Page 48 - IMG JumpStart Employee Onboarding Manual. Draft 1_Neat

HIV which can include headaches, decreased kidney function, gastrointestinal upset during the first
couple of weeks of therapy and risk for bone fractures due to increased consumption of calcium by
medication regimen. NP will provide education on the need for client to abstain from sexual
encounters with sexual partners during treatment therapy and until after laboratory confirmation of
HIV nonreactive status has been established after concluding the CDC recommended 28-day nPep
therapy to decrease risk of possible transmission if failed therapy ensues.
e. Schedule follow up lab review in two weeks after nPep therapy has been started to determine if G/C
RPR treatment is required. Lab review will also serve as pathophysiological baseline for kidney and
th
th
liver function profiles and to monitor if HIV 4 generation lab value is reactive. (If HIV 4
nd
st
generation results are repeatedly reactive with a nonreactive HIV rapid, 1 and 2 generation test
th
please refer to 4 generation reactive clinical SOP for care of IMG client).
f. If lab results on two week follow up are all within normal limits, schedule phlebotomy follow up

post treatment appt within the week the 28- day ART therapy has concluded to repeat STD/STI
panel. Once lab results are received have client meet with NP to discuss results and assess if patient
will transition to Prep therapy or discontinue ART regimen by itemizing client’s risk. If Prep therapy
is selected by provider, refer to Prep SOP for continuation of care.

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