FCI Jesup Medical Care

Sep, 19 11 Post by: admin | No Comments


POLICY


It is the policy of the Federal Correctional Institution, Jesup, Georgia, that all inmates who wish to attend sick call should be allowed to do so. When requesting services from the
Health Services Department, you are required to present your commissary card for
identification purposes.

AVAILABILITY


Sick call sign up is conducted on Monday, Tuesday, Thursday, and Friday, excluding
Holidays. You must bring your Commissary (identification) card when requesting an
appointment.

Sick call sign-up times during normal operations:

FPC: Sign up will be from 06:00-06:30. You must present a sick call sign-up for
with your complaint/ reason for your sick call request. Dental sick call sign-up will
only be on Wednesday’s.

FSL: Sign up will be from 06:00-06:30. You must present a sick call sign-up for
with your complaint/ reason for your sick call request. Dental sick call sign-up will
only be on Tuesday and Thursday.

FCI: During the 2:30 move for the general population and a special move at 3pm
for UNICOR Workers. You must present a sick call sign-up for with your
complaint/ reason for your sick call request.

EMERGENCIES WILL BE SEEN AT ANY TIME!

If you should become injured or ill while on the job, you MUST notify your Detail
Supervisor. If you should become injured or ill after clinic hours, you MUST notify your
Unit Officer. Staff will contact the available Health Services staff for further directions
concerning an emergency evaluation.

CLINIC APPOINTMENTS (CALL OUTS)


If you should be scheduled for a clinic appointment, it will be your responsibility to be in
the clinic on time. All call outs are scheduled to coincide with the controlled moves. Missed clinic appointments may be cause for disciplinary action.

You must have a clinic appointment or call out to report to the Health Services Unit,
otherwise you will be considered out of bounds.

INMATE COPAYMENT PROGRAM


Pursuant to the Federal Prisoner Health Care Copayment Act (FHCCA) of 2000 (P.L.
106-294, 18 U.S.C. § 4048), the Federal Bureau of Prisons and FCI/FSL/FPC JESUP,
GA must provide notice of the Inmate Copayment Program for health care, effective
October 3, 2005.

A. Application: 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 inpatient28
status at a Medical Referral Center (MRC). All inmates in outpatient status at the
MRCs and inmates assigned to the General Population at these facilities are
subject to copay fees.

B. Health Care Visits with a Fee:

1. You must pay a fee of $2.00 for health care services, charged to your Inmate
Commissary Account, per health care visit, if you receive health care services in
connection with a health care visit that you 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 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 C., below, you will be charged a $2.00 copay fee for that visit.

2. You must pay a fee of $2.00 for health care services, charged to your Inmate
Commissary Account, per health care visit, for visits that you request on an
emergency basis, that after your evaluation it is determined that your visit was for
a non-emergent medical condition.

3. 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.

C. Health Care Visits with no Fee:
We will not charge a fee for:

1. Health care services based on health care staff referrals, to include;
a. Blood pressure monitoring
b. Glucose monitoring
c. Chronic care clinic visits
d. TB skin testing
e. Vaccinations
f. Wound care
g. Patient education

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.
Your health care provider will determine if the type of appointment scheduled is subject to
a copay fee.

D. Indigency: An indigent inmate is an inmate who has a trust fund account29
balance of $6.00 or less for the past 30 days.
If you are considered indigent, you will not have the copay fee deducted from your
Inmate Commissary Account. Health services staff does not determine your indigent
status.

If you are NOT indigent, but you do not have sufficient funds to pay 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.

E. Complaints: You may seek review of issues related to health service fees
through the Bureau’s Administrative Remedy Program (see 28 CFR part 542).

INTAKE SCREENING

Upon your arrival at FCI Jesup, you will be interviewed by a member of the Health
Services staff. It is imperative that you cooperate with them in supplying all requested
medical data. If you are on maintenance medications, these will be continued until you
can be evaluated by the Physician or MLP.

Those individuals who require long-term chronic care which cannot be provided at this
facility, will be referred to one of the Federal Medical Centers.

PHYSICAL EXAMINATIONS

A physical examination will be completed within 14 days of your arrival. If you have
transferred from another institution and a current physical examination is in your medical
record, this will not be repeated. You will be assigned a medical duty status and be
cleared for work at the time of your physical examination (or chart review).
Periodic health examinations will be provided based upon your individual risk factors. To
request a periodic health examination, you will need to report to sick call for an
appointment with an MLP. During your appointment with the MLP, your risk factors will be
discussed, and a focused exam will be performed as necessary.

If you refuse any medical screening for communicable diseases, you will be placed in
Administrative Detention until all requirements have been completed.

PILL LINE


All prescriptions will be picked up at the pharmacy window. The evening pill line at the
FPC will be the only time to pick-up prescription refills for the FPC. During the 2:30pm
move at the FCI and FSL, you will be able to report to the pharmacy window to pick-up
your prescription refills. UNICOR workers will be allowed to pick-up their medication refills
during the 3:30pm recall move at the FCI. If you are on any restricted medications, the
pharmacist or provider will advise you of the times and method of receiving your
medications. You are required to bring your inmate commissary card with you to pick-up
any medications, pill line or self-carry.

Over-the-counter medications (Aspirin, Tylenol, Ibuprofen (Motrin), Zantac, Maalox,
Ben-Gay, Anti-fungal creams, etc.) are available for purchase in the Commissary. Any30
inmate who is indigent, as defined above, can request them through routine sick call.
They can be prescribed if medically necessary, and there is a monthly limit on OTC items
available from the pharmacy. If you are not indigent, you will be required to purchase
over-the-counter medication from the commissary in accordance with the Over-theCounter Program Statement (P.S. 6541.02, November 11, 2004).

DENTAL SERVICES

Dental sick call sign up is held at the same time as medical sick call at the FCI and on
Tuesdays and Thursdays during regular sick-call sign-up at the FSL.

All inmates arriving at the institution will receive a routine dental examination upon arrival,
if not already completed at another institution. In order to receive routine dental care or
cleaning, you must submit a cop-out to the Dental Clinic and will be placed on the waiting
list.

If you should develop a “dental emergency”, inform your detail supervisor or unit officer
and arrangements will be made to have you evaluated.

HIV


There is an increased personal risk factor of being exposed to the Human
Immunodeficiency Virus by behavior which includes: IV drug use, tattooing, and
homosexual behavior. You are discouraged from engaging in such activities. All inmates
who have engaged in any of these high risk behaviors are encouraged to have an HIV
test performed. This can be requested during your physical examination or on routine
sick call. All inmates must have an HIV test prior to release or any community activity; i.e.
community corrections center. You may only request one HIV test per year.

MEDICAL RECORDS REVIEW OR COPIES

Any inmate wishing to review or have copies made of his medical record should submit a
cop-out to the Medical Records Office. You will be advised of any other action that you
must take or the time frame in which this will occur. You will be placed on call-out to
receive copies of your medical records.
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