W. Va. Code R. § 64-64-7 - Post-Exposure Care and Treatment
7.1.
A health facility shall have access to a knowledgeable trained health care
provider to assess the HIV exposure risk of health care providers, emergency
responders or other persons during all working hours, including nights and
weekends. The assessment of HIV exposure risk and initiation of basic
postexposure care regimen requires knowledge or experience in clinical
epidemiology, infection control, occupational health, or the clinical treatment
of HIV. Consultation with subject matter experts on the facility's currently
accepted practice, when prescribing post-exposure prophylaxis, is strongly
encouraged.
7.2. A health facility
shall have a written post-exposure HIV management plan patterned after current
recommendations of the United States Centers for Disease Control and Prevention
(CDC).
7.3. A laboratory shall not
determine a test result to be positive, and a health care provider shall not
reveal a positive test result to any person, without conducting corroborating
or confirmatory testing. However, a laboratory may release preliminary test
results to the health care provider assessing the significant exposure for the
purposes of determining post-exposure management of the health care provider,
emergency responder or other person.
7.4. Health care providers shall report all
confirmed positive test results to the Bureau in compliance with Section 12 of
this rule.
7.5. The employer of a
health care provider or emergency responder who was exposed while performing a
duty of his or her employment shall bear the costs of HIV tests of blood or
oral samples of the source patient and the health care provider or emergency
responder, unless a workers' compensation or other benefit program affords
coverage for the testing. For a health care provider or emergency responder who
tested negative for HIV antibodies immediately following the exposure, the
employer shall also bear the costs of the CDC's recommended initial
prophylactic treatment and additional HIV testing at three and six months after
exposure, unless a workers' compensation or other job-related employee benefit
program affords coverage for the treatment and testing.
7.6. Relative to the management of source
patient medical information, the health care provider or emergency responder
reporting a significant exposure is subject to the requirements of the
disclosure statement contained in W. Va. Code
§
16-3C-3(c) and to the remedies and penalties specified in W. Va.
Code
§ 16-3C-5.
Notes
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