• Develop easy-to-read HIV flow sheets and checklists to promote ease of documentation and to prompt clinicians to deliver routine GYN care.
• Create a special GYN section in patients’ charts. Use a divider to clearly separate this section from the rest of the chart to facilitate quick and easy access to each patient’s GYN information.
• Develop and have available a list of resources to facilitate prompt referrals to other services, such as endocrinology, colposcopy and mammography, as well as social service providers or agencies, prenatal care providers, abortion providers, domestic violence hotline numbers, legal services, and HIV counseling and testing services for partners.
• Use a "Pap Log" to track Pap exam results and to ensure provider follow-up. Designate a central contact person — a clerk or clinician — to be responsible for using the log to keep track of the date of each patient’s exam and Pap results. A similar log could be created to track follow-up and treatment of STDs.
• Use information systems to identify the list of patients needing GYN exams.
• Flag charts (e.g., use a self-stick note) to identify patients that need a GYN exam on the day of appointments.

Promoting Gynecological (GYN) Care for HIV-Infected Women

Initial History and Physical Assessment Form