OUTREACH COMMUNITY CARE NETWORK
OraSure Protocol
Effective: 2/12/98
Revised 3/25/98
Mission Statement:
OraSure collection/test devices will be used in Florida to increase the number of persons tested and to increase the proportion of HIV-infected persons who know their status. This tool will be used primarily in outreach settings, where high-risk persons are likely to be encountered, and in other settings, in accordance with local prevention plan priorities. The benefits of oral testing to the state include: decreased risk of significant exposure; decreased provider liability; increased acceptability of HIV testing; safer work environment for outreach staff; ability to link infected persons with care and prevention of the spread of HIV infection.
Standard:
Employees who have completed AIDS 104 and 501 Client Centered Counseling training are eligible to administer OraSure in the field. To the maximum extent possible outreach workers should encourage clients to use confidential testing.
Eligibility:
Current Repeat Contacts: Individuals, who through outreach have repeatedly failed to come in for testing, are eligible to be OraSure tested.
Newly Identified Repeat Contacts: OraSure can be administered to an individual when the outreach worker has made three attempts over a thirty day period to get the individual into a testing site for an HIV antibody test.
Requirements:
All individuals receiving the OraSure test will be:
Pre/Post test counseled in accordance with the Department of Health standard. The DH Form 1628 and DH Form 1633 will be used respectively.
Sign applicable consent form (anonymous/ DH Form 1818; confidential/ Outreach Community Care Network), for HIV virus antibody test.
* Worker should encourage client to sign authorization for release of results to the STAR Program.
OUTREACH COMMUNITY CARE NETWORK
OraSure Protocol
Effective: 2/12/98
Revised 3/25/98
Handling Procedures:
Preface: All specimens and paper work MUST be kept in a locked file cabinet/briefcase.
For oral collection, follow the procedures set forth in the OraSure step-by-step manual.
Complete DH Form 1628 and have client sign applicable consent form.
Affix bar code to the following:
Blue client copy
Outreach Community Care Network Consent Form/DH Form 1818 (as applicable)
Both pages of the Post Test Counseling Form (DH Form 1633)
Specimen Vial (DO NOT cover cap - you can allow bar code to extend beyond end of vial)
Write the word OraSure in the top right corner of pre-test counseling form.
Enter Outreach Community Care Network site number 01 223
Enter work number which is worker initials (First, Middle and Last).
Check box number 1 HIV
Complete form in it's entirety. Exception, if physical address is not available use the address that matches where you see the individual most often. Example: Corner of Main and Grandview
Give blue copy to client and advise that the results could take 8 to 10 business days.
Wrap golden rod copy of DH Form 1628 around specimen vial and secure with rubber band. Place specimens in cotton filled canister.
Paper clip green copy of DH Form 1628, Outreach Community Care Network Consent Form or DH Form 1818 and post test counseling form DH Form 1633 together and place in manila envelope.
OUTREACH COMMUNITY CARE NETWORK
OraSure Protocol
Effective: 2/9/98
Revised 3/25/98
Paperwork/ Specimen Drop-Off - Daytona Staff
Canisters and paperwork are to be dropped-off at Outreach Community Care Network to the Advocates office by 3:00 p.m. on Tuesdays and Thursdays.
Paperwork/Specimen Drop-Off - DeLand Staff
Canisters and paperwork are to be dropped-off at Outreach Community Care Network to the Advocates office by 12:00 noon on Wednesday and Friday.
The canister will be delivered to the VCHD by the Program Supervisor or his designee no later than 3:00 p.m. the day following receipt from the field for shipment to the state laboratory in Jacksonville.
Results:
The laboratory will send the results to Outreach Community Care Network, to the attention of the testing site designated representative. The staff of the advocates office will process the results in accordance with the procedures established (copy attached). The Program Supervisor is responsible for the distribution of the results to the appropriate outreach worker within three (3) business days. The packet(s) will contain the clients copy of the lab results, post test counseling form; and the appropriate consent form.
The outreach worker should make every attempt to contact the client as soon as possible. The outreach worker will provide a verbal status report, at each bi-weekly staff meeting, on all outstanding paperwork. After 15 working days the paperwork should be returned to the Outreach Community Care Network Advocates Office. If the client is later contacted the paperwork can be requested from the Program Supervisor.
At time of contact, have the client sign the comparison signature line. Check the appropriate box for test results and conduct the post test counseling. Complete the post test counseling form (DH 1633) and return the complete packet to the advocate office ASAP but no later than 3 business days.
OUTREACH COMMUNITY CARE NETWORK
OraSure Protocol
Effective: 2/12/98
Revised 3/25/98
Results cont'd.
If it is a positive test result, every attempt should be made to link the client to services at the time the result is given.
For Daytona - call the Volusia County Health Department (VCHD) Ryan White Title II Lead Case Manager (Joyce Heath) at 255-6997 ext. 51. If Joyce is not available call Andrea Bushy at ext. 52 or Scott Tillotson at ext. 53. If they can see your client immediately and the client has no transportation, you may transport them to the Outreach Community Care Network.
For DeLand - call the Volusia County Health Department (VCHD) Ryan White Title II Lead Case Manager (Joyce Heath) at 255-6997 ext. 51 to arrange for an intake appointment in DeLand .
If the client refuses to schedule an appointment at the time of the results, make every attempt to encourage them, to get enrolled in services, each time you see them in the field.
The VCHD Lead Case Manager (Joyce Heath) will notify the Outreach Community Care Network Program Supervisor (Todd Banks) of days and time when a case manager will be in DeLand. In addition, she will notify Todd of all no shows.
Weekly the program supervisor will forward the completed DH 1633 forms to the Bureau of Disease Intervention, counseling an testing unit as specified on DH 1633.
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