Ver el código de «HIV testing (in California)»

==Background==
*Consent requirements for HIV testing from state to state
*In California, California Health and Safety Code Section 120990 speaks to this issue

==Requirements Before Ordering The Test<ref>California Health and Safety Code Section 120990</ref>==
*Prior to ordering a test that identifies infection of a patient with HIV, a medical care provider shall:
**Inform the patient he/she will be tested for HIV
**Provide information about the test
**Inform that if positive, there are numerous treatment options available 
**Inform that if negative, the patient should continue to be routinely tested
*Advise the patient that he/she has the right to decline the test
*Document whether the informed consent was written or verbal
*Provide the results to the patient in timely  manner with and counseling and contact for medical/psychological follow up

==Difficult Situations==
*[[Occupational Exposure]]
**The exposed has to seek evaluation by a physician (not him/herself) for evaluation to determine if "significant exposure." 
**Significant exposure "means direct contact with blood or other potentially infectious materials of a patient in a manner that, according to the then applicable guidelines of the Division of Occupational Safety and Health, is capable of transmitting a communicable disease (subdivision (h) of Section 120261.)
**The treating physician has to certify by documenting that a significant exposure occurred
**A test for HIV on the exposed has to be done and confirmed before a test on the source patient can be done without consent
**The attending physician for the exposed can then test the patient without his consent
**This test can be performed on any available blood or other tissue sample
**If the source patient died, the source patient's blood can be obtained and tested regardless of any consenting
**If the patient is living and there is no blood sample and the patient refuses to allow for a blood sample to be obtained, it appears that this is not permitted except as otherwise authorized by law
**The source patient has the option not to be informed of the results
**If he/she does not want to be informed of the results, the results cannot be documented in his/her chart
**The exposed patient cannot directly attempt to obtain informed consent from the source patient
**Costs of the testing will be assumed by the employer of the exposed patient
*A medical provider can order an HIV test on a cadaver, or when autopsy will be performed, or when body parts may be donated (Section 7150)

==External Links==
[http://www.leginfo.ca.gov/cgi-bin/displaycode?section=hsc&group=120001-121000&file=120260-120263 California Health and Safety Code Section 120990]

==See Also==
*[[HIV - AIDS (Main)]]
*[[HIV post-exposure prophylaxis]]

==References==
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[[Category:ID]]