Exam Room Health Center Health Center Front Desk Waiting Room Patient Care Model with Integrated Rapid HIV Testing Front Desk Front desk registers patient (new) or checks in on screen (existing). Encounter, diagnoses, and patient demographic forms are printed and, together with ROUTINE SCREENING FLOW SHEET, placed in bin for pick-up by nursing. Waiting Room Nurse/MA escorts patient to exam room During intake/vitals, nurse/MA offers RAPID HIV SCREENING Patient signs consent (if testing accepted) If accepted, sample obtained and transported to lab for processing Rapid test form placed in bin outside exam room (and remains there if provider enters exam room so that staff can chart results) Provider performs exam; orders necessary follow-up visits and/or referrals. Nurse/MA enters results on Routine Screening Form “Negative” results given by MA, nurse or provider; reactive results given by provider Patient discharged; staff discharging patient places the two part form in bin outside Clinical Coordinator’s office. Exam Room Laboratory If blood work necessary, provider writes an order. Patient directed to laboratory for blood draw. Patient takes encounter form and proceeds to check out area for scheduling of next visit. Co-payment collected, if appropriate. Check Out 10-01-08 Created by NACHC for use in health centers