ummm987 Posted August 30, 2013 Share Posted August 30, 2013 I work in an outpatient Urgent Care Center. We see a fair amount of STD visits. Our office does not have a policy regarding how patients should be notified of results (positive or negative results). For example, if a patient has labs performed and all of their results are negative, will you notify them via telephone, in person, or not at all (only notify if positive findings)? If a patient has any positive findings and they were treated appropriately (i.e. given tx for GC/chlamydia), do you notify in person or via telephone? Just curious to see what other facilities' protocols are. Link to comment Share on other sites More sharing options...
jdumoch Posted August 30, 2013 Share Posted August 30, 2013 in my clinic we tell patients in advance: we do not call with negative results, they are welcome to call us. we always call for positives. if an HIV is checked, they must return to the clinic for results. Link to comment Share on other sites More sharing options...
TTURedRaider Posted August 30, 2013 Share Posted August 30, 2013 I work in urgent care as well. We have a policy that we don't give results over the phone, positive or negative. Patient must physically return to the clinic for results and has the option whether or not to just pick up the results themselves or check-in and go over the results with a provider. Link to comment Share on other sites More sharing options...
dmdpac Posted August 30, 2013 Share Posted August 30, 2013 We're pretty much the same. We won't call if the results are negative. Anything positive will generate a phone call. Link to comment Share on other sites More sharing options...
Moderator EMEDPA Posted August 30, 2013 Moderator Share Posted August 30, 2013 ditto above. call +s only. advise tx for partners as well. Link to comment Share on other sites More sharing options...
Moderator True Anomaly Posted August 30, 2013 Moderator Share Posted August 30, 2013 We're a little unique in that, since I work in Philadelphia, the city health department is actually the one who does all GC/Chlamydia testing. They only call if test results are + (because as you can imagine, the volume of STD testing in Philly is pretty high). So I always tell pts that if they don't get a phone call within the next week, they weren't positive. Link to comment Share on other sites More sharing options...
SocialMedicine Posted August 30, 2013 Share Posted August 30, 2013 I make it a policy to send an email or phone call advising neg TR for all STI screening. We have an electronic record which makes emails easy ... but has also in the last few years resulted in a few labs not being transmitted into the electronic record. I am terrified of missing a TR. So if patients are instructed to f/u regardless of neg or pos it is another safety measure. Link to comment Share on other sites More sharing options...
Acebecker Posted August 30, 2013 Share Posted August 30, 2013 Pretty much the same as everyone else - I personally call if pos. Sometimes will have nurse notify if neg in order to touch base and ensure Sx resolution and make sure the Pt has f/u plan. Link to comment Share on other sites More sharing options...
jmj11 Posted August 30, 2013 Share Posted August 30, 2013 Maybe you should just call the partner with + results and say, "You might want to bring this up the next time lover-boy comes over." Joking of course. Wasn't this the beginning of HIPAA when suits were launched when + STD and + HIV test information was left on voice mails? Link to comment Share on other sites More sharing options...
d2305 Posted August 30, 2013 Share Posted August 30, 2013 Our health dept (FL) gets the results and does f/u. Link to comment Share on other sites More sharing options...
gbrothers98 Posted February 9, 2015 Share Posted February 9, 2015 In an ED. Tell patients we only call on positive results. They will also get a call from state health department cause lab notifies them. Patients have the option to either call their PCP to get result or can call back to ED and speak with nurse. Patient portal will also list test results and we push that every visit to meet meaningful use. G Brothers PA-C Link to comment Share on other sites More sharing options...
Febrifuge Posted February 11, 2015 Share Posted February 11, 2015 I'm in Urgent Care as well, but I'm part of a large health system and medical group, so there are RNs who monitor the incoming test results in the Urgent Care "bucket." Positive/ abnormal results generate a phone call, so I make sure the number we have in EPIC is correct. The state Dept of Health is also notified if it's GC/chlamydia. Normal/ negative results generate either an email or a printed letter, depending on factors I don't know much about. Link to comment Share on other sites More sharing options...
jungisstephens Posted September 2, 2019 Share Posted September 2, 2019 There is so many sexually transmitted disease, but guys, I'm looking for an STD center for a long time to do an HIV test. I only know that HIV is a sexually transmitted disease. How many sexually transmitted disease is present? Link to comment Share on other sites More sharing options...
GetMeOuttaThisMess Posted September 2, 2019 Share Posted September 2, 2019 I'll be the devil's advocate once again and disagree with the majority of you. "We only call positive results, etc." Wrong, wrong, wrong. Nothing ever gets missed and we're able to reach all these folks. Really? You're setting yourself up for a major claim IMO. Do you do this with other non-STI lab as well such as with annual wellness exam lab? I've seen it happen since my prior experience was with a facility where we had an STI clinic. Our policy was that when YOU the patient called back, you had to provide us with the last four of your SSN. If a positive was noted, and we were unable to reach them, then a registered letter was sent to the address of record. At that point our asses were covered. Link to comment Share on other sites More sharing options...
Administrator rev ronin Posted September 2, 2019 Administrator Share Posted September 2, 2019 3 hours ago, jungisstephens said: There is so many sexually transmitted disease, but guys, I'm looking for an STD center for a long time to do an HIV test. I only know that HIV is a sexually transmitted disease. How many sexually transmitted disease is present? This site does not provide medical advice, nor facilitate people asking for medical advice. I suggest you consult a practitioner licensed to practice medicine in your local jurisdiction. Link to comment Share on other sites More sharing options...
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