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Check List: HIV Testing Site - CDC stacks

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Table with lockable drawers. Yes. 3 chairs. Yes. Counseling protocol and cue cards. Yes. Condom demonstration tools e.g., penis model. Yes. Condoms Male.

Check List: HIV Testing Site Reception Area

Check

Essential

Tables and drawers

Yes

Chairs

Yes

Registration forms or client cards

yes

Client record (intake)

Yes

Behavior change materials

Yes

Stationery

Yes

Clock

No

Waiting Area TV/VCR

No

Radio/Cassette player

No

Posters

Yes

Pamphlets

Yes

Chairs

Yes

Drinking water

No

Counseling Room Table with lockable drawers

Yes

3 chairs

Yes

Counseling protocol and cue cards

Yes

Condom demonstration tools e.g., penis model

Yes

Condoms

Male

Yes

Condoms

Female

No

Referral notebooks

Yes

Stamp pads

Yes

Posters

Yes

Screens/curtains (if HIV testing is done in the counseling room

Yes

Stationary (files, pens, notepads, etc.)

Yes

Tissue paper/Paper towels

Yes

Timer/Clock

Yes

Testing Room Test kits

Yes

Lancets

Yes

Sharps disposal container

Yes

Waste disposal bag (non sharps)

Yes

Pipettes

Yes

Tubes, needles, test tube rack

Yes

Centrifuge

No

Refrigerator

Yes

Incinerator

No

Gloves

Yes

Disinfectant + cleaning agent

Yes

Sundry supplies - cotton, dishes

Yes

Needles and syringes

Yes

Soap and water

Yes

Lighting

Yes

Protective wear

Yes

Stationery

Yes

Worksheets

Yes

Filing cabinet

Yes

Lab slips

Yes

Stamp pad

Yes

Management Information System Client number system Computer and accessories

No

Stationery

Yes

Lockable drawers

Yes

Client labels

Yes

Chairs and tables

Yes

Lockable cupboards/file cabinets for client records

Yes

Office supplies (pens, paper, staples, hole punch, binders, etc.)

Yes

Essential items are those that the HIV counselor/tester will need before seeing clients. The nonessential items are those that are good to have at a "same-visit" HIV testing site and that a site manager can acquire for a site after testing has begun. Note: A refrigerator is essential for storage of QC materials used in MOHTT HIV testing.