FCI Dublin Medical Care

Sep, 19 11 Post by: admin | No Comments


Health Services


The health care mission of the Federal Bureau of Prisons is to provide essential medical, dental and mental health services to inmates by professional staff consistent with acceptable community standards. The principles of “medically necessary/emergent” and “medically necessary/non emergent” are used to determine essential health care. Medically necessary/emergent care refers to emergency care and cases where immediate medical intervention is required. Medically necessary/non-emergency care, is care with which inmates could not be maintained without the risk of serious deterioration or significant reduction in the possibility of repair later without present treatment or significant pain or discomfort.

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


There are several ways inmates can access the healthcare system at Dublin. For routine illnesses, the most common way to access healthcare is through sick call.

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.


Physical Examinations


Within fourteen (14) days of arrival, all newly committed inmates will receive a complete physical examination (for female and male inmates). This examination includes a chest x-ray (when clinically indicated), dental examination and tests for communicable diseases. Tests for communicable disease are mandatory and cannot be refused. Measles, mumps and rubella vaccine (MMR) will be offered to all sentenced female inmates of childbearing age. Annual pap smears, pelvic examinations and breast examinations are available to all female inmates upon request. A baseline mammogram will be offered to all female inmates, forty (40) years of age and older, routine screening mammograms are available upon request at clinically indicated intervals (every two (2) years from 40 to 50 and annually after fifty (50) years of age).
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.

Pharmacy Services


Controlled medications are dispensed at the “pill line” in the Health Services Unit. Pill line hours are as follow:

  • 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.

  • Ibuprofen
  • Multi-Vitamins
  • Claritin (generic)
  • Aspirin
  • Pepto-Bismol
  • Allergy Relief
  • Ben-Gay
  • Calcium
  • Milk of Magnesia
  • Chap Stick
  • Tylenol
  • Ranitidine (Zantac)
  • Hydrocortisone Cream
  • Vitamin E
  • Naproxen
  • Hemorrhoidal Ointment
  • Vitamin C
  • Metamucil
  • Maalox
  • Midol


Co-Pays


Pursuant to the Federal Prisoner Health Care Co-payment Act (FHCCA) of 2000 (P.L. 106-294, 18 USC § 4048), the Federal Bureau of Prisons and FCI Dublin provide notice of the Inmate Co-payment Program for health care.

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
  • Vaccinations
  • Wound Care
  • Patient Education

The health care provider will determine if the type of appointment scheduled is subject to a co-pay fee.


Indigence


An indigent inmate is an inmate who has not had a trust fund account balance of at least $6.00 for the past thirty (30) days.

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.


Complaints


Inmates may seek review of issues related to Health Service fees through the Bureau’s Administrative Remedy Program (see 28 CFR part 542).

Living Will/Advance Directive Procedures for Inmates


The Bureau of Prisons and the State of California recognize the right of an inmate to refuse life-sustaining medical treatment in instances of a terminal condition or a permanent unconscious condition. The Advance Health Care Directive form can be requested by Cop-Out to HSA and will refer to the patient’s wishes concerning the withholding or withdrawal of resuscitative, life-sustaining, or other types of medical care.

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.


Dental Care


All inmates requesting dental treatment for non emergency dental care must submit a cop-out to the dentist. An appointment will be given to the inmate at the earliest available time possible. It is the responsibility of the inmate to check the call-out sheet for appointments on a daily basis. Emergency dental/urgent care sign-up is provided at Sick Call which is available daily except weekends and Wednesdays. The Triage Officer will give the list of the inmates to the Dental Officer who will then give an appointment on the first available day. All inmates who have a dental appointment with the dentist must arrive on time and bring their ID card and copy of a sick call slip.

On the Job Injuries


If an inmate is injured while performing an assigned duty, she must immediately report this injury to her work supervisor. The work supervisor will complete an inmate injury report and reports the injury to the institution Safety Manager. The inmate may be disqualified from eligibility for lost time wages or compensation if she fails to report a work injury to the supervisor. If injured while performing an assigned duty and the inmate expects to be impaired to some degree, she may submit a claim for compensation. A medical evaluation must be included with the claim before any compensation can be considered.

VN:F [1.9.22_1171]
Was this information helpful?
Was this information accurate?
Rating: 0.0/5 (0 votes cast)
VN:F [1.9.22_1171]
How does this prison score on this topic?
Rating: 0.0/5 (0 votes cast)

Leave a Reply

Your email address will not be published. Required fields are marked *

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>