patients with learning disabilities
  40. Providing patients with a report of their eye examination
  41. Useful information and links
  42. Examining patients with specific learning difficulties or visual discomfort
  43. Key points
  44. What specific learning difficulties are and how they affect patients
  45. Principles of examining patients with specific learning difficulties
  46. Tinted lenses
  47. Useful information and links
  48. Examining patients with dementia or other acquired cognitive impairment
  49. Key points
  50. What cognitive impairment means and how patients can be affected
  51. Key factors to help you act in the patient's best interests
  52. Principles of examining patients with cognitive impairment
  53. Prescribing
  54. Supply and aftercare
  55. Referral and support
  56. Useful information and links
  57. The domiciliary eye examination
  58. Key points
  59. Patients eligible for a domiciliary eye examination
  60. Conducting a domiciliary eye examination
  61. Conducting eye examinations in a residential home
  62. Useful information and links
  63. Examining patients with diabetes mellitus
  64. Key points
  65. Principles of examining patients with diabetes mellitus (diabetes)
  66. Procedures to include in an examination in routine practice
  67. Recall and reporting for routine practice
  68. NHS diabetic eye screening programme
  69. Useful information and links
  70. Examining patients at risk from glaucoma
  71. Key points
  72. Principles of examining patients at risk from glaucoma
  73. Identifying patients at risk from glaucoma
  74. Diagnostic information
  75. Procedures to include in an examination in routine practice
  76. Use of non-contact tonometry
  77. Community services
  78. Supervision
  79. Referral
  80. Useful information and links
  81. Assessing and managing patients with low vision
  82. Key points
  83. Principles of assessing and managing patients with low vision
  84. Assessing patients with low vision
  85. Managing patients with low vision
  86. Referral
  87. Dispensing low vision devices
  88. Useful information and links
  89. Examining and managing patients with an anomaly of binocular vision
  90. Key points
  91. Principles of examining and managing patients with an anomaly of binocular vision
  92. Amblyopia and patching
  93. When to refer
  94. Community services
  95. Useful information and links
  96. Examining patients who present with flashes and floaters
  97. Key points
  98. Principles of examining a patient who presents with flashes and floaters
  99. Referral
  100. Managing the patient
  101. Useful information and links
  102. Examining patients who present as an emergency
  103. Key points
  104. Definition of an emergency
  105. Action to take
  106. Practice staff
  107. Examining patients who drive
  108. Key points
  109. Examining patients
  110. If you think a patient is unfit to drive
  111. Tints and driving
  112. Patients using mobility scooters or powered wheelchairs
  113. Examining patients who work with display screen equipment or computers
  114. Key points
  115. Display screen definition
  116. Principles of examining patients who work with display screen equipment
  117. Prescribing
  118. Vision screening
  119. Prescribing spectacles
  120. Key points
  121. Issuing prescriptions
  122. Small prescriptions and making small changes to existing prescriptions
  123. Pupillary distance (PD)
  124. Sale and supply of spectacles
  125. Key points
  126. Regulation
  127. Principles
  128. Supervising the sale and supply of spectacles
  129. Prescriptions over two years old
  130. Sale and supply when the patient is not present
  131. Taking the prescription elsewhere
  132. Ready-made reading spectacles
  133. Sports eyewear
  134. In-house glazing
  135. Useful information and links
  136. Contact lens equipment and facilities
  137. Key points
  138. Essential equipment
  139. Recommended equipment
  140. Additional equipment
  141. Verifying and calibrating equipment
  142. Fitting contact lenses
  143. Key points
  144. Working within the limits of your professional competence
  145. Advising patients before assessing and fitting
  146. Assessing patients
  147. The fitting process
  148. Supervision
  149. Referral
  150. Contact lens specification
  151. Key points
  152. Specification for powered lenses
  153. Specification for zero-powered (plano) lenses
  154. Prescription expiry
  155. Patients buying lenses elsewhere
  156. Contact lens supply
  157. Key points
  158. Principles of contact lens supply
  159. Powered contact lens supply
  160. Zero-powered (plano) contact lens supply
  161. Supervision
  162. General direction
  163. Aftercare
  164. Contact lens check-ups
  165. Key points
  166. Principles of contact lens check-ups
  167. Examining contact lens wearers
  168. Re-issuing the contact lens specification
  169. Routine eye examination
  170. Aftercare
  171. Specialist contact lenses
  172. Key points
  173. Principles of examining wearers of specialist contact lenses
  174. Extended wear
  175. Therapeutic contact lenses
  176. Orthokeratology
  177. Useful information and links
  178. Use and supply of drugs or medicines in optometric practice
  179. Key points
  180. Principles of the use and supply of drugs or medicines
  181. Instilling eye drops
  182. Supply of drugs in optometric practice
  183. Prescribing and treating yourself and others close to you
  184. Patient group directions and co-management schemes
  185. Storage and disposal of drugs
  186. Reporting schemes on adverse drug reactions
  187. Safety and quality
  188. Health and safety on the premises
  189. Key points
  190. Principles of health and safety
  191. Practitioner responsibilities
  192. Useful information and links
  193. Infection control
  194. Key points
  195. Introduction
  196. Transmission from person to person
  197. Methods of preventing infection transmission from person to person
  198. Situations of increased concern - transmission from person to person
  199. Transmission via an inert agent
  200. List of agents that may harbour infection
  201. Methods of preventing infection transmission via an inert agent
  202. Principles of cleaning, sterilisation and disinfection
  203. Levels of decontamination
  204. The re-use of contact lenses and ophthalmic devices
  205. Measures to take in case of accident
  206. Storage and handling
  207. Contamination via contact lens solutions and medicine bottles
  208. Situations of increased concern - transmission via a contaminated object
  209. Safe disposal of waste
  210. Useful information and links
  211. Raising concerns
  212. Key points
  213. Principles of raising concerns
  214. Practitioner responsibilities
  215. Adverse incidents and near misses
  216. Useful information and links
  217. Safeguarding children and vulnerable adults
  218. Communication, partnership and teamwork
  219. Partnership with patients
  220. Key points
  221. Communicating effectively with patients
  222. Communicating about the costs of your services
  223. Consent
  224. Key points
  225. Gaining consent to treatment from adults
  226. Capacity to consent – adults
  227. General points on consent – children and young people
  228. Children and young people who lack the capacity to consent
  229. Children and young people with the capacity to consent
  230. Confidentiality
  231. Key points
  232. Principles of patient confidentiality
  233. Sharing information with others providing care
  234. Disclosing patient information in other situations
  235. Disclosing information about adults without their consent
  236. Disclosing information about adults who lack capacity to consent
  237. Disclosing information about children
  238. Disclosing information about children without their consent
  239. Disclosing information to patients’ relatives or carers
  240. Disclosing information after death
  241. Dealing with complaints
  242. Key points
  243. Policy and procedure
  244. Resolving complaints
  245. Providing information about complaints
  246. Social media
  247. Key points
  248. About social media
  249. Benefits and risks of using social media
  250. Privacy and confidentiality
  251. Anonymity
  252. Conflicts of interest
  253. Useful information and links
  254. Maintaining boundaries
  255. Key points
  256. Principles of maintaining boundaries
  257. Current patients
  258. Former patients
  259. Colleagues
  260. Working with colleagues
  261. Key points
  262. Your role
  263. Working in teams
  264. Referrals
  265. Urgency of referrals
  266. Delegation
  267. Supervision
  268. Continuity of care
  269. Useful information and links
  270. Maintaining trust
  271. Honesty and integrity
  272. Key points
  273. Principles
  274. Treating patients and colleagues fairly
  275. Openness in legal or disciplinary hearings
  276. Principles of financial dealings
  277. Indemnity
  278. Conflicts of interest
  279. Useful information and links
  280. Research and audit
  281. Key points
  282. Definition of research
  283. Ethical research
  284. College research principles
  285. Definition of audit
  286. Audit principles
  287. Useful information and links
  288. Relevant legislation
  289. Annexes
  290. Annex 1 Equipment list for the routine eye examination
  291. Annex 2 Ophthalmic abbreviations
  292. Eye examination terms
  293. Clinical condition terms
  294. Contact lens terms
  295. Pharmacy and drug terms
  296. Annex 3 World Health Organization guidance on handrubbing and handwashing techniques

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