HIV Testing Information for Medical Providers: Washington State Regulations and CDC Revised Recommendations
(PDF, 65KB)  This fact sheet compares Centers for Disease Control Revised Recommendations for HIV in Health-Care settings with state policy and with the Washington Administrative Code.  It also describes current HIV testing and counseling requirements.

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Revised Recommendation for HIV Testing of Adults, Adolescents, and Pregnant Women in Health-Care Settings (9/22/2006)(You will leave this site...)  Highlights of this document include:

• Patients in all health-care settings should have HIV screening


• routine prenatal screening test panel should include HIV screening


• Screen persons at high risk for HIV infection annually


• Opt-out screening: tell patient they will receive an HIV test and the patient may decline


• Include HIV testing contest in general consent for medical care;   separate written consent for HIV testing should not be required.


• HIV screening programs in health-care settings should not require prevention counseling
• Prevention counseling should not be required with HIV diagnostic testing.

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Guidelines for Management of HIV+Pregnant Women Birthing in Washington State Hospitals: Hospital Checklist 2008 (PDF, 57KB) 
This checklist for hospitals and prenatal providers outlines appropriate in-hospital care including lab tests and medications for laboring mothers and their newborns.  These checklists can be used for documentation in the hospital or prenatal medical record.  This document is designed for physicians, nurses and other healthcare professionals.  It is not intended for the general public.  It contains terms, abbreviations and acronyms specific to the field of healthcare.

Guidelines for Management of HIV+Pregnant Women Birthing in Washington State Hospitals: Prenatal Checklist 2008 (PDF, 48KB) 
This checklist for hospitals and prenatal providers outline appropriate in-hospital care including lab tests and medications for laboring mothers and their newborns  These checklists can be used for documentation in the hospital or prenatal medical record.  This document is designed for physicians, nurses and other healthcare professionals.  It is not intended for the general public.  It contains terms, abbreviations and acronyms specific to the field of healthcare.

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Screening and Management of Maternal HIV Infection: Implications for Mother and Infant 2008 (PDF, 542 KB, 68 pages)
This best practice guide includes information on HIV counseling and testing during pregnancy, perinatal transmission risk and diagnostic tests.  It also includes the Centers for Disease control and Prevention classification of disease, HIV reporting requirements, medications and treatment during pregnancy, labor, delivery and postpartum, newborn treatment and consultation and referral information. This document is designed for physicians, nurses and other healthcare professionals.  It is not intended for the general public.  It contains terms, abbreviations and acronyms specific to the field of healthcare.

Guidelines for the Management of Occupational Exposures to HIV and Recommendations for Postexposure Prophylaxis
This U.S. Public Health Service report updates recommendations for the management of occupational exposure incidents involving to blood and other body fluids.  Exposure management principles have not changed.  However, recommended HIV post exposure prophylaxis regimens have changed. This report emphasizes adherence to treatment, consulting with experts to manage exposures, following up with individuals to improve treatment adherence, and monitoring for adverse events.

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CDC Guidelines for Prevention and Treatment of Opportunistic Infections in HIV-Infected Adults and Adolescents, MMWR March 24, 20090/ 58; 1-198 (You will leave this site).
This report updates and combines earlier versions of guidelines for the prevention and treatment of opportunistic infections in HIV-infected adults and adolescents, last published in 2002 and 2004, respectively.  The guidelines are intended for use by clinicians and other health-care providers, HIV-infected patients, and policy makers in the United States.  Topic areas  include:

• epidemiology
• clinical manifestations diagnosis
• prevention of exposure
• prevention of disease by chemoprophylaxis and vaccination
• discontinuation of primary prophylaxis after immune reconstitution
• treatment of disease
• monitoring for adverse effects during treatment
• management of treatment failure
• prevention of disease recurrence
• discontinuation of secondary prophylaxis after immune reconstitution
and special considerations during pregnancy

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Appendix B: Management of Occupational Blood Exposures
This provides a short outline of what actions to take if exposed to blood.

CDC HIV Counseling with Rapid Tests Information (You will leave this site...)
Webpage with information and guidance for HIV Rapid Testing

Washington State Rapid HIV Testing Guide (PDF, 239KB)
This document has suggestion on how to determine capacity for providing HIV Testing as well as describing Washington State regulations regarding HIV Rapid Testing.
 

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RCW 70-24 - Control and Treatment of Sexually Transmitted Diseases