Point-of-Care HIV Testing in the Jefferson ED


Open "ED COMMMON ORDERS LIST-MD"



Select "STI EVALUATION"



Select "HIV POC TEST (ED USE ONLY)"



Documentation of verbal consent is automatic when the order is placed



Get the key to the testing cart from the A-Side PSR. The cart is in the storage area behind the ED Operating Room.



Take a testing packet from the second drawer



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



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)



Interpret the test (QUIZ)



Document the test results in Wellsoft under: "PROCEDURE" -> "POC-HIV Testing"



Document the HIV Test Type, the time the test was started and then interpreted, and the test result



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