FCI Beckley Medical Care

Aug, 22 11 Post by: admin | No Comments


FCI/FPC Beckley Health Services Department


Our mission is to provide quality medical, dental, and mental health care for the inmate population, consistent with Joint Commission Ambulatory Care Standards, and Bureau of Prisons Policy. This care will be rendered within the constraints of custody, but will recognize the inherent worth of each individual.
The vision of the Health Services Department is guided by a tradition of providing high quality health care to an incarcerated inmate population. The vision of our department is to meet the ever increasing and diversified needs of the inmate population and become a center of excellence where staff take pride in the care they provide, and the inmate patients have a positive perception of that care.

Patient Rights and Responsibilities


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, and you also accept the responsibility to respect the basic human rights of your health care providers.

Refusal of certain diagnostic counseled regarding the possible ill tests for infectious diseases can result effects that may occur as a result of in administrative action.

Health Services holds “Open House” for Medical Records and Dental on Wednesdays from 12:00p.m. to 12:45pm or last call for mainline which ever comes first. This open house is for your convenience. Any questions or concerns you have regarding your health care may be discussed during these hours.


Medical and Dental Sick Call Appointments


To make a sick call appointment, bring your ID card to the Health Services Department during the morning sick-call move (this move will occur as the first move of the morning, four days per week: Monday, Tuesday, Thursday, and Friday, except for Holidays. Appointments are made by coming to the Health Services Department during this time and requesting an appointment.
A. ALWAYS BRING YOUR “ID CARD” TO SIGN UP FOR SICK CALL.
B. Present your ID card along with your sick call form at the sign-up desk. You must fill out the sick call form in ink. The form must include your name, register number, and complaint. Please be as thorough as possible on the form.
C. You will either be seen immediately, or you will be placed on the call-out for the date and time you are to return to the Health Services Department, depending on the nature of your medical or dental problem.
D. Dental sick call sign up requires this sick call form.
E. Try not to arrive at the Health Services Department earlier than five minutes prior to your appointment, and do not arrive later than five minutes after your appointment.

TARDINESS FOR SICK CALL: You must report for ALL sick call appointments, as well as ALL appointments scheduled via the call out. You are expected to arrive for your appointment on time, with your ID card. You are not to arrive any sooner than five minutes before the scheduled time of your appointment, and no later than five minutes after. If you are more than ten minutes late, and the reason is not justified or substantiated by staff, your appointment will be canceled, and appropriate disciplinary action taken as it pertains to your absence from a scheduled assignment.


Pill Lines


Pill line is conducted at four scheduled times during the day. The pill line times are as follows:
FCI
7:00 a.m. – 7:15 a.m. Monday through Friday
8:00 a.m. – 8:15 a.m. Weekends/Holidays

Daily
3:00 p.m. – 3:30 p.m. Medication Prescriptions Refill Pick Ups
After 4:00 p.m. Count Clears Daily – Insulin only Runs for 30 minutes Daily At Institution Recall Restricted Pill Line Medications Only

FPC
6:30 a.m. – 7:00 a.m. Monday through Friday
7:00 a.m. – 7: 30 a.m. Weekends/Holidays
3:00 p.m. – 3:30 p.m. Daily

You must present your institution ID at each pill line.

Some prescription medications may be written up to 180 days at a time. If your prescription has refills indicated on the bottle, and you are needing a refill please fill out a refill form located outside the pharmacy window during the morning pill line and pick your medication up at the 3:30 p.m. pill line. Medication will not be refilled if the expiration date has passed; you will be required to make a sick call appointment to have the medication renewed.


Routine Dental Care


New commitments are seen by the Dental Department as part of the A&O process. At this time, they will be able to establish a treatment plan in regard to your immediate needs. Requests for routine work are to be submitted to the Dentist on an Inmate Request To Staff (Cop Out). You must watch the call outs for your appointment time. If you are not seen here for an A&O exam, submit a cop out if you wish to be placed on the treatment list.
Inmates at the FCI who wish to have a dental cleaning, must report to Dental Open House on Wednesdays of each week, between the hours of 12:00p.m. to 12:45pm or last call for mainline which ever comes first. At this time, you will be placed on a waiting list and advised of the approximate date of your scheduled appointment. Camp inmates must submit an Inmate Request To Staff Member to be placed on the waiting list for a dental cleaning.

FPC dental sick call forms are accepted on Tuesdays only.

As with scheduled appointments you MUST show up for your dental appointments, whether they be emergency, sick call, or scheduled on the posted call outs.
Report any emergencies to staff immediately and appropriate action will be taken.


Physical Examinations


All newly committed inmates will receive a complete physical examination, including dental exam, laboratory tests, immunizations, Tuberculosis test, eye screening, and in some cases, a chest x-ray. The medical A&O exams are conducted on Wednesdays. Inmates are required to be at the Health Services Department on the day their exam is scheduled. Inmates are eligible for a complete physical every two years if under 50, and a complete physical every year if over 50 years of age. If you are over 50 you are also eligible for a yearly EKG. If it has been one year since your last physical exam, you may request a release physical two months prior to your release date. Each inmate is entitled to request a Health Care Prevention Visit every three years prior to the age of 50, and every year after the age of 50. Send your request for a physical exam to the Health Services Department on an Inmate Request to Staff form (Cop Out). Please the BOP Clinical Practice Guidelines for Preventative Health.

Eyeglasses and Contact Lenses


A consultant eye doctor comes to the institution on a scheduled basis. FCI inmates who wish to be evaluated for eyeglasses must report to Health Services during Open House on Wednesday between the hours of 12:00 p.m. to 12:45pm or last call for mainline which ever comes first. At that time, you will be placed on a waiting list and advised of an approximate date of your appointment. Your name will be placed on the call out for the date of your appointment.

FPC inmates must submit an Inmate Request To Staff Member requesting an eye examination. If the eye doctor determines you need a pair of glasses, we will order them for you at government expense. It takes approximately four to six weeks to receive them. We do not allow eyeglasses from outside sources to be sent into this institution unless deemed necessary by the Clinical Director. Unless medical staff determine contact lenses are medically necessary, prescription glasses must be worn and contact lenses sent home.


Consultant Referrals to Outside Medical Facilities and Doctors


If the physician at this institution determines that your particular medical/dental problem cannot be evaluated or handled at this facility, you will be referred to the most appropriate medical setting. This could be a local clinic, or another Bureau medical center. Once the care is completed, you will be transferred back to this institution.

Duty Status


The medical department has five types of fitness for duty status:

Regular Duty – you will be assigned to work anywhere in the institution you are assigned and can participate in all institutional activities.
Restricted Duty – you are to follow the restrictions as outlined on the form for your particular duty limitation.
Convalescence – no work duty, but not restricted from other activities, must still attend Education classes.
Idle -this is essentially BED REST. You are permitted out of bed for meals, medical appointments, bathroom and chapel. You are not allowed to be: up watching television, out on the compound, or in the gym.
Medically Unassigned- unassigned due to existing medical condition. you are to follow the restrictions as outlined on the form.
Violation of any of these restrictions subjects you to disciplinary action. If there is confusion concerning your duty status or restriction, notify a Health Services staff member through a cop out or sick call.


Call Outs


The call out system is utilized by Health Services for clinical appointments, follow-up visits, and x-ray or laboratory procedures.
*********LOOK AT THE CALL OUT EVERY EVENING**********
*******ALL MEDICAL CALL OUTS ARE MANDATORY*********
FAILURE TO REPORT FOR MEDICAL CALL OUTS WILL RESULT IN AN INCIDENT REPORT
EMERGENCY APPOINTMENTS

In the event you become ill, or have an accident which requires immediate medical attention, you are to notify your supervisor or the closest staff member who will then contact the Health Services Department for instructions. DO NOT JUST WALK INTO THE HEALTH SERVICES DEPARTMENT WITHOUT PRIOR APPROVAL FROM A HEALTH SERVICES STAFF MEMBER..


Camp Sick Call


Inmates who are assigned to the Federal Prison Camp may make sick call appointments in the morning between the hours of 6:30 AM and 6:45 AM., (Monday, Tuesday, Thursday and Friday) The inmate will be responsible for completing an Inmate Sick Call Sign Up form, in ink, and reporting to Camp Health Services during the time frame specified above. A Physician’s Assistant or Registered Nurse will screen all appointment requests and either give the inmate an appointment for the same day, or schedule an appointment at a later date. For those appointments which are scheduled for a later date, the inmate will be placed on a call-out.

Inmate Copayment Program


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 FCI/FPC Beckley provide notice of the Inmate Copayment Program for health care, effective October 3, 2005.
A. Application: 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 MRCs and inmates assigned to the General Population at these facilities are subject to co-pay fees.
B. Health Care Visits with a Fee:
1. You must pay a fee of $2.00 for health care services, charged to your Inmate Commissary Account, per health care visit, if you receive health care services in connection with a health care visit that you requested, except for services described in section C., below.
These requested appointments include Sick Call and after-hours requests to see a health care provider. If you ask a non-medical staff member to contact medical staff to request a medical evaluation on your behalf for a health service not listed in section C., below, you will be charged a $2.00 co-pay fee for that visit.
2. You must pay a fee of $2.00 for health care services, charged to your Inmate Commissary Account, per health care visit, if you are found responsible through the Disciplinary Hearing Process to have injured an inmate who, as a result of the injury, requires a health care visit.
C. Health Care Visits with no Fee:
We will not charge a fee for:
1 Health care services based on health care staff referrals;
2 Health care staff-approved follow-up treatment for a chronic condition;
3 Preventive health care services;
4 Emergency services;
5 Prenatal care;
6 Diagnosis or treatment of chronic infectious diseases;
7 Mental health care; or
8 Substance abuse treatment.
If a health care provider orders or approves any of the following, we will also not charge a fee for:
• Blood pressure monitoring;
• Glucose monitoring;
• Insulin injections;
• Chronic care clinics;
• TB testing;
• Vaccinations;
• Wound Care; or
• Patient education.
Your health care provider will determine if the type of appointment scheduled is subject to a copay fee.
D. Indigency: An indigent inmate is an inmate who has not had a trust fund account balance of $6.00 for the past 30 days.
If you are considered indigent, you will not have the copay fee deducted from your Inmate Commissary Account.
If you are NOT indigent, but you do not have sufficient funds to make the copay fee on the date of the appointment, a debt will be established by TRUFACS, and the amount will be deducted as funds are deposited into your Inmate Commissary Account.
E. Complaints: You may seek review of issues related to health service fees through the Bureau’s Administrative Remedy Program (see 28 CFR part 542).

Over-the-Counter Medications (OTCs)


Personal resources will be used by inmates to obtain OTC medications which are indicated for cosmetic and general hygiene issues or symptoms of minor ailments. These symptoms include seasonal allergies, occasional constipation, uncomplicated athletes foot, acne, simple rashes, dry skin, and muscle aches from exertion.
For those inmates who report to health services with symptoms of minor medical ailments and cosmetic or general hygiene issues they will be referred to the institution commissary with a Commissary Shopping List stating which medications they may purchase for general complaints.

On-the-job Injuries


If an inmate is injured while performing an assigned duty, he must immediately report this injury to his work supervisor. The work supervisor will then report the injury to Health Services staff and the institution Safety Manager. The inmate may be disqualified from eligibility for lost-time wages or compensation if he fails to report a work injury promptly to the supervisor.

If injured while performing an assigned duty, and the inmate expects to be impaired to some degree, he may submit a claim for compensation. A medical evaluation must be included in the claim before any compensation can be considered.


Primary Care Provider Teams


The goal of this institution’ s Health Services Department is to provide medical care which is consistent with the community standard of care. The PCPT model is designed to function in the same manner as a doctor’s office within the community setting, consisting of clinical staff such as Physicians, Physicians Assistants, Registered Nurses, and Medical Assistants, as well as support staff such as Medical Records Technicians, and clerical staff.

The PCPT Team is a group of health care providers and support staff whose function is to provide direct patient care which support and enhance the day to day operations of the sick-call process, and chronic care clinics.

The Health Services Department at FCI/FPC Beckley is comprised of two different locations. This department is responsible for providing direct patient care to approximately 1800 inmates at the FCI and approximately 400 inmates at the Satellite Camp.
Inmates will be classified based on the last two numbers of their first five digits. Example inmate # 12345-678 would be for PA2.


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