LOS ANGELES COUNTY
DEPARTMENT OF MENTAL HEALTH
  Policy 355.09 HIV Point-of-Care Test Standing Order
 
Policy Category:  Clinical
Distribution Level:  Directly Operated
Responsible Party:  Pharmacy and Therapeutics Committee
 
Approved by Curley L. Bonds, MD, Chief Medical Officer, on Dec 08, 2023
 
I.  PURPOSE
 
This policy establishes a standing order for HIV point-of-care (POC) testing at all LA County Department of Mental Health directly operated clinics and field-based locations.

The purpose of this standing order is to help address the Los Angeles County’s sexually transmitted disease crisis by providing access to HIV point-of-care testing. 

 
II.  DEFINITIONS
 
Authorized personnel: Registered nurses or psychiatric technicians who have successfully completed training for whole blood and oral HIV POC testing 

Clinic personnel: Any non-prescribing DMH staff member involved in client’s healthcare team 

INSTI HIV-1/HIV-2 Antibody Test: CLIA-waived in-vitro point-of-care qualitative test for the accurate detection of antibodies to Human Immunodeficiency Virus Type 1 (HIV-1) and Type 2 (HIV-2) in venous whole blood, fingerstick blood and plasma 

OraQuick HIV-1/HIV-2 Antibody Test: CLIA-waived, in-vitro, point-of-care, client self-administered, qualitative test for the accurate detection of antibodies to Human Immunodeficiency Virus Type 1 (HIV-1) and Type 2 (HIV-2) in oral fluid 

 
III.  POLICY
 

This standing order allows authorized personnel to offer whole blood (INSTI HIV-1/HIV-2 Antibody test) or oral (OraQuick) HIV POC testing to all clients 12 years and older without the need of a client specific order. 

Authorized personnel using this standing order shall follow all applicable departmental policy and procedures related to the administration and documentation of whole blood and oral HIV POC testing.
 
 
 


This Standing Order for whole blood and oral HIV POC testing is issued to:

Los Angeles County Department of Mental Health
Directly Operated Clinics and field-based operations

Physical Address of Headquarters:

510 S. Vermont Ave.,
Los Angeles, CA 90020
 

Standing order Issued by:

Curley L. Bonds, MD
Chief Medical Officer
 License and signature on file

Date: Dec 08, 2023


 





















 
IV.  PROCEDURES
 
Procedures - HIV Point-of-Care Test Standing Order
 
V.  AUTHORITIES
 
VI.  ATTACHMENT