FCI Allenwood Low Medical Care

Aug, 13 11 Post by: admin | No Comments


MEDICAL SERVICES


Routine medical and dental care is offered within the Health Services Department at LSCI Allenwood. Local community medical resources may be utilized when deemed necessary by the institutions medical staff. Additionally, an inmate may be transferred to another correctional facility or medical referral center, for more extensive medical care when indicated by the institution Physician.

GENERAL POPULATION APPOINTMENTS


Appointments for routine medical and dental care are issued at the triage area in the Health Services Department. Inmates must report to this area on Mondays, Tuesdays, Thursdays, and Fridays with a completed sick call request form. Sick-call signup begins at 6:15 A.M. and ends promptly at 6:45 A.M. This schedule excludes Wednesdays and federal holidays, since no sick-call is held on holidays.

If the institution is experiencing a situation where inmate movement is not allowed during sick call sign-up times, inmates are to submit their completed request forms to the housing unit officer by 6:45 A.M. on those days. Medical staff will obtain these requests from the officers and schedule those requests accordingly. If the medical staff determine the sick call is of an emergent priority, the inmate will be issued a same day appointment slip reflecting the time of the appointment. The inmate must present this appointment slip to the work supervisor so that an institutional pass can be issued to him.

If the medical staff determine the sick call is not of an emergent priority, the inmate will be advised his assigned medical provider will schedule him for an appointment and he is to watch the callout for the date and time of that appointment. Sick Call Request Forms will not be accepted through the institutional mail and will only be accepted from 6:15 A.M. to 6:45 A.M. on Mondays, Tuesdays, Thursdays, and Fridays. Any inmate arriving at Health Services later than 10 minutes after the scheduled appointment time and you will receive a $2 charge (See Inmate CoPay section). If an inmates becomes ill after the regular sick-call sign-up time, he should ask his staff supervisor to call the hospital. Health Services staff will determine if, and/or when an appointment will be scheduled.

Appointments for other medical evaluations, tests, and clinics (such as eye exams, blood studies, physician visits, etc.) will be scheduled via the institution call-out roster. It is your responsibility to review the call-out daily and show up on time for all appointments. Dental sick-call is for emergency care only, such as toothaches, abscesses, temporary fillings, etc. To obtain routine dental treatment, such as permanent fillings, dentures, and cleanings, you must submit a Inmate Request to Staff (Cop-Out) to the Health Services Department. All routine appointments will be scheduled on the institutions call-out.

SPECIAL HOUSING INMATES


Inmates placed in Special Housing will be seen by a clinical staff member at least once daily. Inmates with routine medical and dental care concerns will be addressed daily.

PHYSICAL EXAMINATIONS


All new commitments to the Federal Bureau of Prisons System will be scheduled for a complete physical examination, which is mandatory, within 14 days of arrival at this institution. This examination may include laboratory studies, hearing and sight screening, dental examination, medical history, and physical examination. All inmates under the age of 50, are entitled to a routine physical examination every two years. Those inmate at or over the age of 50 are entitled to this examination annually. These examinations may include an Electrocardiogram, rectal examination, tonometry, vision testing, and blood work testing along with other tests as determined by your care provider. This optional examination requires an inmate to submit an Inmate Request to a Staff Member (Cop-Out) form to the Health Services Department requesting the physical. You will be placed on the list for physicals and the appointment will be listed on a future daily call-out list located in the housing units. Because this physical is for your health and well being, we encourage you to take the opportunity extended to you. During this voluntary examination, you may refuse any part of the process that you do not want performed. All inmate within 12 months of their release date, are entitled to a pre-release physical examination. Requests for this examination must be made through the Health Services Department, no later than 2 months prior to release in order for the examination to be scheduled and completed.

ANNUAL IMMUNIZATION/SCREENING


All inmates will be scheduled for the tuberculosis screening on an annual basis. This screening will be in the form of the PPD skin test and/or chest x-ray. The date of these screenings will be based on the inmate’s previous test date. During the flu season which is typically in early winter, inmates will have the influenza vaccination or flu shot if their medical condition meets the CDC guidelines for these immunizations. Since some seasons cause the supply of this vaccination to be short, it will depend on the availability of the vaccine and the inmate’s medical priority. This optional vaccination requires an inmate to submit a Inmate Request to Staff (Cop-Out) form to the Health Services Department requesting the flu shot vaccination.

EMERGENCY MEDICAL TREATMENT


All emergencies or injuries will be screened for priority of treatment and then will be examined accordingly. Appropriate medical care will be provided by institutional Health Services staff. Medical treatment on evenings, mornings, weekends, and federal holidays is limited to treatment of acute problems only. Treatment needs will be determined by the medical staff. Access to emergency medical care is obtained by notifying any staff member or the activation of the inmate duress system in your cell. Any emergency or injury, must be reported to Bureau of Prisons staff immediately.

PHARMACY


Inmate prescriptions are dispensed daily within Health Services. Scheduled pill lines with their institution I.D. card, are as follows:

  • 06:00 a.m. – 06:15 a.m. Diabetics only
  • 07:00 a.m. – 07:15 a.m. Passes only
  • 11:30 a.m. – 12:00 p.m. No pass required / open pill line
  • 3:30 p.m. – 3:45 p.m. No pass required
  • 5:00 p.m. – 5:15 p.m. Diabetics only
  • 8:30 p.m. – 8:45 p.m. Pill line passes required

Restricted medications will be issued only on a dose-by-dose basis and must be taken at the Pharmacy window in full view of the person dispensing the drug. You will be required to allow the dispensing individual to inspect your mouth after accepting the medication. A full cup of water is required for taking these restricted medications. Inmates receiving medication in this manner will be issued a medication pass with the appropriate times circled. You must present this pass to have the medication administered. If you are placed on pill line, reporting to the assigned times is mandatory, you may chose to refuse the medication, but you are mandated to report to the pill line. Other non-restricted medications will be distributed through the Pharmacy located within the Health Services Department. In most instances, when you are prescribed medication, you will be able to pick it up during the next business day at the 11:30 a.m. pill line. All medications which you are issued will have an expiration date. If your medication has a refill listed on the label, it must be returned for refill prior to the expiration date. Once a medication is expired, it can only be refilled by attending sick-call. Expired medication must be returned to the pharmacy, otherwise it will be considered a unauthorized item .

***ID picture cards are required for any visit to the Health Services Department***

OTC PROGRAM


Inmates will purchase OTC items at commissary for their occasional use.

  1. Commissary List will be provided to the inmates for current stock and pricing information. Inmates are instructed that if they report to the HSU for these same items, they will be referred to commissary as appropriate. Inmates are required to plan ahead for Commissary closures. Health Services will not issue commissary items due to the Commissary being closed.
  2. If OTC medication is absolutely necessary to have by the next available shopping day, the provider will then issue an institution OTC Medication Slip. The provider will select up to two appropriate OTC items from the list. The inmate will be allowed to shop in commissary only for that day and only for the item(s) indicated on his OTC Medication Slip.
  3. The same process will be used for SHU inmates. However, their OTC Medication Slips will be routed through the SHU Lieutenant for their commissary items.


IDLE, CONVALESCENCE, AND MEDICAL ASSIGNMENTS


In situations where it is necessary to restrict the inmates activities due to health concerns, an inmate may be placed on quarters, convalescence, or medically unassigned status. The medical staff will issue you a Medical Duty Status form that identifies your limitations. It is the inmates responsibility to deliver one copy to his work supervisor and one copy to his unit officer. The following is a synopsis of restrictions for each medical limitation status:

  • IDLE: Temporarily disability not to exceed three days duration including weekends and holidays. Restricted to your room except for meals, barbering, religious services, sick-call, visits, and call-outs. No recreation activity.
  • CONVALESCENCE: Recovery period for an operation, injury, or serious illness. Not less than four days and not to exceed 30 days, subject to renewal. Excused from work and may not participate in recreation activities.
  • RESTRICTED DUTY: Restricted from specific activities because of existing physical or mental handicap for a specific time period or indefinitely.
  • MEDICALLY UNASSIGNED/TOTALLY DISABLED: Totally unemployable and unassigned because of physical or mental handicap for a specific time period or indefinitely.


INMATE CO-PAY


Pursuant to the Federal Prisoner Health Care Copayment Act (FHCCA) of 2000 (P.L. 106-294, 18 U.S.C. § 4048), The Federal Bureau of Prisons and LSCI Allenwood provide notice of the Inmate Copayment Program for health care, effective October 3, 2005. The Inmate Copayment Program applies to anyone in an institution under the Bureau’s jurisdiction and anyone who has been charged with or convicted of an offense against the United States, except inmates in inpatient status at a Medical Referral Center (MRC). All inmates in outpatient status at the MRC’s and inmates assigned to the General Population at these facilities are subject to a $2.00 copay fee. Needed offender health care is not denied due to lack of available funds. Co-payment fees are waived when appointments or services, including follow-up appointments, are initiated by medical staff.

ADVANCED DIRECTIVES and LIVING WILLS


This option is available to the inmate population by requesting an appointment with your provider.

RIGHTS/RESPONSIBILITY


While in the custody of the Federal Bureau of Prisons, you have the right to receive health care in a manner that recognizes your basic human rights. You also accept the responsibility to cooperate with your health care plans and respect the basic human rights of your health care provider.

Your Health Care Rights: Your Responsibilities:
1. You have the right to access health care services based on the local procedures at this institution. Health services include medical, dental, and all support services. 1. You have the responsibility to comply with the health care policies of this institution and follow recommended treatment plans established for you by the health care staff.
2. You have the right to know the name and professional status of your health care providers and to be treated with respect, consideration, and dignity. 2. You have the responsibility to treat these providers as professional and follow their instructions to maintain and improve your overall health.
3. You have the right to address any concerns regarding your health care to any member of the institutional staff including the physician, the Health Services Administrator, members of your Unit Team, the Associate Warden, and the Warden 3. You have the responsibility to address your concerns in the accepted format, such as the Inmate Request to Staff Member form, at main line, or the accepted Inmate Grievance Procedures.
4. You have the right to provide the Bureau of Prisons with Advance Directives or a Living Will that would provide the Bureau of Prisons with instructions if you are admitted as an inpatient to a hospital. 4. You have the responsibility to provide the Bureau of Prisons with accurate information to complete this agreement.
5. You have the right to be provided with information regarding your diagnosis, treatment, and prognosis. 5. You have the responsibility to keep this information confidential.
6. You have the right to obtain copies of certain releasable portions of your health record. 6. You have the responsibility to be familiar with the current policy and abide by such to obtain these records.
7. You have the right to be examined in privacy. 7. You have the responsibility to comply with security procedures should security be required during your examination.
8. You have the right to participate in health promotion and disease prevention programs, including those providing education regarding infectious disease. 8. You have the responsibility to maintain your health and not to endanger yourself, or others, by participating in activities that could result in the spreading or catching of infectious diseases.
9. You have the right to report complaints of pain to your health care provider, have your pain assessed, managed in a timely manner, be provided information about pain management as well as information on the limitations and side effects of pain treatments. 9. You have the responsibility to communicate with your health care provider honestly regarding your pain and your concerns about your pain. You also have the responsibility to adhere to the prescribed treatment plan and medical restrictions. It is your responsibility to keep your provider informed of both positive and negative changes in your condition to assure timely follow-up.
10. You have the right to receive prescribed medications and treatments in a timely manner, consistent with the recommendations of the prescribing health care provider. 10. You have the responsibility to be honest with your health care provider(s), to comply with prescription treatments and follow prescription orders. You also have the responsibility not to provide any other person with your medication or other prescription item.
11. You have the right to be provided healthy and nutritious food. You have the right to instructions regarding a healthy diet. 11. You have the responsibility to eat healthy and not abuse or waste food or drink.
12. You have the right to request a routine physical examination as defined in the Bureau of Prisons policy.(If you are under the age of 50, once every 2 years, if over the age of 50, once a year and within one year of your release. 12. You have the responsibility to notify medical staff that you wish to have an examination.
13. You have the right to dental care as defined in the Bureau of Prisons policy to include preventative services, emergency care, and routine care. 13. You have the responsibility to maintain your oral hygiene and health.
14. You have the right to a safe, clean, and healthy environment that includes smoke free living areas. 14. You have the responsibility to maintain the cleanliness of personal and common areas and safety in consideration of others. You have the responsibility to follow smoking regulations.
15. You have the right to refuse medical treatment in accordance with the Bureau of Prisons policy. Refusal of certain diagnostic tests for infectious diseases can result in administrative actions against you. You have the right to be counseled regarding the possible consequences of refusing medical treatment. 15. You have the responsibility to notify health services regarding any ill-effects that occur as a result of your refusal. You also accept the responsibility to sign the treatment refusal form.


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