Implementation of Routine HIV Testing in an Acute Care Hospital in Rhode Island: A Nurse-Initiated Opt-Out Pilot Project

The Centers for Disease Control and Prevention (CDC) expanded HIV screening of adults ages 13–64 years in 2006 from risk based to routine. Early detection and treatment improve patient outcomes and prevent disease transmission. This article describes a pilot program in which nurses in an adult inpat...

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Bibliographic Details
Published in:	The Journal of the Association of Nurses in AIDS Care Vol. 24; no. 5; pp. 460 - 468
Main Authors:	Costello, Joanne F., Sliney, Anne, MacLeod, Cindy, Carpentier, Michelle, Garofalo, Rebecca, Flanigan, Timothy
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01-09-2013 Lippincott Williams & Wilkins Ovid Technologies
Subjects:	Acute services Adolescent Adult AIDS/HIV Disease prevention Disease transmission Early Diagnosis Female Health Promotion - methods HIV HIV Infections - diagnosis HIV Infections - prevention & control Hospitals Human immunodeficiency virus Humans Male Mass Screening - methods Medical screening Medical treatment Middle Aged nurse initiated screening Nurse's Role Nurses Nursing Organizational Policy Outcome and Process Assessment (Health Care) Patient Acceptance of Health Care Pilot Projects Program Development Program Evaluation Rhode Island Risk factors routine HIV testing standing orders Testing Young Adult Rhode Island United States > US nurse initiated screening standing orders routine HIV testing
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Summary:	The Centers for Disease Control and Prevention (CDC) expanded HIV screening of adults ages 13–64 years in 2006 from risk based to routine. Early detection and treatment improve patient outcomes and prevent disease transmission. This article describes a pilot program in which nurses in an adult inpatient unit at an acute care hospital offer HIV testing to all patients ages 18–64 upon admission through standing orders. The pilot, Standing Orders for Routine Testing (SORT), is a response to changes in state law and regulations in the majority of states including Rhode Island, which have occurred following the CDC policy change. The SORT pilot involves collaboration with interdisciplinary partners and education of unit nurses.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Article-2 ObjectType-Feature-1
ISSN:	1055-3290 1552-6917
DOI:	10.1016/j.jana.2012.09.007