FCI Bennettsville Medical Care

Aug, 22 11 Post by: admin | No Comments


Medical Facilities


The overall Bureau health care delivery system includes local medical facilities, as well as major medical facilities.

Routine Sick Call Visits


Inmates are to be instructed at initial screening, and again at A & O lectures, to submit an “Inmate Request to Staff Member form (a copout), to the Medical Department for any routine appointment request. Report to sick call sign up and complete a Sick Call Sign Up Sheet, for urgent needs or concerns that need to be addressed as soon as possible. All inmates have access to Bureau Health Care Services.

Co-Pay


The Bureau will charge a copay fee of $2.00 for inmate requested visits to health care providers that is not an emergency. Inmates will be charged a copay fee for a medical evaluation requested by non-clinical staff if the condition is not an emergency.

Inmates found responsible through the Disciplinary Hearing Process to have injured another inmate who requires medical care , will pay a copay fee.

Inmates will not be charged a copay if you received medical services and on staff referrals, staff approved follow up treatment for a chronic care condition, emergency services, or preventative services such as vaccinations.

You may seek review of issues related to health service fees through the Bureau’s Administrative Process.

Inmates without funds will not be charged a fee for service if he or she is indigent. If you are lacking funds at a particular time, you may receive medical care and it will be charged to your account for later payment.

Inmates will not be denied necessary health care because of inability to pay.


Sick Call


Sick call sign up hours at the FCI are from 6:30 a.m. – 7:00 a.m., on Monday, Tuesday, Thursday and Friday, excluding holidays.

You must be present in the Health Services Unit before 6:45 a.m. Anyone afterwards will be referred to the next day for sick call.

For Camp inmates, sick call sign up from is from 6:15 a.m. – 6:30 a.m., Monday, Tuesday, Thursday and Friday, excluding holidays.

FCI and Camp inmates will complete an Inmate Request to Staff Member form (copout), for routine appointments.

If reporting to sick call sign up, a Sick Call Sign Up Sheet must be completed at the Health Services Unit. These requests will be triaged and appointments scheduled in accordance with current triage guidelines.

All appointment information will be noted on the response and a copy placed in the appointment book for future reference at that appointed time. “ Inmate Request to Staff Member” forms may be used for future routine requests such as dental cleaning and optometry requests. These requests will be processed and names of the individual requesting services will be placed on a list by Medical Records. Sign up for dental sick call is conducted by the PA, nurse, or dental personnel on duty the same time as medical sick call.

If you become ill or injured after the regular sick call appointment sign-up period, you should request that your work supervisor or unit officer call the clinic for an appointment. You will be charged a copay, if it is not an emergency.


Pill Line Operations


Only medications approved by the BOP and the local Pharmacy & Therapeutics Committee will be dispensed at this facility. Pill line hours have been established as follows for the FCI:

MONDAY – FRIDAY
INSULIN LINE 6:00 a.m.- 6:15 a.m.
A.M. PILL LINE 6:15 a.m.- 6:30 a.m.
INSULIN LINE 4:30 p.m.- 4:45 p.m.
NIGHT PILL LINE 7:00 p.m.- 7:30 p.m.

WEEKENDS AND HOLIDAYS
INSULIN LINE 7:00 a.m. – 7:15 a.m.
A.M. PILL LINE 7:15 a.m. – 7:30 a.m.
P.M. PILL LINE 7:00 p.m. – 7:30 p.m.
INSULIN LINE 4:30 p.m.- 4:45 p.m.

These times are subject to change.


Over-the-Counter Medications


There are no over-the-counter medications given from Health Services at FCI Bennettsville. Limited over-the-counter medications may be purchased from the Commissary, per Program Statement 6541.02, Over the Counter Medications. No inmate will be denied due to ability to pay.

Medical Work Status


The following are terms used by the Medical Department to identify and define an inmate’s ability to work and participate in other activities:

  • Idle Status: You will be placed in idle status for a temporary disability not to exceed a three-day duration including weekends and holidays. You will also be restricted to your room, except for meals, barbering, religious services, sick call, visits, and call outs. No recreation activity is allowed.
  • Convalescent Status: The recovery period for operation, injury, or serious illness will not be less than four days and not exceed thirty days, subject to renewal. You will be excused from work and may not participate in any recreational activities outside the unit. Generally, there are no restrictions on educational, psychological, and/or religious activities.
  • Restricted Duty: During this period, you will be restricted from specific activities because of physical or mental handicap. Restricted duty will list all handicaps, work limitations, and time periods, either specific or indefinite as related to your case.

Medical Emergencies


Medical emergencies shall be screened by Medical personnel at all times. Medical emergencies shall include, but not be limited to, those requiring immediate medical attention such as loss of life or limb situations. Inmates who become ill during the workday and/or after normal sick-call sign-up hours, should report to their duty supervisor or unit officer. Supervisors or unit officers shall notify Health Services of all emergencies. Health Services shall determine the urgency and prognosis of all emergencies once the patient has been evaluated.

Missed Appointments


Inmates more than ten (10) minutes late will be considered “OUT OF BOUNDS,” have his sick call appointment canceled, and be subject to disciplinary actions. Inmates must move on the controlled movement prior to appointment and will not be permitted to move again until next controlled movement. If for any reason you think you will be late, have your duty supervisor call the Health Services Unit.

Eyeglasses


Due to safety and sanitation concerns, contact lenses are prohibited for dispensing by the BOP. All inmates needing prescription eye wear will submit an “Inmate Request to Staff Member” (COP-OUT) to the Health Services Unit. All exceptions to this policy must have the Health Services Administrator (HSA) and Clinical Director’s signature.
Footwear: The Bureau of Prisons and Occupational Safety and Health Administration (OSHA) have established all inmates shall wear safety shoes at work. Inmates with special medical needs will be evaluated for alternate foot wear. All exceptions to this policy must have the Health Services Administrators (HSA) and Clinical Director’s signature.

Routine Physical Examination


Inmates arriving at this facility will receive an initial medical screening during the intake procedures at R&D. In addition, inmates who are new to the BOP or who do not have a current documented examination from another federal facility will be scheduled for a complete examination. A complete physical examination requires skin testing for exposure to Tuberculosis, and any other test deemed necessary by the medical staff. The purpose of these examinations is to ensure the health and safety of the general population and to identify and contain the possibility of the spread of a communicable disease.

Inmates who refuse to comply with medically indicated testing or examinations will have an incident report written for refusing an order. Medical Staff are to provide education and counseling if needed. Involuntary testing may be conducted when an inmate refuses infectious disease testing.

Inmates may request a physical examination by submitting a copout to the physician.


Activity or Duty Restrictions


One of the BOP’s primary goals is to provide a healthy and safe working environment for inmates and staff. To meet this goal, inmates are required to wear institution prescribed clothing, foot wear, and head gear. Inmates with documented medical problems MAY receive a written waiver from Health Services. Inmates with multiple medical problems or certain physical limitations will be considered for transfer to a facility that can meet the needs which cannot be met locally through chronic care clinics.

Every Inmate Shall Be Required to Attend Established Programs. Inmates Shall Not Be Medically Excused from an Assigned Program Without the Written Approval of the Health Services Administrator And/or Clinical Director.

Inmates with limited duty restrictions secondary to an illness or injury will be issued a duty limitation form. This document shall have four copies: copy one shall be maintained in the individual medical record; copy two will go to the unit officer; copy three will be given to the work supervisor; and, copy four will be maintained by the inmate. Duty limitations must be dated and contain the following:

  1. Type of limitations;
  2. Period of time that limitation will be in effect; and
  3. Signature of a medical officer or Clinician examining patient.

Inmates found in violation or abusing their limitations shall be held responsible and could face disciplinary actions.


Consultants and non Bureau Medical Staff


Referrals to consultants are made through the office of the Clinical Director. Consultants only provide the Clinical Director and the medical staff with recommendations. The final decision to act on a recommendation rests with the Clinical Director and the BOP. Any questions regarding visits with a consultant or their recommendations are best addressed to the Health Services Administrator via Inmate Request to Staff Member. If you have any questions about the level or type of medical care you are receiving, you may direct your questions to the Health Services Administrator at mainline or send a copout stating your question.

Open House


If you have any questions about the level or type of medical care you are receiving, you may direct your questions to the Health Services Administrator at mainline.
You may submit an Inmate Request to Staff Member (Copout) at any time for answers concerning medical care provided by the Health Services Unit.

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. 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.

Patient Rights and Responsibilities for Treatment of Pain


RIGHTS:

  1. Your reports of pain will be believed.
  2. Information about pain and pain relief measures.
  3. A concerned staff committed to pain prevention and management.
  4. Health Professionals who respond quickly to reports of pain.

RESPONSIBILITIES:

  1. Ask you doctor or nurse what to expect regarding pain management.
  2. Discuss pain relief options with your doctor and mid level provider.
  3. Ask you doctor or nurse what to expect regarding pain management.
  4. Ask for pain relief when pain firsts begins.
  5. Help your doctor and mid level provider assess your pain.
  6. Tell your doctor or mid level provider if your pain is not relieved.
  7. Tell your doctor or mid level provider about any worries you have about taking pain medications.


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