1. What is the single best thing we can do to help change the behavior of patients regarding the use of condoms & latex barriers?
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- Gladys Long
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1 Staff Survey for Prevention PI Plan 1. What is the single best thing we can do to help change the behavior of patients regarding the use of condoms & latex barriers? ( ) Provide Condoms/Latex barriers ( ) Teach them how to use a condom ( ) Help them find a way to talk to sex partner about condom use. ( ) Convince them that condoms are effective 2. What is the single best thing we can do to help change the behavior of patients regarding the use of clean needles? ( ) Provide Clean Needles ( ) Teach them how to clean works ( ) Connect them to a needle exchange program 3. What is the single best way you can think of delivering prevention messages? ( ) Posters ( ) Videos ( ) Mailings ( ) One-on-one Education ( ) Groups ( ) Designated Education Days (ex. Mondays) ( ) Handing out literature ( ) Other
2 Prevention Plan Activities 1. Distribute Condoms at every visit Condoms would be given to social workers, Launa, Irveline, Gerald & Gilbert. They will offer patients condoms as every visit. 2. Track condom distribution A log sheet would be developed to track distribution of condoms. (See attached draft) Distribution of condoms will also be documented on gilberts harm risk reduction form & progress notes. 3. Ensure staffs have the most up to date cutting edge prevention information & tools. A. Distribute Stages of Change (Transtheoretical) Model B. Educate & test staff knowledge C. Observe staff in session, using the Motivational Interviewing techniques. D. Send staffs to conferences, workshops & Seminars Still Pending: Have a Transtheoretical Model in-service to educate staff. <- Gilbert volunteered to create a powerpoint presentation & game. I did not get volunteers to help so I would like to assign staff the following: Develop an observation tool to observe staff using Motivational Interviewing techniques. I would like to assign Joyce & Joan to develop tool Develop a test for staff on using the Transtheoretical Model <- I would like to assign Lauri & Annette to develop this tool.
3 Consumer Survey for Prevention PI Project Patient Name Date 1. What is the single best thing that your provider can do to help you change your behavior regarding the use of condoms & latex barriers? ( ) Provide Condoms/Latex barriers ( ) Visible & Available written information ( ) Help me to understand consequences that can occur ( ) Teach me how to use a condom ( ) Help me find a way to talk to sex partner about condom use. ( ) Convince me that condoms are effective ( ) Help me understand my behavior ( ) Help me talk about my feelings about condom use in a safe environment 2. On the last occasion that you did not use a condom what stopped you from doing so? ( ) I didn t want my partner to suspect HIV status ( ) I was in a big hurry ( ) I was under the influence of drugs/alcohol ( ) I did not care ( ) Partner did not want me to ( ) I forgot ( ) I did not have any condoms ( ) I did not think it mattered I have HIV already ( ) I trust my partner and did not think I needed one ( ) Condoms don t fit me ( ) Sex is not good with condoms 3. What is the single best thing that your provider can do to help you change your behavior regarding the use of clean needles? ( ) Provide Clean Needles ( ) Teach me how to clean my works ( ) Connect me to a needle exchange program ( ) Connect me to an after hours exchange program. 4. On the last occasion that you did not use a clean needle what stopped you from doing so? ( ) I was under the influence of drugs/alcohol ( ) I did not care ( ) I did not have any clean needles ( ) I did not know where to go to exchange needles 5. What is the single best way you would like to be given prevention messages? ( ) Posters ( ) Videos ( ) Mailings ( ) One-on-one Education ( ) Groups ( ) Designated Education Days (ex. Mondays) ( ) Handing out literature ( ) Other
4 Interfaith Medical Center Primary Care Center Risk/Harm Reduction Encounter Form ( ) Initial Assessment ( ) Quarterly Re-Assessment Date Transmission reduction, past and present sexual activities: ( ) Client reports practicing abstinence. For How Long ( ) Client reports practicing safer sex. For how long ( ) Client reports not practicing safer sex. What does the patient believe the single best thing that the provider could do to help change behavior regarding the use of condoms & latex barriers? On the last occasion that the patient did not use a condom what stopped him/her from doing so? Client provided with condoms/latex barriers ( ) Yes ( ) No If not practicing safe sex or abstinence, assess client s stage of readiness for change & discuss interventions. Stage of readiness for change Pre-contemplative Contemplative Preparation Action Maintenance Discuss interventions Client Signature Staff Signature
5 Interfaith Medical Center Primary Care Center Risk/Harm Reduction Encounter Form ( ) Initial Assessment ( ) Quarterly Re-Assessment Date Transmission reduction, past and present Substance use/abuse history: ( ) Client reports no history of substance use/abuse problems. ( ) Client reports no history of injecting drugs. ( ) Client reports s/he does not share syringe/works. ( ) Client reports active drug/alcohol use. Type ( ) Client reports active cigarette use. What does the patient believe the single best thing that the provider could do to help change behavior regarding the use of drugs and/or cigarettes? If patient has used drugs or cigarettes, assess client s stage of readiness for change & discuss interventions. Stage of readiness for change Pre-contemplative Contemplative Preparation Action Maintenance Discuss interventions Client Signature Staff Signature
6 Condom Distribution Log Date Name of Patient Number of condoms
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