Date:
February 20, 1997
Source:
Department of Health
Subject:
Amendment to Administrative
Order No. 18 s. 1995 Regarding the Guidelines in the Management of HIV/AIDS
Patients in the Hospital

Text:
Criteria in the Selection of
HIV/AIDS CORE TEAM (HACT) Leaders and Members:
TEAM LEADER:
The HACT leader shall be chosen
on the basis of the following criteria:
-
Commitment to accept responsibilities and perform the
tasks of HACT leader;
-
High level of knowledge of the program, including
positive attitude particularly towards the program's clients;
-
Preferably an infectious disease consultant or an
internist with permanent medical specialist position in the hospital;
-
Preferably has a direct involvement in the care and
management of patients in the hospital; and
-
Willingness to undergo training on the clinical care
and management of HIV/AIDS patients.
TEAM MEMBERS:
The HACT members shall be chosen on the basis of the
following criteria:
-
Commitment to accept responsibilities and perform the tasks
of HACT member;
-
With permanent position, either resident physician or
specialist from other departments; and
-
Willingness to undergo training on the clinical care and
management of HIV/AIDS patients.
PERFORMANCE OF HIV/AIDS SCREENING TEST:
-
Suspected HIV/AIDS patient shall undergo HIV antibody
testing with a written informed consent after a pre-test counseling. Post-test
counseling shall be provided to all patients who undergo the procedure.
1.1. The written informed consent shall be signed by the
patient himself.
1.2. The written informed consent may be signed by an immediate member of the
family, only in the following cases:
-
Patient's incapacity and known to possess a risky behavior.
-
Below 18 years of age.
-
The screening test can be undertaken in the absence of the
nearest kin, provided that the following conditions are met:
2.1. Test is undertaken for the purpose of managing the
opportunistic infection.
2.2. There is a written justification from the attending
physician, duly noted by the medical director of the hospital.
REFERRAL/NETWORKING SYSTEM:
-
The referring hospital shall be responsible for the
following:
-
The attending physician shall take care of informing the
patient or the immediate relatives for the mentally deranged patients, about the
patient's HIV serostatus.
-
A clinical abstract shall be prepared and forwarded to the
HACT of the receiving hospital. A directory of the HACT leaders and members
shall be provided to both private and government hospitals through the
Philippine Hospital Associations (PHA). Strict confidentiality shall be observed
in the process of referral.
-
If possible, the attending physician shall communicate with
the receiving HACT leader for endorsement.
-
The receiving hospital shall be responsible for the
following:
-
Confirmation of HIV serostatus of the referred patient
through proper coordination with RITM or BRL.
-
Admission of the patient in the hospital shall be according
to presenting clinical problem, regardless of the patient's HIV serostatus.
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