HIV Test Counseling in the Hospital Inpatient and Outpatient Setting

Kristine A. Davis, R.N., M.A.

HIV Nurse Specialist
University of Iowa Hospitals and Clinics

Table of Contents

Purpose
Objectives
The Changing Epidemiology of HIV Infection
Overview of HIV Pre/Post-Test Counseling

• Recommendations for HIV Testing Services for Hospital Inpatients and Outpatients
• CDC Guidelines
• HIV Counseling
• Client-Centered Counseling
• Risk Assessment
• HIV Risk Reduction Plan
• Post-Test Counseling
  • Case Study: Maria S

Transmission Questions

• Infectious Fluids
• Mother to Infant Transmission
• Other Fluids
• Additional Factors in Transmission
  • Maria S., Continued

Preventative Behaviors

• Safer Sex
• Condoms
  • Maria S., Continued

Drugs and HIV

HIV Tests

• "Window Period"
  • Maria S., Continued

HIV and AIDS: Course of Infection

• Progression of HIV Infection
  • Maria S., Continued

Legal/Ethical Aspects of HIV Testing

• Confidentiality
• Insurance Issues
• Reporting
• Partner Notification
  • Maria S., Continued

Getting Ready to Counsel: UI Hospitals and Clinics Procedures

• Essential Facts for Counseling
• UI Hospitals and Clinics Testing Packet Form S Consent to test
• Payer Form
• General Release, Form 1934
• Post-Test Counseling: Negative
• Post-Test Counseling: Positive
• Resources - UI Hospitals and Clinics
• Documentation

References

Now Put It All Together

• Your First Patient
• Your Second Patient
• Your Third Patient

Safer Sex
Using Condoms (Rubbers) and Other Barriers
Common Questions About HIV Testing
Scheduling