10.18.08.09

.09 Post-Test Requirements for HIV Testing by Health Care Providers.

A. If a patientís HIV test result is negative, the individual providing testing shall provide post-test information to the patient tested that includes:

(1) That the HIV test result is negative; and

(2) The meaning of a negative result.

B. If a patientís HIV test result is indeterminate, the individual providing testing shall provide post-test information to the patient in person that includes:

(1) That the HIV test result is indeterminate;

(2) The meaning of an indeterminate HIV test result; and

(3) A recommendation that the patient:

(a) Return in a medically appropriate time frame for another HIV test; and

(b) Take precautions as if the patientís HIV test result had been positive until the patient is retested.

C. If a patientís HIV test result is positive:

(1) The individual providing testing shall provide post-test information to the patient in person that includes:

(a) That the HIV test result is positive;

(b) The meaning of a positive HIV test result;

(c) If the patient is pregnant:

(i) How HIV infection may affect a pregnancy, fetus, or newborn;

(ii) That there is a potential that the newborn will have HIV infection; and

(iii) Information regarding recognized methods of reducing the risk of transmission of HIV to the fetus; and

(d) Information regarding the patientís responsibility to:

(i) Notify all known sexual and needle-sharing partners of possible exposure; or

(ii) Request assistance from the health officer in the jurisdiction to notify all known sexual and needle-sharing partners of possible exposure;

(2) The health care provider shall:

(a) Ensure the patient is linked to an appropriate source of HIV medical care and support services; and

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

(3) For contact control, the health care provider shall:

(a) Endeavor to bring an individual with whom the patient has had potentially infectious contact to examination and, as appropriate, prophylaxis by:

(i) Requesting the health officer to conduct a contact investigation of any case of HIV; or

(ii) Interviewing the patient in order to ascertain the names, descriptions, addresses, telephone numbers, and email addresses of those with whom the patient has had potentially infectious contact; and

(b) Report immediately to the health officer an individual identified as having had potentially infectious contact with a patient with a positive HIV test result;

(4) A health officer shall:

(a) Investigate and notify immediately an individual reported under the provisions of §C(3)(b) of this regulation, who is within the health officerís jurisdiction of the individualís exposure and advise the individual to undergo a medical examination to ascertain whether the individual is infected with HIV; and

(b) Immediately forward to the Secretary all reports of individuals who are outside the health officerís territorial jurisdiction for referral to the health officer of the proper jurisdiction; and

(5) A reported individual shall, within 1 week of notification, be examined to ascertain whether the individual has been infected with HIV.