Primary Care Clinic
Primary care clinics are located at Pheiffer and NSU clinics. "1G" clinic is adult general clinic located at the Pheiffer clinic. "2G" clinic is children’s general clinic (ages 6 18) and is located at the Pheiffer clinic. "PC" clinic is a general clinic located at NSU to provide care to indigent patients who would not otherwise be able to afford eye care. Patient source for this clinic includes referral from the NSU Campus Health Center, Lion’s Club and Job Corps. These clinics provide full-scope, comprehensive optometric examination and associated care, including therapy, treatment, counseling, and appropriate management for a vast array of ocular and visual anomalies. Students from years II, III, and IV of the clinical curriculum are eligible for assignment into the various Primary Care clinics.
Acute Care/Walk-In Service
Provides immediate assessment, screening, evaluation, and optometric management of patients who present to clinic with acute ocular and/or visual problems and concerns. Examples: acute diplopia, acute vision loss, acute red eye, ocular foreign body, broken high-power Rx., sudden change in vision, acute ocular pain, etc. Patients are triaged upon presentation to the Optometry Clinic and will be seen based on urgency of condition, and then in order of presentation. Cases of ocular emergency will receive highest priority. Students from years III, and IV of the clinical curriculum are eligible for assignment into the acute care service. All follow-up and progress evaluations should be by appointment, either into Acute Care/Walk-in Service, or into Primary Care Service:
Contact Lens Clinic
- RTC to Acute Care/Walk-in Service, when it is determined that continuity and quality of patient care is best achieved through re-assessment/follow-up.
- RTC to Primary Care Services, when continuity and quality of patient care and student educational experience can both be well achieved through reassessment/follow-up by the student clinician who initially encountered the patient during an assignment within the Acute Care Service.
- Consultation/Referrals: Ophthalmology; Disease Consultation Clinic; Contact Lens Clinic; Adult Medicine; Pediatric Medicine; Emergency Room. Appropriate referral form must be completed
Provides contact lens examination, fitting, evaluation, dispensing, and related patient instruction, etc., for patients desiring contact lenses for cosmesis and/or enhancement of visual function. The contact lens service provides for the primary vision care needs of its patients. Students from years III and IV of the clinical curriculum are eligible for assignment into the contact lens clinic.
Vision Therapy Clinic
Provides in-depth evaluation, analysis, and remediation of visual disorders, and/or learning/perceptual/developmental disorders. All patients seen within this service should have previously received a comprehensive optometric examination elsewhere within an NSU clinic. Vision Therapy Service is most properly considered a "secondary level" service. When possible to do so, VT clinics are conducted in the afternoon in order that patients’ time away from school may be minimized. However, the requirement to have accessible clinical space may dictate the need to have morning clinics as well. Each four-hour block of clinician’s time is divided to allow for one 90-minute examination, followed by two 45-minute sessions of therapy. The final 15 minutes of each patient visit is used to complete all appropriate re-appointing, documentation, and letters of information relevant to the patient encounters of the day. Commonly, at the conclusion of each clinic session, a grand rounds is held to review the patient encounters for that day. Students from years III and IV of the clinical curriculum are eligible for assignment into the vision therapy clinic.
Traumatic Brain Injury/Stroke Clinic
The Traumatic Brain Injury (TBI) Clinic is a specialized rehabilitative clinic whose emphasis is in the area of stroke rehabilitation, closed head injuries, and developmental disabilities, including multisensory therapy. Patient referrals are accepted from any health, psychological, educational, or developmental resources or agencies. Students from year IV of the clinical curriculum are eligible for assignment into the TBI clinic.
Specialty Care Clinic
Provides specialized eye care for patients by referral, who have already received primary eye care elsewhere and been identified as a candidate for surgical intervention. Includes pre-operative, surgical, and postoperative care for laser surgical procedures and minor surgical procedures. Cataract pre-operative and postoperative evaluations are also performed in Specialty Care Clinic. Punctal plug evaluation, insertion, and follow-up are performed in Specialty Care Clinic. The Specialty Care Clinic provides for the secondary eye care needs of the patients referred from other doctors or clinics. Following conclusion of the secondary care, the patients are returned to the referring doctor or clinic for continued eye care. Students from year IV of the clinical curriculum are eligible for assignment into specialty care clinic.
Provides exposure to advanced surgical procedures for students and residents. Includes pre-operative and postoperative care. Students and Residents assist in and observe advanced surgical procedures performed by the NSU staff ophthalmologist. Commonly this clinic runs concurrently with specialty care clinic. Students from year IV of the clinical curriculum are eligible for assignment into surgery clinic.
Rural Eye Program Clinics
Provides complete services for ordering, verifying, dispensing, adjusting, and repairing spectacles. Students from Years II, III, and IV of the clinical curriculum are eligible for assignment into Dispensary at either NSU or the Pheiffer clinic.
Spectacle Fabrication Laboratory
Provides services of manufacturing and ordering spectacles for the various clinics within the NSU clinical system. Includes student participation in repairing spectacles, tinting lenses, edging lenses and ordering from other laboratories or distributors. Is intended to expose the student to the process of an in house spectacle laboratory. Students from Years III and IV are eligible for assignment into this service.
Provides full-scope, comprehensive optometric examination and associated care, including therapy, treatment, counseling, and appropriate management or referral for all patients at the health center site with eye and/or visual problems and concerns. Located within multi-disciplinary ambulatory care centers of the Cherokee Nation. During interim periods, students may request assignment into the REP clinics for clinic make-up and/or additional (elective) clinic assignments. Students from year III and IV of the clinical curriculum are eligible for assignment into the REP clinics.
Vision Rehabilitation/Low-Vision Service
Provides in-depth assessment of sub-normal visual function, and evaluation of magnifiers, lenses, and other optical aids potentially useful in the maximization of visual potential; provides aids techniques, and counseling directed toward visual rehabilitation and enhancement. This is a second tier clinical service, and sees patients primarily upon referral from other services. The Low-Vision Service, however, provides for the primary level needs of its patients, including ocular health checks at appropriate intervals. This clinic also has a sub clinic which is provided at the Parkview School for the Blind in Muskogee. Students from year IV of the clinical curriculum are eligible for assignment into these clinics.
Infant Vision Service
Provides full-scope, comprehensive optometric examination and associated care, including therapy, treatment, counseling, and appropriate management for pediatric patients (ages 1 day to approximately age 6) with eye and/ or visual system problems and concerns. Students from year IV of the clinical curriculum are eligible for assignment into the infant vision clinic.
Disease Consultation Service
Provides ocular or neuro-ocular disease consultation and management for patients referred for further evaluation and management. This clinic is staffed by the NSU staff ophthalmologist and/or a faculty member with a disease emphasis. This service received referrals from all clinics within the NSU clinical system as well as other IHS and tribal clinics within the region. Each clinician is assigned to work in this service in four-hour blocks. Patients are schedule in either one-hour slots. Student clinicians are engaged in the initial phases of work-up and assessment and are to familiarize themselves with the patient’s problems in order to make an appropriate presentation of the case to the consulting ophthalmologist and/or optometric staff. Students in year IV of their clinical education are available for assignment into this clinic.
Provides management to patients with glaucoma or to patients with unusually high risk of developing glaucoma. Patients who have glaucoma or who are at great risk of developing it are referred to the glaucoma service for continued management. Normally all glaucoma patients cared for at the Pheiffer Optometry Clinic will be managed by the glaucoma service. The Glaucoma Service has developed written procedures and policies which help to ensure proper patient care. These policies include: keeping a summary sheet on each patient, thrice yearly exams of each patient with glaucoma, annual visual field testing and gonioscopy. Those procedures of course may be done more frequently when and if indicated. Students from year IV of the clinical curriculum are eligible for assignment into the glaucoma clinic.
School Screening Service
Public and private schools may request that their students be screened by the College of Optometry. This request may be processed through the School Screening Service Chief or through the College Administration Office which will forward the call or message to the School Screening Service Chief. Students do not need to be IHS eligible to be seen as part of a school screening. These external school screenings are conducted in the Fall and Spring semester, and are staffed by First Year (I) students in the spring and Second Year (II) students in the fall under the direct supervision of the School Screening Service Chief. In the event that a child "Fails" a school screening evaluation, the teacher is advised and the parent is sent a copy of the "Parental Report Form," which describes the areas of difficulty. It is left to the parent to decide upon the course of action to be taken, and no attempt is made to steer the family to individual practitioners or toward the College of Optometry or its affiliated programs. Student clinicians conduct the tests and record the results during screening clinics, but do not attempt to make diagnostic decisions or discuss the implications of findings with either the patient, the parents or guardians, or teachers. It is the responsibility of the supervising staff doctor to evaluate the screening form and to make recommendations based on the student clinicians’ data.
Patients evaluated in this service are referred from other clinics including Pheiffer, Rural Eye, and private practices. Special tests performed include VER, VEP, and ERG. Once evaluated a thorough written report of findings is sent by the attending faculty back to the referring doctor for continued care. Students from year IV of the clinical curriculum are eligible for assignment into the TBI clinic.
The primary emphasis of this specialized service is the use of state-of-the-art imaging equipment to aid in the diagnosis and management of all types of glaucoma, diabetic retinopathy and other diseases. Students from year IV of the clinical curriculum are eligible for assignment into the TBI clinic.
Practice Plan Service
The faculty of the College of Optometry is composed of professionals in a wide variety of specialties in ocular health care. The Professional Practice Plan policy applies to those faculty who hold fulltime appointments in the College. Full-time members of the College of Optometry accept all rights, privileges and obligations of other University faculty as set forth in University policies. Accordingly, the primary goal of full-time faculty members of the College is the education of students as professionals. Faculty are encouraged to engage, within the limits of the time available to them, in such income-producing activities as consulting work, sponsored research, professional optometric practice and other activities which are closely related to their University work. A reasonable degree of active involvement by the faculty in direct eye health care delivery is vital to the maintenance of their professional skills. Active participation in professional activities requires of the faculty a significant commitment in terms of energy, emotional dedication, time and the assumption of personal liabilities in addition to those assumed in carrying out academic programs. The decision to engage in such professional activities by faculty members will be made with the knowledge and understanding that it must be done in accordance with the provisions of the Professional Practice Plan policy.