Documents/Forms/Educational Tools

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 TitleDescriptionCategoryModified Date 
Sample Hospital Orders HIV Exposed NewbornSample hospital orders for the HIV exposed newborn which includes AZT dosing, baseline labs, reporting and follow-up. May be modified as neededClinical10/19/2009Download
Prenatal Record Includes HIV TestingSample prenatal record that includes required third trimester HIV testingClinical10/19/2009Download
Statement of Objection to HIV/STD Testing/GenericThis form includes information to assist patients with making an informed decision and asks them to acknowledge this.Clinical12/8/2009Download
Sample Policy & Procedure for Rapid Testing in Labor & DeliverySample policy for rapid testing in labor and delivery and reporting of exposed newborns. This policy and procedure is based on Florida law and can be modified to meet facility requirements.Clinical10/19/2009Download
Statement of Objection in Spanish/DOHFlorida DOH statement of objection to HIV/STD testing in SpanishClinical12/8/2009Download
Statement of Objection in English/DOHFlorida DOH statement of objection to HIV/STD testing in EnglishClinical12/8/2009Download
Statement of Objection in Creole/DOHFlorida DOH statement of objection to HIV/STD testing in Hatian CreoleClinical12/8/2009Download
Medical HistorySample prenatal medical history, includes HIV/STDClinical10/19/2009Download
Map of Exposed Births 2008Florida county map depicting where exposed babies were born.Florida Statistics2/25/2010Download
Map of Exposed Births 2009Florida county map depicting where exposed babies were born.Florida Statistics2/25/2010Download
Map of Infected Infants 2005-2009Florida county map depicting where infected babies were born.Florida Statistics2/25/2010Download
Definitions of Commonly Used TermsA list of commonly used terms related to HIV and AIDSFor Your Information12/8/2009Download
FDA Approved Rapid HIV Screening Test ChartCurrent comparison chart of the FDA approved rapid HIV screening tests.For Your Information12/8/2009Download
Florida 64D-3.042 STD Testing Related to PregnancyExcerpt of FAC 64D-3 specific to HIV/STD testing in pregnancy.Laws10/19/2009Download
Florida 64D-3FAC 64D-3. Updated and effective on 11/24/08. Changes in 64D-3.029 Diseases or Conditions to be Reported. HIV reporting exposed infants see page 10Laws10/19/2009Download
Practitioner Reporting PacketHealth care practitioner reporting guidelines of notifiable diseases and conditions, revised November 24, 2008.Reporting12/8/2009Download
Practitioner List of Reportable Diseases or Conditions in FloridaEasy to follow printable guide for your office or clinicReporting10/19/2009Download
Florida HIV/AIDS Surveillance Contacts for Reporting CasesDetailed list includes surveillance area, counties, and direct contact informationReporting12/8/2009Download
Practitioner Single Disease Reporting Form Reporting12/8/2009Download
HIV Testing in Health Care Settings: Implementing the CDC Recommendations in Florida Emergency DepartmentsEducational tool to assist with implementing rapid HIV testing in hospital ED.Slides11/9/2009Download

Educational Tools

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 TitleDescriptionModified Date 
A PRODUCT ORDER FORMSimply complete the on-line order form and submit, or print the order form and fax to (813) 974-8451. Products and shipping are free.12/7/2009Download
HIV/STD Testing can save your baby's life - EnglishPatient resource for use in the hospital or office reinforces the importance of HIV/STD testing in pregnancy to prevent mother-to-infant transmission.12/7/2009Download
HIV/STD testing can save your baby's life - SpanishProfessionally translated patient resource for use in hospital or office reinforces the importance of HIV/STD testing in pregnancy to prevent mother-to-infant transmission.12/7/2009Download
HIV/STD testing can save your baby's life- CreoleProfessionally translated patient resource for use in the hospital or office reinforces the importance of HIV/STD testing in pregnancy to prevent mother-to-infant transmission.12/7/2009Download
Perinatal Poster - Creole18x24 color poster suitable for framing.11/9/2009Download
Perinatal Poster - EnglishAttractive educational tool for office and hospital waiting rooms, hallways, or patient rooms.11/9/2009Download
Perinatal Poster - SpanishEducational tool to assist patients in making informed decisions about HIV/STD testing in pregnancy.11/9/2009Download
Preventing Perinatal Transmission DVDIntended for providers to use as an educational tool for newly identified HIV positive pregnant women. Easy to use on portable DVD or laptop, this DVD discusses the importance of antiretroviral therapy to prevent mother-to-child transmission. Includes tra11/9/2009Download
Rapid Testing Flip Chart - CreoleSpiral bound flip chart to facilitate patient and provider education in the L&D unit11/9/2009Download
Rapid Testing Flip Chart - EnglishThis educational tool is based on Florida HIV/STD testing laws11/9/2009Download
Rapid Testing Flip Chart - SpanishContains the necessary information for patient to make an informed decision about HIV/STD testing11/9/2009Download
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