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Implementation Checklist for NRACP HIV Testing Sites
Site/Tester Group:
Assessment done on:
Assessment done by:
Approved by:
Actions/Questions
1. Initial
Engagement
Review the following:
 Rationale for additional HIV testing
 Context of the clinical program
 Leadership and operational roles
 Will site be supported by BC POC HIV Test Program or test
independently?
2. Site Preparation
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Who will fill leader and operational roles for implementation?
o Use Roles and Responsibilities Appendix II Guidelines
Client volumes – how many clients are served per year?
Training and Go live dates
o Training should be as close to go live as possible.
o Modify Curriculum
o What content needs to be customized?
3. On‐Site readiness
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Confidential and appropriate space for client testing?
Safe and secure client record storage?
Plan for disposal of hazardous waste?
Infection control plan?
3a. Confirmatory
Lab testing
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What process does the site currently follow to refer or conduct
HIV tests?
Reporting reactive results – who to contact and what support
does the client need?
Who will order confirmatory HIV tests?
3b. Reporting
POC testing
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How are POC tests results/usage reported?
How is usage of POC tests reported to BCCDC?
What is the POC recall process – who leads this at this site?
How are POC test kits and supplies ordered? Who does this?
4. Client
Support Materials
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Client information brochure about HIV testing
Posters for clinic rooms and waiting area
HIV POC Support Materials
HIV POC instructions
What to do with a reactive result?
Lab vs. HIV POC testing guide
BCCDC HIV POC Testing guidelines
Testing frequency recommendations (M. Gilbert)
Referral resources for HIV primary care and supports
5. Training
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What training is needed?
How will the training be provided?
How will competence be assessed? By whom? How often?
o Schedule staff for POC training (online or in-person
options)
o HIV Pre‐Post test counselling
o On site shoulder to shoulder training for new testers
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Page 1 of 2
Comments
Updated: 14 May 2014
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Actions/Questions
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6. Check‐in
Action Plan
Needs/Barriers
Page 2 of 2
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Comments
Review POC test mechanics
How to record POC tests on the testing log
Reporting reactive results to MHO/Designated Nurse
Support strategies for clients with reactive test results
How to order HIV POC materials
How to dispose of test materials safely
Infection control procedures
Sample collection and transport procedures
Review plan for storage of client records
Other needs
Identify any barriers to testing
Identify any successes
Identify any problems in operational processes
Address problems identified
Share testing level progress (# tests administered)
Solution(s)
Who, When & How
Updated: 14 May 2014