Developed with support and collaboration from the Centers for Disease Control and Prevention, the following tools support the implementation of routine HIV screening within health center dental practices. They are available for download and can be adapted for use in your health center. Please note that these tools align with tools developed for health center medical practices as described in Integrating HIV Screening into Routine Primary Medical and Dental Care: A Health Center Model. Dental clinics interested in starting a routine HIV screening program might want to explore the step-by-step process detailed in the Model, as much will be relevant and applicable.
Routine Testing Flow Sheet: This one-page form captures and documents key information for each patient offered an HIV test through a health center's routine HIV screening process. This simple tool can be used as is or modified to meet local data collection and dental record documentation needs. While the form is not specific to dental and some response options may not be relevant, dental practices have chosen to use it so that the information they collect is compatible with and comparable to that collected in the medical practices of their health centers as well as other health centers in their state and nationally. Revision date: 11/06/2010.
HIV Test Results Log: This one-page form records the result of each HIV test performed in a health center. This version of the tool can be used for the Uni-Gold, OraQuick and Clearview rapid HIV tests. Revision date: 10/01/2008.
Control Results Log: This one-page form records the details of all internal and external test controls that are performed. This version of the tool can be used for the Uni-Gold, OraQuick and Clearview rapid HIV tests. Revision date: 10/01/2008.
Dental Patient Brochure – English: This two-page brochure provides dental patients with simple and clear information about HIV/AIDS and oral HIV rapid testing. It is written at a reading level that is accessible to most health center patients. The patient brochure is ready to be modified for use by any health center dental practice and is easy to print. Revision date: 03/18/2010. This brochure also is available in Spanish. Revision date: 03/18/2010.
Dental How to Offer Routine HIV Screening: This two-page document provides sample language that dental hygienists and providers can use to discuss routine HIV screening and offer an oral rapid HIV test to a dental patient. Revision date: 03/18/2010.
Dental Negative Rapid HIV Test Result Handout – English: This one-page document provides sample language that dental hygienists and providers can use when delivering negative rapid HIV test results to a dental patient. The document can also be formatted as a handout to give to the patient. Dental practices can include their address and phone number as well as the number for the state AIDS hotline. Revision date: 03/18/2010. This handout also is available in Spanish. Revision date: 03/18/2010.
Dental Reactive Rapid HIV Test Result Handout – English: This one-page document provides sample language that dental providers can use when delivering reactive rapid HIV test results to a dental patient. The document can also be formatted as a handout to give to the patient. Dental practices can include their address and phone number as well as the number for the state AIDS hotline. Revision date: 03/18/2010. This handout also is available in Spanish. Revision date: 03/18/2010.
Dental Patient Visit Flow Process for Routine HIV Screening: This flow chart depicts a dental visit with routine HIV screening incorporated into the vitals/intake portion of the visit. This model has been successfully used by health centers in states with both opt out and opt in testing laws and can be used as is or as a starting point for developing a patient visit flow process that fits the circumstances of your health center’s dental practice. Revision date: 04/2010.
HIV Screening Algorithm: This document graphically depicts a process for responding to reactive and negative HIV rapid test results within the patient visit as well as the process for responding to Western Blot confirmatory test results. This algorithm can be used in conjunction with the Post Test Counseling & Referral Algorithm (below), which depicts the involvement of local Disease Intervention Specialists in delivering test results. Revision date: 10/01/2008.
Post Test Counseling & Referral Algorithm: This document graphically depicts the role of local Disease Intervention Specialists in the community health center's response to reactive rapid HIV test results and Western Blot confirmatory test results. This algorithm can be used in conjunction with the HIV Screening Algorithm, above. Revision date: 11/13/2008.
Reactive Tracking Tool: This one-page tracking tool can be established for each patient who has a reactive HIV rapid test result. The tool tracks confirmatory testing, notification to a Disease Intervention Specialist (DIS), linkages to appropriate care and test results after diagnosis. Revision date: 11/06/2010.
