854. Impact of Expansion of Standing Orders for Routine HIV Testing (SORT) Initiated by Nursing in Hospital Settings
Session: Poster Abstract Session: HIV Detection, Screening, and Prevention
Friday, October 4, 2013
Room: The Moscone Center: Poster Hall C
Posters
  • idsa poster 01-10-00.pdf (92.3 kB)
  • Background: Nurses are in a unique position to promote HIV diagnosis among inpatients and thereby improve prognosis for patients with HIV infections.  

    Methods: A pilot project was initiated in The Miriam Hospital in Rhode Island for initiation of standing orders for routine HIV testing (SORT) by the nurses in a particular unit of that hospital.  The impact of expansion to hospitals throughout the United States is estimated.

    Results: SORT was very well received by the patients, nurses and physicians including the internists. 342 eligible patients were screened over a period of 15 months.  All the HIV test results were negative. This project did not require any additional staff to be hired by the hospital.

    In 2007, patients 18 to 64 years of age, (63% of the population) accounted for 49% of hospitalizations ( HCUP Facts and Figures: Statistics on Hospital-Based Care in the United States, 2007 ) which means that they roughly account for 17,916,794 hospitalizations annually. Standing orders for routine testing of HIV to be initiated by the nurses among inpatients between 18 and 64 years of age, or in those who belong to the high risk group and have not been tested in the last year, will increase the number of people screened for HIV and thereby potentially impact early diagnosis and treatment greatly - especially in areas with a high prevalence of HIV.  Assuming that 50% of inpatients (between the ages of 18 and 64 years of age) are offered HIV testing through SORT 8,958,397 patients would be offered HIV testing.

    Conclusion: SORT could be rolled out in hospitals in regions with a high prevalence of HIV which do not routinely test for HIV without adding significant additional staffing to the hospital.  Routine HIV testing by the nurses could be a part of routine nursing intervention similar to influenza and pneumococcal vaccinations.  Research aimed at exploring best practices for routine testing for HIV among inpatients is the key to widespread adoption of this initiative.

    Neha Alang, MD, Internal Medcine, The Newport Hospital, Newport, RI, Joanne Costello, PhD, MPH, RN, Rhode Island College, Providence, RI, Cynthia Macleod, BSN, ACRN, The Miriam Hospital, Providence, RI, Michelle Carpentier, MSN, OCN, Miriam Hospital, Providence, RI, Anne Sliney, BSN, ACRN, RI Association of Nurses in AIDS Care, Providence, RI and Timothy Flanigan, MD, FIDSA, Department of Infectious Diseases, The Miriam Hospital, Providence, RI

    Disclosures:

    N. Alang, None

    J. Costello, None

    C. Macleod, None

    M. Carpentier, None

    A. Sliney, None

    T. Flanigan, None

    Findings in the abstracts are embargoed until 12:01 a.m. PST, Oct. 2nd with the exception of research findings presented at the IDWeek press conferences.