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Documents/Forms/Educational Tools
Title
Description
Category
Modified Date
Sample Hospital Orders HIV Exposed Newborn
Sample hospital orders for the HIV exposed newborn which includes AZT dosing, baseline labs, reporting and follow-up. May be modified as needed
Clinical
10/19/2009
Download
Prenatal Record Includes HIV Testing
Sample prenatal record that includes required third trimester HIV testing
Clinical
10/19/2009
Download
Statement of Objection to HIV/STD Testing/Generic
This form includes information to assist patients with making an informed decision and asks them to acknowledge this.
Clinical
12/8/2009
Download
Sample Policy & Procedure for Rapid Testing in Labor & Delivery
Sample 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.
Clinical
10/19/2009
Download
Statement of Objection in Spanish/DOH
Florida DOH statement of objection to HIV/STD testing in Spanish
Clinical
12/8/2009
Download
Statement of Objection in English/DOH
Florida DOH statement of objection to HIV/STD testing in English
Clinical
12/8/2009
Download
Statement of Objection in Creole/DOH
Florida DOH statement of objection to HIV/STD testing in Hatian Creole
Clinical
12/8/2009
Download
Medical History
Sample prenatal medical history, includes HIV/STD
Clinical
10/19/2009
Download
Map of Exposed Births 2008
Florida county map depicting where exposed babies were born.
Florida Statistics
2/25/2010
Download
Map of Exposed Births 2009
Florida county map depicting where exposed babies were born.
Florida Statistics
2/25/2010
Download
Map of Infected Infants 2005-2009
Florida county map depicting where infected babies were born.
Florida Statistics
2/25/2010
Download
Definitions of Commonly Used Terms
A list of commonly used terms related to HIV and AIDS
For Your Information
12/8/2009
Download
FDA Approved Rapid HIV Screening Test Chart
Current comparison chart of the FDA approved rapid HIV screening tests.
For Your Information
12/8/2009
Download
Florida 64D-3.042 STD Testing Related to Pregnancy
Excerpt of FAC 64D-3 specific to HIV/STD testing in pregnancy.
Laws
10/19/2009
Download
Florida 64D-3
FAC 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 10
Laws
10/19/2009
Download
Practitioner Reporting Packet
Health care practitioner reporting guidelines of notifiable diseases and conditions, revised November 24, 2008.
Reporting
12/8/2009
Download
Practitioner List of Reportable Diseases or Conditions in Florida
Easy to follow printable guide for your office or clinic
Reporting
10/19/2009
Download
Florida HIV/AIDS Surveillance Contacts for Reporting Cases
Detailed list includes surveillance area, counties, and direct contact information
Reporting
12/8/2009
Download
Practitioner Single Disease Reporting Form
Reporting
12/8/2009
Download
HIV Testing in Health Care Settings: Implementing the CDC Recommendations in Florida Emergency Departments
Educational tool to assist with implementing rapid HIV testing in hospital ED.
Slides
11/9/2009
Download
Educational Tools
Title
Description
Modified Date
A PRODUCT ORDER FORM
Simply complete the on-line order form and submit, or print the order form and fax to (813) 974-8451. Products and shipping are free.
12/7/2009
Download
HIV/STD Testing can save your baby's life - English
Patient resource for use in the hospital or office reinforces the importance of HIV/STD testing in pregnancy to prevent mother-to-infant transmission.
12/7/2009
Download
HIV/STD testing can save your baby's life - Spanish
Professionally translated patient resource for use in hospital or office reinforces the importance of HIV/STD testing in pregnancy to prevent mother-to-infant transmission.
12/7/2009
Download
HIV/STD testing can save your baby's life- Creole
Professionally 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.
12/7/2009
Download
Perinatal Poster - Creole
18x24 color poster suitable for framing.
11/9/2009
Download
Perinatal Poster - English
Attractive educational tool for office and hospital waiting rooms, hallways, or patient rooms.
11/9/2009
Download
Perinatal Poster - Spanish
Educational tool to assist patients in making informed decisions about HIV/STD testing in pregnancy.
11/9/2009
Download
Preventing Perinatal Transmission DVD
Intended 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 tra
11/9/2009
Download
Rapid Testing Flip Chart - Creole
Spiral bound flip chart to facilitate patient and provider education in the L&D unit
11/9/2009
Download
Rapid Testing Flip Chart - English
This educational tool is based on Florida HIV/STD testing laws
11/9/2009
Download
Rapid Testing Flip Chart - Spanish
Contains the necessary information for patient to make an informed decision about HIV/STD testing
11/9/2009
Download
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