HIV screening:

• All patients age 13-64 should be offered HIV testing at least once in their lifetime.
• All patients who test positive for any STD should be offered HIV screening at that time.
• In the setting of a recent exposure (unprotected sex etc), baseline testing should be obtained with repeat testing at 6, 12, and 24 weeks
• It should be left to the discretion of the provider to offer testing more frequently based on risk.
• In our clinic the option that is best used at this time is to refer the patient to or counselor Victor Oliveras in Room 4C 111 for rapid testing.
• If prompted regarding HIV testing when writing the note, select option C to refer to the counselor.
• If the prompt does not show up and you want to send for HIV testing HIV testing, click referrals and select HIV testing (see picture)
  

  HIV screening referral is circled

• If the counselor is not present in the clinic you may refer them downstairs to 1E11 to get tested
• We are not currently drawing blood for HIV testing in the clinic in any routine basis. If there is a reason to do so, please speak with the DT about protocol for blood testing.

Hepatitis  C Screening:

Indications:

• Those born in the United States between 1945-1965
• Those with a history of illicit injection drug use or intranasal cocaine use, even if only used once
• Those who received clotting factors made before 1987
• Those who received blood/organs before July 1992
• Those who have been informed that they received blood from a donor who later tested positive for HCV
• Children born to HCV-infected mothers
• Those with a needle stick injury or mucosal exposure to HCV-positive blood
• Those who are a current sexual partner of an HCV-infected person
• Those with evidence of liver disease (persistently elevated alanine aminotransferase [ALT] level)
• Those who were ever on chronic hemodialysis
• Those infected with HIV
• Incarcerated individuals

If patient comes back HCV Ab positive, contact the patient about the result and order a “Hepatitis C Viral RNA PCR, Quant.”  Once the order is in QMed, instruct patient to return to the clinic lab for a new draw. If the HCV PCR is positive, refer to the “ACS –HCV” or the GI clinic for treatment assessment.