Clinic Hours and Appointment Procedures
The procedure to obtain an appointment is to request a “Sick Call Request Form” from the Unit Officer. The inmate must complete this form and bring it to the Health Services Unit before 7:00 a.m. Monday – Friday and deposited in the box located on the mail corridor wall, just outside of the Satellite Pharmacy window. All Request forms will be reviewed and appointments will be prioritized based upon the clinical need for care and the Health Services’ Triage Guidelines. If routine Clinic hours are disrupted due to an unforeseen event, medical complaints will be addressed via telephone. As with any unusual or unforeseen medical problem that occurs, inmates will need to report their medical complaints to Unit Staff or their Work or Detail Supervisors who will in turn notify Health Services staff for a determination of care needed. All clinical complaints will be addressed and evaluated. However, if the complaint is not categorized as an emergency by the clinical provider or require immediateintervention, the inmate will be instructed to obtain an appointment for routine care by submitting a Sick Call Request Form. If an inmate is evaluated and identified as needing specialty care, which falls within the Bureau of Prisons policy of providing medically mandatory or medically necessary care, this request will be reviewed by a Utilization Review Committee and make are commendation to the Clinical Director. Her decision will be based upon the clinical need for such specialty evaluation based upon the requirements of policy.
Clinic Appointments and Call Outs
Eyeglasses and Contact Lenses
Medical Duty Status Determination
REFILLS: It is the inmate’s responsibility to notify the Health Services personnel when a prescription requires renewal. Plan ahead for this. To obtain refills, leave the medication bottle in the box on the main corridor wall, just outside of the Satellite Pharmacy window prior to 0700 at both theFCI and FPC or report to the Pharmacy during open movement if questions occur regarding medications or refills.
OVER-THE-COUNTER MEDICATIONS: Medication like: Motrin (Ibuprofen) Aspirin, Tylenol (Acetaminophen), Allergy Medication, Liquid Antacids, Acid Reflux Medications, Hemorrhoidal and Antifungal Cream (Athlete’s Foot Cream, etc.) are available for purchase in the Commissary. Unless the medical provider determines that a prescription of these or some other over-the-counter medications is clinically indicated, the inmate will be expected to purchase them in the Commissary.
PILL LINES: If restricted medications (those which cannot be taken back to your unit) or insulin injections are ordered, the Pharmacist will advise of the times and method of receiving these medications. The routine Pill Line times are posted outside of the Health Services Unit and above the satellite pharmacy window. Before any medication can be administered or dispensed, th inmate must provide a photo ID(Commissary card) for identification purpose and recite his name and register number.
- HIV There is an increased personal risk factor to contract this virus by behaviors which includes: IV drug use, tattooing, and homosexual behavior. You are discouraged from engaging in such activities which transfer blood and body fluids. All inmates who have engaged in any of these high risk behaviors are encouraged to have an HIV test performed. This can be requested and risk factors discussed during your physical examination or on routine sick call.
- HEPATITIS The Hepatitis Virus is contracted in the same manner as HIV. Testing is not mandatory, but diagnosis is determined by a blood test. Testing is done when clinically indicated.
- TUBERCULOSIS The Tuberculosis bacteria is transferred through the respiratory tract following prolonged exposure. All inmates are required to be screened, usually by a skin test, at least annually and according to the Bureau of Prisons policy. Since this is a matter of public health, you are subject to disciplinary action, if refused. This disease is treated by antibiotic therapy. If you were to have a positive screening test, you will be evaluated and possibly offered a prophylactic treatment regimen of Isoniazid (INH) and Vitamin B 6. This program will be explained to you by the Clinical Providers and the Pharmacist.
- METHICILLIN RESISTANT STAPHAUREUS (MRSA) The term Methicillin Resistant Staph Aureus refers to those strains of staph aureus bacteria that have acquired resistance to certain antibiotics. MRSA is spread through direct physical contact, not through the air. Healthy people have very little risk of becoming infected with MRSA . If you should have open sores or ulcers that do not heal, you should make sick-call to be tested. Although it is resistant to some antibiotics there are several treatments available.
- SYPHILIS The syphilis bacteria is transmitted by sexual contact and is screened for on admission by a blood test for those with at risk behavior. It is treated by antibiotic therapy.
Medical Records Review and Copies
Requests to See the Physician
Advanced Directives and Living Wills
Health Care Rights and Responsibilities
|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.|