FCI Fort Dix Medical Care

Sep, 19 11 Post by: admin | No Comments


Sick Call Procedures


Inmates requesting medical care will submit a Sick call TRIAGE is scheduled between 6:30 am – 6:45 am, four days a week on Monday, Tuesday, Thursday, and Friday, except on holidays. Routine sick cell and preventive care services will be offered on Monday, Tuesday ,Thursday and Friday by an appointment basis only. The appointment will be given based on triage guidelines and criteria set up by this institution. The Mid-Level Practitioner will screen all of the requests, triage if necessary and schedule an appointment time based on triage guidelines and need of the patient.

Appointments for treatment will be given between the hours of 8:00 am – 3:00 pm. The medical provider will be on-site seven days a week from 6 a.m. to 10:30 on Monday thru Thursday and 6 a.m. to 10 p.m. on Friday thru Sunday and holidays. Inmates requiring emergency care will be trailed by the medical staff as necessary. The Mid-Level Practitioner will be on emergency call back in case of medical emergency during morning shift. The on-call Staff Physician is to be contacted by Mid-Level Practitioner for consultation on any medical emergency.

DENTAL SICK CALL


If you need urgent dental appointment, you must sign up during sick call triage, Monday, Tuesday, Thursday and Friday 6:30 am – 6:45 am, except on holidays. Dental sick call is for emergency treatment only. No routine treatment will be performed at dental sick call. If you desire routine treatment, complete a Request to Staff Member (“Cop-Out”) stating what your problem is and what you expect to have done (i.e., routine cleaning). I.D. is required for an appointment.

EMERGENCY MEDICAL SERVICES

If you require medical or dental services after regular sick call hours or on weekends and holidays, you must have the Unit Officer or your work detail supervisor contact the Medical Department to make arrangements.

OVER THE COUNTER (OTC) MEDICATIONS


Certain over-the-counter medications indicated for cosmetic and general hygiene issues or symptoms of minor medical ailments can be purchased through the Commissary. Inmates who cannot afford to purchase OTC medications may obtain the needed OTC medications through regularly scheduled sick call procedures.

Pill Line Times



INSULIN AND PILL LINE TIMES:
Insulin Lines:
6:05 am to 6:15 am (INSULIN ONLY)
After documented 4:00 pm count (INSULIN ONLY)
Pill-lines:
(Monday thru Friday)

7:00 am to 7:20 am
11:30 am to 12:30 pm
8:00 pm to 8:20 pm
(Weekends and Holidays)
8:00 am to 8:20 am
11:30 am to 12:00 noon

OPTOMETRY

If you believe you need eyeglasses or new prescriptions, you should complete a request for medical triage to be evaluated by medical staff. A referral will be made to a consultant optometry specialist if you meet the criteria for an eye examination. Your name will be placed on a waiting list for a consultant optometrist and you will be seen as scheduling permits.

PHYSICAL EXAMINATIONS(ADMISSION)

:All new commitments (non-transfers) and parole violators will be scheduled and will undergo a complete medical history review and physical examination within 14 days of their arrival.

PHYSICAL EXAMINATIONS (2-YEAR RECHECK)

:All inmates under 50 years of age, who have not had a physical examination within two (2) years are eligible. You should complete a written 27 request for a biennial physical examination. Send the request to the Medical Records Department. Your name will be placed on a list, and you will be seen as soon as scheduling permits.

PHYSICAL EXAMINATIONS (OVER 50)


All inmates who are over 50 years of age and have been in the system for more than one year may request a physical examination yearly. To request this
examination, you should complete a request, and send it to the Medical Records Department. Your name will be placed on a waiting list and you will be seen as soon as scheduling permits.

PHYSICAL EXAMINATIONS (RELEASE)

Each inmate being released from custody, whose discharge date is within one year of the previous physical examination, may request a complete examination. To request this examination, you should complete a request and send it to the Medical Records Department. Your name will be placed on a waiting list and you will be seen as soon as scheduling permits. Please be sure to make your request early so that your examination can be completed prior to your discharge.
All inmates who are to be released or are going on furlough are required by Bureau policy to have an HIV test within one year of the date of departure.

OUTSIDE CONSULTANT

The Medical Staff at FCI Fort Dix will be assisted in providing inmate care by several physicians from the local area. We will have the following specialists visiting the Institution for consultation on as needed basis
Orthopedics, Psychiatry, Gastroenterology, General Surgery, Optometry, Infectious Disease, Podiatry, Urology, Cardiology, Ophthalmology, and Pulmonary.
If you believe you need to see one of these specialists, you must be seen by your Unit Physician. If there is a clinical indication, your case will be referred to the consultant. Consultant will provide our
staff Physician with recommendations related to your medical condition. The final decision to act on these recommendations rests with the Utilization Review Committee based on categories of care criteria provided by the Federal Bureau of Prisons. Any questions related to these recommendations should be addressed to the Clinical Director.

MEDICAL RESTRICTIONS

Medical restrictions are placed on activities by the Medical Department for medical reasons. These restrictions are placed for a specified period of time, it is your responsibility. If you have medical duty limitations to renew them prior to their expiration. If you arrive at this institution with medical restrictions, it is your responsibility to have these renewed upon arrival. This can be accomplished through SICK CALL and WRITTEN REQUEST System.

REFUSAL OF MEDICAL TREATMENT

All patients have the right to refuse any medical treatment offered or recommended as part of informed consent. If you refuse recommended medical test or
treatment, this will be documented. You will be asked to sign a REFUSAL OF TREATMENT FORM which will explain the possible consequences and complications of such. If you refuse to sign this
form, staff members will sign this form attesting to your refusal to sign. You have the right to be counseled regarding the possible ill effects that may occur as result of your refusal.

ADVANCED DIRECTIVES AND “DO NOT RESUSCITATE ORDERS”


Increasingly, inmates and health care providers are confronted with difficult and sensitive decisions regarding health care, including the decision to have extraordinary means of care and life support withheld or withdrawn in cases of a terminal condition or irreversible illness.

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 heath care decisions for them should they become incapacitated and unable to make such decisions for themselves. The Bureau’s withholding or withdrawal of resuscitative or life-support services pursuant to an Advance Directive or DNR order, is consistent with sound medical practice and is not associated with assisting suicide, voluntary euthanasia, or expediting the inmate’s death.

The patient’s right to refuse medical treatment is not absolute and, in all cases, will be weighed against legitimate governmental interests, including the security and orderly operation of correctional
institutions.

INMATE COPAYMENT PROGRAM

Inmates will be encouraged to be more responsible for their own health care. The Bureau will promote the appropriate use of health care services by inmates.

You must pay a fee of $2.00 for health care services, if you receive health care services in connection with a health care visit that you requested, except for services described in section A. 28
These requested appointments include Sick Call and after-hours requests 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 A., you will be charged a $2.00 copay fee for that visit.
You must pay a fee of $2.00 for health care services, charged to your Inmate Commissary Account, per health care visit, if you are found responsible through the Disciplinary Hearing Process to have
injured an inmate who, as a result of the injury, requires a health care visit.
A. Health Care Visits with no Fee:
We will not charge 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;
5. Prenatal care;
6. Diagnosis or treatment of chronic infectious diseases;
7. Mental health care; or
8. 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.
Your health care provider will determine if the type of appointment scheduled is subject to a copay fee.
B. Indigence: An indigent inmate is an inmate who has not had a trust fund account balance of $6.00 for the past 30 days.
If you are considered indigent, you will not have the copay fee deducted from your Inmate Commissary Account.
If you are NOT indigent, but you do not have sufficient funds to make the copay 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 your Inmate Commissary Account.
C. Complaints: You may seek review of issues related to health service fees through the Bureau‟s Administrative Remedy Program (see 28 CFR part 542).

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