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 HIV TESTING IN THE DENTAL CHAIR: TECHNICAL ASSISTANCE MANUAL

One of the newest and most exciting forms of education offered by the NY/NJ AETC Oral Health Regional Resource Center (OHRRC) is "HIV Testing in the Dental Chair."

The Centers for Disease Control (CDC) currently recommends that all people ages 13-64 be tested for HIV. Oral tests can easily be performed chairside by dental professionals and their staff as part of routine dental care. The OHRRC is available to train dental professionals on the use and implementation of this valuable service in New York and New Jersey and can provide assistance to other states as requested. Trainings are available for private office, dental clinic, community health center, dental school, or other settings at your convenience.

The technical assistance manual is primarily focused on New York State implementation but can be adjusted to fit individual state requirements.

Dental providers interested in establishing HIV testing in their clinical setting may use the HIV Testing in the Dental Chair Algorithm as a planning tool. Information to guide each step in the process is outlined by section in the HIV Testing in the Dental Chair: Technical Assistance Manual. You may click on the links below to access the resources in each section. In addition to this manual, the AETC OHRRC offers personalized technical assistance to facilitate the process. Our technical assistance team can also assist in establishing the necessary linkages between medical and dental health providers. The contact information for personalized assistance can be found in Section 7. We welcome the opportunity to assist you.

Section 1: Self-Assessment Form

Considering Whether to Implement a Rapid Testing Program

This generic self administered tool will assist you in the decision making process of whether your agency is ready to begin the process of implementing HIV testing. In addition, the completion of the form should generate questions you might not have thought of previously and will help facilitate discussion with your technical assistance representative assisting you in the process.

Using Rapid HIV Testing Technology: A Self-Assessment for Agencies

Section 2: Protocols

Most institutions that will be implementing HIV testing will be required, in some form, to have protocols in place before beginning. This section has a couple of sample protocols that would be easily adaptable for your use.

New York State Resources

Developing Protocols for Limited Service Laboratories Seeking to Offer Rapid HIV Testing in New York State (PDF Document 2/09)

Sample Protocols

HIV Rapid Test Protocol in the Dental Setting (Word Document)

Memorandum of Understanding Template (Word Document)

Section 3:   CLIA/CLEP Applications

When implementing rapid HIV testing, regardless of location, any rapid HIV test has been determined to be a CLIA waived test, meaning you do not have to be an approved clinical laboratory to conduct testing. Your agency is required to apply for a waiver to do the testing. Forms available in this section are Federal forms that must be submitted to a specific government agency in your respective state. New York State information is included below.

Waiver Applications

Centers for Disease Control and Prevention (CDC) CLIA Certificate of Waiver Fact Sheet

Clinical Laboratory Improvement Amendments (CLIA) Application for Certification. Form CMS-116 (10/07)

New York State Resources

NY State Department of Health Initial Limited Service Laboratory Registration Application and Instructions (02/09)

New York State Waiver Applications Information (Word Document)

Section 4:  Implementation Guidelines

This section provides sample implementation guidelines to assist you in the process of establishing a testing site in New York State. These guidelines could easily be adapted to other states. Included in the section is a sample recording log provided by one of the manufacturers of rapid test kits

New York State Resources

Rapid HIV Testing Workbook and Implementation Guidelines for Limited Testing Facilities in New York State

Sample Recording Forms

OraQuick ADVANCE HIV 1/2 Quality Control Log (Excel Document)

Section 5:  Test Kits

The document provided below provides a listing of FDA approved HIV test kits.

Resources

Available Rapid HIV Tests Card (PDF Document)

Dental Registration Form (Word Document)

Wadsworth Center Laboratory Clinical Testing Requisition (Highlighted PDF Document)

Wadsworth Center Laboratory Clinical Testing Requisition (PDF Document)

New York State Resources

OraSure Technologies Representatives (PDF Document)

Section 6: Test Reporting

This section contains New York State specific information on HIV positive test result reporting and how to utilize Partner Notification Services.

New York State Resources

New York State Test Reporting

Section 7: Technical Assistance

If you would like more information or technical assistance on implementing HIV testing in the dental chair in New York and New Jersey please contact Howard Lavigne or Cheryl Stolarski at the Oral Health Regional Resource Center. For those persons accessing this manual outside of New York or New Jersey, we can still assist you in the process.

Please contact the Oral Health Regional Resource Center:

Howard Lavigne
Office: (315) 477-8479    Cell: (315) 380-1632

Cheryl Stolarski, DMD
Phone: (914) 391-4883

Section 8:   Training

If you are looking for training in the NY/NJ region, please contact the NY/NJ AETC Central office at (212) 304-5530 or by email: nynjaetc@columbia.edu.  Information on our training sites is available below.

NY/NJ AETC Local Performance Sites

If you are outside the NY/NJ region, please contact your AETC for technical assistance and clinical training in your region.

AIDS Education and Training Centers

Other Training Resources

HIV Testing in Dental Clinics: Video Resource by Karl Hoffmann, DDS

Educational trainings are also available for non-clinical providers as well as resources to offer necessary referrals to the patient. Feel free to access this information, updated regularly, through the website below.

New York State Department of Health Information on Training for Non-Clinical Providers

Section 9: Testing Laws and Approved Forms

This section provides resources on state testing laws, including a synopsis of the recently enacted HIV testing law in New York State as well as model forms and Q&A sheets.

National Resources

National HIV/AIDS Clinicians' Consultation Center (NCCC) Compendium of Testing Laws

Note: Please check the compendium for testing laws in your area.

New York State Resources

NY State Department of Health HIV Testing Laws

NY State Department of Health HIV Testing Forms

New Jersey Resources

NCCC Reference Guide to New Jersey Testing Laws

Section 10:  Q&A

This section provides a listing of frequently asked Q&A regarding Rapid HIV testing. This tool will answer a number of questions compiled during the testing implementation process.

New York State Resources

Frequently Asked Questions (FAQs) Concerning Rapid Testing for HIV

New Jersey Resources

Frequently Asked Questions (FAQs) from the New Jersey Department of Health and Senior Services

Section 11: Brochures/Posters

Online Brochures, Booklets and Posters

Testing in the Dental Chair Poster (PDF Document)

New York State Resources

More resources including educational brochures and posters are available through the New York State Department of Health website.

New York State Department of Health AIDS Institute Resources

Section 12: HIV Clinical Providers in the NY/NJ Region

New York State Resources

New York Sate law requires that any provider that deems a patient preliminary positive (reactive test result) must provide a referral for follow-up confirmatory testing for HIV. The link below provides a listing of the Designated AIDS Centers in NYS that are available to do the confirmatory testing.

List of New York State Designated AIDS (DAC) Administrators-Medical Directors by Region

New Jersey Resources

New Jersey Department of Health and Senior Services HIV/AIDS Resources

Web resources provided by the New York State Department of Health AIDS Institute.

If interested in implementing or just need questions answered,
please contact:

Oral Health RRC Program Director

Howard Lavigne

Email: Howard Lavigne
Phone: (315) 477-8479

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