HIV Test Request Form Training

Cessa Karson-WhitethornHIV Prevention Program

April 2012

(Enter) DEPARTMENT (ALL CAPS)(Enter) Division or Office (Mixed Case)

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Training Agenda

• Introduction

• Explore new form

• Questions

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Introduction

• New CDC HIV testing variables

• New Oregon State Public Health Lab (OSPHL) information system

• New HIV testing database: sHIVer

• Implementation: May 2012

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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

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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

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• 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.

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• 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.

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• 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

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• Negative rapid test forms do not get sent to the lab – testing sites enter data into sHIVer.

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• Do not read this section as a checklist.• Report affirmative answers, if and only if, the client

is confident of the response

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• Questions? Contact Cessa Karson-Whitethorn 971-673-0150 or cessa.karson@state.or.us

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