FCI Estill Medical Care

Sep, 19 11 Post by: admin | No Comments

Medical Department

The overall Bureau health care delivery system includes local medical facilities, as well as major medical facilities. Your health care provider will determine if the type of appointment scheduled is subject to a co-pay. If you are considered indigent, you will not have
the co-pay fee deducted from your inmate commissary account.

A. Health Care Visits with a Fee:
1. You must pay a fee of$2 for health care services, charges to your inmate commissary account, per health care visit, if you receive health care services in connection with a health care visit which you requested, except for services described in section B.

2. These requested appointments include sick-call and after-hour request to see a health care provider. If you ask a non-medical staff member to contact medical staff to request a medical evaluation on your behalf for a health service not listed in section B, you will be charged a $2 co-pay fee for that visit.

3. You must pay a fee of$2 for health care services, charged to your inmate commissary account, per health care visit, if you are found responsible through the Discipline Hearing Process to have injured an inmate who, as a result of the injury requires a health care visit.

B. Health Care Visits with no Fee: You will not be charged a fee for:
1. Health care services based on health care staff referrals
2. Health care staff-approved follow-up treatment for a chronic condition
3. Preventive health care services
4. Emergency services
Emergency is defined as a medical conditions that are of an immediate, acute, or emergent nature, which without care would cause rapid deterioration of the inmate’s health, significant irreversible loss of function, or may be life-threatening.
5. Diagnosis or treatment of chronic infectious diseases
6. Mental health care or substance abuse treatment If a health care provider orders or approves any of the following, we will also not charge a fee for: Blood pressure monitoring, Glucose monitoring, Insulin injections, Chronic care clinics, TB testing, Vaccinations, Wound care, or Patient education.

Medical and Dental Sick Call

Routine Sick call Visits: Inmates are to be instructed at initial screening, and again at A&O lectures, to submit an Inmate Triage
sheet (SF-600) to the Health Services Department for any routine sick call needs.

An inmate who desires a routine medical or dental sick call appointment should report to the Health Services Department between
7: 15 a.m. and 7:45 a.m. on Monday, Tuesday, Thursday, or Friday, excluding holidays to sign up for sick call. The inmate will complete an Inmate Triage sheet (SF-600) and ensure it is brought over to the Health Services Department prior to 7: 15 a.m. These requests will be triaged and appointments scheduled in accordance with current triage guidelines. Sign up for dental sick call is conducted also at 6:30 a.m. Monday, Tuesday, Thursday, and Friday.

Routine dental care (cleaning) is requested by submitting a request to staff member addressed to the dental clinic. Names are placed
sequentially on a waiting list for routine care.

Pill Line Operations

There are no over-the-counter medications given at FCI Estill. Limited over-the-counter medications may be purchased from the commissary. Only medications approved by the BOP and the local Pharmacy & Therapeutics Committee will be dispensed at this facility. The following times have been established for both medication pill-line and insulin-line at the institution:

Medication Pill-lines and Medication pick-up at FCI:
Morning pill-line: 1130-1200
Evening pill-line: 2000-2010
Insulin-lines at FCI:
Morning insulin-line: 0645-0700
Evening insulin-line: 1630-1700
Medication Pill-lines, Insulin-lines and Medication pick-up at SCP:
Morning pill-line: 0830-0900
Evening pill-line: 1800-1810

Inmates will be issued new pill-line passes on Friday, August 29, 2008 denoting which pill-line they were assigned. Each
pill-line pass will be a different color (lime-green for 1130-1200 pill-line and orange for 2000-2010 pill-line). Inmates are to adhere to assigned pill-line passes issued. If an inmate does not present his pill-line pass and registration identification card it will result in no medication being administered. This does not apply to medication pick-up. Medication pick-up requires inmates to have registration identification card and repetition of registration identification number to Health Services staff member prior to picking up medication. There will be no exception. Inmates missing two (2) or more scheduled pill-lines will be placed on call-out for Health Services. In an event of an emergency or circumstances beyond the institution’s control, pill-lines will be delayed.

The following are terms used by the Health Services 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 3-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 4 days and not exceed 30 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. 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.

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, or loss oflife or limb situations. Inmates who become ill during the workday and/or after normal sick-call sign-up hour, should report to their duty supervisor or unit officer. Supervisors or
unit officers shall notify the Duty MLP of all emergencies. Health Services staff shall determine the urgency and prognosis of all
emergencies once the patient has been evaluated.

Missed Appointments

An inmate more than 10 minutes late will be considered “OUT OF BOUNDS,” have his appointment canceled, and be subject to disciplinary actions. If for any reason you think you will be late, have your duty supervisor call the Health Information Department.


Due to safety and sanitation concerns, contact lenses are prohibited for dispensing by the BOP. All inmates needing
prescription eye wear will report to sick call for triage. All exceptions to this policy must have the health services administrator’s
(HSA) and/or clinical director’s signatures.


The Bureau of Prisons and the Occupational Safety and Health Administration have that established all inmates shall
wear steel-toe shoes at work and at the weight pile. Inmates with special medical needs will be evaluated for alternate foot wear. All
exceptions to this policy must have the health services administrator’s (HSA) and/or clinical director’s signatures.

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 may require laboratory specimens of blood, urine, chest x-ray examination, skin testing for exposure to tuberculosis, and any other test deemed necessary by 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 ofa communicable disease.

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.

Inmates may request age specific physical examinations. Inmates in good general health MAY refuse this examination by requesting in writing a waiver at the time the physical is offered. Any inmate being released from the Bureau may request a physical examination if they have not had one within I year. This examination should be conducted within 2 months prior to release.

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: Type of limitations; Period of time that limitation will be in effect, not to exceed one year, and a new evaluation will be required to extend limitations/equipment; Signature of medical officer, clinician examining patient, or health services administrator.
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 clinical director or health services administrator via Inmate Request to Staff.

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 during open house hours. Open house is conducted on Wednesday from 2:00 – 4:00 p.m. You may submit an Inmate Request to Staff(Copout) at any time for answers concerning medical care provided by the Health Services

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