2.50
Hdl Handle:
http://hdl.handle.net/10755/162541
Type:
Presentation
Title:
Implementation of Rapid HIV Screening in the Emergency Department Setting
Abstract:
Implementation of Rapid HIV Screening in the Emergency Department Setting
Conference Sponsor:Emergency Nurses Association
Conference Year:2009
Author:Raup, Glenn, RN, PhD, MSN, CAN-BC
P.I. Institution Name:John Peter Smith Hospital
Title:Sr. Executive Director
Contact Address:1575 S. Main Street, Ft. Worth, TX, 76104, USA
Co-Authors:Kathy O'Dell, RN, MS
[Annual Conference] Clinical Topic: Frequently undiagnosed, untreated patients infected with HIV visit Emergency Department (ED) settings for both episodic and primary care. According to the CDC, adult patient's utilizing the ED represent a population that may benefit from a timely HIV diagnoses that are made at these ED visits when screening practices are implemented. This poster presentation will outline best practices and key strategies that were used in the selection, implementation and optimization of rapid HIV testing among adult patients seen in the ED of an integrated county health care system.

Implementation: In 2005, an ED HIV screening program was implemented in a community, urban teaching hospital which is one of two Level 2 trauma centers in North Texas. The hospital is licensed for 546 beds and there are 72,000+ ED visits annually. Retrospective data was analyzed to examine the initial presenting chief complaint for patients who tested positive for HIV in the ED setting. Guidelines were implemented based on CDC recommendations for HIV testing of high risk patients.

Outcomes: Results indicate seropositivity prevalence is around 1-1.5% in the ED. HIV prevalence rates were 57.5% among blacks, 26.8% among whites, and 13.6% among Hispanics and substantially lower for Asian and Native Americans. The incidence of new HIV diagnoses was 51 in 2006, 98 in 2007 and 117 in 2008.

Recommendations: According to CDC, HIV disproportionally effects populations without a primary health care provider. Implementation of a coordinated, systematic HIV Point of Care screening program in the ED setting will produce an improvement in quality of care through early detection and referral into treatment for HIV positive patients.

Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleImplementation of Rapid HIV Screening in the Emergency Department Settingen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162541-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Implementation of Rapid HIV Screening in the Emergency Department Setting</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Raup, Glenn, RN, PhD, MSN, CAN-BC</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">John Peter Smith Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Sr. Executive Director</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">1575 S. Main Street, Ft. Worth, TX, 76104, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">GRaup@JPSHealth.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Kathy O'Dell, RN, MS</td></tr><tr><td colspan="2" class="item-abstract">[Annual Conference] Clinical Topic: Frequently undiagnosed, untreated patients infected with HIV visit Emergency Department (ED) settings for both episodic and primary care. According to the CDC, adult patient's utilizing the ED represent a population that may benefit from a timely HIV diagnoses that are made at these ED visits when screening practices are implemented. This poster presentation will outline best practices and key strategies that were used in the selection, implementation and optimization of rapid HIV testing among adult patients seen in the ED of an integrated county health care system.<br/><br/>Implementation: In 2005, an ED HIV screening program was implemented in a community, urban teaching hospital which is one of two Level 2 trauma centers in North Texas. The hospital is licensed for 546 beds and there are 72,000+ ED visits annually. Retrospective data was analyzed to examine the initial presenting chief complaint for patients who tested positive for HIV in the ED setting. Guidelines were implemented based on CDC recommendations for HIV testing of high risk patients. <br/><br/>Outcomes: Results indicate seropositivity prevalence is around 1-1.5% in the ED. HIV prevalence rates were 57.5% among blacks, 26.8% among whites, and 13.6% among Hispanics and substantially lower for Asian and Native Americans. The incidence of new HIV diagnoses was 51 in 2006, 98 in 2007 and 117 in 2008.<br/><br/>Recommendations: According to CDC, HIV disproportionally effects populations without a primary health care provider. Implementation of a coordinated, systematic HIV Point of Care screening program in the ED setting will produce an improvement in quality of care through early detection and referral into treatment for HIV positive patients. <br/><br/></td></tr></table>en_GB
dc.date.available2011-10-27T10:29:56Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:29:56Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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