FCI McKean Medical Care

Sep, 19 11 Post by: admin | No Comments


MEDICAL/HEALTH SERVICES



During the institution’s admission and orientation session, a representative from health services will inform all new arrivals of what health care services are available to inmates. A list of health care rights and responsibilities are found in Attachment C of this handbook.

For urgent care, inmates feeling they need immediate evaluation for medical problems are required to report to the health services unit, with their ID card, for urgent care triage between 7:00 -7:30 a.m., Monday thru Friday. The inmate will be medically screened at that time by a provider. Serious conditions will be seen that morning. Other problems that do not require immediate medical attention will be scheduled within fourteen days. The inmate will be placed on the callout list for their appointment.

For routine care, inmates who wish to be seen at sick-call for evaluation of medical problems are required to fill out a sick call sign-up sheet. Inmates can receive a sheet from their unit officer or from the Health Services Department. Once the sheet is completed it can be placed in the box mounted on the wall in the Health Services waiting room or sent to Health Services via institutional mail. Allow up to two weeks for a routine appointment. The inmates will be placed on the call out at the time of their appointment.

Inmates, who become seriously ill after the regular sick-call appointment sign-up period, should ask their work supervisor or unit officer to call health services for an appointment. Inmates may not come to health services on their own accord after sick-call sign-up is completed. Inmates in the special housing unit are unable to sign up for this procedure. For that reason, a medical staff member will conduct sick-call rounds every day.

Inmates may request a complete physical examination every two years. Inmates over the age of 50 are eligible for a complete physical examination annually. An inmate being released from the system may submit an Inmate Request to Staff form requesting a medical evaluation if he has not had a physical examination within one year prior to the expected date of release. This request should be submitted approximately 3 to 4 months prior to your release.

Should an inmate refuse any procedure or medications recommended by health services, the health services staff shall counsel the inmate regarding the risks. Counseling and refusal will be documented on a Refusal of Treatment form, signed by the inmate and a witness, and then placed in the inmate’s medical file.

All emergencies or Injuries will be given priority treatment. Medical coverage on evenings, weekends, and holidays is for the treatment of acute medical problems only.

Controlled medications are dispensed at the pharmacy “pill line” during specified time periods. These times include:

Monday -Friday Saturday. Sunday, & Holidays
7:00 -7:30 a.m. 8:30 a.m. -8:40 a.m.
11:15 a.m. -12:00 p.m. 11:15 a.m. -12:00 p.m.
3:15 p.m. (Pick up ONLY!!!) No Pick Ups!!!
7:00 -7:15p.m. 7:00 -730p.m.

Medications for patients in the special housing unit will be distributed by a clinical staff member. The institution pharmacy dispenses prescribed medication as authorized by the BOP National Formulary and within the local inventory.

Open House Inmates having any questions or concerns with their health care may attend Health Services Open House. Open House is conducted every Wednesday, 11 :30 A.M. -12:00 P.M. Health Services staff will also be available to answer questions, Monday, Tuesday, Thursday, and Friday at mainline.

Over-the-Counter (OTC) Medications/Co-Pay



The institution commissary will stock at least 25 OTC medications. The pharmacy will not provide OTC medications available in commissary unless there is an immediate medical need for the medication. Only medications on the current formulary would be issued. Inmates should fail OTC medications before being prescribed a similar prescription medication. Healthcare providers may review an inmate’s commissary record.

Inmates without funds (indigent) will be defined as having an average trust fund account balance of less than $6.00 for the past 30 days. An inmate considered as being indigent may request OTC medications, without using sick call, from the pharmacy with the OTC request list. Inmates will only be allowed to choose 2 items per week and are limited to the monthly allowance of each drug. An indigent inmate may obtain additional OTC medications through sick call if health services staff determine that he/she has an immediate medical need which must be addressed before the inmate may apply again for OTC medications. The pharmacy will maintain a record of indigent inmates and their OTC requests. The pharmacy will have access to Trust Fund Accounting and Commissary System (TRUFACS). Inmates showing a pattern of depleting commissary funds before requesting OTC medications will be referred to sick call. Further sanctions may be imposed with continual abuse as determined by the HSA, Associate Warden, or Warden. Indigent inmates may obtain an OTC request list from the pharmacy. Requests need to be submitted to the phanmacy by Wednesday of the week. OTC medications will be available for pick up starting the following Friday and only at the 11 :30a.m. Pill line. The pharmacy will maintain a record of OTC items issued to a given inmate for 30 days.

Inmates will be referred to commissary for chronic conditions that can be treated with OTC medications. If a clinician detenmines through sick call that a condition can be treated with an OTC medication, the clinician may refer the inmate to commissary. The provider has the option to give a medical commissary pass to the inmate to shop on a day other than their assigned day. The pass is only valid for the date written. Inmates should be referred to the afternoon commissary shopping time for OTC medications. If an immediate need is necessary for a condition requiring an OTC medication, a prescription can be written and filled by the pharmacy if available on fonmulary. A similar formulary agent may be used for any non-fonmulary OTC medications. The prescription should be limited to a time frame to treat the acute condition and any subsequent refills should be referred to commissary.

Inmates in SHU will adhere to the same OTC policy as general population. In the event commissary privileges are revoked, medical staff can triage the inmate to detenmine if an OTC medication is medically necessary. Phanmacy will provide OTC medications for SHU inmates with an immediate medical need as determined by the healthcare provider. Indigent inmates in SHU will adhere to the same procedure as general population unless commissary privileges are revoked. In this case, inmates will be referred to sick call and only medically necessary medications will be provided.

Medical Co-pay Pursuant to the Federal Prisoner Health Care Copayment Act (FHCCA) of 2000 (P.L. 106-294, 18 U.S.C. ยง 4048), The Federal Bureau of Prisons and FCI McKean 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 copay fees.

B. Health Care Visits with a Fee:

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.
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:

Health care services based on health care staff referrals;
Health care staff-approved follow-up treatment for a chronic condition;
Preventive health care services;
Emergency services;
Prenatal care;
Diagnosis or treatment of chronic infectious diseases;
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. Your health care provider will determine if the type of appointment scheduled is subject to a copay fee.
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.

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.

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).


On the job injuries



If an inmate is injured while performing an assigned duty, he must immediately report the injury to his work supervisor. The work supervisor will then report the injury to the institution safety manager. The inmate may be disqualified from eligibility for lost time wages or compensation if he fails to report a work related injury promptly to his work 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 examination must be included before any compensation can be considered.


DNA Sample Collection



DNA samples will be collected using buccal swab kits. You will be placed on callout for the Receiving and Discharge area if you are scheduled to provide a sample. Refer to attachment L for a copy of the memorandum regarding collection of DNA samples.

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