HIV/AIDS: State of Washington Mandatory 4 Hour Training







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Because the diagnosis of HIV infection or AIDS was a death sentence for many years until the highly active antiretroviral medications were discovered, the HIV virus and the diseases it causes continue to be greatly feared. Significant efforts have been made by researchers and clinicians to increase our knowledge of HIV, its diseases and effective prevention and treatment, since they were first identified in the 1980s. The massive public health effort to increase knowledge about HIV transmission and effective protective interventions certainly have helped to reduce the fear that initially gripped the US. The general public and healthcare workers have benefited from this collectively gained knowledge.


Public Health Service literature has helped to disseminate information on HIV/AIDS. US Public Health Service, 1987. Courtesy of National Library of Medicine.

The State of Washington has a legal requirement that certain identified workers have training related to HIV and AIDS. Selection of topics may be made to meet specific licensing boards' requirements. Unless otherwise specified, all six topic areas must be covered for the 7-hour licensing requirements. Topic areas I, II, V, and VI must be covered for the 4-hour licensing requirements and for non-licensed health care facility employees (who have no specific hourly requirements). Please consult the Department of Licensing at (360) 236-4700 with specific questions about hourly requirements.

Please note that these curriculum requirements may not fulfill the needs of your particular certification or licensure. Funeral directors and embalmers are under the jurisdiction of the Department of Licensing and may have additional requirements. Drug, Alcohol and Substance Abuse counselors are required to have additional, specialized training. Emergency Medical Services workers have additional annual training requirements. Please check with the entity that licenses or certifies you, or call the Department of Health's HIV/AIDS Hotline for referral at: 800-272-2437.

This course is based on Know HIV Prevention Education: An HIV and AIDS Curriculum Manual for Health Care Facility Employees, 2007 Revised Edition, developed by the Washington State Department of Health, M. Selecky, Secretary. This course utilizes this curriculum to a great extent, but also has updated statistics and additional information in order to provide current, accurate information to the learner. This course meets the requirements of Washington State for HIV training. The 2007 KNOW Revision matches the outline of required topics for 4-hour and 7-hour licensing, HIV/AIDS education program.

The 4-hour HIV course contains only Parts 1, 2, 5 and 6 of the required training. Parts 3 and 4 are needed for the 7 hour HIV course. If you need to take the 7 hour HIV course-please click here.

Part 1. Etiology and epidemiology of HIV and AIDS

  • Definition of HIV, AIDS
  • How HIV works in the body
  • Reported HIV cases, reported AIDS cases in US and Washington State

Part 2. Transmission and Infection Control

  • Transmission of HIV
  • Behaviors that increase risk of HIV transmission
  • Infection control precautions
  • Factors affecting risk of transmission
  • Risk for transmission to healthcare workers
  • Other factors affecting transmission
    • Risk reduction
    • Bloodborne pathogens requirements
  • Universal/Standard Precautions and Infection Control
  • Reporting of on-the-job exposure
  • Post-exposure prophylaxis
  • Infection control in other settings

Part 3. Testing and Counseling (Part 3. is NOT covered in this 4 hour HIV course.)

  • Types of HIV testing
    • HIV test information
    • "Window period"
  • Pre-test counseling
  • Post-test counseling
  • Recommendations for testing related to sexual assault
  • Partner notification

Part 4. Clinical Manifestations and Treatment (Part 4. is NOT covered in this 4hour HIV course.)

  • Natural history of HIV infection
  • AIDS case definition
  • AIDS indicator conditions
  • How HIV works in the body
  • New drug therapies
  • Case management/resources
    • Tuberculosis and HIV
    • Other sexually transmitted diseases and HIV
  • Hepatitis B and HIV
  • Hepatitis C and HIV
  • Comparison Chart of HIV, HBV and HCV

Part 5. Ethical and Legal Issues

  • Reporting requirements
  • Confidentiality requirements
  • Disability and discrimination
  • Behaviors endangering the public

Part 6. Psychosocial Issues

  • Personal impact
  • The human response to death and dying
  • Caregiver issues
  • Select populations

Continue on to Part 1. Etiology and Epidemiology of HIV and AIDS