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Module Description

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The goal of this module is to prepare learners to assess and manage any colleague who presents with a potential work-related exposure to HIV. This session exemplifies health care professionals caring for each other’s physical and mental health and
highlights interprofessional competencies.

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Objectives

By the end of the module, the learner will be able to:

  1. Identify an occupational exposure to HIV
  2. Recognize the psychosocial impact of occupational exposure to HIV on the health professional and explore ways to provide emotional and psychosocial support to a colleague
  3. Discuss the occupational risk of HIV acquisition among health professionals and how to perform a risk assessment for an occupational exposure to HIV
  4. Describe a post-exposure prophylaxis (PEP) regimen and develop a follow-up plan for managing exposures to HIV
  5. Review how optimal interprofessional communication and role clarification can reduce the risk of occupational exposure to HIV (IPE)
  6. Demonstrate use of a PDSA framework to identify interventions to reduce the risk of occupational exposure to HIV (QI)

Optimizing Team-Based Care to Achieve High Quality HIV Care

Central to this module, facilitators should prompt all learners to consider how they can deliver care that fosters optimized team-based care to ensure high quality HIV care. Consider how the case enables learners to gain greater competency in the following domains:

•Values and ethics: Work with individuals of other professions to maintain a climate of mutual respect and shared values.

•Roles/responsibilities: Use the knowledge of one’s own role and those of other professions to appropriately assess and address the health care needs of patients and to promote and advance the health of populations.

•Interprofessional Communication: Communicate with patients, families, communities, and professionals in health and other fields in a responsive and responsible manner that supports a team approach to the promotion and maintenance of health and the prevention and treatment of disease.

•Teams and Teamwork: Apply the values and principles of team dynamics to build relationships and perform effectively in different team roles to plan, deliver and evaluate person-centered care and population health programs and policies that are safe, timely, efficient, effective, and equitable.

ABBREVIATIONS

DTG           Dolutegravir
EFV           Efavirenz
FTC           Emtricitabine
HBV          Hepatitis B Virus
HCV          Hepatitis C Virus
HIV           Human Immunodeficiency Virus
nPEP        Non-occupational PEP
oPEP        Occupational PEP
PEP          Post-exposure Prophylaxis
RAL          Raltegravir
r/ATV       ritonavir/Atazanavir
r/DRV       ritonavir/Darunavir
r/LPV       ritonavir/Lopinavir
3TC           Lamivudine