FCI Miami Medical Care

Sep, 19 11 Post by: admin | No Comments


HEALTH SERVICES



The Health Services Unit at FCI Miami provides medical coverage to all inmates from 6 A.M. to 10 P.M. The staff consists of a Clinical Director, physicians, dentist, physician assistants, registered nurses, x-ray technician, health information technicians, two assistant health services administrators, pharmacist and Health Services Administrator.

The consultant staff consists of various specialty physicians, a dental assistant, dental hygienist, and allied health technician pharmacist. Local emergency services include various community hospitals and the county fire/rescue squad.

PHYSICAL EXAMINATIONS



Upon arrival at this facility all new inmates, requiring a physical examination, will be scheduled for admission blood work, x-rays, and a physical examination by placing your name in the “CALL-OUT.” This is mandatory for all inmates. Medical duty status will be determined at this time and forwarded to the Unit Team.

A&O’s and physical exams are normally conducted on Thursdays. It is your responsibility to watch for your name on the call-out sheet for scheduled appointments in the hospital.

Inmates under 50 years of age shall be offered a complete physical exam every two years. Inmates aged 50 and over are eligible for a complete physical examination annually to include EKG, Tonometry and digital rectal examination.

An inmate being release from the system may request a medical evaluation if he has not had one within 1 year prior to the expected date of release . Such examination should be conducted within two month prior to release. You must request this physical exam via cop-out to medical records.

Inmates are responsible for being present at their scheduled appointments. Violators will be subject to disciplinary action.

HIV (AIDS), TUBERCULOSIS, AND HEPATITIS



An HIV detection program is in place at this facility. Any inmate requesting voluntarily the HIV test will be given one. This petition has to be requested through a COP-OUT to the Infectious Disease Coordinator. During the year, several RANDOM TESTING, will take place among the population and inmates will be selected through a computerized census drawing.

All inmates clinically suspected of having HIV will be tested. All inmates designated at this facility will be required to take an HIV examination before their release. The results of all test will be treated confidentially and counseling sessions will be available.

All inmates arriving at this facility will receive a PPD test. This test is designed to detect exposure to Tuberculosis. A positive test result reveals that the individual was exposed to the disease but does NOT indicate that the person has an active form and presents any risk to others. All inmates that have a positive reaction will be given a Chest X-Ray and will be offered the proper treatment. Make sure the PPD test is read within 36 hours of your arrival by reporting it to the P.A. administering “SICK CALL.” Inmates designated at FCI/FPC Miami will require a yearly PPD test if the previous test had been negative.

JOB SAFETY



Job Safety is everyone’s priority. Familiarize yourself with the safety rules established at your work site. Inmates are required, and instructed how, to use proper eye and ear protection. All injuries must be reported to the Health Services Unit within 24 hours of the incident.

SICK CALL

All inmates will be allowed to attend sick call. Appointments times are determined by the medical staff.

Except for emergencies, sick call will be by appointment only, Mondays, Tuesdays, Wednesdays and Fridays excluding holidays.

Appointments will made from 6:30 to 7:00 A.M. at the FCI Hospital Annex building ( behind the Lieutenant’s office), inmates will be given a specific time to be seen by a health care provider. Those appointments will begin at 8:00 A.M. and extend until 3:00 P.M. with a break for lunch from 11:00 A.M. to 12:00 noon. You are expected to be on time for your appointment.

Inmates are responsible for making and keeping their sick call appointments. Give the appointment slip to the detail officer upon reporting to work. The detail officer is responsible for releasing the inmates in time to make it to the hospital at the designated time. Inmates reporting late for appointments will be required to obtain a sick call appointment the following day unless their medical status dictates immediate treatment. All inmates reporting to sick call at the time of the appointment will be seen by a physician assistant (PA). Individuals who specifically request to see a doctor will be scheduled at the first available appointment.

SPECIAL HOUSING UNIT(SHU): All SHU inmates will have the opportunity to see a physician assistant every day of the week. Sick Call rounds will be conducted everyday starting at 5:30 A.M. by the physician’s assistants. Emergencies will be evaluated and treated as necessary.


EMERGENCY TREATMENT



All inmates requiring emergency medical treatment, as determined by the medical staff, will be evaluated as soon as possible. If you are injured or require immediate medical care, you should inform your detail officer without delay, who will in turn contact the hospital. Routine complaints of non-emergency nature will not be treated as an emergency basis.

INPATIENT TREATMENT



The need for outside hospitalization in a community hospital will be determined by the institution medical staff. In the event of life-threatening emergencies, fire/rescue and community hospital emergency rooms will be utilized.

MEDICATION



All medications are issued by prescription only. When you are issued medication in a labeled container, it is for your use only and you should follow the directions exactly as written.

Controlled medication is issued on a per dose basis at the pill line window (Three times a day: 7:15 A.M. through 7:30 A.M.; 3:10 P.M. through 3:40 P.M. and 7:45 P.M. through 8:30 P.M.). On weekend and holidays, the morning pill line is from
8:00 A.M. through 8:15 A.M.

DENTAL AND EYE CARE



Any inmate requiring emergency treatment due to severe tooth pain is eligible for dental sick call. Appointments will be obtained by inmates according to procedures outlined in the sick call section. Special Housing Unit inmates who require emergency dental treatment should inform the P.A. conducting sick call rounds.

All inmates with the necessity for eye care are required to attend “Sick Call.” The individual will ask to be registered to see the Optometrist. An Optometrist is under contract and visits this facility on a as needed basis. Following a brief eye evaluation the inmate will be placed on a waiting list for the next available appointment.

Check the “Call Out” every day for your appointment.


NOTICE TO INMATES INMATE CO-PAYMENT PROGRAM



Pursuant to the Federal Prisoner Health Care Co-payment Act (FHCCA) of 2000
(P.L. 106-294, 18 U.S.C. § 4048), The Federal Bureau of Prisons and FCI MIAMI, FLORIDA provide notice of the Inmate Co-payment Program for health care, effective October 3, 2005.

A. Application: The Inmate Co-payment 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 copy 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 copy 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 copy fee.

D. Indigence: 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 copy fee deducted from your Inmate Commissary Account.

If you are NOT indigent, but you do not have sufficient funds to make the copy 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).

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