Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 11 - Human Immunodeficiency Virus (HIV) Infection and Acquired Immune Deficiency Syndrome (AIDS) › Rule 641-11.24 - Exposures in Clinical Settings

Current through Register Vol. 47, No. 3, July 24, 2024
(1) If a care provider sustains a significant
			 exposure from a patient while rendering health care services or other services
			 within a hospital, clinic, or other health care facility, or while delivering
			 home-health or respite care services, the care provider shall file a report as
			 soon as reasonably possible following the exposure. A care provider who has
			 sustained a significant exposure should file the report with the infection
			 control, occupational health, or other office designated by the facility in
			 which the exposure occurred, or by the facility which has oversight for the
			 delivery of home-health or respite care services.
a. If a general consent form was signed and
			 in effect at the time of the significant exposure and the source patient is an
			 adult, a significant exposure report form shall not be required to document the
			 significant exposure. The health care facility or hospital may use an employee
			 incident report or other similar form for this purpose. The source patient to
			 whom the care provider was exposed is deemed to consent to a test to determine
			 if the patient has a contagious or infectious disease and is deemed to consent
			 to notification of the care provider or the designated representative of the
			 results of the test, upon submission and review of an employee incident report
			 and certification of the significant exposure by an authorized infection
			 preventionist, occupational health professional, or other professional trained
			 in infectious disease control. No further consent from the source patient is
			 required. However, a source patient shall be notified that an exposure has
			 occurred and shall be told which specific tests are being performed. Prior to
			 conducting an HIV-related test, the health care facility or hospital shall
			 provide information to the source patient concerning testing and a means of
			 obtaining additional information regarding HIV infection and risk reduction
			 pursuant to Iowa Code section
			 141A.6.
b. If no consent form was signed or in effect
			 at the time of the exposure, or if the source patient is a minor, the source
			 patient is deemed to consent to a test to determine if the patient has a
			 contagious or infectious disease and is deemed to consent to notification of
			 the care provider or the designated representative of the results of the test
			 upon submission of a significant exposure report form and certification of the
			 significant exposure by an authorized infection preventionist, occupational
			 health professional, or other professional trained in infectious disease
			 control. Source patients shall be notified that an exposure has occurred and
			 shall be told which specific tests are being performed to determine the
			 presence of contagious or infectious diseases. If the source patient is a
			 minor, the minor shall be informed prior to an HIV-related test that, upon
			 positive confirmation of an HIV-related test result, the minor's legal guardian
			 shall be informed of the positive result, pursuant to Iowa Code section
			 141A.7(3).