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38楼
发表于 2004-8-12 05:52
4. AIDS, HIV and HEPATITIS B POLICY
4.1 General
The University of Texas of the Permian Basin recognizes Human Immunodeficiency
Virus (HIV) and Hepatitis B Virus (HBV) as serious public health threats and is committed to encouraging an informed and educated response to issues and questions concerning these infections.
4.2 Purpose, Scope, and Definitions
Permian Basin in complying with statutes concerning acquired immune deficiency syndrome, human immunodeficiency virus, and hepatitis B virus. In addition, the medical, educational, legal, administrative, and ethical issues related to specific situations involving persons with HIV or HBV infections in the following areas are addressed:
4.211 Administrative policies;
4.212 Residence life;
4.213 Health education;
4.214 Testing for HIV or HBV infection;
4.215 Confidentiality of information related to persons with AIDS, HIV or HBV infection; and
4.216 Patient care.
4.22 Scope
This policy is applicable to students, faculty, and employees of The University of Texas
of the Permian Basin and shall be made available to students, faculty, and staff members of each component institution by its inclusion in the student, faculty and personnel guides if practicable, or by any other method. All catalogs should state that the educational pamphlet is available to students.
4.23 Definitions
Institutional Committee: A task force or institution-wide committee to oversee the development and implementation of educational programs related to HIV and HBV, and to advise the administration on policies regarding HIV and HBV. It is suggested that the Committee include, as a minimum, representation from the faculty, the student body, and administrative areas such as housing services, health services, counseling services, and food services.
4.3 General Policies
4.31 Admissions to Schools
The existence of HIV or HBV infection should not be considered in admissions
decisions unless current scientific information indicates required academic activities will likely expose others to risk of transmission.
4.32 Residential Housing
Residential housing staff will not exclude HIV-infected or HBV-infected students from
University housing and will not inform other students that a person with HIV or HBV infection lives in University housing.
4.33 Employment
The existence of HIV or HBV infection will not be used to determine suitability for employment by The University unless the position requires performance of exposure-prone procedures.
4.34 Class Attendance
A student with HIV or HBV infection should be allowed to attend all classes without restrictions, as long as the student is physically and mentally able to participate, perform assigned work, and poses no health risk to others.
4.35 Access to Facilities
A person with HIV or HBV infection should not be denied access to The University because of HIV or HBV infection.
4.36 Testing for HIV and HBV Infection
4.361 Mandatory Testing:
No programs for mandatory HIV or HBV testing of employees, students, or patients will be undertaken without their consent unless authorized or required by law or court.
4.362 Informed Consent for HIV Testing:
Unless otherwise authorized or required by law, no HIV test should be performed without informed consent of the person to be tested.
Consent will be written on a separate form, or the medical record will document that the test has been explained and consent has been obtained. The consent form will state that post-test counseling will be offered or the medical record will note that the patient has been informed that post-test counseling will be offered.。
4.363 Reporting of Test Results
HIV and HBV test results will be reported in compliance with all applicable statutory requirements, including the Communicable Disease Prevention and Control Act, Texas Health and Safety Code, 81.001.
Hiv和hbv的检验结果会按照适用法律的要求进行报告,法规包括转染病控制预防条例,得克萨斯州健康与安全第81.001款。
4.364 Qualifying for Workers' Compensation Benefits
工作人员的赔偿认定
State law requires that an employee who bases a workers' compensation claim on a work related exposure to HIV must provide a written statement of the date and circumstances of the exposure and document that within ten (10) days after the exposure, the employee had a test result that indicated absence of HIV infection. An employee who may have been exposed to HIV while performing duties of employment may not be required to be tested, but refusal to be tested may jeopardize Workers' Compensation benefits.
4.365 Testing Following Potential Exposure to HIV or HBV
The University will develop guidelines and protocols for employees and students who have been exposed to material that has a potential for transmitting HIV or HBV as a result of employment or educational assignments. Testing of employees or students exposed to such material should be done within ten (10) days after exposure and should be repeated after one (1) month. Testing for HIV also should be done after three (3) and six (6) months. These guidelines should follow TDH, U.S. Public Health Service, and CDC guidelines.
In cases of exposure of an employee or student to another individual's ("Individual" in this paragraph) blood or body fluid, The University, at the institution's expense, may test that Individual for HIV and HBV infection with or without the Individual's consent, provided that the test is performed under approved institutional guidelines and procedures that provide criteria for testing and that respect the rights of the person being tested.
This includes post-test counseling. If the test is done without the Individual's consent, the guidelines must ensure that any identifying information concerning the Individual's test will be destroyed as soon as the testing is complete and the person who may have been exposed is notified of the result. Test results will be reported in compliance with all applicable statutory requirements.
4.37 Confidentiality of Records
Except where release is required or authorized by law, information concerning the HIV status of students, employees or patients and any portion of a medical record will be kept confidential and will not be released without written consent. HIV status in personnel files and Workers' Compensation files is to remain confidential and have the confidentiality status of medical records.
4.38 Education
4.381 General Employee Educational Pamphlet
The University will provide each employee an educational pamphlet about methods of transmission and prevention of HIV infection. The pamphlet will be the TDH educational pamphlet or a pamphlet based on the model developed by the TDH. The pamphlet will be provided to new employees on the first day of employment and to all employees annually.
4.382 Information On Prevention Provided to Students
4.3821 The University will routinely offer students programs based on the model HIV education and prevention program developed by the TDH and tailored to the students' cultural, educational, language, and developmental needs.
4.3822 Each student health center should provide information on prevention of HIV infection including:
- the value of abstinence and long-term mutual monogamy,
- information on the efficacy and use of condoms, and
- state laws relating to the transmission of HIV and to conduct that may result in such transmission.
4.3823 The employee educational pamphlet will be available to students on request..
4.383 Guidelines For Laboratory Courses
Laboratory courses requiring exposure to material that has potential for transmitting HIV or HBV will adopt safety guidelines for handling such material and distribute these guidelines to students and staff prior to their coming in contact with such material.
4.39 Unemployment Compensation Benefits
The University will inform employees via employee and faculty guides or other appropriate methods that state law provides that an individual will be disqualified for unemployment compensation benefits.:
- if the Texas Workforce Commission (TWC) finds that the employee left work voluntarily rather than provide services included within the course and scope of employment to an individual infected with a communicable disease, including HIV.
- This disqualification applies if the employer provided facilities, equipment, training, and supplies necessary to take reasonable precautions against infection; or
- if the TWC finds that the employee has been discharged from employment based on a refusal to provide services included within the course and scope of employment to an individual infected with a communicable disease, including HIV. This disqualification applies if the employer provided facilities, equipment, training and supplies necessary to take reasonable precautions against infection.
-
4.310 Health Benefits
No student or employee will be denied benefits or provided reduced benefits under a health plan offered through The University of Texas of the Permian Basin on the basis of a positive HIV test result.
4.艾滋病和乙型肝炎政策
4.1总则
4.1得克萨斯大学认识到爱滋病和乙型肝炎对公众健康构成严重威胁,有责任鼓励对些疾病感染的问题作出科学的反应。
4.2目的,范围,和说明
4.21 Purpose
4.21目的
这个政策的目的是为得克萨斯大学遵循关于爱滋病病毒和乙型肝炎病毒的法令提供指导。此外,涉及hiv和hbv的感染者在医疗,教育,法律,行政管理和道德的问题在以下的阐述:
4.211 行政管理
4.212 生活起居
4.213 健康教育
4.214 hiv和hbv 感染的检测
4.215 hiv和hbv 感染者的信息保密
4.216 患者的护理
4.22适用范围
本手册适用于得克萨斯大学的学生和教职员工,并通过包含在学生,教职员工的个人指导中或以其他方式使得学生和教职员工得到它。所有的目录应声明本教育性的手册每个学生都可以得到。
4.23说明
学校委员会:一个特别小组或学校范围的委员会跟踪和hiv和hbv相关的教育的发展和实行。并向行政部门建议涉及hiv和hbv的政策。建议该委员会至少包括教师代表,学生代表,行政管理部门如住宿,健康,咨询,和餐饮服务等部门。
4.3总的方针
4.31学校录取
除非目前的科学显示学校的行为可能使得其他人有受感染的危险,学校在招生的时候不应考虑学生是否感染hiv和hbv
4.32住宿
宿管人员不能排除HIV和hbv感染者在学校住宿,不能让其他学生知道有hiv和hbv感染者在学校住宿
4.33招聘
学校不能根据是否感染hiv或hbv来决定他是否适合录用,除非这个岗位需要实行暴露程序
4.34参加课程
只要感染hiv或hbv的学生的身体和精神状况可以参加并能完成分配的工作,不对其他人的健康构成威胁,他们就可以无限制地参加任何课程,
4.35设施的使用权
感染hiv或hbv的人员不能被拒绝进入大学。
4.36 hiv和hbv的检测
4.361强制检验
没有法院和法律的授权,不能对雇员,学生,和病人进行hiv或hbv的强制检测。
4.362 HIV检测的书面同意
即使有法律的授权,没有本人的书面同意不能开展hiv的检测。书面同意需写在单独的表中,或者在医疗记录里证明这项检验已经向本人解释并取得其同意。在同意检测的表中需表明对方会提供检测结果的的咨询服务。或者在医疗记录声明病人会得到检测结果的咨询服务
4.363 检验结果的报告
州法律要求,因工作暴露于hiv而被证实感染的员工提出赔偿要求时需在暴露以后的10天以内提供书面的暴露时间和暴露环境的陈述。
4.365 潜在的暴露于hiv或hbv后的检测
学校将制定一个指导方针和草案适用于那些因为雇用和教育过程中被暴露于潜在可能导致hiv或hbv感染的物质的员工和学生。
当职工或学生暴露于某一个人的血液或体液时,学校可以对这个人进行hiv和hbv检测,不管其是否同意。这个检测要是在被认可的制度下和要能提供检测标准和尊重被检测人的人权。包括提供检测后的咨询服务。如果检测没有经过本人同意,必须确保任何能确定该被检测人身份的信息在检测一经结束就被销毁。同时受暴露可能有感染威胁的人将会得到检验结果。检验结果会按照适用法律进行报告。
4.37 记录的保密
学生,职工,病人以及任何医疗记录中的hiv的状况都应保密,没有本人书面同意不准公开。除非法律授权这样做。个人文件和员工赔偿文件中是否感染hiv的信息将被保密,保密同时适用于医疗记录。
4.38 教育
4.381普通员工教育性手册
学校会向每位员工提供教育手册阐述hiv的传播途径和预防方法。这个手册可以是TDH制定的手册,或根据TDH的样式制定的手册。新员工录用的当天就会得到该手册,其他员工每年更新发放手册。
4.382向学生提供的预防信息
4.3821学校会为学生提供基于hiv知识的项目,也会根据学生们的文化,教育,语言和发展情况定制有TDH制定的预防知识项目。
4.3822
每个学生健康中心需提供预防hiv感染的信息包括:
节欲和长期单一性伙伴的价值
安全套有效性和使用安全套
传播hiv的相关法律以及可能导致传播hiv的法律
4.3823学校根据要求向员工提供教育手册
4.383实验室行为的指导
实验课程需要暴露于可能导致感染hiv和hbv的物质时须采用处理这些物质的安全方针。在进实验室和这些物质接触之前向学生分发安全指导。
4.39失业补偿金
学校会通过员工,系领导或其他适当的方法通知每位员工,根据州法律个人可能丧失失业补偿金。
- 在雇用方已经合理地提供为预防受感染所必须的设施,装备,训练,和补给时,如果德州工会发现不愿为有传染性疾病者(包括hiv)提供其工作范围内的服务而主动离职的员工将失去失业保险金。
在雇用方已经合理地提供为预防受感染所必须的设施,装备,训练,和补给时,如果德州工会发现不愿为有传染性疾病者(包括hiv)提供其工作范围内的服务而被解雇的员工将失去失业保险金。
4.310
Hiv检测呈阳性的学生和雇员不会在通过得克萨斯州大学提供的健康计划中被拒绝或减少健康福利。
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