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6/1/2020 A- Texas DSHS HIV/STD Program - HIV/STD Program Policy 090.021 <br />• flexible work schedules' <br />E. Confidentiality and Privaq. O nT,7; ens tk it recesve.f`ands from a state agency fir *est;er .3t Q, d'+reel ! lient services as. <br />piibVmft shall develop and use confidentiality guidelines to protect their clients' HIV/AIDS related medical information (HSC <br />985,115, "ConfidentiaLity Guidelines"). Organizations that fail to adopt and use confidentiality guidelines are ineligible to receive <br />state funds. <br />Employees are not required to reveal their HIV status to employers. All medical information that an HIV infected employee <br />provides to medical or management personnel is confidential and private. Employers may not reveal this information without the <br />employee's knowledge and written consent, except as provided by law (HSC 581.103, "Confidentiality; Criminal Penalty"). <br />A suggested policy statement might be, "This agency wiLL protect the confidentiality of employee medical records and <br />f information. Written consent of the employee must be obtained to share any confidential information with other staff. Those <br />with access to confidential information must maintain strict confidentiality and privacy, separating this information from <br />employees' personnel records. Individuals who fail to protect these employee rights commit a serious offense, which may be <br />cause for litigation resulting in both civil and criminal penalties, and may result in dismissal: <br />F. Co-worker Concerns. Employers need to be aware of the concerns that co-workers may have about an HIV Infected co-worker. <br />A polity statement that acknowledges employee concerns and offers HN/AIDS education helps to increase awareness and <br />decrease fear. Equally important is a policy statement that clarifies the limits of an employer's response to co-worker concerns, <br />e.g., "Employees do not have the right to refuse to work with someone who has any disability." <br />G. Employee Education. Any health care facility licensed by the DSHS or the Department of Aging and Disability Services must <br />require its employees to complete an educational course about HIV infection (HSC §85.010). A suggested policy statement may <br />be: AU employees will receive education about methods of transmission and prevention of HIV infection and related conditions: <br />In response to HSC, 585.004, "Educational Programs: DSHS developed model education program guidelines. These are available <br />from DSHS, TB/HIV/STD Section, Post Office Box 149347, MC 1873, Austin, Texas 78714, (512) 533-3000. Employers may also <br />find the CDCs educational kit, Business Responds to AIDS, useful in developing educational courses. HIV/AIDS education should <br />address employee concerns about HIV communicability to themselves, their families, and co-workers. Experience shows that <br />educated co-workers usually respond to persons with HIV/AIDS with support, rather than with fear and ostracism due to <br />misconceptions. <br />Education programs must stress that agency employees who provide direct client services may face occupational exposure to a <br />cLient's blood, semen, vaginal secretions, or other body fluids that are considered to be high-risk for transmission of blood borne <br />pathogens, including HIV/AIDS. All individuals receiving direct services are clients and include individuals who are physically or <br />mentally impaired and Individuals confined to correctional or residential facilities. All state agencies should have, as part of their <br />employee education program, comprehensive policies and protocols based on universal precautions, body substance isolation, <br />and barrier methods, These precautions prevent the spread of infection in clinical settings. The employer's careful planning wilt <br />reflect a commitment to the health and well-being of the work force and the community being served. <br />H. Assistance. Some employers have designated benefits programs available to employees and family members with HIV <br />infection. Such programs may: <br />• make referrals for testing, counseling, medical, and psychosocial services, <br />• provide HIV/AIDS workplace training for managerial staff, <br />• serve as a liaison between management and the employer's clinical and occupational health programs, and <br />• provide counseling for employees who irrationally fear co-workers or clients. <br />Employers who have no employee assistance program may consider working with other organizations that provide assistance. <br />Some of these groups include Local health departments, AIDS services organizations, American Red Cross chapters, community <br />support groups, clinical treatment and counseling services, and the religious community. <br />A suggested policy statement might be: An employee who wants assistance concerning a disability or a life-threatening illness <br />should contact the Personnel Office. This agency offers the following resources to help employees and managers deal with these <br />Issues: <br />• education and information concerning HIV/AIDS; <br />• confidential referral to supportive services for employees and dependents affected by fife -threatening illnesses; and <br />• benefits consultation to help employees effectively manage health, leave, and other benefits." <br />6.0 Where to Go for Help <br />Refer employees to the CDC HIV/STD Information line at 1(800) CDC -INFO (English/Espafiol) or other appropriate resource. <br />https:/ANww.dshs.state.tx.usihivstd/policylpolicies/090-021.shtm 314 <br />