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ORAQUICK RAPID HIV TEST. Medical Center of Louisiana Cynthia Eicher, MHS MT(ASCP)SBB Denise Friloux, RN, BSN, CIC. Getting Started:. Who was at the table: Laboratory Leadership Registration IT Patient Billing Emergency Room Leadership (RN and MD) HOP clinic leadership
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ORAQUICK RAPID HIV TEST Medical Center of Louisiana Cynthia Eicher, MHS MT(ASCP)SBB Denise Friloux, RN, BSN, CIC
Getting Started: Who was at the table: Laboratory Leadership Registration IT Patient Billing Emergency Room Leadership (RN and MD) HOP clinic leadership Infection Control
Timeline • Pre implementation Meetings – Nov 2007 • Planning Meetings Nov- January 2007 • Kick Off – 02/12/07 in ED • Biweekly check in meetings for refinement • Modifications – oral fluid specimens added 4/16/08 Overall – 3 months from contemplation to implementation
ED Approach • Promoted at triage • Collected in the E.D. • Processed in the Blood Bank • Posted in CLIQ • Results delivered and need for f/u with Western Blot if initial oral fluid positive • Infection Control f/u with WB results counseling
HOP clinic • Significant others only • Clinician offers • Quick registration process • Health educators perform the test • If positive, Western Blot drawn and sent to the lab • Infection Control f/u with WB results counseling
Considerations • Laboratory oversight • Training and education of staff • Notification of results and follow up • Patient referral information • Oversight of quality
INFECTION PREVENTION & CONTROL STATS: PATIENT FOLLOW-UP STATUS
Successes • MCL has higher seropositivity (2.34%) than any other OPH-sponsored testing site (highest 1.5%) and all other HIV testing sites (overall .91%) in the metropolitan area. • We are offering a service to our patients and helping people with HIV get into care.
Acknowledgments • Louisiana Office of Public Health HIV/AIDS Program – CDC funded: Fall 2007 for 3 years • Blood Bank staff • Infection Control Staff • Lab Core Group staff • Emergency and HOP staff • MCL and HQ Registration staff • MCL and HQ IT staff • Michael Heath – OraSure Technologies