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Health Center HIV Screening Algorithm Rapid HIV Test. Rapid HIV Test. Negative. Reactive. Inform patient Give “ Negative ” handout, if desired Review risks, if appropriate Discuss “ window period ” No further testing. Inform pt preliminary results are reactive
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Health Center HIV Screening Algorithm Rapid HIV Test Rapid HIV Test Negative Reactive Inform patient Give “Negative” handout, if desired Review risks, if appropriate Discuss “window period” No further testing • Inform pt preliminary results are reactive • Give “Reactive” results handout • Draw confirmatory Western Blot • Schedule follow-up appt in 5 days Patient likely negative unless recent risk Review risks & prevention Schedule 3 mo repeat Western Blot Western Blot Negative Positive • Counsel patient • Draw CD4 & Viral load (if appropriate) • Introduce patient to HIV care manager or other team member, OR • Ensure referral to HIV care • Contact DIS • Complete “Reactive Tracking Sheet” Indeterminate Repeat Western Blot at 5 day follow-up visit Modified by NACHC for use in community health centers, December 2012