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HIV Check Instructions

For Home Collection of a Blood Spot Specimen to Detect HIV-1 Infection (Antibodies to Human Immunodeficiency Virus, Type 1)

HIV WARNINGS

• Hemophiliacs or those on anticoagulant therapy should consult their physician before using this kit. 
• Keep out of the reach of children. 
• DO NOT use any part of this hiv kit internally. 
• You may experience dizziness while collecting your blood spot specimen. 
• NEVER use a Safety Lancet {6} that has been used by another person. 
• DO NOT collect or leave your blood spot specimen in a place where others may be exposed to it. 
• We reserve the right to defer giving test results to clients who are likely to harm themselves or others after they obtain their results. 
• Failure to dispose of used lancet(s) as directed may result in injury or infection. 
• This hiv specimen collection kit is for SELF-USE only.

LIMITATIONS OF THE HOME ACCESS® EXPRESS™ HIV TEST SYSTEM

• Failure to use this specimen collection hiv kit as directed may result in an insufficient specimen or inaccurate hiv test result. 
• Our laboratory must receive a blood spot specimen of adequate size and quality or it cannot be tested.
• Your blood spot specimen is perishable. If not received within 10 days of collection, it may not be tested.
• Use by persons under 18 years of age has not been investigated. 
• Not all persons infected with HIV-1 will test positive; not all persons testing positive are infected with HIV-1. 
• You cannot retrieve your hiv results without knowing your Home Access Code Number.

CHECKING YOUR HIV TEST KIT
Compare the numbered contents of your hiv test kit to the items listed below:

{1}    Directional Insert
{2}    Booklet, Things You Should Know About HIV and AIDS
{3}    Blood Specimen Collection Card with Home Access Code Number
{4}    Alcohol Prep Pad
{5}    Gauze Pad
{6}    Safety Lancets (2)
{7}    Adhesive Bandage
{8}    Lancet Disposal Container
{9}    Specimen Return Pouch
{10}  Cardboard Envelope
{11}  FedEx® Shipping Envelope

WHAT IS THE HOME ACCESS® EXPRESS™ HIV TEST KIT SYSTEM?
Home Access Express HIV test kit is an educational, counseling and testing service. The service is intended for use by persons to anonymously determine if antibodies to HIV-1 (Human Immunodeficiency Virus, Type 1) can be detected in their blood. It is intended for home use by persons with little or no experience in obtaining blood specimens for medical testing. This kit contains all components necessary to collect and ship a blood spot specimen to a qualified laboratory for testing. For assistance in collecting a blood spot specimen, counseling, or emotional support, call 1-800-400-8988 to speak with a counselor.

STEP 1: REGISTERING YOUR TEST KIT CODE NUMBER

Carefully tear off the top sheet of your Blood Specimen Collection Card {3}. It contains your personal eleven-digit Home Access Code Number. You alone are responsible for this code number. If you lose it, you will not be able to get your test result! Keep your code number in a safe place.

Before registering your Home Access HIV Test kit Code Number, read the conditions of Informed Consent. Registering your code number and writing it on the Blood Specimen Collection Card {3} (step 2.o.) indicates to us that you have read, understand and agree to these conditions.

Before collecting your blood spot specimen, you must call 1-800-400-8988 to register your eleven-digit code number. You can call at any time, 24 hours a day, seven days a week. Listen carefully to the instructions and enter the appropriate responses using your touch-tone telephone. Counselors are available (except holidays) for assistance and to answer questions.

STEP 2: COLLECTING A BLOOD SPOT SPECIMEN

Step 2.a.
Find a Clean, Dry Place to Collect Your Blood Spot Specimen Place your specimen collection kit on a clean, dry surface where you can work without interruption for about 20 minutes. It is important to keep the Blood Specimen Collection Card {3} clean and dry; the laboratory may not be able to test a soiled or wet card. Do not touch the card with wet hands.

For best results, read and carefully follow the step-by-step instructions for collection of a blood spot specimen of adequate size and quality for testing.

Wash your hands with soap and warm (not hot) tap water. Dry your hands thoroughly. This will help remove skin oils and other contaminants that could spoil your blood spot specimen.

Before you draw your blood drops, uncover the printed circle on the Blood Specimen Collection Card {3} by folding down the protective flap.

Choose a puncture site on the "soft" pad of the fingertip, preferably on the middle or ring finger. DO NOT use the pinkie finger. In choosing a puncture site, avoid callused areas.

Clean the selected puncture site with the Alcohol Prep Pad {4}. Use the Gauze Pad {5} to thoroughly wipe off the alcohol from your finger.

Let your hand with the finger you intend to lance hang at your side for 30 seconds. With your hand still pointed downward, vigorously "shake" your fingers and arm back and forth for a few seconds.

Support the back of your hand on a table or countertop with the palm up. Doing this will help you avoid pulling away or flinching when depressing the lancet. Pulling away or flinching could result in an inadequate puncture and not enough blood flow. Place the Safety Lancet {6} in the other hand between the first and second fingers. Your thumb should be on the lancet trigger.

Draw Blood Drops 

Firmly press the tip of the Safety Lancet {6} against the pad of the selected finger, using steady pressure to form a dimple. Forcefully depress the lancet's trigger with your thumb. Remove the Safety Lancet only after the skin is pierced. You should not reuse a Safety Lancet; an additional Safety Lancet is provided.  

 

Apply Pressure to Finger Near Puncture Site

Turn your hand over and let large drops of free-flowing blood collect at the puncture site. To increase blood flow, use your thumb and first finger on your other hand to gently apply pressure around puncture site (as shown).

Add Blood Drops to Circle on Blood Specimen Collection Card 

Once a large drop of blood has formed, touch the blood drop gently inside the circle printed on the Blood Specimen Collection Card {3}. Apply blood drops inside the circle until it is completely filled. Try not to place one drop of blood directly on top of another. You may put extra blood outside the circle but the circle itself needs to be completely filled.

Step 2.l.
Check Back of Circle to See if Blood Soaked Through 
To ensure you have enough blood on the Blood Specimen Collection Card {3}, pull back the protective cover and inspect the circle on the back (see diagrams below). If there are areas where the blood has not soaked through, place additional blood drops on the front side of that area until the circle on the back is completely filled. If you are unable to obtain enough blood from a single puncture site, repeat steps 2.g.-2.k. using the second Safety Lancet {6}.

IMPORTANT: Our laboratory must receive a blood spot specimen of sufficient size and quality or it cannot be tested.

 

Apply Bandage

After completely filling the circle with blood, apply an Adhesive Bandage {7} to the puncture site.

Place Used Safety Lancet(s) in Lancet Disposal Container 

Put used Safety Lancet(s) {6} in the Lancet Disposal Container {8}. Snap the container shut by pressing down hard on the lid. Safely dispose of the sealed Lancet Disposal Container and all other used materials in your home garbage.

 

Write Your Code Number and Collection Date

Write your Home Access Code Number and the date you collected your specimen on the Blood Specimen Collection Card {3} in the space provided.

DO NOT SIGN YOUR NAME!

STEP 3: SHIPPING YOUR BLOOD SPECIMEN CARD

ALLOW BLOOD SPOT TO AIR DRY FOR 30 MINUTES BEFORE BEGINNING THIS STEP.  

Place the Blood Specimen Collection Card in Specimen Return Pouch after Drying

After 30 minutes of air drying, fold the protective flap back to its original position on the Blood Specimen Collection Card {3}. This will protect the blood spot. Then place the Blood Specimen Collection Card {3} in the Specimen Return Pouch {9}.

Peel off the adhesive cover at the top of the Specimen Return Pouch {9}. Fold down along the perforation. Press down hard along the back of the fold to seal it tightly.

Place Specimen Return Pouch in Cardboard Envelope 

Place the sealed Specimen Return Pouch {9} in the Cardboard Envelope {10}. To seal the Cardboard Envelope, peel off the adhesive cover, fold down the flap and press down hard on the flap.  

Place Cardboard Envelope in FedEx® Shipping Envelope 

Place the sealed Cardboard Envelope {10} into the FedEx Shipping Envelope {11}. Seal the shipping envelope by peeling off the adhesive cover and folding the flap over. This envelope has a prepaid shipping label attached to it.

Use FedEx® for Shipping 

Take the sealed FedEx Shipping Envelope {11} to any FedEx Customer Service Center. You can also use a FedEx Drop-off box for shipment. Call FedEx at 1-800-238-5355 to learn the location of the nearest Service Center or drop-off box.

STEP 4: GETTING YOUR RESULT

AVAILABILITY OF COUNSELING & HIV TEST RESULTS
You can call Home Access Health for assistance and/or counseling at any time; 24 hours a day, seven days a week. However, telephone access to your hiv test result is limited. Negative test results are available to clients for a period of 30 days after receiving the result for the first time. Within that 30 day period, clients with a negative result can access their result and talk to a counselor by telephone a total of three times. Positive and indeterminate test results are available to clients for a period of one year after receiving the result the first time. Within that one year period, clients with a positive and indeterminate result can access their result and talk to a counselor by telephone a total of six times. All other results are available to clients for 30 days.

INFORMED CONSENT
The following are the conditions of Informed Consent which I have read, understand and to which I agree voluntarily. I am showing my agreement by registering my Home Access HIV Test Kit Code Number by telephone and by writing my code number on the Blood Specimen Collection Card {3}:

1. I authorize Home Access Health Corporation (HAHC) to use an authorized laboratory to test my blood specimen for the presence of HIV- 1 (Human Immunodeficiency Virus, Type 1).
2. I understand that a negative result means the blood specimen I submitted did not show antibodies to HIV-1.
3. I understand a positive result means I should consider myself infected with HIV-1 and I must take precautions not to infect others. However, inaccurate results may occur and a positive test result alone does not mean I have AIDS or will ever develop AIDS.
4. I understand an indeterminate result means the result is neither negative nor positive and I should be tested again.
5. I understand certain demographic information (e.g. my age, gender, race) may be reported anonymously to the state health department of the state from which I am calling.
6. I understand I may request that Home Access Health Corporation (HAHC) provide me with a referral to physicians or mental health practitioners with experience in HIV/AIDS in my area, from whom I may seek care. Home Access Health Corporation (HAHC) makes no warranty or representation concerning the qualifications of any such physician or mental health practitioner, and HAHC shall have no liability or responsibility with respect to the acts or omission of any such mental health practitioner or physician.
7. I understand Home Access Health Corporation (HAHC) bears no responsibility to provide me medical or psychological care regardless of my test result.
8. I understand that my test result will be identified only by the Home Access Code Number to protect my identity.
9. I have thoroughly read, understand, and followed this Directional Insert {1} and Things You Should Know About HIV and AIDS {2}.
10. I understand that failure to strictly adhere to all recommended procedures may result in an inaccurate result or my specimen not being tested.
11. I agree that any liability of Home Access Health Corporation (HAHC) and its physicians and counselors shall be limited to the purchase price of this specimen collection kit.

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