10.18.08.09

.09 Post-Test Requirements for HIV Testing in Nonclinical Settings.

A. If an individualís test result is negative, the individual providing testing shall provide post-test information that includes:

(1) The test result was negative;

(2) A review of the meaning of a negative result; and

(3) A recommendation about whether a repeat test is advisable based on potential recent exposures and the type of test technology used.

B. If an individualís test result is indeterminate, the individual providing testing shall provide post-test information to and in the presence of the individual tested that includes:

(1) The test result was indeterminate;

(2) A review of the meaning of an indeterminate test result;

(3) A recommendation that the individual return in a medically appropriate time frame for another test;

(4) A review of information regarding transmission of HIV and means of preventing transmission of HIV; and

(5) A recommendation that the individual take precautions as if the individualís HIV test result had been positive until the individual is retested.

C. If an individualís test result is positive:

(1) The individual providing testing shall provide post-test information to and in the presence of the individual tested that includes:

(a) The test result was positive;

(b) A review of the meaning of a positive test result;

(c) A review of information regarding transmission of HIV and means of preventing transmission of HIV;

(d) That the individual should have a medical evaluation by a physician or physicianís designee who knows that the individual is HIV positive and should receive ongoing health care appropriate for an HIV seropositive individual; and

(e) If the individual is a female, a discussion of HIV transmission from mother to child in case of an unconfirmed pregnancy; and

(2) The health care provider shall:

(a) Ensure the individual is linked to an appropriate source of HIV medical care and supportive services, including evaluation and treatment for:

(i) Tuberculosis;

(ii) Hepatitis;

(iii) Pregnancy; and

(iv) Sexually transmitted infections;

(b) If necessary, provide the individual with information about mental health services for HIV-infected individuals; and

(c) Offer to assist the individual in notifying their partners that they may have been exposed to HIV and provide testing to their partners, or request that the local health officer conduct an investigation to assure partner notification has been completed.