Inmates are eligible for several different health care programs. Services offered include basic health education programs, intake, periodic health examinations, specific preventive health examinations (e.g., cancer screening), routine care, emergency care and specialty care. We also offer classes enhancing health and increasing the sense of well-being. In addition, female inmates are eligible for pregnancy tests, pap smears, pelvic examinations and breast examinations during intakes and at routine intervals. Most of these tests will be scheduled for inmates as part of intake screening. Release examinations are offered, if the inmate has not had one within one year prior to release date.
Sick call is for medical problems of a non-emergency nature. Inmates must report to Health Services Mondays, Tuesdays, Thursdays or Fridays between 1:45 PM and 1:55 PM . There is no non-emergency sick call on Wednesdays. Health care staff will see inmates the same day to review inmates’ request and will give inmates an appointment for a full evaluation of an inmate’s concern, either the same day or within two weeks, depending upon the nature of the problem. Of course, emergencies are addressed any time, day or night.
Dublin’s Health Services Unit is staffed seven (7) days a week. Our staff includes the Health Services Administrator, and Assistant HSA or Supervisory Physician Assistant, Clinical Director, Medical Officer, Medical Secretary, Dentist, Registered Nurses, Mid-level health care practitioners, Pharmacist and Health Information Technicians, all of whom are full-time employees.
The Health Services Unit facilities include x-ray, mammography equipment, pharmacy, laboratory, dental clinic and examination rooms. The FCI Dental facility is in a separate building. The services of community hospitals are utilized only when necessary.
Individuals wishing to see their unit Physician may send a cop-out. Requests for consultation will routinely be scheduled within three (3) weeks. Urgent problems are to be addressed through sick call. Inmates have the right to be assessed for pain during each medical visit.
Any questions or problems will be handled by the Health Services Administrator who has an open door policy at 6:00 AM , Monday through Friday. Medical staff can also address inmates’ concerns daily, Mondays through Friday at lunch mainline.
- 6:00 AM to 6:20 AM Morning (pill line)
- 2:20 PM to 2:40 PM Medication Pick-up Only M-F (except Federal Holidays)
- 7:30 PM to 8:00 PM Evening (pill line, called by Unit)
Prescriptions with refills indicated on the prescription label may be refilled until the prescription expiration date. Prescriptions are refilled by filling out the correct form with prescription number(s) listed and turning in at pill line window.
Medication counseling is available from the Pharmacist. Requests for counseling must be made in writing to the Pharmacist.
The following non-prescription medications may be obtained from the Commissary and will not be routinely provided to inmates by the Health Services Unit.
- Claritin (generic)
- Allergy Relief
- Milk of Magnesia
- Chap Stick
- Ranitidine (Zantac)
- Hydrocortisone Cream
- Vitamin E
- Hemorrhoidal Ointment
- Vitamin C
The Inmate Co-Payment 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).
Health Care Visits With a Fee:
Inmates must pay a fee of $2.00 for health care services, charged to the Inmates Commissary Account, per health care visit, if an inmate receives health care services in connection with a health care visit that the inmate requested, except for services described below.
These requested appointments include Sick Call and after hours requests to see a health care provider. If an inmate asked a non medical staff member to contact medical staff to request a medical evaluation on the behalf of inmate for a health service not listed below, the inmate will be charged a $2.00 co-pay fee for that visit.
An inmate must pay a fee of $2.00 for health care services, charged to Inmates Commissary Account, per health care visit, if an inmate is found responsible through the Disciplinary Hearing Process to have injured an inmate who, as a result of the injury, requires a health care visit.
Health Care Visits With No Fee
- Health care services based on Health Care Staff referrals
- Health Care Staff approved follow-up treatment for chronic conditions
- Preventive Health Care Services
- Emergency Services
- Prenatal Care
- Diagnosis or treatment of chronic infectious disease
- Mental Health Care
- Substance Abuse Treatment
If a Health Care Provider orders or approves any of the following treatments, inmates will not be charged the $2.00 fee:
- Blood Pressure Monitoring
- Glucose Monitoring
- Insulin Injection
- Chronic Care Clinics
- TB Testing
- Wound Care
- Patient Education
The health care provider will determine if the type of appointment scheduled is subject to a co-pay fee.
If an inmate is considered indigent, the inmate will not be responsible for the co¬pay fee.
If an inmate is NOT indigent, but does not have sufficient funds to make the co¬pay 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 Inmates Commissary Account.
Living Will/Advance Directive Procedures for Inmates
Any inmate may complete the State of California Living Will Declaration. The declaration will be signed in the presence of two witnesses. The witnesses will not be related to the inmate, cannot be a beneficiary of the inmates will or codicil, or a Bureau of Prisons employee. Upon completion of the form, the inmate will present the original declaration to the HSA for placement in the Advanced Directives divider (Section 5) of the inmate medical file.
An inmate may elect to have a private attorney prepare the living will documents. All costs and expenses associated with the private attorney are the responsibility of the respective inmate.
An inmate is authorized to appoint another person (“a proxy decision maker”) to make life-sustaining decisions in instances of a terminal illness or a permanent unconscious state. The authority, parameters, and procedures for creating proxy are governed by California State Law. An inmate will not be appointed as a proxy decision maker.
It is recommended the named proxy is an individual on the inmates approved visiting list. A proxy designation will be accepted in writing by the individual being appointed. The written acceptance must be attached to the Advanced Directive.
DO NOT RESUSCITATE (DNR) ORDERS: DNR Orders will never be invoked while an inmate is housed in general population. Emergency resuscitation measures must always be performed. See California Probate Code §4740 – Immunities and Liabilities, Attachment 2.
An inmate who arrives at FCI Dublin with a DNR Order in their health record is subject to regular review by the physician and entitled to maximal therapeutic efforts short of resuscitation.