Healthway Medical Network talks about HIV in the workplace. As a healthcare provider committed to promoting holistic well-being, we recognize the importance of creating a safe and inclusive environment for all individuals, including those with HIV. In this article, we will explore the crucial steps employers and healthcare professionals can take to ensure patient safety, support healthcare workers, and protect confidentiality while combating the stigma associated with HIV.
The prevalence of HIV and AIDS in the Philippines is a growing concern that demands attention and proactive measures. We will shed light on the current epidemiology of HIV in the country and discuss essential guidelines outlined in Republic Act No. 11166. Specifically, we will focus on pre-employment testing, workplace education, and safety measures for healthcare workers.
Epidemiology of HIV in the Philippines
As of February 2022, the HIV/AIDS & Art Registry of the Philippines reported 1,054 cases, with 1,006 males and 48 females. Out of these cases, 297 individuals were diagnosed with advanced HIV disease; unfortunately, there were 78 reported deaths. Disturbingly, there has been an average of 33 new cases per day from January to February 2022.
Pre-employment Testing
Let’s explore some cases to understand how the law protects individuals seeking employment. In the first case, a 20-year-old female applying as a customer sales representative was required to undergo HIV screening. However, it is important to note that according to Republic Act No. 11166, mandatory or compulsory HIV screening/testing is unlawful. Patients have the right to seek consultation from infectious disease specialists to better understand their options and rights.
In the second case, a 24-year-old male dialysis nurse with multiple sexual partners was admitted for severe pneumonia. While there was no history of needle prick injuries or IV drug use, a Preliminary HIV Care Test (PICT) revealed a reactive result. It is crucial to respect patient confidentiality, as protected by Republic Act No. 11166, which means patients are not obligated to report their medical condition to their current employer or hospital.
Workplace Education and Support
Education in the workplace regarding HIV and AIDS is paramount. No person living with HIV (PLHIV) should face discrimination or be deprived of private health or life insurance coverage based on their HIV status. Maintaining confidentiality when reporting positive results is important, ensuring that the person’s identity remains protected.
It is worth noting that the transmission risk of HIV from an infected healthcare worker to a patient is extremely low, estimated at 2.4-24 per 1 million procedures. Employers should establish a health management team to ensure patient safety and support for infected healthcare workers.
Exposure Prone Procedures
Specific medical procedures carry a higher risk of exposure to blood borne pathogens. These exposure-prone procedures include trauma, orthopedic, neurosurgery, and dental procedures like periodontal surgeries, tooth extractions, cesarean section, and thyroidectomy. Proper training, adherence to infection control protocols, and regular screenings are essential for healthcare workers involved in these procedures.
Needle Stick Injuries and Post-Exposure Prophylaxis (PEP)
Accidents happen, and needle stick injuries are a concern in healthcare settings. In the case of a needle stick injury, immediate action should be taken. All needle stick injuries must be reported to the Hospital Infection Prevention and Control Unit (HIPCU) immediately. Post-exposure prophylaxis (PEP) should be initiated within 72 hours if exposed to HIV-confirmed patients.
We are reminded of the significant impact that addressing HIV in the workplace can have on individuals’ lives. We can create a work environment that embraces inclusivity and compassion by prioritizing patient safety, supporting healthcare workers, and upholding confidentiality. Healthway Medical Network remains dedicated to championing these principles and promoting awareness and education surrounding HIV-related issues. Let us continue to work together, breaking down barriers and eradicating the stigma associated with HIV as we strive towards a future where every individual is valued, respected, and empowered to thrive. Remember, embracing inclusivity can build a healthier and more compassionate society.
