FCI Memphis Medical Care

Sep, 19 11 Post by: admin | No Comments


General Information



The Health Services Department offers a wide variety of services and is staffed by physicians, mid-level practitioners, nurses, pharmacists, dentists and administrative staff. All inmates are assigned a primary care provider (PCP) and may not change PCP’s. Outside specialty services are also available on referral by your PCP and approval by the Clinical Director and the Utilization Review Committee. An Inmate Request to Staff Member (cop-out) must be submitted for all routine appointments.

Sick Call & Appointments



Inmates may attend sick call to have their medical conditions evaluated by health care providers.

 Sick call will normally be held in the Health Services Unit at the four days per week
 FCI – Monday, Tuesday, Thursday and Friday, from 6:30 a.m. until 7:00 a.m.
 SPC – Monday, Tuesday, Thursday and Friday, from 6:00 a.m. until 6:30 a.m.
 The clinical staff member conducting sick call will triage all patients and determine if immediate care is necessary, an appointment is to be made with the patients PCP at a later date, or no care is required and/or over-the-counter medications are available through the Commissary.

 If an inmate wishes to receive an appointment with their PCP for a routine issue, he may do so by completing an Inmate Request to Staff Member (cop-out) addressed to Medical and depositing it in the institutional mail system. Upon receiving the cop-out the PCP will place the inmate on call-out for their requested appointment.

 All requests for appointments received by the PCP will be triaged and scheduled according to the BOP scheduling guidelines.

 Those inmates who are not indigent and can manage their complaints with over-the-counter medications will be directed to do so.

 All inmates receiving medical care will be assessed a $2.00 copay, within the guidelines of P.S. 6031.02, Inmate Copayment Program, dated August 15, 2005.

 A call-out or other appointment authorization is required to enter the Health Services Department, unless accompanied by a staff escort or being involved in a medical emergency.

 Failure to report for a scheduled call-out appointment will result in an incident report.

 If an inmate is late for a scheduled call-out appointment, the appointment may be canceled, requiring the inmate to make another appointment by resubmitting a cop-out to the respective staff member.

 When reporting to the pill line, insulin line or any other appointment in the Health Services Department, all inmates must be wearing the proper uniform and present their picture ID commissary card to the staff.

If an inmate is seriously injured or has an emergency at work, recreation, or in their quarters, he should contact your detail supervisor, unit officer or the nearest staff member immediately and Health Services will be immediately notified.

If an inmate is evaluated for the same complaint three times and feels he has not received adequate treatment, he may request an evaluation by the physician via cop-out.

Admission and Orientation – As part of the A&O process, an admission physical examination will be given within 14 days of admission into the federal system. Inmates transferring from other federal institutions will have their record reviewed for any necessary medical testing or examinations. Inmates who are in chronic care and receive long term medication will be evaluated by the physician within two weeks of arrival.

Periodic Health Examinations



The Clinical Director will ensure the availability of age-specific preventive health examinations (e.g., cancer screening) for the inmate population as outlined in the Preventive Health Guidelines.

Release Examinations



An inmate being released from custody may request a medical evaluation if he or she has not had one within one year prior to the expected date of release.

Eyeglasses and Contact Lenses



BOP Prescription eyeglasses will be furnished for corrective vision needs. Contact Lenses may only be prescribed when, in the clinical judgment of the optometrist, an eye-refractive error is best treated with the prescription of contact lenses, an inmate will be evaluated to determine whether or not the lenses may be retained. Unless medical staff determine that contact lenses are medically necessary, prescription glasses must be obtained from an appointment made with the institution’s optometrist for a prescription. Once the glasses are received, the contact lenses must be returned to personal property or mailed home.

Dental



A dental screening exam will be completed during A & O for newly incarcerated inmates. Inmates may be placed on a treatment list for non-emergency dental procedures or routine cleaning of teeth by submitting an Inmate Request to Staff Member to the dental clinic. In the event of a dental emergency, the inmate must report to Dental sick call. Dental sick call will be held in the Health Services Unit
 FCI – Monday, Tuesday, Thursday, and Friday from 6:30 a.m. until 7:00 a.m.
 SPC – Monday, Tuesday, Thursday, and Friday 7:00 a.m. until 7:30 a.m.

Pill Lines & Medications



Pill lines have been established for FCI inmates receiving prescribed medication determined to be provided one dose at a time. Pill lines are conducted through the Pharmacy window during the morning, mid-day, and evening meal times and at 8:00 p.m. Inmates requiring insulin will report to Pharmacy at the beginning of each meal time. When released from the housing unit or work detail for the morning, mid-day, and evening meal, inmates should go directly to the Pharmacy to obtain their pill line medications and then proceed to Food Service. All inmates reporting to pill line and/or insulin line are required to present their picture ID commissary card. Prescription medications are issued at the SPC on an individually scheduled basis.
Prescription Medications, issued in boxes or bottles, can be picked-up during the mid-day meal, evening meal, and 8:00 p.m. pill lines. When the medication bottle/box is empty, it may be dropped in the red refill chute located in the Health Services waiting room next to the Pharmacy window. The refills will be processed and prepared for pick-up if the date on the label indicates the prescription is not expired, and the label indicates you refills are remaining. Inmates should attend the food service meal prior to picking up refills.

Over-the-Counter (OTC) Medications



Unless an inmate meets the criteria for indigent status or is being treated for a serious acute or long term medical problem(s), all OTC medications must be purchased from the Commissary.

Living Wills



All inmates are entitled to a Living Will, otherwise known as an advanced directive. A Living Will is a legal document allowing a person to state in advance how they want to be treated should their medical condition prevent them from making an informed decision regarding artificial life support.

If an inmate wants to have a Living Will, the criteria and procedures required are as follows:
1. Obtain a copy of the Tennessee statute pertaining to Living Wills from the Health Services Administrator.
2. Contact family and/or legal counsel to have the document prepared.
3. When the inmate has received a copy of the legal final document, he must make an appointment with the Clinical Director for a review of the document and discussion of his legal request. A copy will be placed in the inmate’s medical record.
4. Any time an inmate who has a Living Will is sent out to a local hospital, a copy of the Living Will must also be sent to the hospital’s records.
At no time will any Bureau of Prisons staff assist an inmate in preparing a Living Will. If an inmate has any questions concerning a Living Will, he will be directed to the Health Services Administrator.
In the absence of a Living Will, the Bureau of Prisons will ensure life-sustaining measures such as cardiopulmonary resuscitation, ventilators, and other life support mechanics. Removal from life support will require court action either by the Bureau of Prisons or the affected inmate’s family.

NOTICE TO INMATES 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 Memphis 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 – An inmate must pay a fee of $2.00 for health care services, charged to his Inmate Commissary Account, per health care visit, if he receives health care services in connection with a health care visit that he requested, except for services described in section C., below.

1. These requested appointments include Sick Call and after-hours requests to see a health care provider. If an inmate asks a non-medical staff member to contact medical staff to request a medical evaluation on his behalf for a health service not listed in section C., below, he will be charged a $2.00 co-pay fee for that visit.

2. Inmates must pay a fee of $2.00 for health care services, charged to his Inmate Commissary Account, per health care visit, if he is 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 – No fee will be charged

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, a fee will not be assessed:

 Blood pressure monitoring;
 Glucose monitoring;
 Insulin injections;
 Wound Care; or
 Chronic care clinics;
 TB testing;
 Vaccinations;
 Patient education.

An inmate’s health care provider will determine if the type of appointment scheduled is subject to a co-pay fee.

D. Indigence: – An indigent inmate is an inmate who has not had a trust fund account balance over $6.00 for the past 30 days.

 If an inmate is considered indigent, he will not have the co-pay fee deducted from his Inmate Commissary Account.

 If an inmate is NOT indigent, but he does 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 the inmate’s Commissary Account.

Complaints



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

Health Care Rights and Responsibilities



While in the custody of the Federal Bureau of Prisons inmates have the right to receive health care in a manner that recognizes his basic human rights and he also accepts the responsibility to respect the basic human rights of his health care providers.
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