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Documents/Forms/Educational Tools

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 TitleDescriptionCategoryModified Date 
Medical HistorySample prenatal medical history, includes HIV/STDClinical4/13/2010Download
Intrapartum Management of all HIV positive women.Sample policy and procedure written at Desoto Memorial Hospital.Clinical7/12/2010Download
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.Clinical6/10/2010Download
Prenatal Record Includes HIV TestingSample prenatal record that includes required third trimester HIV testingClinical4/13/2010Download
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 neededClinical4/13/2010Download
Sample Rapid HIV Testing PolicyDesoto Memorial Hospital policy for care of women admitted to L&D with unknown/undocumented HIV status.Clinical7/12/2010Download
Statement of Objection in English/DOHFlorida DOH statement of objection to HIV/STD testing in EnglishClinical4/13/2010Download
Statement of Objection in Spanish/DOHFlorida DOH statement of objection to HIV/STD testing in SpanishClinical4/13/2010Download
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.Clinical4/13/2010Download
Treatment Neonatal HIV Exposed NewbornSample policy and procedure for care of exposed newborn, Desoto Memorial Hospital.Clinical7/12/2010Download
Statement of Objection in Creole/DOHFlorida DOH statement of objection to HIV/STD testing in Hatian CreoleClinical4/13/2010Download
Map of Infected Infants 2005-2009Florida county map depicting where infected babies were born.Florida Statistics4/13/2010Download
Map of Exposed/Infected Births 2009Florida county map depicting where exposed and infected babies were born.Florida Statistics6/10/2010Download
Map of Exposed/Infected Births 2008Florida county map depicting where exposed and infected babies were born.Florida Statistics4/13/2010Download
FDA Approved Rapid HIV Screening Test ChartCurrent comparison chart of the FDA approved rapid HIV screening tests.For Your Information4/13/2010Download
Definitions of Commonly Used TermsA list of commonly used terms related to HIV and AIDSFor Your Information4/13/2010Download
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 10Laws4/13/2010Download
Florida 64D-3.042 STD Testing Related to PregnancyExcerpt of FAC 64D-3 specific to HIV/STD testing in pregnancy.Laws4/13/2010Download
Practitioner List of Reportable Diseases or Conditions in FloridaEasy to follow printable guide for your office or clinicReporting10/19/2009Download
Practitioner Reporting PacketHealth care practitioner reporting guidelines of notifiable diseases and conditions, revised November 24, 2008.Reporting4/13/2010Download
Practitioner Single Disease Reporting Form Reporting4/13/2010Download
Florida HIV/AIDS Surveillance Contacts for Reporting CasesDetailed list includes surveillance area, counties, and direct contact informationReporting4/13/2010Download
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.Slides4/13/2010Download
  

Perinatal Products - Order Here

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 TitleDescriptionCategoryModified Date
A PRODUCT ORDER FORMSimply print it, fill it out, and fax it toll free to (866) 266-0505. Materials and shipping are free. 6/28/2010
HIV/STD Testing can save your baby's life - EnglishPatient brochure for use in the hospital or office reinforces the importance of HIV/STD testing in pregnancy to prevent mother-to-infant transmission.Brochure5/24/2010
HIV/STD testing can save your baby's life - SpanishProfessionally translated patient brochure for use in hospital or office reinforces the importance of HIV/STD testing in pregnancy to prevent mother-to-infant transmission.Brochure6/1/2010
HIV/STD testing can save your baby's life- CreoleProfessionally translated patient brochure for use in the hospital or office reinforces the importance of HIV/STD testing in pregnancy to prevent mother-to-infant transmission.Brochure6/1/2010
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 traDVD5/24/2010
HIV/STD Testing can save your baby's life - CreoleThis 18x24 color poster is suitable for framing and displaying in all clinical settings to educate on the importance of HIV/STD testing in pregnancy.Poster5/18/2010
HIV/STD Testing can save your baby's life - EnglishAttractive educational tool for office and hospital waiting rooms, hallways, or patient rooms.Poster5/18/2010
HIV/STD Testing can save your baby's life - SpanishEducational tool to assist patients in making informed decisions about HIV/STD testing in pregnancy.Poster5/18/2010
Perinatal HIV Testing Law Poster - CreoleGlossy 16x20 poster, suitable for framing, patient education explains Florida's routine prenatal HIV/STD testing law in Haitian Creole.Poster5/18/2010
Perinatal HIV Testing Law Poster - EnglishGlossy 16x20 poster, suitable for framing, patient education explains Florida's routine prenatal HIV/STD testing law.Poster5/18/2010
Perinatal HIV Testing Law Poster - SpanishGlossy 16x20 poster, suitable for framing, patient education explains Florida's routine prenatal HIV/STD testing law in Spanish.Poster5/18/2010
Rapid Testing Flip Chart - CreoleSpiral bound flip chart to facilitate patient and provider education in the L&D unit. Specify either 4x5 or 9x11. When viewing, these files have 10 pages.Rapid Testing5/24/2010
Rapid Testing Flip Chart - EnglishThis educational tool is based on Florida HIV/STD testing lawsRapid Testing5/18/2010
Rapid Testing Flip Chart - SpanishContains the necessary information for patient to make an informed decision about HIV/STD testingRapid Testing5/18/2010
  
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