FCI El Reno Medical Care

Sep, 19 11 Post by: admin | No Comments

Health Services Mission Statement

The Federal Correctional Institution at El Reno offers quality health care that is appropriate for the Bureau of Prisons’ inmate population and consistent with recognized community health care and correctional standards.

It is the policy of the Bureau of Prisons to provide medical care and treatment for inmates during incarceration that will maintain health. All medical care will be provided by the health services unit (HSU)staff. If necessary inmates may be referred to a consultant.

Inmate Co-payment Program

Pursuant to the Federal Prisoner Health Care Copayment Act (FHCCA) of 2000 (Public Law 106-294, 18 U.S.C. § 4048), the Federal Bureau of Prisons and FCI, El Reno provide notice of the Inmate Copayment Program for health care, effective October 3, 2005.

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 MRC’s and inmates assigned to the general population at these facilities are subject to copay fees.

Health Care Visits with a Fee:
1. An inmate must pay a fee of $2.00 for health care services, charged to his inmate commissary account, per health care visit, if the inmate receives health care services in connection with a health care visit that the inmate 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 an inmate asks a non-medical staff member to contact medical staff to request a medical evaluation on his behalf for a health service not listed in section C. below, the inmate will be charged a $2.00 copay fee for that visit.

2. An inmate must pay a fee of $2.00 for health care services, charged to his inmate commissary account, per health care visit, if the 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:
An inmate will not be charged a fee for:
Health care services based on health care staff referrals;
Health care staff-approved follow-up treatment for a chroniccondition;
Preventive health care services;
Emergency services;
Prenatal care;
Diagnosis or treatment of chronic infectious diseases;
Mental health care; or
Substance abuse treatment.

If a health care provider orders or approves any of the following, a fee will not be charged for:
Blood pressure monitoring;
Glucose monitoring;
Insulin injections;
Chronic care clinics;
TB testing;
Wound care; or
Patient education.

The inmate’s health care provider will determine if the type of appointment scheduled is subject to a copay fee.

An indigent inmate is an inmate who has not had atrust fund account balance of $6.00 for the past 30 days. If an inmate is considered indigent, he will not have the copay feededucted from his inmate commissary account. If an inmate is NOT indigent, but does not have sufficient funds to make the copayfee on the date of the appointment, a debt will be established by TRUFACS, and the amount will be deducted as funds are deposited into the inmate’s commissary account.

An inmate may seek review of issues related to health service fees through the Bureau’s Administrative Remedy Program (See 28 CFR Part 542).

Health Services Admission and Orientation

The Health Services Department conducts an intake screening examination upon the inmate’s arrival at the institution. Within 14 days, the inmate will be given a complete physical examination if he has not had one at another Bureau of Prisons facility. After the initial complete physical examination, inmates are entitled to receive periodic examinations as a preventative health screening free of the $2 co-pay. Inmates will receive the Prevention Baseline Visit within six months of incarceration. It is the inmate’s responsibility to seek periodic visits in the future. Inmates may request a free prevention periodic visit every three years if they are under 50 years old, and may request one annually if over age 50. Inmates request this visit by reporting to sick call triage and obtaining the next available appointment.

Hours of Operation

General hours of operation are 6:00 a.m. to 10:00 p.m. seven days a week. Emergency medical attention isavailable 24 hours daily.

Routine sick call triage, including dental problems, will be held in the FCI Health Services Department weekdays (except for Wednesday) between 6:00 a.m. and 6:30 a.m. Inmates must be present with their identification card to obtain a triage visit. Inmates at the satellite camp must be present at the health services exam room between 7:15 a.m. and 7:30 a.m. The inmate must obtain a pass from his detail supervisor to report for his appointment. Emergency treatment is conducted on an as-needed basis.

Sick Call Triage

During sick call triage, the inmate’s medical or dental needs will be evaluated and he will be assigned a medical priority visit. Medical staff on duty will make a medical determination concerning the complaint and take the appropriate action. Emergent and urgent issues will receive a same day evaluation. Issues that are assigned a routine ranking will have an appointment scheduled several days to two weeks in the future. Inmates must watch the call-outs for their appointment time. Other appointments with HSU providers are scheduled and call-out sheets are posted on the bulletin boards in the units. It is the inmate’s responsibility to monitor the call-out sheet on a daily basis. Except for emergencies, inmates will not be permitted in the HSU without an appointment or call-out. The inmate picture identification card must be presented each time an inmate comes to the HSU for sick call triage, call-out or pill lines. The inmate, in addition to being responsible for making his own appointment, will be responsible to advise his detail supervisor as to his appointment time and medical status. The detail supervisor will send the inmate to the health services ambulatory care department at the scheduled appointment time. The institution controlled movement system will be utilized during regular work hours for inmate appointments, Monday through Friday.

Specialty Clinics and Services

Chronic Care Clinics
Patients with chronic care needs, such as, diabetes, heart disease, lung disease, etc., will be seen on a regularly scheduled basis. Each clinic will be scheduled appropriately and the patient will be placed on call-out for the clinic.

Consultant Physicians
At the discretion of the health services staff, based on the patient’s medical needs, patients will be scheduled to see physicians who specialize in all aspects of medicine.


If an inmate needs glasses or has other vision problems, he should request an evaluation by reporting to sick call triage. The inmate will be scheduled for an optometric evaluation. If glasses are prescribed, a pair of standard issue eyeglasses will be provided. Sunglasses are available in the commissary, as are clip-ons for standard issue eyeglasses. No tinted or reflector type glasses will be authorized. If the optometric evaluation reveals a need for eyewear, and the inmate desires other than standard issue glasses, at his own expense, he must submit a copy of his current eyeglasses prescription (which may be obtained from the optometrist at the time of the inmate’s exam) along with the package authorization form which he can obtain from Health Services open house.

HIV Education

Basic instruction will be provided as part of the Admission and Orientation Program. HIV information is available from the Health Services Department.

Questions/Open House

Questions regarding the Health Services Department should be addressed to the specific person or area via an inmate request to staff member form. Questions regarding medical care should be addressed during sick call. Questions or requests pertaining to the health services administrator or assistant health services administrator must first be addressed via an inmate request to staff member form. If a meeting is found to be necessary, the administrator or his/her assistant will respond to the inmate’s request and have him report to open house on Wednesdays between 11:00 a.m. and 12:00 p.m. in the HSU.

All correspondence directed to the Health Services Department must be on the standard inmate request to staff member form.

Medical Appointments

The majority of medical appointments appear on the daily call-out sheet. It is the inmate’s responsibility to check the call-out sheet each day to see if he is scheduled for any such appointment. Failure to appear for scheduled appointments may adversely affect the continuity of care received and could result in disciplinary action.

Pharmacy/Pill Line Procedures

Pill line times for the main institution are as follows:
Monday through Friday
6:45 a.m. to 7:15 a.m.
7:00 p.m. to 7:25 p.m.

Pill line times for the satellite camp are as follows:
Monday through Friday
7:00 a.m. to 7:15 a.m.
Evening Pill Line
6:30 p.m. to 6:45 p.m.

The inmate must present his identification card to be served by the pharmacy.

Over-the-counter (OTC) medications are not provided, and must be purchased from the commissary. All prescriptions must be picked up from the pharmacy within three days of the prescription being ordered.Indigent OTC pill line is offered on Wednesdays from 11:00 a.m. to 12:00 p.m. at the main institution. Satellite camp inmates, who are indigent and in need of medications, should sign up for sick call.

Medical Records

To obtain copies of medical records, the inmate must submit an inmate request to staff member form by institution mail to the Health Information Management Department stating what information is desired. Requests will be processed in the order they are received. Issuance of copies of medical records is governed by Bureauof Prisons policy.

Inmate/Staff Communication

Inmates are encouraged to discuss health and administrative concerns with health services staff while in the dining room during the noon-time meal. Concerns may also be addressedby submitting an inmate request to staff member form directly to the HSU through the institution mail. The health services administrator’s open house is conducted on Wednesdays from 11:00 a.m. to 12:00 p.m. in the HSU.

Administrative Remedy

Inmates are provided unimpeded access to health care and provided a system for processing complaints regarding health care. Complaints may be addressed by contacting the health services administrator or the associate warden of operations by submitting an inmate request to staff member form through the institution mail.

Sexual Assault

If an inmate is sexually assaulted, he should immediately inform staff. The inmate will be examined and evaluated by appropriate medical staff. All complaints will be investigated.


Medical emergencies should be brought to the attention of the nearest staff member immediately. Emergencies are defined as life threatening events such as chest pain, severe bleeding, etc. All non-emergencies must be handled through sick call.

Advance Directives and Do-Not-Resuscitate Orders

Each inmate may obtain and fill out an advance directive for health care for the State of Oklahoma. Inmates may direct, in advance, to withhold or withdraw certain medical treatments when recovery or cure is not possible. Inmates may appoint, in advance, proxy decision makers who will make critical health care decisions for them should they become incapacitated and unable to make such decisions for themselves. Each inmate may obtain and fill out an Oklahoma Do-Not-Resuscitate (DNR) consent form. Inmates are to understand that DNR orders will never be invoked while an inmate is housed at a general population institution. Emergency resuscitative measures must and will always be performed on an inmate who suffers cardiopulmonary arrest at a general population institution. Advance directives may be implemented only at community health care facilities or Medical Referral Centers (MRC’s). Advance directive and DNR forms will be offered at intake screening and may also be obtained during health services open house on Wednesdays from 11:00 a.m. to 12:00 p.m.


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.

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