7 Hour HIV/AIDS: Part 3

1hour 0.1CEUs

The class is also available as part of a Knowledge Collection

$35 7-Hour HIV/AIDS See Details  


Discusses testing and counseling. Designed for most licensed healthcare providers.

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7 Hour HIV/AIDS: Part 3

5th Hour

Table of Contents

1. Testing

a. Test Technologies
Types of Tests
b. Testing Guidelines
c. Test Results

2. Counseling

a. Information
b. Prevention Counseling

3. Referrals



**Revised Recommendations
Major revisions from previous recommendations (MMWR, 9/22/06):
  •  HIV screening is recommended for all patients in health-care settings and all pregnant women unless they decline (opt-out).
  • Persons at high risk for HIV infection should be screened for HIV at least annually and pregnant women in certain high risk areas should be rescreened in the third trimester.
  • General consent for medical care should be considered sufficient and separate written consent is NOT REQUIRED for HIV testing.
  • Prevention counseling should NOT be REQUIRED with HIV diagnostic testing or as part of HIV screening programs in health-care settings. 

This is a change specifically for these settings/situations and does not alter the information in this class regarding general HIV testing and counseling protocols in other settings. 


Chapter1: Testing

Testing: Introduction
Nearly 45,000 people are diagnosed with HIV yearly. Almost a third of these were infected by an undiagnosed person. The only way to know for sure whether or not you have HIV is to get tested. This is the first step in protecting one's health and reducing the spread of HIV.  At least one routine screening is recommended for adults, adolescents and pregnant women in health care settings. Persons with risk factors should be screened at least yearly and sexually active gay and bisexual men every 3-6 months.

HIV antibody testing has been available since 1985.  It has been the primary method used for general screening, though currently combination antibody/ antigen tests are recommended. It is believed that as many as 30% of persons with HIV infection are currently unaware of the fact that they have become infected until they begin to experience specific symptoms of the infection.   Current CDC prevention goals are to reduce that number to just 5%.  One of the goals of the CDC initiative is to ensure that every HIV infected person has the opportunity to be tested and has access to state-of-the-art medical care and prevention services.

To reach that goal we must insure that there are adequate resources providing voluntary testing and counseling services, that correct information is provided concerning risks and resources, and that attitudes of false security (continuing to practice high risk behaviors due to a previous negative test) and invincibility are addressed.

Health, Safety & Nutrition
1 - Healthcare

Learning Outcomes

When you finish this class you should be able to:

  1. Specify the two classifications for test technologies.

  2. Name the primary screening and confirmatory tests.

  3. Describe the standard testing algorithms.

  4. Identify the five test types discussed.

  5. Discuss who should be tested and why.

  6. State the significance of positive, negative and indeterminate test results.

  7. List the five directions for HIV counseling.

  8. Describe what is involved in the client-centered mode of counseling.

  9. List the four steps for managing referrals.

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