Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 11 - Human Immunodeficiency Virus (HIV) Infection and Acquired Immune Deficiency Syndrome (AIDS) › Rule 641-11.22 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
For the purpose of rules
				641-11.21 (139A) to
				641-11.26 (139A),
				the following definitions shall apply:
"AIDS" means acquired immune deficiency syndrome as defined by
				CDC.
"Blood-borne viral hepatitis " means hepatitis B or hepatitis
				C.
"Care provider" means an individual who is trained and
				authorized by federal or state law to provide health care services or services
				of any kind in the course of the individual's official duties, for compensation
				or in a voluntary capacity, who is a health care provider, emergency medical
				care provider as defined in Iowa Code section
				147A.1, firefighter,
				or peace officer. "Care provider" also means an individual who renders
				emergency care or assistance in an emergency or due to an accident as described
				in Iowa Code section 613.17.
"CDC" means the Centers for Disease Control and Prevention of
				the U.S. Department of Health and Human Services.
"Certification of a significant exposure report" means the
				determination by an authorized infection preventionist, occupational health
				professional, or other personnel trained in infection control or infectious
				disease medicine and designated by a facility to review significant exposure
				reports that the incident described by the exposed care provider meets the
				definition of a significant exposure as defined in this rule.
"Contagious or infectious disease" means blood-borne viral
				hepatitis, meningococcal disease, AIDS or HIV, tuberculosis, and any other
				disease determined to be life-threatening to a person exposed to the disease as
				established by the department based upon a determination by the state
				epidemiologist and in accordance with guidelines from CDC.
"Department of corrections" means the Iowa department of
				corrections.
"Designated representative " means a person who is designated
				by a department, agency, division, or service organization to act on behalf of
				the exposed care provider as a liaison with the facility that received the
				source patient when the exposure occurred in the field or during patient
				transport.
"Exposure " means a specific eye, mouth, other mucous
				membrane, nonintact skin, or parenteral contact with blood or other potentially
				infectious bodily fluids.
"HBV" means hepatitis B virus.
"Health care facility" means a health care facility as defined
				in Iowa Code section
				135C.1, an ambulatory
				surgical center, or a clinic.
"Health care provider" means a person licensed to practice
				medicine and surgery, osteopathic medicine and surgery, chiropractic, podiatry,
				nursing, dentistry, optometry, or as a physician assistant, dental hygienist,
				or acupuncturist.
"HIV" means the human immunodeficiency virus identified as the
				causative agent of AIDS.
"Home health services " means health care services provided by
				a care provider in a patient's home or other residence.
"Infectious bodily fluids " means bodily fluids capable of
				transmitting HIV as listed in "Guidelines for Prevention of Transmission of
				Human Immunodeficiency Virus and Hepatitis B Virus to Health-Care and
				Public-Safety Workers," found in Morbidity and Mortality Weekly Report, dated
				June 23, 1989, Volume 38, Number S-6, published by the U.S. Department of
				Health and Human Services, Public Health Service, Centers for Disease Control,
				Atlanta, Georgia 30333, or subsequent CDC statements on this topic. To prevent
				HIV and blood-borne viral hepatitis disease transmission, this reference
				indicates that standard precautions should be followed for exposure to the
				following infectious bodily fluids: blood, amniotic fluid, pericardial fluid,
				peritoneal fluid, pleural fluid, synovial fluid, cerebrospinal fluid, semen,
				vaginal secretions, and saliva contaminated with blood. HIV and blood-borne
				viral hepatitis disease transmission has not occurred from feces, nasal
				secretions, sputum, sweat, tears, urine, vomitus, and saliva when it is not
				contaminated with blood.
"Meningococcal disease" means acute infectious bacterial
				meningococcal infection presenting as invasive disease characterized by one or
				more clinical syndromes including bacteremia, sepsis, or meningitis.
				"Meningococcal disease" does not include nasopharyngeal colonization by
				Neisseria meningitidis.
"Respite care services " means health care services provided
				by a care provider in a patient's home or other residence on a short-term,
				temporary basis as relief to those who are caring for family members.
"Significant exposure " means a situation in which there is a
				risk of contracting disease through exposure to a patient's infectious bodily
				fluids in a manner capable of transmitting an infectious agent as determined by
				CDC. Exposure includes contact with blood or other infectious bodily fluids to
				which standard precautions apply through percutaneous inoculation or contact
				with an open wound, nonintact skin, or mucous membranes during the performance
				of normal job duties. Significant exposures include:
1. Transmission of blood, bloody fluids, or other infectious
				bodily fluids of the source patient onto a mucous membrane (mouth, nose, or
				eyes) of the care provider.
2. Transmission of blood, bloody fluids, or other infectious
				bodily fluids of the source patient onto an open wound or lesion with
				significant breakdown in the skin barrier, including a needle puncture with a
				needle contaminated with blood, bloody fluids, or other infectious bodily
				fluids.
"Significant exposure report" means the Report of Exposure to
				HIV or Other Infectious Disease form provided by the department. This is the
				only form authorized to be used to document a significant exposure to
				infectious bodily fluids such that 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 of the results of the
				test, pursuant to Iowa Code section
				139A.19.
"Tuberculosis" means infectious tuberculosis as defined in
				641-1.1
				(139A).