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 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.
Dental 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. Should there be a desire to make the Flow Sheet dental specific, response options for Question 5 could read as follows: Preventive Dental Visit; Acute Dental Visit; Surgery; Other. Additionally, the second response option in Question 8 could be changed from ‘nurse’ to ‘hygienist/assistant’. Revision date: 03/18/2010.
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.
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: 11/11/2008.
Protocol for Routine HIV Screening in an Ohio Health Center: This five-page document contains the protocol used by one Ohio health center participating in a rapid HIV testing and data collection initiative at the state level. Rapid HIV testing is conducted in the center's dental and primary care clinics. Revision date: 09/18/2008.
Dental Patient Assessment Tool—English: This two-page document contains a questionnaire that dental practices can use to assess if patients would be accepting of rapid HIV testing as part of the dental visit. A patient assessment prior to launching a routine HIV screening program could be helpful to determine patient opinion and guide implementation decisions accordingly. Revision date: 05/27/09. This tool also is available in Spanish. Revision date: 06/16/2009.
Dental Patient Experience Tool—English: This two-page document contains a questionnaire that dental practices can use to assess patients’ experiences with rapid HIV screening as part of the dental visit. Results can be helpful for monitoring an existing routine HIV screening program and making implementation adjustments as needed. Revision date: 05/27/2009. This tool also is available in Spanish. Revision date: 06/01/2009.
