FCI Loretto Medical Care

Sep, 19 11 Post by: admin | No Comments

HEALTH SERVICES

The following medical services are available at FCI Loretto; sick call/pill line; routine treatment; emergency treatment; and follow-up care through the Chronic Care Clinic.

You will be assigned to a specific Primary Care Provider (PCP) based upon the 4th and 5th digits of your register number (00000-000). For a current PCP listing, check the inmate bulletin board(s) within your housing unit. The same memo has been posted in the Health Services Department.

To request a medical evaluation (non-emergency), submit a “cop-out” to your respective PCP. If your condition requires more immediate attention, you may sign up for sick call to be triaged (screened). Only emergent medical problems will be evaluated the day you sign up; however, all non-emergent matters will be referred to your PCP for future placement on call-out.

Prior to signing up for sick call, you must complete an “FCI Loretto Inmate Sick Call Sign-Up Sheet.” The form is available from the Unit Officer or from Health Services staff. You must bring the form with you to sick call.

SICK CALL:

•             Routine sick call sign up is held Monday, Tuesday, Thursday, and Friday in the Health Services Department between the hours of 6:30am and 7:00am, at the FCI and between the hours of 6:15am and 6:30am at the Camp. If a holiday occurs during the week, then sick call will be held on Wednesday. Emergency visits to the Health Services Department will be by appointment only, after the Detail Supervisor, Unit Officer, or other staff member notifies a healthcare staff member.

PHARMACY:

•             There is a pill line held in the Health Services Department seven (7) days a week between the hours of 7:30am to 7:45am; 11:30am to Noon; and from 8:30pm to 8:45pm at the FCI. Prescription refill requests should be turned in at the 7:30am to 7:45am pill line.

•             At the Camp, the time frames are from 6:15am to 6:30am; 3:00pm to 3:15pm; and from 8:00pm to 8:15pm. Prescription refill requests should be turned in at the 3:00pm to 3:15pm, pill line at the Camp.

•             Inmates in the Special Housing Unit are provided their medications in seven (7) day supply.

•             Over-the-Counter (OTC) medications are available for sale through the Commissary.

DENTAL:

•             Requests for dental treatment will be processed in the order that they are submitted (date on your cop-out). If you require emergency dental care, you need to show up for the next regularly scheduled sick call.

EYEGLASSES:

•             Requests for eye examinations for glasses must be screened through your PCP. Glasses, if needed, will be prescribed by a contract Optometrist and ordered without cost to the inmate. Delivery normally takes between four to six weeks. An inmate may choose to have an Optometrist of their choice fabricate the glasses; however, this will be at the expense of the inmate.

PHYSICAL EXAMINATIONS:

•             All inmates receive a medical examination upon commitment to the Federal Bureau of Prisons. You are eligible for subsequent evaluations on a periodic basis. To request a medical evaluation, forward a “cop-out” to your respective PCP. These examinations will fall under what is considered “Age-Specific Preventive Health Examinations” (information will be periodically posted in Health Services addressing preventive health issues).

•             If you are being released from custody, you may request (via a “cop-out” to your PCP) a medical evaluation, provided that you have not had one within one year prior to your projected release date. This examination will usually occur within two (2) months of release.

SMOKING CESSATION:

•             The institution has developed a Smoking Cessation Program that will assist inmates who are interested in stopping smoking. This program provides information on nutrition, lifestyle modification changes, to include exercise, stress management and weight loss. The purchase of Nicotine Replacement Therapy

•             (NRT) through the Commissary must be authorized by the Health Services Department. To do so, you must forward a request, in writing, to your PCP who will conduct a medical evaluation and collect clinically pertinent information prior to approving NRT. Once approved for either a six (6) week or ten (10) week program, NRT patches can then be purchased through the Commissary.

INMATE GRIEVANCES:

•             Should any inmate have a grievance against the Health Services department, it is expected that the chain of command will be followed. This involves your healthcare concerns with your Primary Care provider and/or the Clinical Director. You may submit an Inmate Request to Staff, to either the Clinical Director to discuss your healthcare concerns and/or to request a medical examination; or you may speak to the Health Services Administrator during open house/mainline. You also may submit an Inmate Request to Staff to the Health Services Administrator for a written response.

•             If you feel that your concern and/or grievance have not been adequately addressed, you may also file an appeal via the Administrative Remedy Process.

GENERAL INFORMATION:

The Health Services corridor is off limits, OUT OF BOUNDS, to all inmates unless you are signing up for sick call, are on a call-out for a scheduled appointment, attending pill line, or if a bona fide emergency exists. Proper institution attire is required at all times other than an emergency situation.

Medical coverage on evenings, weekends and holidays is for the treatment of acute medical problems only.

The Health Services staff will review all inmate medical records to ensure that each inmate receives updated immunizations, to include: Tetanus Immunizations; Hepatitis A&B Immunizations (dependent upon exposure risks and current medical diagnosis.); Pneumococcal Immunizations (based upon clinical need); Influenza Vaccination on an annual basis (dependent upon clinical indications and availability of supply); Mumps Vaccination and Varicella Immunization; or any other immunization deemed clinically necessary.

INMATE COPAYMENT PROGRAM:

In an effort to ensure that health care services are appropriately utilized, the Bureau of Prisons has mandated a Co-pay Program. Inmates will pay a $2.00 fee for each health care visit that is requested by the inmate (or referred to Health Services by non¬clinical staff at the inmate’s request). This includes daily sick call requests, after-hour requests to see a health care provider, non-emergencies, and injuries (including injuries to other inmates 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). The Co-pay Program also includes inmates that are housed in the Special Housing Unit.

Inmates will not be charged a fee for health care services based on medical staff referrals, medical staff-approved follow-up treatment for a chronic condition, preventive health, bona fide emergencies, diagnosis and treatment of chronic infectious diseases, mental health care or substance abuse treatment.

HEALTH EDUCATION & INFECTIOUS DISEASES:

Health Education on Infectious Diseases will be provided during the A&O Lecture. General topics of discussion on Infectious Diseases will include the showing of the HIV Video and Handouts, as well as discussion on:

HIV Testing: The first test done is the ELISA. If the test is positive, a WESTERN BLOT test will be performed as this is a more accurate test.. If this is positive, then it shows HIV antibodies within the body. The inmate will be followed monthly on the clinic and laboratory tests will be drawn as indicated. A positive result is confidential and only the Health Services Department and Psychology Department will be aware of the result. Medications provided for HIV inmates are only those medications that have been approved by the FDA. As clinically recommended, no experimental medications can be used. High risk behaviors include IVDA, increased sexual contacts, homosexual contact and blood transfusions over the past fifteen (15) years. If someone is considered high risk, then testing should be performed.

Hepatitis Testing: Hepatitis testing is only done when medically indicated either through an exposure activity or diagnostic purposes. High risk behaviors include IVDA, increased sexual contacts, homosexual contact and blood transfusions over the past ten (10) or greater years.

Tuberculosis Testing: a mantoux PPD test is completed annually on all inmates who have previously tested negative. This is to prevent the outbreak of a TB epidemic. Anyone who has an initial positive reaction will receive an x-ray. If the individual has active tuberculosis, the patient will be transported to a facility where they can be medically isolated for the initial treatment period. If the individual has an initial positive reaction and the x-ray shows no active tuberculosis, the patient will be offered prophylactic medication. This medication regimen is for nine (9) months (or up to twelve (12) months, depending upon the clinical indication). The medication will be administered on Tuesdays and Fridays, during the Noon pill line in the Health Services Department. It is essential that anyone started on the treatment continue the treatment so that they do not build up immunity to the medication and later develop tuberculosis.

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