FCI Edgefield Medical Care

Sep, 19 11 Post by: admin | No Comments


Health Services


The mission of the Health Services Department at FCI Edgefield is to provide necessary medical, dental and mental health services to inmates by professional staff, consistent with acceptable community standards. The institution medical program is enhanced with a group of outside medical consultants that provide services to special medical referral cases made by health care providers.

Medical and Dental Sick-Call Procedures


All inmates will be allowed to request sick call. Appointment times will be determined by the medical staff. Except for emergencies, sick call will be by appointment only, Monday,Tuesday, Thursday, and Friday, excluding holidays.

Sick call sign up and triage will be from 6:30- 7:00 a.m. at the FCI and SCP. Inmates will be placed on call-out for their appointments with the health care provider. Those appointments will begin at 8:00 a.m. and extend until 11:00 a.m. at the camp and 2:00 p.m. at the FCI, with a break for lunch from 11:00 a.m.to 12:00 p.m. You are expected to be on time for your appointment. All patient initiated visits, including sick call appointments will be assessed a two dollar co-pay to be withdrawn from the inmate’s account.

Inmates are responsible for checking the call out daily for their scheduled appointments. The detail officer is responsible for releasing the inmate to the hospital at the designated time. Inmates reporting late for appointments will be required to signup for a sick call appointment the following day unless their medical status dictates immediate treatment.

All inmates reporting to sick-call at the time of the appointment will be seen by a Mid-Level Provider (MLP) who may be a Physician Assistant and/or Nurse Practitioner.
Individuals who specifically request to see a doctor will be scheduled at the first available appointment. You must have your Inmate Identification Card to sign for sick call.

Inmates more that fifteen (15) minutes late will be considered “Out of Bounds,” have their sick call appointment canceled, and be subjected to disciplinary actions, and be charged the two dollar co-payment for the appointment. If for any reason you think you will be late, have your detail supervisor of unit officer call the Health Services Department.


Emergency Treatment


All inmates requiring emergency medical treatment, as determined by the medical staff, will be evaluated as soon as possible. Should you be injured or require immediate medical care, you should inform your detail officer without delay, who will in turn contact the Health Services Department.

Routine complaints of non-emergency nature will not be treated on an emergency basis.


Special Housing Unit Sick Call


All inmates assigned to the Special Housing Unit (SHU) will have the opportunity to see a Provider every day of the week. Sick Call triage will be conducted during the morning rounds and complaints addressed as appropriate. Emergencies will be treated immediately.

Medication and Pill Line Operations


All medications are issued by prescription only. When you are issued medication in a labeled container, it is for your use only and you should follow the directions exactly as written.

Controlled medication is issued on a per dose basis at the pharmacy window. 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:

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Monday – Friday Weekends & Holidays
FCI Pill Lines
AM Insulin Line 6:15 – 6:30 AM 7:00 – 7:30 AM
Noon & RX Pick Up 10:20 – 11:00 AM 11:00 – 11:30 AM
PM & RX Pick Up 3:00 – 3:30 PM 3:00 – 3:30 PM
PM Insulin Line 4:30 – 5:00 PM 4:30 – 5:00 PM
Night Pill Line 8:30 – 8:45 PM 8:30 – 8:45 PM
Camp Pill Lines
AM Pill Line 6:30 – 6:45 AM 8:00 – 8:45 AM
AM Insulin Line 6:00 – 6:15 AM 8:00 – 8:15 AM
PM Pill Line 5:00 – 5:30 PM 6:30 – 7:00 PM
PM Insulin Line 4:30 – 5:00 PM 6:00 – 6:15 PM
SHU Pill Lines
AM Pill/Insulin Line 8:30 – 9:30 AM 9:30 – 10:30 AM PM
Pill/Insulin Line 6:30 – 7:30 PM 6:30 – 7:30 PM

There are no over-the-counter medications given at FCI Edgefield. Limited over-the-counter medications may be purchased from the Commissary. You must have your Inmate Identification Card to receive your medication at the pill line window.


Dental and Eye Care


Any inmate requiring emergency treatment due to severe tooth pain is eligible for dental sick call. Appointments will be obtained by inmates according to procedures outlined in the sick call section. Special Housing Unit inmates who require emergency dental treatment should inform the clinician conducting sick call rounds. Routine dental care is provided on a priority basis. Dental sick call visits will be subject to the two dollar co¬payment.

Eye Glasses


Inmates requesting optometry (eye) exams are required to attend “Sick Call”. The individual will ask to be registered to see the Optometrist. An Optometrist is under contract and visits this facility on an as-needed basis. Following an eye evaluation by the staff clinicians, the inmate will be placed on a waiting list for the next available appointment.

Medical Restrictions


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

Medical Idle (Quarters)
A medical idle (quarters) status requires the inmate to remain in his room at all times except for meals, authorized visits, sick call, and religious services. A quarter’s status is generally not in excess of three days. Inmates in this status are restricted from participating in all athletic activities, T.V., etc., and must remain in their assigned rooms.

Convalescence
A medical convalescence is for inmates recovering from surgery, injuries or illness with the need for activity to speed recovery. The convalescence will be given for no less than four days and no more than thirty days. Patients will not participate in any work assignment and are restricted to their units during normal working hours. During weekends, holidays and after hours, they may participate in recreational activities if approved by the Health Services Department.

Medically Unassigned Status
A medically unassigned status places an inmate in a non-work status for a permanent or specified period of time, generally long-term. Inmates placed in this category are not medically required to remain in their rooms as with a medical idle status.

If, for example, a medically unassigned inmate desires to attend school or utilize the law library, he may be permitted to do so following the institution accountability procedures. Inmates in this category are also restricted form all athletic activities.

Restricted Duty during this period, you will be restricted from specific activities because of physical ormental limitations. Restricted duty will list all handicap, work limitations, and time periods, either specific date or indefinite as related to your specific case.

Activity or duty restrictions
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 or the Health Services Administrator and/or Clinical Director.


Footwear


The Bureau of Prisons and Occupational Safety and Health Administration (OSHA) have established all inmates shallwear steel toe shoes at work. Inmates with special medical needs will be evaluated for alternate foot wear. All exceptions to this policy must have the Clinical Director’s signature. The foot wear issued by FCI Edgefield is classified as soft leather shoes.

Bed Boards


Bed boards shall not be issued.

Physical Examinations


Upon arrival at this facility all new inmates, requiring a physical examination, will be scheduled for an Admission and Orientation blood work, and physical examination. This is accomplished by placing your name on the “CALL-OUT”. This is mandatory for all inmates.

The medical duty status will be determined at this time and forwarded to the Unit Team. A&O physical exams are normally conducted on Wednesdays. It is your responsibility to watch for your name on the daily call-out sheet for scheduled appointments in the Health Services Unit. The purpose of these examinationsis 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 under 50 years of age are eligible for, and can request a preventive health screening every two years. Inmates over the age of 50 are eligible for, and can request a preventive health screening annually.


HIV (AIDS), Tuberculosis and Hepatitis


An HIV detection program is in place at this facility. Any inmate requesting voluntarily to have an HIV test will be given one. This petition has to be requested through a cop-out to the Infectious Disease Coordinator. During the year, several RANDOM TESTINGS, will take place among the population and inmates will be selected through a computerized census drawing. All inmates clinically suspected of having HIV will be tested. The results of all tests will be treated confidentially and counseling sessions will be available.

All inmates arriving at this facility without a documented PPD test result will receive a PPD test. This test is designed to detect exposure to Tuberculosis. A positive test result reveals that the individual was exposed to the disease. The test does NOT indicate that the person has an active form of the disease. All inmates that have a positive reaction will be given a chest x-ray and will be offered the proper prophylactic treatment.

You must ensure that the PPD test implanted in your arm is read within 48 hours. You should attend to the call-out appointmentor see the Duty Mid-Level Provider.
Inmates designated at FCI Edgefield are required to have a yearly PPD test if the previous test was negative.

Inmates who refuse to comply with medically indicated testing or examinations shall be housed in a segregated area until it is determined by the medical staff that they are free from any health risks including communicable disease. Involuntary testing may be conducted when an inmate refuses infectious disease testing.


Job Safety


Job Safety is everyone’s priority. Get familiar with the safety rules established at your detail assignment.

Inmates will be required, and instructed how, to use proper eye and ear protection when required. All injuries must be reported to the Health Services Department as soon as possible.


Inpatient Treatment


The need for outside hospitalization in a community hospital will be determined by the institution medical staff. In the event of life-threatening emergencies, fire/rescue and community hospital emergency rooms will be used.

Inmate Living Will and Advance Directive


Inmates are permitted the opportunity to draw up a living will or advance directive, if desired, prior to a serious/terminal medical condition. An Inmate Request to Staff Member, Cop-Out, will need to be submitted to Health Services requesting information on living wills or advance directives. You will be placed on the call-out to discuss this request and to receive forms to be completed for inclusion in your medical file.

Health Care Rights and Responsibilities


While in 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 provider.

1. RIGHT – YOU HAVE THE RIGHT TO HEALTH CARE SERVICES IN ACCORDANCE WITH THE PROCEDURES OF THIS FACILITY. SERVICES INCLUDE SICK-CALL, DENTAL, AND ALL SUPPORTIVE SERVICES. THE NORMAL SICK-CALL HOURS AT FCI EDGEFIELD ARE MONDAYS, TUESDAYS, THURSDAYS, AND FRIDAYS. SICK-CALL SIGN-UP IS FROM 6:30 A.M.-7:00 A.M. SICK-CALL APPOINTMENT TIMES ARE FROM 8:00 A.M.-3:00 P.M. URGENT AND EMERGENCY SICK-CALL HOURS ARE TWENTY-FOUR HOURS A DAY, SEVEN DAYS A WEEK. YOU ARE TO HAVE THE CORRECTIONAL OFFICER CALL THE HEALTH SERVICES UNIT IN THE EVENT OF ANY EMERGENCY.

RESPONSIBILITY – YOU HAVE THE RESPONSIBILITY TO COMPLY WITH THE HEALTH CARE POLICIES OF THIS FACILITY AND TO FOLLOW THE RECOMMENDED TREATMENT MODALITIES. THIS SHALL INCLUDE THE PROPER USE OF MEDICATIONS PRESCRIBED, FOLLOWING DIET INSTRUCTIONS GIVEN BY NUTRITIONISTS AND HEALTH CARE PROVIDERS, AND FOLLOWING ALL INSTRUCTIONS GIVEN TO YOU BY THE HEALTH CARE PROVIDERS AND CONSULTANTS.

2. RIGHT – YOU HAVE THE RIGHT TO BE OFFERED THE CHANCE TO OBTAIN A LIVING WILL (AT YOUR OWN EXPENSE) OR TO PROVIDE THE BUREAU OF PRISONS WITH AN ADVANCED DIRECTIVE WHICH WILL PROVIDE THE AGENCY WITH INSTRUCTIONS SHOULD YOU BE ADMITTED AS AN IN-PATIENT AT A HOSPITAL.

RESPONSIBILITY – YOU HAVE THE RESPONSIBILITY TO PROVIDE THE BUREAU OF PRISONS WITH ACCURATE INFORMATION TO COMPLETE THIS AGREEMENT.

3. RIGHT – YOU HAVE THE RIGHT TO PARTICIPATE IN HEALTH PROMOTION AND DISEASE PREVENTION PROGRAMS, TO INCLUDE THOSE PROVIDING EDUCATION ABOUT INFECTIOUS DISEASES.

RESPONSIBILITY – YOU HAVE THE RESPONSIBILITY TO MAINTAIN YOUR HEALTH AND NOT ENDANGER YOURSELF, OR OTHERS, BY PARTICIPATING IN ACTIVITIES THAT COULD RESULT IN THE SPREADING OR CATCHING OF AN INFECTIOUS DISEASE.

4. RIGHT – YOU HAVE THE RIGHT TO KNOW THE NAME AND PROFESSIONAL STATUS OF YOUR HEALTH CARE PROVIDERS.

RESPONSIBILITY – YOU HAVE THE RESPONSIBILITY TO RESPECT THESE PROVIDERS AS PROFESSIONALS AND TO FOLLOW THEIR INSTRUCTIONS TO MAINTAIN AND IMPROVE YOUR OVERALL HEALTH.

5. RIGHT – YOU HAVE THE RIGHT TO BE TREATED WITH RESPECT, CONSIDERATION, AND DIGNITY.

RESPONSIBILITY – YOU HAVE THE RESPONSIBILITY TO TREAT HEALTH CARE STAFF IN THE SAME MANNER.

6. RIGHT – YOU HAVE THE RIGHT TO BE PROVIDED WITH INFORMATION REGARDING YOUR DIAGNOSIS, TREATMENT, AND PROGNOSIS.

RESPONSIBILITY – YOU HAVE THE RESPONSIBILITY TO KEEP THIS INFORMATION CONFIDENTIAL.

7. RIGHT – YOU HAVE THE RIGHT TO BE EXAMINED IN PRIVACY.

RESPONSIBILITY – YOU HAVE THE RESPONSIBILITY TO COMPLY WITH SECURITY PROCEDURES.
8. RIGHT – YOU HAVE THE RIGHT TO OBTAIN COPIES OF CERTAIN RELEASEABLE PORTIONS OF YOUR HEALTH RECORD.

RESPONSIBILITY – YOU HAVE THE RESPONSIBILITY TO FAMILIARIZE YOURSELF WITH CURRENT POLICY TO OBTAIN THESE RECORD COPIES.

9. RIGHT – YOU HAVE THE RIGHT TO ADDRESS ANY CONCERN REGARDING YOUR HEALTH CARE TO ANY MEMBER OF THE INSTITUTION STAFF TO INCLUDE THE PHYSICIANS, HSA, MEMBERS OF YOUR UNIT TEAM, AND THE WARDEN.

RESPONSIBILITY – YOU HAVE THE RESPONSIBILITY TO ADDRESS ANY CONCERN REGARDING YOUR HEALTH CARE IN THE ACCEPTED FORMAT, SUCH AS THE INMATE REQUEST TO A STAFF MEMBER FORM, OPEN HOUSE FORUM, OR THE ACCEPTED INMATE GRIEVANCE PROCEDURES.

10. RIGHT – YOU HAVE THE RIGHT TO RECEIVE PRESCRIBED MEDICATIONS AND TREATMENTS IN A TIMELY MANNER, CONSISTENT WITH THE RECOMMENDATIONS OF THE PRESCRIBING HEALTH CARE PROVIDER.

RESPONSIBILITY – YOU HAVE THE RESPONSIBILITY TO COMPLY WITH PRESCRIBED TREATMENTS AND TO FOLLOW PRESCRIPTIVE ORDERS. YOU ADDITIONALLY HAVE THE RESPONSIBILITY NOT TO SHARE MEDICATIONS PRESCRIBED WITH ANY OTHER PERSON.

11. RIGHT – YOU HAVE THE RIGHT TO BE PROVIDED HEALTHY AND NUTRITIONAL FOODS. YOU HAVE THE RIGHT TO FOLLOW INSTRUCTIONS FOR A HEALTHY DIET BASED ON THE FOODS OFFERED ON MAINLINE.

RESPONSIBILITY – YOU HAVE THE RESPONSIBILITY TO EAT HEALTHY AND NOT TO ABUSE OR WASTE FOOD AND/OR DRINKS.

12. RIGHT – YOU HAVE THE RIGHT TO REQUEST A ROUTINE PHYSICAL EXAMINATION WHICH IS GIVEN EVERY WEDNESDAY. IF YOU ARE UNDER THE AGE OF 50, ONCE EVERY TWO YEARS; OVER FIFTY, ONCE A YEAR.

RESPONSIBILITY – YOU HAVE THE RESPONSIBILITY TO NOTIFY MEDICAL STAFF IN A TIMELY FASHION OF YOUR REQUEST FOR SUCH EXAMINATIONS.

13. RIGHT – YOU HAVE THE RIGHT TO DENTAL CARE TO INCLUDE PREVENTIVE, ROUTINE, AND EMERGENCY SERVICES.

RESPONSIBILITY – YOU HAVE THE RESPONSIBILITY TO MAINTAIN YOUR ORAL HYGIENE AND HEALTH.

14. RIGHT – YOU HAVE THE RIGHT TO A SAFE, CLEAN, AND HEALTHY ENVIRONMENT, TO INCLUDE SMOKE-FREE LIVING AREAS.

RESPONSIBILITY – YOU HAVE THE RESPONSIBILITY TO MAINTAIN THE CLEANLINESS AND SAFETY OF YOUR AREA IN CONSIDERATION OF OTHERS. YOU HAVE THE RESPONSIBILITY TO FOLLOW THE NO SMOKING REGULATIONS OF THE INSTITUTION.

15. RIGHT – YOU HAVE THE RIGHT TO REFUSE MEDICAL TREATMENT. HOWEVER, REFUSAL OF CERTAIN DIAGNOSTIC TEST FOR INFECTIOUS DISEASES CAN RESULT IN ADMINISTRATIVE ACTION AGAINST YOU. YOU HAVE THE RIGHT TO BE COUNSELED REGARDING THE ADVERSE (ILL) EFFECTS OF REFUSING MEDICAL/DENTAL TREATMENT.

RESPONSIBILITY – YOU HAVE THE RESPONSIBILITY TO NOTIFY HEALTH SERVICES REGARDING ANY ADVERSE (ILL) EFFECTS THAT CAN OCCUR AS A RESULT OF YOUR REFUSAL. YOU ADDITIONALLY ACCEPT THE RESPONSIBILITY TO SIGN THE TREATMENT REFUSAL FORM.


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