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Module Description

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The goal of this session is to introduce learners to the provision of team-based care for a patient newly diagnosed with HIV who is admitted to the hospital with bacterial sepsis.

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Objectives

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

  1. Identify risk factors and possible sources of bacterial sepsis in people with HIV (PWH)
  2. Identify signs and symptoms of sepsis
  3. Discuss key strategies in the prevention and management of sepsis using a team-based approach (IPE, QI)
  4. Demonstrate use of CUS or the two-challenge rule if a health professional recognizes a safety breach that is ignored by the team-leader (IPE/ Patient Safety)
  5. Discuss how to counsel the patient to disclose his status to his partner
  6. Describe the impact of achieving undetectable HIV RNA on preventing HIV transmission 

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 responsible and responsive 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
ART
–               Anti-retroviral therapy
BP –                 Blood pressure
CNS –              Central nervous system
CUS –              Concerned, Uncomfortable, Safety issue
HIV –               Human Immunodeficiency Virus
HIV RNA –      HIV ribonucleic acid or HIV viral loa
HR –                Heart rate
PWH  –           People with HIV
RR –                Respiratory rate
SIRS–             Systemic Inflammatory Response Syndrome
T –                  Temperature
U=U –             Undetectable = Untransmittable
WHO –           World Health Organization
VS  –               Vital signs