Point-of-Care HIV Testing in the Jefferson ED
Open "ED COMMMON ORDERS LIST-MD"
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Select "STI EVALUATION"
![](ed.jpg)
Select "HIV POC TEST (ED USE ONLY)"
![](poc_order.jpg)
Documentation of verbal consent is automatic when the order is placed
![](poc_consent.jpg)
Get the key to the testing cart from the A-Side PSR. The cart is in the storage area behind the ED Operating Room.
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![](IMG_0743.jpg)
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Take a testing packet from the second drawer
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![](IMG_0747.jpg)
Swab the patient’s upper and lower gums (have them
rinse their mouth with water if they are eating or have blood/foreign
material in their mouth) and insert into testing solution
![](img_prod_test_oraquick_step1.jpg)
![](img_prod_test_oraquick_fingerstick_step2.jpg)
Wait 20-40 minutes (Don't set up a test in a patient's room or move a
test after it has started developing - can create false positives)
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Interpret the test (QUIZ)
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Document the test results in Wellsoft under: "PROCEDURE" -> "POC-HIV Testing"
![](ws_order.jpg)
Document the HIV Test Type, the time the test was started and then interpreted, and the test result
![](ws_document.jpg)
If the result is negative tell patient the test is negative and recommend follow-up testing in 3-6 months
If the result is positive obtain a “Positive”
packet from the top drawer of the HIV cart and follow the enclosed
instructions
![](http://pages.mrotte.com/hiv/positive_packet_location.jpg)