Consent Form Hiv Test Page 2
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42Operating Procedure 153-31
June 14, 2010
g.
Updated United States Public Health Service Guidelines for the Management &
Occupational Exposures to Hepatitis B Virus, Hepatitis C Virus, and HIV and Recommendations
for Post Exposure Prophylaxis.
Morbidity and Mortality Weekly Report (MMWR).
Recommendations and Reports, June 29, 2001 Vol. 50/No. RR-11.
h.
Centers for Disease Control and Prevention, 1993 Revised, Surveillance Case
Definition for AIDS. Mortality & Morbidity Weekly Report 12/18/92, Vol. 41, No. RR-17.
i.
Centers for Disease Control, Guidelines for Isolation Precautions in Hospitals.
j.
Florida State Hospital Operating Procedure 153-15, Preventive Infection Control
Program.
k.
Centers for Disease Control, Guidelines for the Use of Antiretroviral Agents in HIV -1-
Infected Adults and Adolescents.
l.
Florida Department of Health Model Protocol for HIV Testing and Counseling for
County Health Departments and Registered Testing Sites.
m. Florida Department of Health Information Security Policies, Protocols and Procedures
#1-#18.5.
n.
Department of Health HIV Counseling/Testing Forms Instruction Guide.
o.
Florida State Hospital Operating Procedure 153-1, Bloodborne Pathogens Exposure
Control Plan.
p.
Florida State Hospital Operating Procedure 155-2, Human Sexuality.
5.
Definitions:
a.
“AIDS”--Acquired Immune Deficiency Syndrome, as defined by the Centers for
Disease Control.
b.
“HIV”--Human Immunodeficiency Virus identified as the causative agent of AIDS.
c.
“HIV Infection”--Infected with HIV, as evidenced by a confirmed laboratory test for
antibodies to HIV.
d.
“Pre-test Counseling”--A counseling service provided to the individual before a blood
specimen is collected, which addresses the nature of the test, its benefits, limitations; measures
for the prevention of exposure to, and transmission of HIV; confidentiality measures, risk
reduction advice, and the procedure for providing test results.
e.
“Post-test Counseling”--A counseling service provided to the individual which
addresses the interpretation of test results and, if necessary, the need for and access to medical
evaluation, or referral for other services; risk assessment and risk reduction advice relevant to
the individual’s test results.
f.
HIV Counselor--A staff member who has completed the required Department of Health
curriculum and is certified to provide Pre and Post Test HIV/AIDS Counseling.
g.
Informed Consent for HIV/AIDS Testing--Informed consent consists of:
2
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