ORAQUICK RAPID HIV TEST

1
ORAQUICK RAPID HIV TEST

• Medical Center of Louisiana
• Cynthia Eicher, MHS MT(ASCP)SBB
• Denise Friloux, RN, BSN, CIC

2
Getting Started

• Who was at the table
• Laboratory Leadership
• Registration
• IT
• Patient Billing
• Emergency Room Leadership (RN and MD)
• HOP clinic leadership
• Infection Control

3
Timeline

• Pre implementation Meetings Nov 2007
• Planning Meetings Nov- January 2007
• Kick Off 02/12/07 in ED
• Biweekly check in meetings for refinement
• Modifications oral fluid specimens added
  4/16/08
• Overall 3 months from contemplation to
  implementation

4
ED Approach

• Promoted at triage
• Collected in the E.D.
• Processed in the Blood Bank
• Posted in CLIQ
• Results delivered and need for f/u with Western
  Blot if initial oral fluid positive
• Infection Control f/u with WB results counseling

5
HOP clinic

• Significant others only
• Clinician offers
• Quick registration process
• Health educators perform the test
• If positive, Western Blot drawn and sent to the
  lab
• Infection Control f/u with WB results counseling

6
Considerations

• Laboratory oversight
• Training and education of staff
• Notification of results and follow up
• Patient referral information
• Oversight of quality

7
Statistics
8
INFECTION PREVENTION CONTROL STATS PATIENT
FOLLOW-UP STATUS
9
Successes

• MCL has higher seropositivity (2.34) than any
  other OPH-sponsored testing site (highest 1.5)
  and all other HIV testing sites (overall .91) in
  the metropolitan area.
• We are offering a service to our patients and
  helping people with HIV get into care.

10
Acknowledgments

• Louisiana Office of Public Health HIV/AIDS
  Program CDC funded Fall 2007 for 3 years
• Blood Bank staff
• Infection Control Staff
• Lab Core Group staff
• Emergency and HOP staff
• MCL and HQ Registration staff
• MCL and HQ IT staff
• Michael Heath OraSure Technologies

11
GET TESTED!!!