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1 Clinical Consultation: The Warmline, PEPline & OPA/OFP Conference March 17, 2012 Shannon Weber, MSW Disclosure The following people have no relevant financial, professional or personal relationships to disclose: Faculty: Shannon Weber, MSW CNE Program Planner(s): Marsha Marecki, EdD, WHNP-BC Melanie Steilen, RN, BSN, ACRN Iris Stendig-Raskin, MSN, CRNP, WHNP-BC CNE Program Reviewer(s): Iris Stendig-Raskin, MSN, CRNP, WHNP-BC There are no commercial supporters of this activity. Accreditation status does not imply endorsement by NJSNA, CAI, or ANCC of any commercial products or services. Objective Following this presentation, participants will be able to identify online and telephone consultation resources for clinicians with questions about HIV. 1
2 National HIV/AIDS Clinicians Consultation Center UCSF San Francisco General Hospital Warmline (800) Consultation on all aspects of HIV testing and clinical care PEPline (888) Recommendations on managing occupational exposures to HIV and hepatitis B & C (888) Advice on testing and care of HIV-infected pregnant women and their infants Referral to HIV specialists and regional resources HRSA AIDS ETC Program & Community Based Programs, HIV/AIDS Bureau & Centers for Disease Control and Prevention (CDC) Facebook: National HIV/AIDS Clinicians Consultation Center National Perinatal HIV Hotline & Clinicians Network 2
3 Our Mission To eliminate perinatal HIV transmission by supporting clinicians through two key services: The National Direct access to experts for personalized consultation about HIVinfected women and their infants. Free and available 24-hours day The National Perinatal HIV Clinicians Network Referrals to local perinatal HIV experts for consultation, comanagement or transfer of care We offer: direct access to experts for clinical consultation staffed by a multidisciplinary team of clinicians with expertise in perinatal HIV care infectious disease specialists, family physicians, internists, obstetricians, and clinical pharmacists free, confidential, 24 hours a day Primary call topic Intrapartum management 16% HIV-exposed infant care 19% General e info 3% Referral Other 2% Antepartum care 5% 35% HIV testing in pregnancy 15% Preconception care 5% 3
4 Caller s HIV+ Patient Load Providing critical support Inexperienced HIV providers Isolated clinicians Experts seeking 2 nd opinions Complicated cases, co-infections, MDR Care during labor and delivery Patients on inappropriate regimens 4
5 Perinatal HIV Clinicians Network A national directory of perinatal HIV experts Connecting clinicians with local perinatal HIV consultants for one-time consultation co-managementt complete transfer of care Linkage to care: Lessons Learned Build strong relationships Linkage is possible Finding a good fit Stigma: Disclosure is a process Special Services for Clinicians 5
6 Compendium of State HIV Testing Laws Collaboration with One Test. Two Lives. CDC developed provider campaign Promotes HIV testing as a routine part of prenatal care ReproIDHIV Listserv The ReproIDHIV listserv is a forum for discussing clinical cases, finding patient referrals, sharing protocols and upcoming events, and networking with colleagues. Sponsored by UCSF/HRSA National HIV/AIDS Clinicians Consultation Center Infectious Disease Society of Obstetricians and Gynecologists (IDSOG) UCSF Fellowship in Reproductive Infectious Disease To be added to the listserv contact: Shannon Weber sweber@nccc.ucsf.edu 6
The National Perinatal HIV Hotline & Clinicians Network
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Disclosure The following people have no relevant financial, professional or personal relationships to disclose:
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