Consent Form Hiv Test Page 15
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424.
Post-Test Counseling
The person ordering the test or that person's designee shall ensure that all reasonable efforts are made to notify
the test subject of his or her test result. Post-test counseling should be offered to all test subjects and should be
based on the test result and the individual’s needs as determined during the risk assessment. Post-test counseling
shall include:
•
The meaning of the test results;
•
The potential social, medical and economic effects of a positive test result;
•
The possible need for retesting;
•
A reassessment of risk;
•
Availability of health care, mental health, social and support services;
Options for eliminating and/or reducing the transmission of HIV infection to the individual and/or
partners. Florida law imposes strict penalties upon those who knowingly transmit HIV infection to
others;
•
If positive, a discussion of past and present sex and/or needle-sharing partners who may have been
exposed to HIV and a plan on how to notify those partners. A good faith effort must be made to notify
all spouses from the past ten years of their potential exposure;
•
If positive, a discussion of the increased risk for TB and appropriate referrals for TB testing and
treatment; and,
•
Other appropriate referrals (e.g., STD, primary care, psychosocial).
5.
Release of Preliminary HIV Test Results
Pursuant to s. 381.004(3)(d), Florida Statutes, preliminary test results may be released to health care providers and
to the person tested when decisions about medical care or treatment cannot await the results of confirmatory
testing. Positive preliminary HIV test results shall not be characterized to the patient as a diagnosis of HIV infection.
Justification for the use of preliminary test results must be documented in the medical record by the health care
provider who ordered the test. This does not authorize the release of preliminary test results for the purpose of
routine identification of HIV-infected individuals or when HIV testing is incidental to the preliminary diagnosis or care
of a patient. Corroborating or confirmatory testing must be conducted as follow up to a positive preliminary test.
Results shall be communicated to the patient according to statute regardless of outcome.
6.
Pregnant Women/Special Provisions (This requirement was effective October 1, 1996)
Florida law (s. 384.31, Florida Statutes) requires a health care provider who attends a pregnant woman for
conditions relating to her pregnancy to offer testing for HIV and counsel her on the availability of treatment if she
tests positive.
If the pregnant woman objects to HIV testing, a reasonable attempt must be made to obtain a written statement of
objection, signed by the patient, which shall be placed in her medical record. (If a pregnant woman tests HIV
negative, consideration should be given to offering the test again at a later date during her pregnancy because of
the window period of up to 6 months between exposure to HIV and testing positive for antibodies and the risk of
exposure during pregnancy through sex or needle sharing.)
Attachment 2
Page 3 of 3
Operating Procedure 153-31
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