HIV Test Request Form Training Cessa Karson-Whitethorn HIV Prevention Program April 2012 (Enter) DEPARTMENT (ALL CAPS) (Enter) Division or Office (Mixed Case)
ODPE HIV Prevention Training Agenda Introduction Explore new form Questions
ODPE HIV Prevention Introduction New CDC HIV testing variables New Oregon State Public Health Lab (OSPHL) information system New HIV testing database: sHIVer Implementation: May 2012
ODPE HIV Prevention Form Orientation Page 1: Patient, specimen, requested testing and risk information Page 1: Sent to OSPHL for any test that requires a sample sent to OSPHL Page 2: Carbon copy of page 1 Page 2: Detailed instructions on back
ODPE HIV Prevention Mailing Address & Test Form ID Test Form ID: –Ten digits; no dashes. –Same number that is on labels –Reference the test form ID on specimens and corresponding forms, if necessary –This number will be entered in to sHIVer to access data the lab has entered for conventional/confirmatory tests
ODPE HIV Prevention
Ask client and indicate whether or not a previous HIV test was conducted and the result of that test if known Indicate month (mm) and year (yyyy) of known previous test. If month unknown, enter year and leave month blank.
ODPE HIV Prevention Site IDs are no longer used. Sites now have a site name that is associated with their county health department’s set up in OSPHL’s new system. Authorized ordering clinician/physician must be entered.
ODPE HIV Prevention Fill out this section for non-rapid testing Identify the specimen source being submitted Specimens that fall into the “other” category – check with lab to make sure they can process
ODPE HIV Prevention Negative rapid test forms do not get sent to the lab – testing sites enter data into sHIVer.
ODPE HIV Prevention Do not read this section as a checklist. Report affirmative answers, if and only if, the client is confident of the response
ODPE HIV Prevention Questions? Contact Cessa Karson-Whitethorn or 12