The visual acuity test is a key skill for community health workers, especially during clinical assessments. These are complete step-by-step guide on how to perform each part of the test correctly and earn full marks.

1. Approach (Greeting, explanation of purpose) 2 Marks

Greet the patient politely: “Good morning, I’m here to check your eyesight.” Then explain the purpose of the test in simple terms. This builds trust and helps the patient stay relaxed.

2. Measuring of the distance (6 meters away) 3 Marks

Use a measuring tape or pre-marked floor line to confirm the patient is exactly 6 meters from the Snellen chart. Accurate distance is essential for reliable test results.

3. Proper positioning of the chair and the patient 3 Marks

Make sure the patient sits or stands upright, directly facing the chart. The environment should be comfortable and free of distractions or obstructions.

4. Procedure (eye covering, pointing, communication) 4 Marks

Ask the patient to cover one eye at a time without pressing on it. Start with the right eye. Point to the letters on the chart and ask them to read aloud. Guide and encourage them through the process. Repeat for the other eye.
check out complete guide on how to perform visual acuity test

5. Proper Recording 3 Marks

Record the smallest line the patient reads correctly for each eye (e.g., 6/6, 6/9). Include whether the test was done with or without glasses. Make sure the record is neat and complete.

6. Correct interpretation and follow-up instruction 3 Marks

Interpret results accurately. If vision is normal (e.g., 6/6), inform the patient. If vision is reduced, advise a referral to an eye specialist. Always use simple, clear language.

7. Clean and discard of materials used 2 Marks

Clean any reusable tools with disinfectant. Properly dispose of any waste. Wash hands or use sanitizer afterward to prevent infection.

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Total: 20 Marks

A well-conducted test reflects professionalism and improves patient care.

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