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N.C. Deparmnent of Environment, Health, and Natural Resources <br />Division of General Services <br />CONTRACT ADDENDUM <br />HIV /SID Control <br />Office, Section, or Branch <br />Orange Comty Health Dg2Mmmt <br />Contractor <br />iilV COUNSELING AND TESTING PROGRAM PLAN <br />ORANGE COUNTY HEALTH DEPARTMENT <br />Page 3 of 5 <br />FY 1991 -1992 <br />92- 5222-068 <br />Contract Number <br />HIV Control <br />Activity <br />A. All staff with primary responsibility for HIV antibody <br />counseling and testing will receive training and continuing <br />education by the HINiSTD Control Branch or by local staff who <br />were trained by Branch staff. <br />i.F. All pi-e-- arid. post --test counseling will be conducted per the <br />i,eco:;_r:endations issued by the HIV /STD Control Branch. This, <br />Counseling will include i_adividual i.zed counseling sessions, <br />personalized risk assess_Ient and risk reduction guidelines, <br />advantages and disadvantages of testing, accuracy and limits <br />of testing, interpretation of test results. Individuals who <br />are HIV positive will be advised of HIV control measures and <br />notification of set; and needle -- sharing partners. Referrals <br />to HIV,/STD Control Branch partner notification and <br />appropriate medical and psychosocial services will be =rude. <br />Infor!l;ed. consent will be obtained prior to testing. Po.�itive <br />confidential tests will be reported on the con-i:nunicable <br />disease report Card within , days. Positive anonymous tests <br />will be reported throuGh the State Laboratory of Public <br />Health. <br />I.C. HIV antibody test results will be opened only by trained HIV <br />counselors, nurse practitioners and, public health nurses. <br />Written release of information i4 required before <br />confidential HIV test results will be released except as <br />required by law. All HIV test records and patient records <br />will be stored in locked facilities. <br />I.D. Flan of Operation <br />1:) Iilforrning clients of availability of service: posters; <br />Ijv.11etin boards, brochures—, individual risk assessment <br />during STDJFP /`tatei-nal Health/TB/Pregnancy determination <br />interviews (especially worsen of childbearing age, <br />adolescents, :r;lnoritle_s, drug users and gay/bisexual <br />ell . <br />D HNR 3300 (Revised 2/90) <br />General Services Division (Review 1/95) <br />Reviewed by <br />Initials <br />Date <br />