FCI McDowell Medical Care

Sep, 19 11 Post by: admin | No Comments


HOW TO MAKE MEDICAL/DENTAL SICK CALL APPOINTMENTS


To make a sick call appointment, bring your ID card to the Health Services Department during the morning sick-call move (this move will occur as the first move of the morning, four days per week: Monday, Tuesday, Thursday, and Friday, except for Holidays. Appointments are made by coming to the Health Services Department during this time and requesting an appointment.
A. ALWAYS BRING YOUR “ID CARD” TO SIGN UP FOR SICK CALL.
B. Present your ID card along with your sick call form at the sign-up desk.
You must fill out the sick call form in ink. The form must include your name, register number, and complaint. Please be as thorough as possible on the form.
C. You will either be seen immediately, or you will be placed on the call-out for the
date and time you are to return to the Health Services Department, depending on the nature of your medical or dental problem.
D. Dental sick call sign up requires this sick call form.
E. Try not to arrive at the Health Services Department earlier than five minutes prior to your appointment, and do not arrive later than five minutes after your appointment.

TARDINESS FOR SICK CALL


You must report for ALL sick call appointments, as well as ALL appointments scheduled via the call out. You are expected to arrive for your appointment on time, with your ID card. You are not to arrive any sooner than five minutes before the scheduled time of your appointment, and no later than five minutes after. If you are more than ten minutes late, and the reason is not justified or substantiated by staff, your appointment will be canceled, and appropriate disciplinary action taken as it pertains to your absence from a scheduled assignment.
Sick Call Procedures for Inmates housed in the Special Housing Unit (SHU)
A. Medical staff make rounds in the Special Housing Unit a minimum of two times per day. The first visit at 6:00 – 6:30 AM and the second visit during the evening after the count clears (generally around 6:30 PM).
B. It is the inmate’s responsibility to be standing at their door during the morning rounds in order to request a sick call visit. Depending on the nature of the inmate’s complaint, an appointment will be made at the appropriate time.
C. Sick call requests will be accepted on Monday, Tuesday, Thursday, and Friday.

ROUTINE DENTAL CARE


New commitments are seen by the Dental Department as part of the A&O process. At this time, they will be able to establish a treatment plan in regard to your immediate needs. Requests for routine work are to be submitted to the Dentist on an Inmate Request To Staff (Cop Out) for FPC inmates. You must watch the call outs for your appointment time. If you are not seen here for an A&O exam, submit a cop out if you wish to be placed on the treatment list.
Inmates at the FCI who wish to have a dental cleaning, must submit an Inmate Request to Staff Member (Cop-out). You will be placed on a waiting list and advised of the approximate date of your scheduled appointment. Camp inmates must submit an Inmate Request To Staff Member to be placed on the waiting list for a dental cleaning. Inmates, FCI/SPC, who are already on the waiting list for cleanings or routine dental care in BEMR will be seen accordingly and do not need
to resubmit a Cop-out. However, inmates must inquire through mainline or Cop-out to see their status in BEMR.
SPC dental sick call forms are accepted on Tuesdays only. Dental services may also be accessed through the Inmate Request to Staff Member (cop-out) process.
As with scheduled appointments you MUST show up for your dental appointments, whether they be emergency, sick call, or scheduled on the posted call outs.
Report any emergencies to staff immediately and appropriate action will be taken.

PHYSICAL EXAMINATIONS


All newly committed inmates will receive a complete physical examination, including dental exam, laboratory tests, immunizations, Tuberculosis test, eye screening, and in some cases, a chest x-ray. The medical A&O exams are conducted on Wednesdays. Inmates are required to be at the Health Services Department on the day their exam is scheduled. Inmates are eligible for a complete physical every two years if under 50, and a complete physical every year if over 50 years of age. If you are over 50 you are also eligible for a yearly EKG. If it has been one year since your last physical exam, you may request a release physical two months prior to your release date. Each inmate is entitled to request a Health Care Prevention Visit every three years prior to the age of 50, and every year after the age of 50. Send your request for a physical exam to the Health Services Department on an Inmate Request to Staff form (Cop Out). Please the BOP Clinical Practice Guidelines for Preventative Health.

EYEGLASSES/CONTACT LENSES


A consultant eye doctor comes to the institution on a scheduled basis. FCI/SPC inmates who wish to be evaluated for eyeglasses must report to Health Services during sick call hours. At that time, you will be placed on a waiting list and advised of an approximate date of your appointment. Your name will be placed on the call out for the date of your appointment. If the eye doctor determines you need a pair of glasses, we will order them for you at government expense. It takes approximately four to six weeks to receive them. We do not allow eyeglasses from outside sources to be sent into this institution; if you arrive to the institution with contacts lenses, they will be sent home.

CONSULTANT REFERRALS TO OUTSIDE MEDICAL FACILITIES, DOCTORS


If the physician at this institution determines that your particular medical/dental problem cannot be evaluated or handled at this facility, you will be referred to the most appropriate medical setting. This could be a local clinic, or another Bureau medical center. Once the care is completed, you will be transferred back to this institution.
Violation of any of these restrictions subjects you to disciplinary action. If there is confusion concerning your duty status or restriction, notify a Health Services staff member through a cop out or sick call.

CALL OUTS


The call out system is utilized by Health Services for clinical appointments, follow-up visits, and x-ray or laboratory procedures.
*********LOOK AT THE CALL OUT EVERY EVENING**********
*******ALL MEDICAL CALL OUTS ARE MANDATORY*********
FAILURE TO REPORT FOR MEDICAL CALL OUTS WILL RESULT IN AN INCIDENT REPORT

EMERGENCY APPOINTMENTS


In the event you become ill, or have an accident which requires immediate medical attention, you are to notify your supervisor or the closest staff member who will then contact the Health Services Department for instructions. DO NOT JUST WALK INTO THE HEALTH SERVICES DEPARTMENT WITHOUT PRIOR APPROVAL FROM A HEALTH SERVICES STAFF MEMBER..

CAMP SICK CALL


Inmates who are assigned to the Federal Prison Camp may make sick call appointments in the morning between the hours of 6:30 AM and 6:45 AM., (Monday, Tuesday, Thursday and Friday) The inmate will be responsible for completing an Inmate Sick Call Sign Up form, in ink, and reporting to Camp Health Services during the time frame specified above. A Physician’s Assistant or Registered Nurse will screen all appointment requests and either give the inmate an appointment for the same day, or schedule an appointment at a later date. For those appointments which are scheduled for a later date, the inmate will be placed on a call-out.

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/FPC McDowell 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 inpatient 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 co-pay 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 co-pay 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, 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;
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.
9. Immediately reported injuries.
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 co-pay fee.
D. Indigency: 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.
Please note that NO inmate will be denied medical treatment based on financial status.
If you are NOT indigent, but you do not have sufficient funds to make the co-pay 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).

OVER-THE-COUNTER MEDICATIONS (OTC’S)


Personal resources will be used by inmates to obtain OTC medications which are indicated for cosmetic and general hygiene issues or symptoms of minor ailments. These symptoms include
seasonal allergies, occasional constipation, uncomplicated athletes foot, acne, simple rashes, dry skin, and muscle aches from exertion.
For those inmates who report to health services with symptoms of minor medical ailments and cosmetic or general hygiene issues they will be referred to the institution commissary with a Commissary Shopping List stating which medications they may purchase for general complaints.

On-the-job Injuries


If an inmate is injured while performing an assigned duty, he must immediately report this injury to his work supervisor. The work supervisor will then report the injury to Health Services staff and the institution Safety Manager. The inmate may be disqualified from eligibility for lost-time wages or compensation if he fails to report a work injury promptly to the supervisor.
If injured while performing an assigned duty, and the inmate expects to be impaired to some degree, he may submit a claim for compensation. A medical evaluation must be included in the claim before any compensation can be considered.

DNA


On December 19, 2000, the DNA Analysis Backlog Elimination Act of 2000 was enacted. As such, FCI McDowell is responsible for the collection of DNA samples from all initially designated inmates and all transfers from other institution who have less than 60 days remaining until their release. Eligible inmates are defined by the following legal statutes:
Title 42 U.S.C & 1413a, Collection and use of DNA identification from certain Federal offenders; Title 42 U.S.C & 1413b, Collection and use of DNA identification information from certain District Of Columbia offenders; and Title 28 C.F.R. & 2812
If an inmate contends that he has had a DNA sample collected previously by local or state officials, FCI McDowell staff will use reasonable efforts to contact the appropriate agency and confirm the claim. If it cannot be determined with certainty that an inmate has previously submitted a DNA sample, staff will be required to collect another DNA sample within 60 days of their release.
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